This charter establishes the Quality & Patient Safety Program for [ Organisation name ] and authorises the bodies that govern it. It is approved by the Board and reviewed annually.

1. Purpose

To provide a single, accountable system for measuring, improving and assuring the quality and safety of care across every area of the organisation — and for feeding what is learned back into practice.

2. Scope

• All clinical and non-clinical services and sites operated by the organisation
• Patient safety, clinical effectiveness, patient experience, access and equity
• Both assurance (are we safe?) and improvement (are we getting better?)

3. Objectives

• Reduce avoidable harm and unwarranted variation in care
• Establish a measurement system spanning structure, process and outcome
• Build frontline improvement capability and patient/staff voice channels
• Achieve and sustain relevant accreditation and standards
• Grow a just, learning safety culture

4. Governance & authority

The Board holds ultimate accountability for quality. It delegates oversight to the Board Quality & Safety Committee, which directs the Executive Quality & Safety Committee, which in turn coordinates operational and unit-based quality work. Each body operates under its own terms of reference.

5. Roles to be named

6. Resources

The organisation commits the people, time, data infrastructure and budget required to deliver this program, to be reviewed annually as part of business planning.

7. Review & approval