Public Inquiry: Health System Failure in Camden Hospital Services

This report examines a public inquiry conducted to investigate health system failures at Camden Hospital. The inquiry focuses on two primary areas: clinical governance and quality/safety. Clinical governance is analyzed to assess the hospital's organizational structure, including planning, resource allocation, committee structures, and adherence to legislative compliance, all of which impact patient care and outcomes, particularly in emergency services. The report highlights deficiencies in the hospital's clinical governance framework, which led to failures in patient care. The second part of the inquiry addresses quality and safety, specifically focusing on the management of infectious diseases and the implementation of risk management strategies. The report emphasizes the importance of timely reporting of safety failures and the need for a robust system to monitor and improve patient safety. The inquiry's methodology includes evidence-based case studies and questionnaires, aiming to identify root causes of failures and recommend improvements. The report concludes by emphasizing the need for open and fair inquiry processes to ensure that lessons are learned and implemented to improve patient care and safety. The report draws on multiple references to support the analysis.

Running head: PUBLIC ENQUIRY IN HEALTH
Public enquiry in Health System Failure
Name of the student
Name of the University
Author’s note

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Table of Contents
Introduction......................................................................................................................................2
Clinical governance.........................................................................................................................2
Quality and safety............................................................................................................................3
References........................................................................................................................................6

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Introduction
Health inquiry is a retrospective examination of the events and circumstances in any
organization dedicated to health care. Camden hospital will be enquired in the grounds of the
main infrastructure of the hospital that is the clinical governance and safety, quality. The inquiry
will help to understand the reason for any health service failures. Thus the quality of the health
services can be improved by exploring the inquiries. The clinical governance will help
understand the infrastructure of the organization and the quality in safety will show the overall
health care safety strategies followed. The following modules, clinical governance and the
quality in safety will be discussed.
Clinical governance
Camden hospital is known for the services in cardiology, maternity, gynecology, palliative
care, strokes, emergency medicines. Recently news is arriving of the health service failures in
the medical services. Thus a public based inquiry will be made on an important issue which is
the clinical governance. The clinical governance as defined by the Australian Health care
standards is a system of governing bodies, managers, clinicians and staffs (Munn-Giddings &
Winter, 2013). They are responsible for the account of marinating the high quality in care
services and continuously improving and minimizing the risks and thus fostering an environment
of excellence in care for the patients. It has been found in the evidence based case studies that the
Camden hospital has failed mostly in the services offering for the emergency cases like heart
attacks. Such a failure in health services by the hospital needs urgent improvement. This is the
reason for which the clinical governance framework should be analyzed with the inquiries. Using
the case study based research can identify the sections that require improvements. Clinical

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governance is the section that encompasses on the mechanisms to monitor the patient outcomes
in order to provide optimum quality care. The enquires will be based o the following topics, The
planning and resource allocation, organization and the committee structures, systems and
processes, legislative compliance, culture. In the dimension of continuity of care the queries will
find the roles and responsibilities of the staffs involved. All of these ensure the safety magnitude
of the safety in medical services. However, it has been found that the strategy in the maintenance
of the health services has failed (Crossley, 2016). There is no such strong organization structure
that evaluates the safety concerns. This has the root cause for the failure of the hospital in
attending the trauma stricken patients. The performance of the clinicians has dropped. The
performance level was ensured by studying the review after the inquiry was made. The case
study was made with the set of questionnaires that will reflect upon all the constituents of the
clinical governance framework (Currie et al, 2017). There were certain barriers identified while
the study. There were concerns within Camden organization where their quality was not being
discussed openly. There has been complex delivery in the patient services and patient safety is
not maintained systematically. According to Walshe and Higgins, the main purpose of the
inquiries in the health service failure will include the establishment of the facts that have led to
the failure in the services and then undergo a remedy plan accordingly (Spigelman & Rendalls,
2015).
Quality and safety
Recently it has been found that the infectious diseases associated with Staphylococcus aureus
to have less being cured of the health unit of Camden hospital. Such a failure in health services
needs to be looked upon to improve this major bloodstream infectious disease. To identify the
main cause of such failure in the managing the disease, the enquires are to be made that will

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identify the quality in the safety measures that the organization lacks (Healy, 2016). The risk
management strategy is the most important in benchmarking the incidents and the misses in any
treatment procedure failure. Camden hospital lacks in the quality management strategy of the
reporting the safety failures in time. There was no monitoring of the responding complaints. The
inquiry system has identified the root cause of the failure in the quality of the safety of the
patients (Shuker et al, 2015). The implementation of the risk management strategy will increase
the overall safety conditions of the patients and will helpful to tackle and manage the infectious
diseases. This will be useful to track the medical interventions and the failures that have lead to
the outcome of such unmanageable conditions of clinical infections. There required the inquiries
based on the identification of how the safety is being monitored. It will also see if the failure
cases are reported in time. This is a very important part in identifying the root cause of the failure
of the health safety in the hospital (Southern et al, 2015). The medical treatment change in a plan
can be measured with the chronology of enquires that is to be made. The main purpose is to
establish a fact on the fair account. There could be a chance of learning from the events. Thus it
will be affective to take the most high-quality step in the remedy. The model of the inquiry
should be open and fair (Ghali, 2015). The procedures will follow to reflect upon the purpose.
The reports or hand written documents are to be created on the basis of the common standards of
the inquiries made of the public domains. The public or the patients that had undertaken any
health facility must be enquired about their satisfaction and the negligence that they might have
faced during the treatment procedures (Johnson, Haskell & Barach, 2015).
The brief reports are to be created on the basis of the inquiry that will reflect upon the root
cause of the failure in the health services in Camden hospital. The reports are to be created after
any research based inquiry to identify the real cause. The quality and safety can only be

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measured with the use of evidence based case studies and enquires. It will also be used as the
reassurance tool to identify people with the improvement in any health condition. The matter of
inquiries will face challenges regarding the confidentiality, However, this can still be useful in
identifying any problem related to the failure in health services. The queries are to be established
by the government. It can be the effective way to defuse the tensions and investigate any
condition. The inquiries are themselves to be made safety and accurate otherwise it could end up
hurting the person taking it (Jeffreys, 2015).
Safety measurement can only be taken after the monitoring of the health care framework that
will be established by the inquiries in the quality of health and safety. In most of the cases, the
organizational structure is themselves unaware of the cause of the wrong treatment practice.
Thus the inquiry based health safety measure approach is the best way to reduce the errors in the
medical interventions (Massey, Chaboyer, & Aitken, 2014).

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References
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Implementation of a clinical governance framework to 17 combat service support
brigade, Australian army. International Journal of Health Governance, 22(1), 15-24.
Crossley, M. (2016). Health and taxes: hospitals, community health and the IRS. Yale J. Health
Pol'y L. & Ethics, 16, 51.
Healy, J. (2016). Improving health care safety and quality: reluctant regulators. Routledge.
Jeffreys, M. R. (2015). Teaching cultural competence in nursing and health care: Inquiry,
action, and innovation. Springer Publishing Company.
Johnson, J. K., Haskell, H. W., & Barach, P. R. (2015). Case studies in patient safety. Jones &
Bartlett Publishers.
Massey, D., Chaboyer, W., & Aitken, L. (2014). Nurses’ perceptions of accessing a Medical
Emergency Team: A qualitative study. Australian Critical Care, 27(3), 133-138.
Munn-Giddings, C., & Winter, R. (2013). A handbook for action research in health and social
care. Routledge
Shuker, C., Bohm, G., Bramley, D., Frost, S., Galler, D., Hamblin, R., ... & Penny, A. (2015).
The Health Quality and Safety Commission: making good health care better.
Southern, D. A., Hall, M., White, D. E., Romano, P. S., Sundararajan, V., Droesler, S. E., ... &
Ghali, W. A. (2015). Opportunities and challenges for quality and safety applications in
ICD-11: an international survey of users of coded health data. International Journal for
Quality in Health Care, 28(1), 129-135.

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Spigelman, A. D., & Rendalls, S. (2015). Clinical governance in Australia. Clinical Governance:
An International Journal, 20(2), 56-73.