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To say that ‘quality’ has become a fashionable word in the British National Health Service would be something of an understatement. It would be fatuous to claim that those in the NHS only took an interest in ‘quality’ as a result of the publication of the Griffiths Enquiry Report. It is however, fair to say that since the emergence of that document many more individuals have been assigned a specific brief for the topic. People with ‘quality’ in their job title, often also holding a nurse management portfolio, are a feature of the current NHS landscape.

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