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Question 634
Clinical Management → Clinical Practice
Classification
Question
SSBAQuestion Header
Clinical risk management
Question Stem
A Trust has established the basic CNST risk-management infrastructure and can demonstrate that its Level 1 protocols have been implemented in practice. It has not yet demonstrated active monitoring and correction of implementation problems. Which level has it achieved?
Options
A
No CNST level
B
Level 1
C
Level 2
D
Level 3
E
A separate maternity-only level
Explanation
Level 1 covers basic risk-management fundamentals. For Level 2, the Trust must show that the steps and protocols established at Level 1 have been implemented. Level 3 additionally requires active monitoring of implementation and action on problems.
Option Validity
A) The Trust has progressed beyond having no recognised risk-management level because Level 1 structures are already present and implemented.
B) Level 1 concerns the basic structures and documentation; the scenario additionally demonstrates their implementation.
D) Level 3 requires active monitoring of implementation and dealing with problems, which is not described.
E) maternity standards within CNST, not a separate alternative level replacing Levels 1–3.
Further Reading
Saxena MRCOG-1 Basic Sciences — Principles of Clinical Practice, printed pp. 6–7.