Clinical Governance

1

• Clinical Governance
• Framework

2
Clinical Governance
Is defined as

• a framework through which NHS organisations are
  accountable for continuously improving the
  quality of their services and safeguarding high
  standards of care by creating an environment in
  which excellence in clinical care can flourish
• Quality Care and Clinical Excellence 1998

3
Why Clinical Governance?

• Because we need to deliver sustainable,
  accountable patient focused quality healthcare

4
Clinical Governance in Practice

• Responsibility for quality at a local level with
  clear national standards
• Improves the standard of clinical care
• Reduces variations in outcomes of care
• Up to date evidence of what is known to be
  effective

5
Clinical Governance is about.

• everyone knowing what is supposed to happen,
  and then making sure it does

6
7 Pillars of Clinical Governance

• Clinical effectiveness
• Risk management
• Patient experience
• Communication effectiveness

• Resource effectiveness
• Strategic effectiveness
• Learning effectiveness

7
Clinical Effectiveness

• Providing clinical care in accordance with
  what is known or believed to represent good
  practice and achieving the best possible outcomes

8
Clinical Effectiveness

• Make the right decisions about the
  patient/clients condition, needs and
  treatment/intervention
• Provide the care decided upon in the right way,
  consistent with up to date evidence of what makes
  good practice
• Achieve the right outcomes of care

9
CLINICAL GOVERNANCE
Baseline Assessment Themes-

• Research and clinical effectiveness
• Use of information
• Consultation and public involvement
• Clinical risk management
• Clinical audit
• Staffing staff management
• Education, training and continuing
• personal and professional development

10
CLINICAL GOVERNANCE
Research Clinical Effectiveness

• All staff have access to health libraries
• Networking opportunities
• Clinical Policies
• Professional Registration
• Clinical non clinical audit processes

11
CLINICAL GOVERNANCE
Public Patient Involvement

• Programmes are accessible and equitable
• Clients are involved in negotiating their
• action plans and are kept informed of any
• developments
• Client perspective Client Participant
• Robust methods of communication
• Confidentiality
• Client feedback

12
CLINICAL GOVERNANCE
Education, Training Professional Development

• Education Training opportunities for staff
• Training policies
• Identification of training needs
• Support to undertake training
• Training portfolios
• Supervision and reflective practice

13
CLINICAL GOVERNANCE
Risk Management

• Incident reporting processes established
• Risk Management training sessions
• Monitoring of incidents
• Lessons learned
• Audits of risks and Safe Systems of Work
• Lone working policies in place

14
CLINICAL GOVERNANCE
Staffing Staff Management

• Standards for recruitment
• Joint staffing
• Professional registration (Health Professions
• Council)
• Induction
• Workforce performance
• Accountability

15
CLINICAL GOVERNANCE

• Use of Information
• Caldicott training regarding P.I.D.
• Electronic information systems
• Data collection for monitoring and service
• development
• Standards for clinical data recording
• Reporting Management Information

16
CLINICAL GOVERNANCE
Strategic Effectiveness

• Service strategy
• Jobcentre Plus liaison
• Workforce planning
• Patch management
• GP Liaison
• Financial Planning
• Service development groups, modules, etc.
• Reducing inequalities hard to engage groups
• Public relations
• Promoting the service

17
Clinical Governance Can.

• Provide a better experience for staff
• Provide a better experience for Patients/clients
• Improve the quality of care for Patients/clients
• Make the changes you want to make happen

18
Overall Benefits of Clinical Governance

• Risks are reduced
• Adverse events are detected, openly investigated
  and lessons learned
• Good practice is encouraged and disseminated
• Systems are in place to ensure continuous
  improvement in clinical care