Achieving improvements through clinical governance: a progress report on implementation by NHS trusts : report

Front Cover
The concept of clinical governance seeks to ensure improved levels of quality in patient care, clear lines of accountability and effective processes for identifying and managing risk and addressing poor performance within NHS services. This NAO report examines the progress made by NHS trusts in implementing clinical governance structures, given that its introduction has taken place against a background of considerable organisational change and an increase in regulation and performance monitoring. The report focuses on secondary and tertiary care sectors (where clinical governance systems have been established longer than in primary healthcare). Conclusions reached in the report include that progress made in implementing clinical governance systems is patchy, varying between trusts, within trusts and between the components of clinical governance. Overall, the key features of those organisations that have been better at improving the quality of care are quality of leadership, commitment of staff and willingness to consider doing things differently.

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