Clinical Governance

Question 1

what are the six pillars of clinical governance ?

Answer 1

clinical effectiveness,
research and development,
openness,
risk management,
education and training, 
clinical audit
(using information and IT)

Question 2

what is clinical governance ?

Answer 2

a system through which the NHS are accountable for :

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

Question 3

what 4 aspects does the WHO use to monitor clinical governance ?

Answer 3

professional performance,
efficiency of resource use,
risk management,
patient satisfaction

Question 4

what was stated in the White Paper 1999 ?

Answer 4

clinical governance is designed to:
- consolidate,
- codify,
- universalise care 
create organisations in which final accountability rests with a body or individual

Question 5

what is the governments role in clinical governance ?

Answer 5

make high quality services available for all,

improve quality and consistency of care

Question 6

what 3 objectives need to be met in order for care to be improved ?

Answer 6

continually improve overall standards,
reduce unacceptable variations,
ensure best resources

Question 7

care provided should be …

Answer 7

appropriate to peoples needs,
drawn upon best available clinical evidence,
economic to maximise health gain for the population

Question 8

what os the development of national guidance based on ?

Answer 8

reliable evidence of clinical cost effectiveness,
the experience of health professionals and managers,
the values and wishes of patients

Question 9

what is the role of the National Institute for Clinical Excellence ?

Answer 9

advise on best practice,
appraise new health interventions,
explain how they are implemented and how they sit alongside existing treatments

Question 10

what are NICE responsible for ?

Answer 10

identification of new and existing health interventions,
collecting evidence,
appraisal and guidance,
dissemination,
implementation,
monitoring

Question 11

what are the positive outcomes of regulatory bodies such as NICE on the healthcare system ?

Answer 11

sets clear quality standards,
partnership between government, professionals and staff,
shows which treatments are most clinically and cost effective

Question 12

how are quality standards achieved ?

Answer 12

clinical governance,

lifelong learning, professional self regulation

Question 13

what type of working environment does clinical governance aim to create ?

Answer 13

open and participative, 
ideas are shared,
education and research is valued,
blame is rarely used,
learn lessons of poor performance

Question 14

how are quality standards monitored ?

Answer 14

CQC,
National Framework for Assessing Performance,
Annual National Survey of Patient and User Experience

Question 15

what is the role of the CQC ?

Answer 15

independent review of local action to improve quality,
visits all trusts and PCT’s,
check NICE guidelines are implemented,
check National Service Frameworks are implemented,
endorse a range of external clinical audits,
act as a trouble shooter

Question 16

how does the CQC enforce standards ?

Answer 16

issue fines or warnings,
stop admissions into a care service,
suspend or cancel a services registration

Question 17

what do the National Framework for Assessing Performance regulate ?

Answer 17

health improvement,
fair access,
effective delivery,
efficiency,
patient and carer experience,
health outcomes of NHS care