Language-Games and Quality Improvement in Healthcare in England
Identifiers and Pagination:Year: 2017
Issue: Suppl-1, M7
First Page: 73
Last Page: 85
Publisher Id: MEDJ-4-73
Article History:Received Date: 18/11/2016
Revision Received Date: 31/03/2017
Acceptance Date: 04/07/2017
Electronic publication date: 30/09/2017
Collection year: 2017
open-access license: This is an open access article distributed under the terms of the Creative Commons Attribution 4.0 International Public License (CC-BY 4.0), a copy of which is available at: https://creativecommons.org/licenses/by/4.0/legalcode. This license permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.
Quality in healthcare is high on the political agenda in England. This paper examines the model of inspection used by the Care Quality Commission to inspect healthcare provison in England.
The paper comprises a critical review of the literature to examine the model of judgement used by the Care Quality Commission in their inspection framework.
It is argued that the model of judgement used makes various assumptions which throw into doubt the notion that such inspections provide an objective picture of quality in healthcare. However, the contrary view, that such inspections are highly subjective, is rejected in favour of developing a perspective informed by the later philosophy of Wittgenstein; one which recognises the importance of social agreement and understanding in developing meaning.
This perspective highlights the importance of the different social groups that work in healthcare, and those who are treated in the healthcare system, for developing shared understandings and meanings of terms such as ‘quality’.