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Clinical governance was introduced in 1997 as a comprehensive framework to improve healthcare quality in the National Health Service (NHS) in the UK. Use this briefing to find out how the framework is actually working in practice.

Articles:

Clinical governance: a fresh look at its definition
Clinical governance was introduced in 1997 as a comprehensive framework to improve the healthcare quality in the National Health Service. Since then, the proliferation of various definitions and models of clinical governance illustrates that different perceptions are emerging on clinical governance. However, none of these definitions captures the essence of clinical governance in terms of its organisation-wide implications for continuous quality improvement.

Originally published in Clinical Governance: An International Journal Volume 9 Number 2, 2004

Clinical governance – the turn of continuous improvement?
This paper considers the core functions of clinical governance and how these are related to established structures and roles within the modern NHS. A case study approach is used to describe the implementation of a theoretical model in a large teaching NHS Trust.

Originally published in Clinical Governance: An International Journal Volume 10 Number 2, 2005

Nothing seems to have changed, nothing seems to be changing and perhaps nothing will change in the NHS: doctors' response to clinical governance
Interestingly, the results of this study indicate that doctors are not enthusiastic about clinical governance and it is not receiving wholehearted support from doctors because they feel that clinical governance is a management-led initiative imposed without adequate consultations.

Originally published in the International Journal of Public Sector Management Volume 18 Number 5, 2005

Accountability and responsibility: clinical governance beyond the institution
The principal focus of clinical governance is intended to be at the level of the statutory organisation such as a Health Authority, Primary Care Trust or NHS Trust. This paper suggests that there are at least three levels (micro, macro and meta) at which clinical governance must operate if the original vision of flourishing excellence is to be fulfilled.

Originally published in Clinical Governance: An International Journal Volume 8 Number 4, 2003

Driving quality – clinical governance in the National Health Service
This paper assesses the role of clinical governance in introducing change and monitoring clinical and trust performance to improve the quality of service. An examination is made into continuous improvement methodology and quality tools, as a means to improving service delivery through this newly developed framework.

Originally published in Managing Service Quality Volume 12 Number 2, 2002

Clinical Governance Support Team: patients as a virtue
A core objective of the NHS Clinical Governance Support Team (CGST) is to enable the NHS to improve the experience of patients and staff. In its programmes the CGST encourages delegates to work with patients and carers to improve local health services, but does the CGST practice what it preaches in its own activities?

Originally published in Clinical Governance: An International Journal Volume 9 Number 1, 2004

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