Our Medical Advisory Committee

Governance

Good clinical care is not something you set up once. It needs checking, questioning and correcting, on a schedule, by people with the authority to change things.

That is what our Medical Advisory Committee is for.

What the MAC is

The Medical Advisory Committee, or MAC, is the senior clinical decision making body at Transform. It brings together experienced clinicians from a range of backgrounds, including surgery, anaesthetics, nursing and clinical governance, under the clinical leadership of our Medical Director.

It exists to hold clinical practice at Transform to account, and it has the standing to act on what it finds.

What happens in a MAC meeting

MAC meetings are a problem solving forum, not a rubber stamp. The agenda covers:

Practising privileges. Surgeons and clinicians who work with us are reviewed. New applications are scrutinised, and existing privileges are renewed, restricted or withdrawn on the evidence.

Incidents and near misses. Anything that went wrong, or nearly did, is reviewed openly. The question is what the system allowed to happen, not who to blame.

Complaints with a clinical element. Reviewed for patterns as well as for individual resolution.

Outcomes and audit. Complication rates, revision rates, readmissions and infection rates are reviewed against expected standards. Where something sits outside the expected range, it is investigated.

Clinical policy. New protocols, consent standards, patient information and pathway changes are debated, and either approved or sent back.

Emerging practice. New techniques, technologies and products are assessed before they are introduced, not after.

Why we do it

Three reasons.

The first is that patterns are invisible from inside a single case. One unexpected complication is a case. Several of them in the same procedure is a signal, and you only see it if someone is looking at the whole picture on a regular basis.

The second is accountability. Practising privileges are granted by this committee and can be removed by it. That is a meaningful check, and it only works if the committee is willing to use it.

The third is that it is simply the right way to run a healthcare organisation. Standards drift when nobody is checking. The MAC is how we check.

What this means for patients

It means your care is not only reviewed by the person delivering it.

The surgeon operating on you works within standards set and monitored by a committee of their peers, using outcome data from across the organisation. If something is not working, there is a forum with the authority to change it, and a record of having done so.

What this means for clinicians

It means peer support and shared clinical leadership, not isolated decision making. There is a clear route to escalate a concern, a forum to discuss difficult cases, and a structure that backs a clinician who declines to proceed on clinical grounds.

Call to action

Every Transform patient is seen by a qualified clinician before any decision about treatment is made.

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