Clinical Governance

Question 0

What are the four quality aspects used by the WHO?

Answer 0

Professional performance (technical quality)
Resource use (efficiency)
Risk management (risk of injury or illness)
Patient's satisfaction with the service provided

Question 1

What is clinical governance?

Answer 1

A system through which the nhs organisations are accountable for:

• continuously improving the quality of their services
• safeguarding the high standards of care
• by creating an environment in which clinical excellence can flourish

Question 2

What are the seven pillars of clinical governance?

Answer 2

Clinical effectiveness and research 
Audit
Risk management
Educations and training
Patient and public involvement 
Using info and IT
Staffing and management

Question 3

What is the nhs research and development strategy?

Answer 3

To provide access to a rapidly expanding evidence base on healthcare interventions.
Development of guidance is confused at the moment. To remedy this therems the national institute of clinical excellence (NICE) which advises on best practice, appraises new health interventions and how they might be implemented.

Question 4

What does NICE do? (National institute of clinical excellence)

Answer 4

It identifies new and existing health interventions. It collects evidence, appraises and guides, disseminates, implements and monitors. It works together with NHS frameworks.

Question 5

What is continuing professional development (CPD)?

Answer 5

Must be continued by all GDC registered dentists

Question 6

What’s the care quality commission (CQC)?

Answer 6

Monitors quality standards. It’s a statutory body that:
Gives independent reviews of local action to improve quality, visits all trusts and PCTs, checks NICE guidelines are implemented, checks national service frameworks are implemented, endorses a range if external clinical audits, acts as a trouble shooter.

Question 7

How can the CQC enforce standards?

Answer 7

Can issue fines and warnings, stop admissions into a care service, suspend to cancel a care service’s registration.

Question 8

What is assessed by the national framework?

Answer 8

Health improvement, fair access to services, effective delivery of healthcare, efficiency, patient and cater experience, health outcomes of NHS care. Published clinical information allows hospitals and public to compare performance.

Question 9

In summary:

Answer 9

Clinical governance is the main vehicle for improving the quality of care.
It requires an organisation wide transformation.
Local and professional regulation.
Recognition and replication of good clinical practice.