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Clinical Governance. Don’t Shoot the Messengers. What is Clinical Governance?. Quality Assurance in professional Practice. What are the Stages of Clinical Governance?. Baseline Assessment Organisational Review Clarification of Reporting Arrangements Parameters for Inclusion

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clinical governance

Clinical Governance

Don’t Shoot the Messengers

what is clinical governance
What is Clinical Governance?
  • Quality Assurance in professional Practice
what are the stages of clinical governance
What are the Stages of Clinical Governance?
  • Baseline Assessment
  • Organisational Review
  • Clarification of Reporting Arrangements
  • Parameters for Inclusion
  • Development of an Action Plan
  • Action on Agreed Priorities
  • Continuous Monitoring
baseline assessment
Baseline Assessment
  • Achieved by Internal / External Audit
  • Who Audits You at Present?
    • Health Authority
    • Denplan
    • NRPB
    • Pressure Vessels
organisational review
Organisational Review
  • Managerial Structure
  • Professional Structure
  • Alignment of Objectives
clarification of reporting arrangements
Clarification of Reporting Arrangements
  • Accountability within the Practice
  • Sharing Information
  • Identifying Areas of Responsibility
parameters for inclusion
Parameters for Inclusion
  • Evidence Based Practice
  • Risk Management
  • Continuing Professional Development
  • Clinical Audit
  • Managerial Audit
development of an action plan
Development of an Action Plan
  • Use of an Integrated and Systematic Approach
action on agreed priorities
Action on Agreed Priorities
  • This is a Team Activity
  • Must Include Clinical Governance Report
continuous monitoring
Continuous Monitoring
  • Legality
  • Identification of Poor Performance
  • Learning from Errors or Near Misses
  • Learning from Complaints
  • Modification of Action Plans
the framework
The Framework
  • Open Practice Culture
    • Where Ideas and Good Practice are Shared
  • Clear Areas Responsibility
    • Education and Research Valued
    • Collaboration Rather than Competition
    • Blame Only Used Rarely
tools of clinical governance


Patient Surveys

Benchmarking Schemes

Evidence Based Practice

C P Development

Training Programmes

Risk Assessment

Management Schemes


Tools of Clinical Governance
other elements of clinical governance
Other Elements of Clinical Governance
  • Critical Incident Analysis
  • Open Dialogue with Stakeholders
  • Commissioning of Specialist Services
  • Centralised Incident Reporting
internal elements of clinical governance
Internal Elements of Clinical Governance
  • Acceptance of Responsibility for the Provision of a High Quality Service
  • This Service to Meet the Needs of Its consumers
external elements of clinical governance
External Elements of Clinical Governance
  • As Well as Monitoring Their own Practice’s Performance
    • Association with Other General Dental Practices
    • Association with Specialist Dental Practices
    • Association with Hospital Dental Practices
    • Dissemination of Good Practice
    • Input to Collaborative Audit and Quality Initiatives
    • Training and CPD