title: The UK Haemophilia Doctors Organisation triennial audit of UK Comprehensive Care Haemophilia Centres.
abstract: Under the auspices of the United Kingdom Haemophilia Doctors Organisation (UKHCDO) the UK Comprehensive Care Haemophilia Centres (CCCs) have undergone a three yearly formal audit assessment since 1993. This report describes the evolution of the audit process and details the findings of the most recent audit round, the sixth since inception. The audit reports from the 2009 audit round were reviewed by the audit organizing group and a structured analysis of the data was compiled. CCCs in the UK offer a high standard of comprehensive care services. The main areas of concern were the state of the premises (seven centres), lack of dental services (seven centres), physiotherapy (seven centres) and social work support (11 centres). Major concerns were identified at eight centres requiring a formal letter from the chairman of UKHCDO to the chief executive of the host trust. Since inception of the triennial audit process centre report recommendations have resulted in major improvements in the services available at UK CCCs. The audit process is considered to be a highly effective means of improving the quality of care for patients with bleeding disorders and can be used as a model for the introduction of a similar process in other countries.
authors.affiliation: West Midlands Adult CCHC, University Hospital Birmingham NHS Foundation Trust, Edgbaston, Birmingham, UK. jonathan.wilde@uhb.nhs.uk
authors.forename: J T
authors.initials: JT
authors.lastname: Wilde
mesh_terms: D001778:Blood Coagulation Disorders / Q000628:therapy*; D054869:Clinical Audit; D003695:Delivery of Health Care / Q000592:standards*; D006801:Humans; D006113:United Kingdom; D000078329:Workforce