Clinical Governance In A Changing Nhs

The introduction of clinical governance has already had a major impact on health care in the UK. Its implementation is crucial in enabling the quality of health care to become the driving force for the development of health services. Clinical governance is the responsibility of managers and clinicians working at all levels within trusts. Therefore it is vital to have access to clearly written, reliable information on clinical governance and be equipped to deliver these complex and challenging roles in a fast-moving environment. This book is the long awaited follow-up to Advancing Clinical Governance Advancing Clinical Governance in which clinical governance experts Myriam Lugon and Jonathan Secker-Walker have pulled together chapters on key topics for the present and future development of the health service. Amongst the 16 topics covered are the provision of medical staff in the future, the future role of nurses in clinical care, clinical information, resolution of professional disputes and infection control. The book also includes a valuable guide to up-to-date information sources on clinical governance. This book is recommended to clinicians and managers at all levels within trusts, health care purchasers and academics.

Clinical Governance is integral to healthcare and all doctors must have an understanding of both basic principles, and how to apply them in daily practice. Within the Clinical Governance framework, patient safety is the top priority for all healthcare organisations, with the prevention of avoidable harm a key goal. Traditionally medical training has concentrated on the acquisition of knowledge and skills related to diagnostic intervention and therapeutic procedures. The need to focus on non-technical aspects of clinical practice, including communication and team working, is now evident; ensuring tomorrow's staff are competent to function effectively in any healthcare facility. This book provides a guide to how healthcare systems work; their structure, regulation and inspection, and key areas including risk management, resource effectiveness and wider aspects of knowledge management. Changing curricula at undergraduate level reflect this, but post-graduate training is lagging behind and does not always equip trainees appropriately for a hectic clinical environment. An Introduction to Clinical Governance and Patient Safety presents a simple overview of clinical governance in context, highlighting important principles required to function effectively in a pressurised healthcare environment. It is presented in short sections based on the original seven pillars of clinical governance. These have been expanded to include the fundamental principles of systems, team working, leadership, accountability, and ownership in healthcare, with examples from everyday practice. This format is designed to facilitate use as a 'pocket guide' which can be dipped into during the working day, as well as for general reading. Examples from all branches of medicine are presented to facilitate understanding. Contributors are taken from a broad base - from junior doctors to internationally recognised experts - ensuring issues are addressed from all perspectives.

The follow-up to Clinical Governance - Making it Happen considers the implications of clinical governance for a wide range of health care professionals including nurses, medical directors and chief executives. The contributors examine the role of the new government organisation NICE, the responsibilities of those working for NHS organisations and the benefits of patient involvement. Advancing Clinical Governance will enable health professionals to implement clinical governance effectively and with confidence.

This text presents a guide to clinical effectiveness and governance. It aims to increase awareness of, and skills in, an evidence-based approach to health care, and there is advice on collecting, evaluating, interpreting and applying evidence.

Clinical Governance: A Guide to Implementation for Healthcare Professionals provides a comprehensive overview of what is meant by clinical governance and how it can be implemented in practice. It explores the evolution of clinical governance, its key components, legal implications, the barriers to implementing it, and its impact. Clinical Governance provides step-by-step practical advice, facilitating better understanding of the key principles of clinical governance. This third edition has been fully updated throughout to incorporate a more integrated approach to achieving clinical governance, with an additional chapter on education and training. Each chapter includes reflective questions, activities and case studies taken from clinical practice as well as a full list of references and further reading.

This is an accessible and practical guide to clinical governance in healthcare, designed to help practitioners and students deliver better care to patients.

The new NHS is a very different organisation to the one set up 60 years ago. Two decades of reforms have introduced a market element, unprecedented transparency, patient choice, new incentives, devolved accountabilities and a host of new regulatory bodies. All these changes have made governance a crucial and contested issue in health care. Governing the New NHS makes sense of the new systems and will enable anyone interested in healthcare governance to navigate their way confidently through the maze. It describes, assesses and critiques the new governance arrangements. It examines how they are working in practice and how practitioners are responding. The book: explains current governance arrangements and explores related issues and tensions discusses the roles and interrelationships of boards and effective board practice offers a range of practical tools and frameworks. Each chapter is supplemented with expert witness statement written by leading practitioners in the health system. This practical book will be invaluable to all those interested in health governance, policy and management - whether academic, student or practitioner.

This new text is an accessible and practical guide to clinical governance in healthcare, designed to help practitioners and students deliver quality care to patients and improve the patient experience at every level. Grounded in the application of clinical governance, it explains in detail what it looks like in practice. Using common examples of clinical governance challenges, this book gives real and practical insights into how individuals can contribute to clinical governance in a range of healthcare settings. Each chapter includes case studies, reflective activities, tips and real experiences to help readers apply the theory to practice, and identify areas in which they can improve the patient experience. This is key reading for all healthcare practitioners. "In this excellent new book on clinical Governance, Mary Gottwald and Gail Lansdown distil down what this complex topic encompasses. They put bones on the individual components and lead the reader easily through the topic, so that he or she ends up with a good understanding of how the system is supposed to function and their individual responsibilities as a clinician, academic, trainer or manager ... I wish that I had been able to read a book such as this when I started off. It would have saved me a lot of time and trouble getting my head around all the aspects of this vital topic. Providing a reliable, safe, high quality service is the major challenge for all of us working in health services, so this fine book is very welcome." Dr Peter Featherstone MPhil, FRCP, Lead for Clinical Governance in Acute MedicineConsultant Physician and Honorary Medical Senior Lecturer Portsmouth Hospitals NHS Trust "The book has been developed for pre- and post - registration students, but it will appeal to a wider audience, particularly those who want more knowledge of Governance and its antecedents. The outline of Chapters at the start helpfully leads the reader the appropriate section, and within each section the authors attempt to link clinical governance theory to practical examples. This is further emphasised by the use of reflective questions at the end of each chapter. The chapter on Clinical Audit is excellent, and is of use to anyone including medical staff in terms of how Clinical Audits should be conducted. It is an excellent, easy read journey through all aspects of Clinical Governance and its application to patient experience, safety and effective senses, ultimately quality of care." Sharon Linter, Director of Quality and Governance/ Executive Nurse, Cornwall Partnership NHS Foundation Trust