What We Do

NOCA manages national clinical audits that aim to improve patient care and outcomes. NOCA’s findings enable the healthcare system to act to improve care where standards are not followed.

Definition of Clinical Audit

The Commission on Patient Safety and Quality Assurance established by the Department of Health, defined clinical audit as: ‘a clinically led, quality improvement process that seeks to improve patient care and outcomes through the systematic review of care against explicit criteria and to act to improve care when standards are not met’ (2008, p.152).

Please note: If you have a concern or query about an aspect of healthcare provision that falls outside NOCA audits, please note that NOCA do not have an investigative remit. If we receive any such enquiries we will forward these to the accountable person. If you have a complaint or comment about your care www.healthcomplaints.ie will help you find the right place to give your feedback

What is Clinical Audit

Our Services

Each NOCA audit focuses on a unique area of healthcare such as hip fracture, major trauma, hospital mortality, ICU care and joint replacements. Governance structures are established both in NOCA and locally in each hospital to oversee each audit’s management and sustainability. To make sure the audits capture the most accurate information, each one is led at a hospital level by clinicians and supported by their management teams.

NOCA manages and governs the largest programme of national clinical audits and registers in the Irish healthcare system. This process also aligns to the prioritisation criteria set out by the National Clinical Effectiveness Committee in the Department of Health. A process for the prioritisation and development of new national clinical audits and registers will be developed by NOCA collaborating with national stakeholders in 2020 -2021. Further information will be made available here.

If you are interested in national clinical audit, NOCA’s advisory services is designed to help you achieve your goals. Successful national clinical audit often means navigating a complex array of opportunities, challenges and risks. Our advisory service can provide you with advice on all aspects of developing an audit such as audit development, governance, information governance, data analytics.

NOCA seeks to be an independent voice through the use of reliable data and advocate for change at a national level. Current priorities include improving data quality, increasing public and patient involvement in our audits and introducing outcome measures to our audit tools. We are also advocating for a sustainable quality improvement culture within the Irish healthcare system.