Health policy (Amsterdam, Netherlands) · 2026
"Nothing for Us Without Us": Normalising patient and public involvement and engagement in national clinical audits and health system improvement.
СтатьяНазвание и аннотация: Перевод в очереди
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El Hadidi Seif, Flynn Maureen, Tully Collette, Cronin Marina, McCrea Zita, Connolly Aisling, Daly Mandy, Deane Christine, Madigan Michael, Flynn Clodagh, Creedon Brian, Brent Louise
Аннотация
BACKGROUND: Patient and Public Involvement and Engagement (PPIE) is increasingly recognised as essential to patient-centred care, transparency, and health system improvement. However, how PPIE is operationalised within national clinical audit systems remains poorly described.
OBJECTIVE: To examine how PPIE is embedded and operationalised across Ireland's National Office of Clinical Audit (NOCA) and to identify the organisational mechanisms that support sustained involvement.
METHODS: We conducted a documentary content analysis of 23 publicly available NOCA materials from 2012 to 2025, including governance documents, national audit reports, communication outputs, and patient story media. A targeted review of PPIE policy and guidance contextualised the findings.
RESULTS: Four themes characterised documented PPIE integration within NOCA: (i) governance integration, (ii) portfolio-level coordination, (iii) co-production of public-facing outputs, and (iv) institutional support mechanisms. Across multiple national audits, public documents described PPIE contributions to governance discussions, interpretation of findings, and communication outputs; the analysis did not assess the quality of participation or causal effects on clinical outcomes.
CONCLUSIONS: The NOCA case illustrates how PPIE can be incorporated within a national clinical audit infrastructure as a recurring governance and accountability function. It offers a pragmatic model that may be adaptable to other health systems, subject to local resources, representation and evaluation.
OBJECTIVE: To examine how PPIE is embedded and operationalised across Ireland's National Office of Clinical Audit (NOCA) and to identify the organisational mechanisms that support sustained involvement.
METHODS: We conducted a documentary content analysis of 23 publicly available NOCA materials from 2012 to 2025, including governance documents, national audit reports, communication outputs, and patient story media. A targeted review of PPIE policy and guidance contextualised the findings.
RESULTS: Four themes characterised documented PPIE integration within NOCA: (i) governance integration, (ii) portfolio-level coordination, (iii) co-production of public-facing outputs, and (iv) institutional support mechanisms. Across multiple national audits, public documents described PPIE contributions to governance discussions, interpretation of findings, and communication outputs; the analysis did not assess the quality of participation or causal effects on clinical outcomes.
CONCLUSIONS: The NOCA case illustrates how PPIE can be incorporated within a national clinical audit infrastructure as a recurring governance and accountability function. It offers a pragmatic model that may be adaptable to other health systems, subject to local resources, representation and evaluation.