Clinical governance

” A framework through which NHS organisations are accountable for continually improving the quality of their services and safeguarding high standards of care by creating an environment in which excellence in clinical care will flourish “.

G. Scally and L. J. Donaldson, Clinical governance and the drive for quality improvement in the new NHS in England BMJ (4 July 1998): 61-65

Clinical governance is composed of at least the following elements:

  • Education and Training – mandatory internal, external trainings,¬† core subjects including: cross-infection control, manual handling, conflict and complain resolution, etc.
  • Clinical audit and peer review
  • Clinical effectiveness and performance
  • Risk management and risk avoidance: incidents reports, significant events analysis
  • Information Management (information governance)
  • Research and development: eg. epidemiological surveys

“Clinical governance” does not include any particular structure, system or process for maintaining and improving the quality of care. However, a designated responsibility for clinical governance must exist at Trust Board level. The Trust and its various clinical departments are obliged to interpret the principle of clinical governance into locally appropriate structures, processes, roles and responsibilities.

A legal responsibility for quality of care is equal in measure to other statutory duties of NHS Trusts.

Annual Appraissal

Periodical appraisal, self-assessment, clinical audit and peer review

Keep log book of all interesting clinical cases, referrals, letters to professionals, etc.

Demonstration of adherence to CPD and GDC rquirements

Constant and gradual  professional development, keeping up to date professional knowledge

Courses and trainings regular attendance: local deanery, BDA division meetings, SAAD conferences, BSDH meetings

Risk assessment compliance

Always ask more experience colleagues if any doubt

Good Dental Practice