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<p>The Health and Social Care Act (2012) places a duty on NHS England to have regard
to National Institute for Health and Care Excellence (NICE) Quality Standards. Commissioners
should have regard to them in the planning of services they commission according to
their population needs.</p><p> </p><p>Whilst no assessment has been made of the performance
of services against the Breast Cancer Quality Standard, compliance with Quality Standards
generally could be monitored through a range of mechanisms depending on the specific
Quality Standard. For example, the 30 national clinical audits funded by NHS England,
the Best Practice Tariff, Commissioning for Quality Improvement Initiatives arrangements
and the Clinical Commissioning Group Outcome Indicator Set. These levers are designed
to drive quality improvement in the National Health Service using Quality Standards
where appropriate.</p><p> </p><p>At the request of NHS England, the Healthcare Quality
Improvement Partnership will shortly begin commissioning a new national breast cancer
clinical audit. There is an expectation that national clinical audits, where appropriate,
support the implementation of NICE clinical guidelines and Quality Standards. The
new national clinical audit will be in place by the end of 2014-15.</p>
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