Clinical Governance

• what is clinical governance?

  Clinical governance is a systematic approach to maintaining and improving the quality of patient care. it follows 7 pillars
• 7 pillars of clinical governance?

  1. pt and public involvement
  2. info and IT
  3. risk management
  4. audit
  5. training and education
  6. clinical care effectiveness
  7. staff managment
• pt and public involvement?

  • public opinions on service and suggestion for improvement
  • eg pt feedback and pt testing products
• Info and IT?

  • pt info and systems used in healthcare
  • protects pt info
  • systems up to date as possible
  • eg reg changing passwords, updates, info stored/saved/shared effectively (GDC Standard 4)
• Risk management?

  • ensures pt, staff and public are safe
  • procedures in place to minimise risk
  • eg stop before you block, counting teeth and confirming in XLA
• Audit?

  • cyclic process
  • measured against agreed standard
  • identifies issues, gold standard, collect date, implement change and reaudit
  • eg RADS, DNA rate
• Training and education?

  • CPD
  • PDP
  • aware of relevant guidelines and research
• Effectivement in clinical care?

  • research and implementing this into every day practice
  • measure of healthcare intervention work
  • eg clinical trials, testing products
• staff managment?

  • staff are managed so pt safe in there care
  • eg correct staff for jobs, DBS, qualifications
  • procedures/protocols for raising concerns
  • monitoring absencces
  • staff progress meetings
• key lines of enquiry of CQC

  • safe - pt/people protected from abuse and avoidable harm
  • effective - care and tx achieves good outcomes, quality of life
  • caring - treat pt with compassion, kindness, dignity and responses
  • responsive - services organised so meets people needs
  • well-led - leadership management and government of organisation assures the delivery of high-quality person-centered care supports learning and innovation and promotes an open and fair culture