Quality (147) National commitment (17) More questions!

22 July, 2021

Dear HIFA colleagues,

Thank you for your contributions on issues of national commitment to quality. Please keep them coming. Responses will be collated and synthesised into a Learning Brief on the WHO website, for the benefit of others.

Here are some questions we might consider:

To what extent do you feel that YOUR country is committed to improve quality health services? How does your country demonstrate (or fail to demonstrate) that commitment?

Who is actually responsible for national commitment to quality? What are the relative roles of the government, professional associations, civil society organisations? What other stakeholders are responsible?

If you are a policymaker a public health professional, what are the ingredients that would support you in your efforts to increase the quality of health services? Is 'quality of health services' something that drives you as an overarching concept, or do you apply the concept of quality to individual componenets of the health system as needed?

One of the five principles of quality heal;th services, as described in the WHO Quality Planning Guide, is to support health workers. This is critical, especially at a time when health workers are exhausted and in some cases dying in service as a resul of COVID-19. In the UK, the current government's handling of pay awards is being seen as insulting by the Royal College of Nursing, among others. The NHS risks losing large numbers of experienced staff. At the same time we learn that medical student applications have increased substantially.

I look forward to your comments, whatever your perspective. Quality is a comples and multifaceted issue that benefits from everyone's experience and views.

For background, see: WHO - Quality health services: a planning guide

https://www.who.int/publications/i/item/9789240011632

Best wishes, Neil

Neil Pakenham-Walsh, HIFA Coordinator, neil@hifa.org www.hifa.org