Clinical governance annual report
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Clinical Governance Annual Report. Trust AGM, 25 September 08. Dr S F Evans FRCA Medical Director. Clinical Governance:. Quality Safety. Clinical Governance: risk. Clinical Governance:. Clinical risk management Outcome measures (HSMR, etc)

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Clinical Governance Annual Report

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Clinical governance annual report

Clinical Governance Annual Report

Trust AGM, 25 September 08

Dr S F Evans FRCA

Medical Director


Clinical governance

Clinical Governance:

  • Quality

  • Safety


Clinical governance risk

Clinical Governance: risk


Clinical governance1

Clinical Governance:

  • Clinical risk management

  • Outcome measures (HSMR, etc)

  • Performance against national standards (NSFs)

  • Performance against national targets (HCAI, etc)

  • Incident reporting

  • Patient surveys

  • Complaints


Clinical governance strategy

Approved by Trust Board January 08

Provides template for Divisional Strategies

Forward Plan for Clinical Governance Executive

Structured Agendas

Clinical Governance Strategy


Clinical governance performance indicators

Clinical Governance Performance Indicators


Trends in incident reporting 2005 2008

Trends in Incident Reporting 2005/2008


Cnst level 3 in maternity june 2007

CNST level 3 in Maternity - June 2007

“The maternity service are to be congratulated for achieving Level 3 compliance with the NHSLA Clinical Negligence Scheme for Trusts Maternity Clinical Risk Management Standards (April 2006) at this assessment. This result is well deserved as it reflects positively on the enormous amount of work undertaken since the last assessment. A supportive and learning culture has clearly been established within the maternity service, along with robust risk management systems.”


Clinical governance annual report

Clinical Governance Annual Report


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