The Trust's approach to clinical governance is led by the clinical governance committee, which has representation from the Trust executive and clinical groups as well as external organisations. Patient representatives have also been appointed to several groups that report to the clinical governance committee to ensure a broader patient perspective. The facilitation and implementation of clinical governance is the primary function of the Clinical Governance Department, which was established in July 1999. The department works closely with the clinical units to ensure ownership by all members of staff and that clinical governance underpins the working practice of all staff in the delivery of a quality service to our patients. All team members promote the identity and role of the department while undertaking their individual specific roles. The Clinical Governance Department consists of the director of nursing, clinical risk manager, customer care coordinator, clinical audit lead and the clinical audit facilitator.
In addition to this local framework, several statutory bodies monitor the development of clinical governance. The National Institute for Clinical Excellence (NICE) provides guidance to the NHS on best practice and the Care Quality Commission (CQC) has been established to provide assessment and effective monitoring of local arrangements and to reduce variations in the quality of care. Our CQC review was in November 2001 and a final report was published in February 2002.
The Clinical Governance Department works closely with London South Bank University to set up training courses relating to clinical governance. The priority aim of this programme is to ensure that all staff have a basic understanding of clinical governance and its significance in their working lives. The department runs a series of successful multi-disciplinary clinical governance seminars for staff to develop an understanding of clinical governance and how it may apply to their own particular area of work. All staff are also introduced to clinical governance on their initial induction programme when they commence employment.