Improving quality through Clinical Governance
Clinical governance predominantly operates at the local service level and it must be seen as a systematic approach to quality assurance and improvement. A key aspect of this approach is that clinical governance will provide incremental improvements to individual services but will also require close cooperation between acute, community and primary care services.
Summary points
Clinical governance is to be the main vehicle for continuously improving the quality of patient care and developing the capacity of the NHS in England to maintain high standards (including dealing with poor professional performance).
It requires an organisation-wide transformation; clinical leadership and positive organisational cultures are particularly important.
Local professional self regulation will be the key to dealing with the complex problems of poor performance among clinicians.
New approaches are needed to enable the recognition and replication of good clinical practice to ensure that lessons are reliably learned from failures in standards of care.
Integrating approaches of clinical governance
Adapted from: Clinical governance and the drive for quality improvement in the new NHS in England, Gabriel Scally and Liam J Donaldson, BMJ 317 (7150): 61-65, (4th July)
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