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CNST and clinical risk management

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Facts & Figures #99 — Edit

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Risk management involves identification, analysis, assessment and minimisation or elimination of unacceptable risks.
CNST has two roles: managing clinical litigation claims and establishing standards to improve quality and risk management.
It operates like an insurance scheme for NHS hospital Trusts and covers clinical negligence claims.
Trust contributions are related to risk; maternity claims represent the biggest burden on CNST.
Level 1 contains basic risk-management fundamentals and attracts a 10% reduction in contribution.
Level 2 requires implementation of Level-1 measures and protocols and attracts a 20% reduction.
Level 3 requires active monitoring of implementation and dealing with identified problems and attracts a 30% reduction.
Maternity has five standards: organisation, clinical care, high-risk conditions, communication, and postnatal and neonatal care.
Each maternity standard contains 10 criteria.
Consultant labour-ward presence is required in specified situations including eclampsia, maternal collapse, caesarean section for major placenta praevia, continuing PPH greater than 1.5 litres and return to theatre.

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Obstetrics and gynaecology→ Basic→ Clinical Management→ Clinical Practice→ Mediclegal→ Evidenced-base to Audit→ Risk management

CNST and clinical risk management

Facts & Figures #99 — Edit

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