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Sheriece Bracey

Head of Improvement

Chelsea & Westminster Foundation Trust

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  • The British Society for Rheumatology Best Practice Awards (https://www.rheumatology.org.uk/improving-care/best-practice-awards) reward excellence and showcase exemplary rheumatology services by promoting innovation and best practice across every aspect of rheumatology treatment.

    Applications will open: 1 September – 29 September

    The Best P…Read more

  • Sam McIntyre's profile was updated 11 months ago

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  • Sam McIntyre posted an update in the group College Q 1 year, 3 months ago

    I’ve been considering attempting to get RCEM’s clinical audits/QIPs on the NHS supply chain catalogue to simplify the registration and invoicing process for Trusts.  Is this something you’ve ever done or have looked into?  This is a completely new world for me!  But the Trusts tell me that registering and paying for things not on the catalogu…Read more

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  • Sam McIntyre's profile was updated 1 year, 8 months ago

  • Hi everyone, hope you’re well!

    I run the Quality Management System at my place, we use ISO9001. We currently do clause-based auditing because that’s what the consultant who helped us set up told us about, but we don’t feel that it really gives us a good understanding of how our various teams and processes are doing. We had a bad process…Read more

    • Been doing process based audits for years now Sam, initially didn’t realise that’s what we were doing.
      Happy to talk, Ian

    • Yes we do both clause based compliance audits and process audits. Depends what you are trying to achieve?
      In my view you need both but the numbers depends on the perceived risk
      Happy to discuss further

      Nigel

    • Hi Sam, we do process based audits and this can be done in different ways depending on the maturity of your QMS. Clause based audit is useful when your team is new to the ISO requirements but as the processes become more established and mature the focus on each clause will need to be adapted to your local needs to make it beneficial. Happy to…Read more

    • It would be great to catch up with you, Sam, about your experience of ISO9001 if you’re not opposed to a call?

    • I think process based audits are necessary in addition to clause based. Processes must be well defined and some sort of non conformance record and resolution record system needs to be in place. This will enable the audit to be more effective.

      • I totally agree. The essential elements of risk based thinking, control of non-conformities, and a corrective action system. I think working these consistently in the QMS with an internal audit program can ultimately yield what the last clause of ISO 9001 looks at for high reliability in organisations.

    • Hello Sam. In my previous work, when we designed and build the QMS for the previous organisation, we linked the clauses to the processes so when it came to internal audits, these were clause based but still linked to the organization’s processes. I gather it depends on what you are looking to achieve. One of the ISO clauses look at context of the…Read more

      • I would say both clause based and process based are important. I know in ISO 9001:2015 version of the standard, the Quality manual is optional but I would say it helps when you are building and designing your QMS and in that there is the process map customized to the organisation. To view the clause based for internal audit straight generically…Read more

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