Moreover, the Department of Health (2011/12) updated the NHS Outcomes Framework (2015/16) drive to improve quality of healthcare in England. It consist of five domains that incorporate safety, patients experience and efficiency in health outcomes (DH 2013). These domains include, avoiding premature death, improving the quality of life for people suffering from long-term illness, supporting individuals to recuperate from sickness episodes; ensure individuals are satisfied with the care they receive, making sure the environment where care is to be delivered is safe from potential harm (DH 2011a). The Darzi Report outlined high quality standards in healthcare for everyone, and is embedded in clinical governance (DH 2013; Darzi 2013).…