Evaluating healthcare policies: the case of clinical audit

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Abstract
Since then there have been repeated calls for the evaluation of audit,6 and the public accounts committee has expressed concern at the failure to assess the overall cost effectiveness of the programme.7 In fact, the NHS Executive has commissioned several evaluations of audit,8 9 as well as monitoring progress through local and regional annual reports. However, it has not been possible to use scientifically rigorous methods to quantify the overall costs or benefits of national or local programmes of audit.10 This paper describes the various approaches that have been tried (see box) and outlines the merits and disadvantages of each approach.

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