Clinical governance

What is clinical governance?

The definition of clinical governance in the Department of Health publication “A First Class Service” is:

“Clinical governance can be 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 will flourish.”

This is supported by:

  • Ensuring that risk management systems and processes are incorporated into everyday practice.
  • Building and promoting an open and fair safety culture.
  • Encouraging staff, patients and stakeholders to actively participate in improving the quality of service delivery.
  • Learning from mistakes, share knowledge, implement solutions and monitor success.
  • Promoting methods of assessing clinical effectiveness and quality of service delivery.
  • Continuously looking at innovative and effective ways of delivering the national governance agenda.

What does this mean to us?

As an organisation the trust must make sure that quality is at the centre of all our activities. We not only have to say this, but we must be able to demonstrate that it happens and we must have structures in place that allow us to ensure that it can be demonstrated.

As individuals we have all always known that the quality of the care and service we provide is important, but clinical governance makes that responsibility much more specific and makes each of us more directly accountable for the quality of our own work and that of our teams.

The governance team is lead by Professor Rob Wilson, medical director and Caldicott Guardian and Professor Tricia Hart, deputy CEO/director of nursing & patient safety (DIPC).

The governance support team

  • Deputy director of quality assurance
  • Clinical effectiveness specialist advisor
  • Health information analyst
  • Clinical governance manager
  • NHSLA/governance co-ordinator
  • Clinical governance facilitator
  • Data analyst
  • Datix manager
  • Datix administrator