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Bedfordshire Hospitals
NHS Foundation Trust
Audit Registration Form
It is a Trust mandatory requirement for all quality improvement projects (e.g. service development, clinical audit, service evaluation and surveys) to be registered and approved by the relevant Clinical Service Line Clinical Audit and Effectiveness Lead.


Hospital Site               Extension Number(s)        Email
Luton and Dunstable                8241/7207/7383          ClincalQualityTeam@ldh.nhs.uk
Bedford                                    2081/5647    
Site Location
Bedford
Luton & Dunstable
Cross-site
Project Title
Project Team
Name:

Contact email:
Project Requestor /
Auditor


Senior clinical lead
/ Consultant
Name:

Contact email:
Clinical Service Line
Stakeholder involvement
Other departments, wards, professional groups, Trusts or agencies other agencies involved
Project Trigger
National / local policy/guideline(s)
Risk assessment
Complaint
NICE guidance
Serious incident
Professional guidance
Patient Safety Allert
Other:
Nice Ref
Please State
LFPSE Incident No.
Project Type
Audit 1st cycle
Re-audit
Quality Improvement Project (QIP)
Service review
Other
Cycle
Please State
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