Nhs Governance

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.

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.

Updated in January 2015, the Good Governance Handbook is focused on the developing role of clinicians in management and resource allocation and should help existing and aspirant clinical, nurse and medical directors as well as those who support and challenge them to understand and apply good governance in a demanding environment. The guide includes good and weak answers to key questions on governance at board, division and department level as well as matrices that can be used by organisations to self assess their current position and progress towards excellence.

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.

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.

This publication identifies and discusses important challenges affecting eHealth in the EU and North America in the three areas of law, ethics and governance. It makes meaningful contributions to the eHealth discourse by suggesting solutions and making recommendations for good practice and potential ways forward. Legal challenges discussed include issues related to electronic medical records, telemedicine, the Internet and pharmaceutical drugs, healthcare information systems and medical liability. Ethical challenges focus on telehealth and service delivery in the home, Web 2.0 and the Internet, patient perceptions and ethical frameworks. Governance challenges focus on IT governance in healthcare, governance and decision-making in acute care hospitals, and different models of eHealth governance. The publication provides useful support materials and readings for persons active in developing current understandings of the legal, ethical and governance challenges involved in the eHealth context.