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Clinical Governance

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Selected Internet Resources – Clinical Governance

What is Clinical Governance?

The NHS document
A First Class Service: Quality in the New NHS
defines clinical governance as:
“a framework through which NHS organisations are accountable for continually improving the quality of their services and safeguarding high standards of care by creating an environment in which excellence in clinical care will flourish”

Clinical governance holds health services accountable for the safety, quality and effectiveness of clinical care delivered to patients.
Clinical governance is a statutory requirement of NHS Boards

Clinical Governance involves:

bulletClinical Audit – “a quality improvement process that seeks to improve patient care and outcomes through systematic review of care against explicit criteria and the implementation of change”.

bulletClinical Effectiveness

bulletContinuing Education and Training

bulletPatient and Public involvement and Experience

bulletRisk Management

bulletStaffing and Staff Management

bulletThe Use of Information


bulletConcordat – “The Concordat is a voluntary agreement between organisations that regulate, audit, inspect or review elements of health and healthcare in England. It was launched in June 2004 by 10 organisations, led by the Healthcare Commission. There are now 20 signatories working together to coordinate their activities such as audits, reviews and inspections. By streamlining their activities, these signatories are supporting the improvement of health services for the public”

bulletEuropean Society for Quality in Healthcare – ESQH is a not-for-profit organisation dedicated to the improvement of quality in European healthcare.

bulletNational Clinical Assessment Service – “The National Clinical Assessment Service (NCAS), is a division of the National Patient Safety Agency (NPSA). NCAS promotes public confidence in doctors and dentists by giving confidential advice and support to the NHS on how to manage doctors and dentists whose performance gives cause for concern. If a difficulty becomes apparent, the employer, contracting body or the practitioner can contact NCAS for help. The aim of NCAS is to work with all parties to clarify the concerns and make recommendations to help the practitioner deliver a high-quality and safe service for patients.”

bulletNational Quality Measures Clearing House (NQMC) – sponsored by the AHQR, U.S. Department of Health and Human Services, is a public repository for evidence-based quality measures and measure sets

bulletScHARR – The School of Health and Related Research at the University of Sheffield

See Also
Evidence Based Medicine


bulletA First Class Service: Quality in the New NHS
– Key Document

AHRQ Web M and M (Morbidity and Mortality Rounds on the Web)

– From the (US) Agency for Healthcare Research and Quality. ‘Online journal and forum on patient safety and health care quality’

bulletFreedom of Information Act

bulletPatient Confidentiality and Access to Health Records – Guidance from the DOH

bulletPractical Handbook for Clinical Audit – Published by the NHS Clinical Governance Support Team, “this handbook has been developed with the intention of improving clinical audit at a local level and is designed for use in acute trusts, primary care trusts (PCTs), ambulance trusts and mental health trusts. There are many different models for clinical audit which work well at a local level and the handbook documents the range of models which are applicable and where possible gives examples of good practice. The handbook is designed to give advice and guidance to those organisations where local clinical audit is proving difficult to embed within the trust and to improve its integration into clinical governance.
This is an evolutionary document and updates, in particular examples of good practice with contact details, will be added regularly to the web site”

bulletThe New NHS Modern and Dependable – NHS White Paper


Page last updated 22 July 2010

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