MedWorm: Clinical Governance

Educating non‐medical prescribers

British Journal of Clinical Pharmacology — Thu, 02 Feb 2012 05:00:00 +0100

SummaryIntroduction: The decade has seen developments in non‐medical prescribing with the introduction of prescribing rights for healthcare professionals. In this article, we focus on the education, training and practice of non‐medical prescribers in the UK. There are around 20,000 nurse independent prescribers, 2,400 pharmacist supplementary/independent prescribers, several hundred allied health professional supplementary prescribers and almost 100 optometrist supplementary/independent prescribers. Many are active prescribers managing chronic conditions or acute episodes of infections and minor ailments.Aims: Key aims of non‐medical prescribing are: to improve patient care; increase patient choice in accessing medicines; and make better use of the skills of health professional...

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Mental health nurse independent prescribing: what are nurse prescribers' views of the barriers to implementation?

Journal of Psychiatric and Mental Health Nursing — Wed, 01 Feb 2012 05:00:00 +0100

This study identified many of these barriers to prescribing and these will be discussed. It is hoped that this study's findings will serve as a catalyst to prompt the removal of barriers to prescribing in mental health nursing and ultimately to enable independent nurse prescribing. Awareness about mental health nurse prescribing needs to be raised so that health care professionals, service users, carers and the general public become more familiar with the role. This should help the role to become more accepted and established in everyday practice.AbstractThis paper reports a pilot study exploring mental health nurse prescribers' perceptions of barriers to prescribing independently but also includes perceptions of barriers to supplementary prescribing. Current prescribing practice as experi...

Clinical governance: many fancies, very few facts

Internal and Emergency Medicine — Fri, 16 Dec 2011 16:56:34 +0100

Content Type Journal ArticleCategory IM - COMMENTARYPages 1-2DOI 10.1007/s11739-011-0749-6Authors Pier Mannuccio Mannucci, Scientific Direction, IRCCS Ca’ Granda Maggiore Policlinico Hospital Foundation, Milan, Italy Journal Internal and Emergency MedicineOnline ISSN 1970-9366Print ISSN 1828-0447 (Source: Internal and Emergency Medicine)

Assessing prescribing competence

British Journal of Clinical Pharmacology — Fri, 25 Nov 2011 06:29:50 +0100

SummaryPrescribing of medicines is the key clinical activity in the working life of most doctors. In recent years, a broad consensus regarding the necessary competencies has been achieved. Each of these is a complex mix of knowledge, judgement and skills. Surveys of those on the threshold of their medical careers have revealed widespread lack of confidence in writing prescriptions. A valid and reliable assessment of prescribing competence, separate from an overall assessment of medical knowledge and skill, would have many benefits for clinical governance and patient safety, and would provide a measure of the success of training programmes in therapeutics. Delivering such an assessment presents many challenges, not least of which are the difficulty in identifying a surrogate marker for comp...

Student doctors taking responsibility

The Clinical Teacher — Thu, 17 Nov 2011 14:31:45 +0100

Discussion: The article presents a number of practical issues in relation to assigning responsibility to student doctors. Respondents indicate that successful assistantships will only be possible if the UK National Health Service trusts review their attitude to balancing short‐ and long‐term risks: assistantships need to be long enough to create genuine responsibility opportunities, and will require investment in supervision beyond the current capacity. (Source: The Clinical Teacher)

Group A streptococcus outbreak – A clinical governance issue

International Journal of Surgery — Thu, 06 Oct 2011 22:52:32 +0100

Introduction: An outbreak of deep-seated Group A Streptococcal (GAS) infections occurred in reduction mammaplasty patients in our unit following which a peri-operative antimicrobial prophylaxis protocol was introduced. (Source: International Journal of Surgery)

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Audit of audits in an orthopaedic university teaching hospital: A eight and half year experience

International Journal of Surgery — Thu, 06 Oct 2011 22:52:31 +0100

Background: Audits are a systematic examination of current practice to assess how well an institution or a practitioner is performing against set standards. It is a fundamental pillar of clinical governance. (Source: International Journal of Surgery)

Pre-operative echocardiogram in hip fracture patients with cardiac murmur- an audit.

Journal of Orthopaedic Surgery and Research — Fri, 23 Sep 2011 04:00:00 +0100

Background: All hip fracture patients with a cardiac murmur have an echocardiogram as a part of their preoperative work-up in our unit. We performed a retrospective audit to assess the impact obtaining a pre-operative echocardiogram on the management of hip fracture patients. Methods: All hip fracture patients (N=349) between 01/06/08 and 01/06/09 were included in the study. 29 patients had pre-operative echocardiogram (echo group). A computer generated randomised sample of 40 patients was generated from N, 'non-echo' group. Data was obtained from medical records and the Hospital Information Support System (HISS). The groups were compared using Student's t test. Approval was obtained locally from the clinical governance department for this project. Results: Age and gender distribution were...

Clinical governance guidance

NHS Networks — Wed, 21 Sep 2011 04:00:00 +0100

It will provide convenient access to guidance on a number of recent developments, including medical revalidation, responsible officers, clinical performance issues and the new system of death certification. It will also include separate guidance aimed at commissioner and provider boards. More …. (Source: NHS Networks)

How paediatricians can prepare for revalidation

Archives of Disease in Childhood — Mon, 12 Sep 2011 04:00:00 +0100

Revalidation has begun with relicensing in 2009. All paediatricians will have to demonstrate that they meet generic standards in the General Medical Council's (GMC) Good Medical Practice for continued relicensing. Paediatricians on the specialist register will have to demonstrate that they meet the specialist standards set by the College and approved by the GMC in order to recertify. Five satisfactory, signed-off annual appraisals with personal development plans, with 5 years of continuing professional development records (including evidence of learning such as reflective notes), one–two iterations of multisource feedback by colleagues, one–two iterations of multisource feedback by patients, evidence of involvement in audit (and research, publications), outcome data, complaints...

A program of professional accreditation of hospital wards by the Italian Society of Internal Medicine (SIMI): self- versus peer-evaluation

Internal and Emergency Medicine — Thu, 11 Aug 2011 05:54:00 +0100

Abstract The Italian Society of Internal Medicine has developed a voluntary program of professional accreditation of the medical units run by its constituency. Participation in the program, which is meant to foster staff involvement in clinical governance, includes all the medical personnel and nurses. Accreditation is awarded provided the candidate unit is able to adhere to a pre-established set of quality standards, meet a number of clinical and organizational requirements and monitor specific indicators. Self-evaluation is the first step in the program, followed by a site visit by a team of peer internists experienced in quality auditing. The program, which has involved so far 19 units, has considered a number of clinical requirements related to the three most frequent ...

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Do inquiries into health system failures lead to change in clinical governance systems?

Collegian — Fri, 29 Jul 2011 04:00:00 +0100

Summary: Aim: This paper reports the first part of a case study investigation to examine the changes at King Edward Memorial Hospital (KEMH) following an inquiry established to review the quality of obstetric and gynaecological services.Background: Common findings from a range of health inquiries in recent times include that there have been inadequate adverse event reporting systems, the absence of transparent systems for staff and patients to report concerns about quality of patient care, and an ineffective medical credentialing and performance review system. The similarity of findings from many health inquiries raises the question of whether an inquiry does lead to changes to improve patient care and safety. There has been very little reported in the literature about this.Method: Using a...

NICE consults on first non-drug asthma treatment

NHS Networks — Sun, 24 Jul 2011 23:00:00 +0100

The procedure, called “bronchial thermoplasty”, could reduce the need for people who have severe asthma to depend on large numbers of medicines and inhalers. It involves inserting a special catheter through their nose or mouth, into the tubes which carry air to the lungs (called bronchi). The catheter delivers radiofrequency heat which destroys part of the muscle lining of the airways; this is the muscle that would contract to cause attacks of asthma and make breathing difficult. The draft guidance from NICE has been published for a public consultation. It provisionally advises respiratory doctors considering the procedure to explain the uncertainties and risks to their patients before obtaining their consent, to inform their clinical governance leads (usually the hospital's medical d...

The GMC welcomes the evaluation of the pilots for revalidation

MEDEV News — Thu, 21 Jul 2011 12:27:02 +0100

Welcoming the independent evaluation of the pathfinder pilots, Niall Dickson, the Chief Executive of the GMC, said: "It is really encouraging that those who took part in the pilots believe revalidation will improve patient safety. Revalidation will be built on effective clinical governance arrangements, and we know that is a prerequisite for safe, high quality care. "We want better safer care for patients - to achieve that we must give doctors the space to reflect on their practice, to gather information about their performance and to benchmark their results. "We have already streamlined the system following earlier feedback from the pilots, and this report will give us further insight as we prepare for roll out. "Doctors need to find the process both rewarding and effective. The next year...

New FAQ: Can a clinical governance lead of one PCT sign off PGDs on behalf of all PCTs in the cluster?

NeLM - News — Sun, 26 Jun 2011 23:00:00 +0100

Source: PGD Website Area: News Following enquires about PGD governance arrangements in PCT clusters, the PGD website has published a 'FAQ' looking at whether a clinical governance lead of one PCT can sign off PGDs on behalf of all PCTs in the cluster. Please see the link below for details. (Source: NeLM - News)

Governance system learns and improves

BMA daily feed — Tue, 21 Jun 2011 13:52:24 +0100

'It's like clinical governance on steroids' (Source: BMA daily feed)

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The role of the urology clinical nurse specialist in the multidisciplinary team meeting

International Journal of Urological Nursing — Thu, 16 Jun 2011 16:34:24 +0100

Multidisciplinary teams (MDTs) are increasingly the preferred method of cancer care in many specialties, including urology. MDTs provide a means of improving communication between health care professionals and patients and provide co‐ordinated and timely care. As MDTs have developed, so too has the role of the specialist cancer nurse, though the concept of the clinical nurse specialist (CNS), or their involvement in the MDT are not globally universal. There is increasing evidence that the presence of the CNS in the MDT improves patient satisfaction and team effectiveness. The MDT meeting is the focal point for decision‐making about patients' care, but the roles of health care professionals in the MDT meeting are variable and poorly defined. In this paper, we examine the evidence for th...

An Introduction to Clinical Governance and Patient Safety

Occupational Medicine — Thu, 26 May 2011 23:00:00 +0100

(Source: Occupational Medicine)

Importance of the hospital autopsy in clinical governance, teaching and research.

British Journal of Hospital Medicine — Sat, 30 Apr 2011 23:00:00 +0100

Authors: Burton JL PMID: 21647036 [PubMed - in process] (Source: British Journal of Hospital Medicine)

Should the law on assisted dying be changed? No

BMJ Online First — Wed, 20 Apr 2011 23:00:00 +0100

Patient safety is at the heart of good clinical governance: not having the confidence to seek medical intervention early poses a threat to the lives of all patients, regardless of impairment.... (Source: BMJ Online First)

Revalidate responsibly

BMA daily feed — Wed, 13 Apr 2011 00:40:56 +0100

GMC chief executive Niall Dickson answers the BMA’s key questions about responsible officers, the doctors who will sign off revalidation recommendations and oversee local clinical governance systems (Source: BMA daily feed)

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National pilot audit of intermediate care.

Clinical Medicine — Thu, 31 Mar 2011 23:00:00 +0100

Authors: Hutchinson T, Young J, Forsyth D The National Service Framework for Older People resulted in the widespread introduction of intermediate care (IC) services. However, although these services have shared common aims, there has been considerable diversity in their staffing, organisation and delivery. Concerns have been raised regarding the clinical governance of IC with a paucity of data to evaluate the effectiveness, quality and safety of these services. This paper presents the results of a national pilot audit of IC services focusing particularly on clinical governance issues. The results confirm these concerns and provide support for a larger scale national audit of IC services to monitor and improve care quality. PMID: 21526696 [PubMed - in process] (Source: Clinical Medi...

Implementation of the process of ethical review of improvement activities at the Children's Hospital at Westmead

Quality and Safety in Health Care — Sun, 27 Mar 2011 23:00:00 +0100

Discussion At The Children's Hospital at Westmead, the authors take the view supported by others that ethical review is necessary and so have developed a process which utilises the unique skills available in the Clinical Governance Unit to ensure improvement activities are reviewed for ethical considerations in an effective and efficient manner and implemented a database to approve, monitor and report on improvement activities. This has resulted in staff being increasingly satisfied with the turnaround time for approval of improvement activities they are undertaking as well as for the methodological support provided. The authors have experienced a dramatic increase in the number of improvement activities being recorded and ethically reviewed. (Source: Quality and Safety in Health Care)

Changes to Pharmacy Contract announced

NeLM - News — Wed, 16 Mar 2011 00:00:00 +0100

Source: PSNC (Pharmaceutical Services Negotiating Committee) Area: News Following negotiation and agreement with the Department of Health, the NHS Employers organisation and PSNC have announced a number of service developments within the Community Pharmacy Contractual Framework. The changes will be implemented during 2011/12 and they comprise three key elements: . The introduction of a New Medicine Service (NMS) for people with long-term conditions newly prescribed a medicine to help improve medicines adherence. . The introduction of national target patient groups for Medicines Use Reviews (MURs) to ensure they are provided to those who will benefit the most. . Changes to clinical governance requirements to strengthen and build upon the existing regime...

Involving patients who attempt suicide in suicide prevention: a focus groups study

Journal of Psychiatric and Mental Health Nursing — Thu, 10 Feb 2011 00:00:00 +0100

This study demonstrates the usefulness and effectiveness of patient involvement as a tool for improving the quality of health care in psychiatry, when following clinical governance principles.AbstractThe aim of this study is to gain insight into the individual experiences of patients who attempt suicide in order to better understand the reasons for and emotions behind a suicide attempt, thus also gaining insight, through the patients' own input, into the risk and protective factors which might influence possible repeat attempts and the attitude towards the assistance they receive. Two focus groups were conducted involving 17 participants, all hospitalized at the time of research for attempting suicide. The patients proved themselves competent, even expert in indicating reasons for, risk fa...

Learning valuable lessons from clinical audits

HSJ — Mon, 07 Feb 2011 00:01:00 +0100

Two clinical governance audits have highlighted the positive changes in Croydon’s mental health acute inpatient bed use over three years, tracking improvements from service redesign. Caron Gaw, Croydon borough’s former head of psychology and Lauren Redrup, a support time and recovery worker for South London and Maudsley, explain the audits’ findings. (Source: HSJ)

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Clinical governance and prehospital care in the UK

Emergency Medicine Journal — Fri, 14 Jan 2011 00:00:00 +0100

(Source: Emergency Medicine Journal)

Editorial: Leadership and clinical governance: immovable concrete or tsunami for change?

Journal of Research in Nursing — Tue, 11 Jan 2011 00:00:00 +0100

(Source: Journal of Research in Nursing)

The role of trauma scoring in developing trauma clinical governance in the Defence Medical Services. - Russell RJ, Hodgetts TJ, McLeod J, Starkey K, Mahoney P, Harrison K, Bell E.

SafetyLit: All (Unduplicated) — Wed, 22 Dec 2010 23:22:50 +0100

This paper discusses mathematical models of expressing severity of injury and probability of survival following trauma and their use in establishing clinical governance of a trauma system. There are five sections: (i) Historical overview of scoring systems... (Source: SafetyLit: All (Unduplicated))

Review of successful litigation against english health trusts in the treatment of adults with orthopaedic pathology: clinical governance lessons learned.

The Journal of Bone and Joint Surgery. American volume — Wed, 01 Dec 2010 00:00:00 +0100

Authors: Atrey A, Gupte CM, Corbett SA Reviewing litigation brought against health institutions is a clinical governance issue and can help to prevent further cases. While large-scale databases are rare, the British National Health Service Litigation Authority deals with claims brought against all public health trusts in England. PMID: 21159982 [PubMed - in process] (Source: The Journal of Bone and Joint Surgery. American volume)

New Website!!

Clinical Governance Sitewide RSS Feed — Sat, 20 Nov 2010 16:11:05 +0100

This website is no longer current. It has been replaced by the new Clinical Quality and Public Health website at www.clingov.eoe.nhs.uk. (Source: Clinical Governance Sitewide RSS Feed)

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Clinical Governance Sitewide RSS Feed — Thu, 11 Nov 2010 12:11:47 +0100

(Source: Clinical Governance Sitewide RSS Feed)

Complications of polypropylene mesh in prolapse surgery

Obstetrics, Gynaecology and Reproductive Medicine — Thu, 11 Nov 2010 07:04:10 +0100

Abstract: Traditional surgical repair for pelvic organ prolapse may be associated with a high recurrence rate. Mesh is being used increasingly to replace damaged endo-pelvic fascia, in an attempt to reduce recurrence. Polypropylene mesh is currently preferred over biological and synthetic absorbable meshes, aiming to reduce failure. Mesh may be placed abdominally (sacro-colpopexy) or vaginally to correct prolapse. Whilst sacro-colpopexy is a well-established procedure for the correction of vault prolapse, there is a lack of strong evidence of safety and efficacy for vaginal placement of mesh. The majority of reported complications related to mesh are minor though occasionally severe complications arise. The management of complications can be difficult, particularly when experience and evid...

Teaching Internal Medicine Residents to Sustain Their Improvement Through the Quality Assessment and Improvement Curriculum

Journal of General Internal Medicine — Fri, 05 Nov 2010 11:05:28 +0100

DISCUSSION When residents are taught principles of sustainability and spread and asked to complete multiple PDSA cycles, they are able to identify common themes that may contribute to success of QI projects over time. Content Type Journal ArticleDOI 10.1007/s11606-010-1547-yAuthors Julie Oyler, Department of Medicine, University of Chicago, 5841 S. Maryland Ave., MC 3051, Chicago, IL 60637, USALisa Vinci, Department of Medicine, University of Chicago, 5841 S. Maryland Ave., MC 3051, Chicago, IL 60637, USAJulie K. Johnson, Centre for Clinical Governance Research, University of New South Wales, Sydney, AustraliaVineet M. Arora, Department of Medicine, University of Chicago, 5841 S. Maryland Ave., MC 3051, Chicago, IL 60637, USA Journal Journal of General Interna...

The use of Cusum Graphs in Surgical Training

International Journal of Surgery — Tue, 26 Oct 2010 07:49:47 +0100

Clinical Governance and evidence of competence are core components of clinical practice. Surgical trainees undertake formal assessments, which maybe subjective (Mini-PAT), or single event assessments (DOPS, CBD, CEX, PBA). There are currently no advocated tools for recording progress and personal audit. CuSum (Cumulative Sum) graphs sequentially monitor an outcome. Their uses have included assessing mortality (Bridgewater et al.) and new surgical techniques (Leandro et al.). Cases are plotted sequentially along the x-axis and cumulative achievement of a Gold-standard along the y-axis. A proportional linear relationship exists when all cases are successful. Deviations from this line identify unsuccessful cases. (Source: International Journal of Surgery)

A survey on the latest NICE guidance for diagnosis of chest pain: A challenge to NICE

International Journal of Cardiology — Thu, 30 Sep 2010 00:00:00 +0100

Chest pain is a common symptom and is often referred to Rapid access chest pain clinics (RACPCs) . Exercise ECG testing was pivotal in diagnosing ischaemic heart disease and has been supported by an extensive body of research, though its positive predictive value has been variable . The National Institute of Health and Clinical Excellence (NICE) issued recent guidance on chest pain of recent onset. They state that exercise ECG testing should not be used to diagnose stable angina . This has been controversial . The new guidelines focus on either a clinical diagnosis from history alone or an anatomical diagnosis, using invasive coronary angiography or computerised tomography coronary angiography (CT-CA). Presently, the British Cardiovascular Society is auditing the use of RACPCs and the thro...

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Clinical dashboards: do they actually work in practice? Three-year experience with the Maternity Dashboard

Clinical Risk — Wed, 08 Sep 2010 00:16:36 +0100

Clinical governance refers to a system or a framework through which National Health Service (NHS) organizations are accountable for continuously improving the quality of their services and safeguarding high standards of care, by creating an environment in which clinical excellence will flourish. Various ‘dashboards’ or ‘score cards’ are currently being promoted with an intention of improving patient care and outcomes. It is believed that a closer observation of selected parameters, on a regular basis, may facilitate timely action, thereby avoiding adverse incidents. It is, therefore, hoped that such ‘dashboards’ or ‘score cards’ may also help clinicians, managers, trust boards, commissioners and patients to identify areas of good clinical pra...

Data Envelopment Analysis Model for the Appraisal and Relative Performance Evaluation of Nurses at an Intensive Care Unit

Journal of Medical Systems — Mon, 23 Aug 2010 17:58:12 +0100

Abstract The appraisal and relative performance evaluation of nurses are very important and beneficial for both nurses and employers in an era of clinical governance, increased accountability and high standards of health care services. They enhance and consolidate the knowledge and practical skills of nurses by identification of training and career development plans as well as improvement in health care quality services, increase in job satisfaction and use of cost-effective resources. In this paper, a data envelopment analysis (DEA) model is proposed for the appraisal and relative performance evaluation of nurses. The model is validated on thirty-two nurses working at an Intensive Care Unit (ICU) at one of the most recognized hospitals in Lebanon. The DEA was able to clas...

CQC lifts conditions on Luton and Dunstable Foundation Trust

Nursing Times Breaking News — Sat, 21 Aug 2010 07:00:00 +0100

The Care Quality Commission has lifted conditions it imposed on Luton and Dunstable Foundation Trust’s licence to operate after it addressed concerns linked to its clinical governance arrangements for infection prevention and control. (Source: Nursing Times Breaking News)

Luton And Dunstable NHS Foundation Trust Improves Cleanliness And Infection Control, Says Regulator, UK

Health News from Medical News Today — Wed, 18 Aug 2010 13:00:00 +0100

The Care Quality Commission (CQC) announced that Luton and Dunstable NHS Foundation Trust has addressed concerns linked to the trust's clinical governance arrangements for infection prevention and control. The regulator will now lift the remaining condition imposed on the trusts licence on 1 April 2010, when it introduced a tough new registration system for NHS trusts... (Source: Health News from Medical News Today)

Clinical governance and standards in UK maternity care to improve quality and safety.

Midwifery — Wed, 11 Aug 2010 23:00:00 +0100

Authors: Arulkumaran S PMID: 20708829 [PubMed - as supplied by publisher] (Source: Midwifery)

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Can Questions of the Privatization and Corporatization, and the Autonomy and Accountability of Public Hospitals, Ever be Resolved?

Health Care Analysis — Wed, 07 Jul 2010 05:59:55 +0100

Abstract Although there is a long-standing international debate concerning the privatization and corporatization of health services, there has been relatively little systematic analysis of the ways these types of reform manifest. We examine the impact of privatization and corporatization on public hospitals, and in particular on hospitals’ autonomy and accountability, with two aims: to uncover the key themes in the literature, and to consider implementation issues. The review of 2,319 articles was conducted using content analysis and a discussion of selected key issues. Several major themes appear in the privatization and corporatization literature, including their use as tools in health systems reform, and the role of governments in sponsoring the processes. We show tha...

Revalidation criticised by ARM delegates

HealthcareRepublic Independent Nurse News — Fri, 02 Jul 2010 00:15:00 +0100

Doctors have criticised revalidation plans calling for a shift in focus from individual doctors to strengthened clinical governance systems. (Source: HealthcareRepublic Independent Nurse News)

Utomo WK, Gabbe BJ, Simpson PM, Cameron PA. Predictors of in-hospital mortality and 6-month functional outcomes in older adults after moderate to severe traumatic brain injury [Injury 2009;40(9):973–7]

Injury — Tue, 15 Jun 2010 14:00:17 +0100

We read with considerable interest the paper of Utomo et al. regarding the outcome of older adults with traumatic brain injury (TBI). In particular we were interested to see that of the 310 patients who survived, 65% were successfully reviewed at 6 months post-injury. Limited data exist to illuminate more clearly from a functional perspective the post-inpatient rehabilitation outcome of this group of patients. The North Wales Brain Injury Service (NWBIS) where we work is a hospital-based, post-acute, multi-disciplinary community brain injury rehabilitation service. The NWBIS accepts referrals for adults with acquired brain injury who require long-term, community-based rehabilitation, including older adults with TBI. In order to better understand the functional outcome of the older adults w...

NHS At Risk Of "Stagnating" As British Medical Association Survey Shows Cuts To Consultants' Time To Develop Services

Health News from Medical News Today — Wed, 02 Jun 2010 07:00:00 +0100

Innovation in the NHS is at risk of being stifled as hospitals cut the amount of time senior doctors can devote to new services, the BMA warns today (Wednesday 2 June 2010). Under their standard contract, NHS consultants should have ten hours a week available for Supporting Professional Activities (SPAs), such as the introduction of new services, research, clinical governance, and training junior doctors... (Source: Health News from Medical News Today)

A working model for the extraordinary review of clinical privileges for doctors and dentists in the Australian Capital Territory.

Australian Health Review — Fri, 30 Apr 2010 23:00:00 +0100

Authors: Jakobs OM, O'Leary EM, Cormack MF, Chong GC The extraordinary (unplanned) review of clinical privileges is the means by which an organisation can manage specific complaints about individual practitioners' clinical competence that require immediate investigation. To date, the extraordinary review of clinical privileges for doctors and dentists has not been the subject of much research and there is a pressing need for the evaluation and review of how different legislated and non-legislated administrative processes work and what they achieve. Although it seems a fair proposition that comprehensive processes for the evaluation of the clinical competence of doctors and dentists may improve the overall delivery of an organisation's clinical services, in fact, little is known about t...

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Equality Act 2010

Clinical Governance Sitewide RSS Feed — Tue, 20 Apr 2010 17:14:50 +0100

This Act, 251 pages long, is intended to harmonise and, in some cases extend, discrimination laws on the 'protected characteristics' of age, disability, gender reassignment, marriage and civil p... (Source: Clinical Governance Sitewide RSS Feed)

Human rights training materials and human rights resources (DH)

Clinical Governance Sitewide RSS Feed — Tue, 20 Apr 2010 17:14:50 +0100

Human rights training materials and human rights resources were launched on 31 March 2010. This forms a suite of training materials designed for use... (Source: Clinical Governance Sitewide RSS Feed)

The NHS Premises Assurance Model (PAM) (DH)

Clinical Governance Sitewide RSS Feed — Tue, 20 Apr 2010 17:14:50 +0100

The NHS Premises Assurance Model (PAM) for Acute Services has been released to support the NHS in improving the quality and safety of NHS premises while improvin... (Source: Clinical Governance Sitewide RSS Feed)

Briefing note: CRB checks (DH)

Clinical Governance Sitewide RSS Feed — Tue, 20 Apr 2010 17:14:50 +0100

Candidates for Care First Careers have been experiencing delays in starting their jobs due to their employer requiring a Criminal Records Bureau check. To help reduce this delay, this (Source: Clinical Governance Sitewide RSS Feed)

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The NHS Performance Framework: implementation guidance 2010/11 (DH)

Clinical Governance Sitewide RSS Feed — Tue, 20 Apr 2010 17:14:50 +0100

This implementation guidance is published to support the application of the NHS Performance Framework; to inform Strategic Health Authorities (SHAs)... (Source: Clinical Governance Sitewide RSS Feed)

Personalisation through Person - Centred Planning (DH)

Clinical Governance Sitewide RSS Feed — Tue, 20 Apr 2010 17:14:50 +0100

This joint good practice guidance published by the Putting People First and Valuing People Now teams has been developed to help local areas understa... (Source: Clinical Governance Sitewide RSS Feed)

Valuing People Now Delivery Plan 2010-11 (DH)

Clinical Governance Sitewide RSS Feed — Tue, 20 Apr 2010 17:14:50 +0100

The Valuing People Now: Delivery Plan for 2010-11 was published on 31 March together with a range of materials to support the implementation of Valu... (Source: Clinical Governance Sitewide RSS Feed)

Modernising Scientific Careers: The England Action Plan (DH)

Clinical Governance Sitewide RSS Feed — Tue, 20 Apr 2010 17:14:50 +0100

The England Action Plan sets out how implementation will be achieved by working with SHAs and other key stakeholders to ensure a phased approach. Th... (Source: Clinical Governance Sitewide RSS Feed)

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State of Care (CQC)

Clinical Governance Sitewide RSS Feed — Tue, 20 Apr 2010 09:04:22 +0100

The CQC in their April 2010 report on the state of health care and adult social care, reports that services have steadily improved overall but that some services were lagging behind the pack and that there were ar... (Source: Clinical Governance Sitewide RSS Feed)

Planning and developing the NHS workforce: The national framework (DH)

Clinical Governance Sitewide RSS Feed — Wed, 31 Mar 2010 15:15:45 +0100

This document, together with those on education commissioning for quality and PCT assurance are designed to support SHAs in leading the debate about... (Source: Clinical Governance Sitewide RSS Feed)

Guidance: GP extended hours access (DH)

Clinical Governance Sitewide RSS Feed — Wed, 31 Mar 2010 15:15:45 +0100

Guidance for primary care trusts on maximising the availabilty of GP extended opening hours. The guidance should be read in conjunction with the Pri... (Source: Clinical Governance Sitewide RSS Feed)

Meeting the quality and productivity challenge for the NHS in partnership (DH)

Clinical Governance Sitewide RSS Feed — Wed, 31 Mar 2010 09:03:26 +0100

The National Social Partnership Forum (SPF) has developed a set of jointly agreed core principles on how the NHS can work together to meet the finan... (Source: Clinical Governance Sitewide RSS Feed)

Consultation on The Health and Social Care Act 2008: Code of Practice for healthcare, including primary care, and adult social care on the prevention and control of infections and related guidance (DH)

Clinical Governance Sitewide RSS Feed — Mon, 29 Mar 2010 14:56:09 +0100

Consultation: 26 March 2010 to 24 June 2010 The Code of Practice and supporting guidance will help providers of healthcare, including primary care, and adult social care to plan and ... (Source: Clinical Governance Sitewide RSS Feed)

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The Health and Social Care Act 2008: Code of Practice for healthcare, including primary care, and adult social care on the prevention and control of infections and related guidance – draft for consultation (DH)

Clinical Governance Sitewide RSS Feed — Mon, 29 Mar 2010 14:56:09 +0100

This consultation document invites comments and views on the draft 'Health and Social Care Act 2008 Code of Practice for healthcare, including prima... (Source: Clinical Governance Sitewide RSS Feed)

National Framework for Children and Young People’s Continuing Care (DH)

Clinical Governance Sitewide RSS Feed — Mon, 29 Mar 2010 14:56:09 +0100

This framework sets out an equitable, transparent and timely process for assessing, deciding and agreeing bespoke packages of continuing care for th... (Source: Clinical Governance Sitewide RSS Feed)

Guidance for coroners and donor coordinators working with coroners (DH)

Clinical Governance Sitewide RSS Feed — Mon, 29 Mar 2010 09:03:43 +0100

Guidance for coroners and donor coordinators working with coroners to encourage the development of local protocols to optimise organ donation. This ... (Source: Clinical Governance Sitewide RSS Feed)

NHS emergency planning guidance: the ambulance service guidance on dealing with radiological incidents and emergencies (DH)

Clinical Governance Sitewide RSS Feed — Fri, 26 Mar 2010 15:49:37 +0100

This document describes the role of NHS ambulance trusts in planning, preparing and responding to radiation incidents and emergencies involving irra... (Source: Clinical Governance Sitewide RSS Feed)

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NHS emergency planning guidance: planning for the development and deployment of Medical Emergency Response Incident Teams in the provision of advanced medical care at the scene of an incident (DH)

Clinical Governance Sitewide RSS Feed — Fri, 26 Mar 2010 15:49:37 +0100

This is best practice guidance to National Health Service (NHS) organisations in developing and deploying Medical Emergency Response Incident Teams ... (Source: Clinical Governance Sitewide RSS Feed)

A Framework for Staff Engagement: An introduction to staff engagement in the NHS and guidance on starting staff engagement policy (DH)

Clinical Governance Sitewide RSS Feed — Fri, 26 Mar 2010 10:03:26 +0100

This framework provides relevant stakeholders with two main elements to assist in policy development around staff engagement: 1.Evidence on the b... (Source: Clinical Governance Sitewide RSS Feed)

Inclusion Health: improving primary care for socially excluded people (DH)

Clinical Governance Sitewide RSS Feed — Tue, 23 Mar 2010 16:10:01 +0100

This is a practical guide to support PCTs in commissioning improved primary care services for socially excluded people. (Source: Clinical Governance Sitewide RSS Feed)

Healthcare for Single Homeless People (DH)

Clinical Governance Sitewide RSS Feed — Tue, 23 Mar 2010 16:10:01 +0100

This paper presents the results of analysis aimed at better understanding the health needs and relative healthcare costs of people who are homeless ... (Source: Clinical Governance Sitewide RSS Feed)

Governing health services research: is it working? (NHS Confederation)

Clinical Governance Sitewide RSS Feed — Tue, 23 Mar 2010 16:10:01 +0100

Research governance is an issue that some feel that a system that has been set up to deal with clinical research unfairly places an excessive level of regulatory burden on much lower risk HSR, which is largely non-clinical and non-invasive. As part o... (Source: Clinical Governance Sitewide RSS Feed)

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A guide to finance for hospital doctors (Audit Commission)

Clinical Governance Sitewide RSS Feed — Tue, 23 Mar 2010 16:10:01 +0100

The Audit Commission and the Academy of Medical Royal Colleges have jointly published a short, practical manual that aims to help hospital... (Source: Clinical Governance Sitewide RSS Feed)

Value for Money Profile Tools (Audit Commission)

Clinical Governance Sitewide RSS Feed — Mon, 22 Mar 2010 21:03:35 +0100

The Commission developed the value for money (VfM) profile tools to help auditors and assessors carry out assessments for Comprehe... (Source: Clinical Governance Sitewide RSS Feed)

What happens to PGDs when NHS organisations merge or cease to exist?

NeLM - News — Mon, 22 Mar 2010 00:00:00 +0100

Source: Personal Communication Area: News Questions have been asked about the validity of PGDs that were approved by organisations that no longer exist or where organisational boundaries change. For example, arrangements for the provision of PCT community services are under review and many are in the process of being re-shaped with potential merger with other organisations. There is no specific guidance for this situation but all PGDs must be authorised by the organisation(s) in which they are going to be used. Any new organisation needs to have an auditable process for managing the adoption of PGDs from its predecessor(s). It would seem sensible to: . collate titles, version numbers and expiry/review dates of all the 'inherited' PGDs centrally . inc...

Regulating for better care - Ambulance trusts - making infection control a top priority (CQC)

Clinical Governance Sitewide RSS Feed — Fri, 19 Mar 2010 09:03:16 +0100

ThIs Regulating for better care report focuses on improvements made by Ambulance Trusts after infection prevention and control inspections by CQC. This re... (Source: Clinical Governance Sitewide RSS Feed)

Successful Commissioning: How to secure value for money through better financial relationships with third sector organisations (Audit Commission)

Clinical Governance Sitewide RSS Feed — Thu, 18 Mar 2010 09:03:11 +0100

Successful commissioning means delivering the right outcomes at the right cost. Compare that with our definition of good value for money: ‘the optimal use of resources to achieve the intended outcomes’. Successful commissioning is, almost by definitio... (Source: Clinical Governance Sitewide RSS Feed)

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The NHS quality, innovation, productivity and prevention challenge: an introduction for clinicians (DH)

Clinical Governance Sitewide RSS Feed — Wed, 17 Mar 2010 15:48:59 +0100

The quality, innovation, productivity and prevention (QIPP) challenge is our opportunity to prepare the NHS to defend and promote high quality care in a tighter economic climate. We know we have one more year of guaranteed growth in 2010/11, but the NHS... (Source: Clinical Governance Sitewide RSS Feed)

Currency options for the Healthy Child Programme: Transforming Community Services (DH)

Clinical Governance Sitewide RSS Feed — Wed, 17 Mar 2010 15:48:59 +0100

Community services have historically been funded on block contracting arrangements, making it difficult for commissioners to identify what services are being delivered and pay for them appropriately. The publication, Currency and pricing options for com... (Source: Clinical Governance Sitewide RSS Feed)

Inclusion Health (Cabinet Office)

Clinical Governance Sitewide RSS Feed — Wed, 17 Mar 2010 15:48:59 +0100

Inclusion Health: Improving the way we meet the primary healthcare needs of the socially excluded is a joint project between the Social Exclusion Task Force and... (Source: Clinical Governance Sitewide RSS Feed)

Getting the most out of PROMs: Putting health outcomes at the heart of NHS decision-making (King's Fund)

Clinical Governance Sitewide RSS Feed — Wed, 17 Mar 2010 15:48:59 +0100

The aim of this report is to provoke and encourage thinking about the wide range of ways in which PROMs data can be used to inform decisions. It draws on Bupa’s example to discuss how providers can u... (Source: Clinical Governance Sitewide RSS Feed)

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Rising to the challenge: health priorities for government and the NHS (NHS Confederation)

Clinical Governance Sitewide RSS Feed — Wed, 17 Mar 2010 15:48:59 +0100

Rising to the challenge: health priorities for the government and the NHS sets out what we see as the major priorities facing the NHS, what we think NHS leaders ... (Source: Clinical Governance Sitewide RSS Feed)

Healthy balance (Audit Commission)

Clinical Governance Sitewide RSS Feed — Wed, 17 Mar 2010 15:48:59 +0100

This March 2010 briefing estimates that £21 billion of NHS funds has been allocated in 2009/10 on the basis of health inequalities. Despite the hea... (Source: Clinical Governance Sitewide RSS Feed)

The truth is out there (Audit Commission)

Clinical Governance Sitewide RSS Feed — Wed, 17 Mar 2010 15:48:59 +0100

This discussion paper looks at how the public sector can improve information made available to the public. It follows our publication in November 2009, N... (Source: Clinical Governance Sitewide RSS Feed)

Progress in Implementing the White Paper 'Trust, Assurance and Safety' - March 2010 (DH)

Clinical Governance Sitewide RSS Feed — Wed, 17 Mar 2010 15:48:59 +0100

The following document summarises the progress we have made in implementing the White Paper 'Trust, Assurance and Safety - The Regulation of Health ... (Source: Clinical Governance Sitewide RSS Feed)

Monitor

Clinical Governance Sitewide RSS Feed — Wed, 17 Mar 2010 15:48:59 +0100

is the independent regulator of NHS foundation trusts. There are three main strands to their work: - determining whether NHS trusts are ready to become NHS foundation trusts; - ensuring that NHS foundati... (Source: Clinical Governance Sitewide RSS Feed)

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Guide to Monitor for Local Involvement Networks (LINks) (DH)

Clinical Governance Sitewide RSS Feed — Wed, 17 Mar 2010 15:48:59 +0100

This leaflet is for Local Involvement Networks (LINks). It provides information on Monitor's role and NHS foundation t... (Source: Clinical Governance Sitewide RSS Feed)

Review of Public Health Regulation (DH)

Clinical Governance Sitewide RSS Feed — Wed, 17 Mar 2010 10:03:44 +0100

Response: required by 09 April 2010 The nature of Specialist and Director of Public Health roles are key to the current and future public health ... (Source: Clinical Governance Sitewide RSS Feed)

Ready to go? Planning the discharge and the transfer of patients from hospital and intermediate care (DH)

Clinical Governance Sitewide RSS Feed — Tue, 16 Mar 2010 16:03:57 +0100

Good practice professionals guide for health and social care (Source: Clinical Governance Sitewide RSS Feed)

Invisible Patients, Report of the Working Group on the health of health professionals (DH)

Clinical Governance Sitewide RSS Feed — Mon, 08 Mar 2010 09:03:10 +0100

Invisible Patients specifically focuses on the health issues facing regulated health professionals and identifies some priorities for addressing the... (Source: Clinical Governance Sitewide RSS Feed)

Your choice of GP practice: a consultation on how to enable to register with the GP practice of their choice (DH)

Clinical Governance Sitewide RSS Feed — Fri, 05 Mar 2010 15:40:10 +0100

Consultation: 04 March 2010 to 28 May 2010 This consultation is seeking views from the public, from healthcare professionals and from other staff working in the NHS on new proposals ... (Source: Clinical Governance Sitewide RSS Feed)

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The Health Care Workers (Duty of Co-operation) Regulations 2010 (DH)

Clinical Governance Sitewide RSS Feed — Fri, 05 Mar 2010 11:03:10 +0100

Consultation: 04 March 2010 to 04 June 2010 The DH is consulting on draft regulations which will impose duties on designated bodies, including employers and contractors of health car... (Source: Clinical Governance Sitewide RSS Feed)

Open Your Mind

Clinical Governance Sitewide RSS Feed — Thu, 04 Mar 2010 16:59:32 +0100

The Open Your Mind campaign has been developed to support employers to create a better working environment for staff and improve employment rates for people with mild, moderate and severe mental health conditions. It aims to raise awareness throughout t... (Source: Clinical Governance Sitewide RSS Feed)

Revalidation consultation: the way ahead (GMC)

Clinical Governance Sitewide RSS Feed — Thu, 04 Mar 2010 16:59:32 +0100

Consultation: 01 March 2010 to 04 June 2010 The way in which doctors are regulated is changing. The GMC has launched a major consultation on proposals for a new process of medical regulation to assur... (Source: Clinical Governance Sitewide RSS Feed)

The Nursing Roadmap for Quality: a signposting map for nursing (DH)

Clinical Governance Sitewide RSS Feed — Thu, 04 Mar 2010 16:59:32 +0100

The Nursing Roadmap for Quality has been designed help nurses and their teams understand the elements of the quality framework that relate to nursing practice. The purpose of the (Source: Clinical Governance Sitewide RSS Feed)

Patient safety first

Clinical Governance Sitewide RSS Feed — Thu, 04 Mar 2010 10:03:05 +0100

Patient Safety First is unique in its aim and approach as it: - Seeks to create a movement. Sign-up to the campaign is voluntary and asks for participation from individuals, Trust Boards and ... (Source: Clinical Governance Sitewide RSS Feed)

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Modernising Scientific Careers: The UK Way Forward (DH)

Clinical Governance Sitewide RSS Feed — Mon, 01 Mar 2010 16:36:29 +0100

The document informs key stakeholders of the strategy for the development of Healthcare science workforce and their education and training as initia... (Source: Clinical Governance Sitewide RSS Feed)

Review of access to the NHS by foreign nationals (DH)

Clinical Governance Sitewide RSS Feed — Mon, 01 Mar 2010 16:36:29 +0100

Consultation: 26 February 2010 to 30 June 2010 This consultation provides the public and others with the opportunity to comment on proposed changes to the charging Regulations for ov... (Source: Clinical Governance Sitewide RSS Feed)

Freedom of information guide (ICO)

Clinical Governance Sitewide RSS Feed — Mon, 01 Mar 2010 11:03:03 +0100

This Guide explains the purpose and effect of each principle, and gives practical examples to illustrate how the principles apply in practice. We hope that, by answering many frequentl... (Source: Clinical Governance Sitewide RSS Feed)

An offsite activity policy for asthma camp.

Paediatric Nursing — Mon, 01 Mar 2010 00:00:00 +0100

This article outlines the activities undertaken during asthma camps and highlights the benefits for children and young people. These include: improved understanding of asthma, increased concordance with medication, greater participation in physical activity and enhanced self-confidence. In the absence of a nationally agreed offsite activity policy, the author demonstrates the use of a clinical governance framework to develop a local offsite activity policy for asthma camps to ensure the safety of children and young people as well as staff. PMID: 20373660 [PubMed - in process] (Source: Paediatric Nursing)

NHS Evidence

Clinical Governance Sitewide RSS Feed — Sat, 27 Feb 2010 15:38:06 +0100

allows everyone working in health and social care to access a wide range of health information to help them deliver quality patient care. Launched in April 2009, NHS Evidence: ¦has a fast, free a... (Source: Clinical Governance Sitewide RSS Feed)

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The Accreditation Mark (NHS Evidence)

Clinical Governance Sitewide RSS Feed — Sat, 27 Feb 2010 08:02:23 +0100

The Accreditation Mark is a registered trademark of the National Institute for Health and Clinical Excellence. It is a graphic device (tear drop) that will appear next to titles within search results on the NHS Evidence portal to denote those informatio... (Source: Clinical Governance Sitewide RSS Feed)

The Healthy NHS Board (DH)

Clinical Governance Sitewide RSS Feed — Fri, 26 Feb 2010 15:51:26 +0100

The Department of Health has published The Healthy NHS Board: Principles for Good Governance. This document supports the NHS to respond to the recommendations of the F... (Source: Clinical Governance Sitewide RSS Feed)

Review of Early Warning Systems in the NHS (DH)

Clinical Governance Sitewide RSS Feed — Fri, 26 Feb 2010 15:51:26 +0100

This report describes the systems and pro... (Source: Clinical Governance Sitewide RSS Feed)

Robert Francis Inquiry report into Mid-Staffordshire NHS Foundation Trust (DH)

Clinical Governance Sitewide RSS Feed — Fri, 26 Feb 2010 15:51:26 +0100

Robert Francis QC has today published his Inquiry report into Mid-Staffordshire NHS Foundation Trust. His Inquiry followed concerns about standards... (Source: Clinical Governance Sitewide RSS Feed)

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Realising the benefits: IAPT at full roll-out (DH)

Clinical Governance Sitewide RSS Feed — Fri, 26 Feb 2010 09:02:11 +0100

Realising the Benefits details the next steps in the move towards the full roll out of Improving Access to Psychological Therapy services. The guida... (Source: Clinical Governance Sitewide RSS Feed)

PCT value for money profiles (Audit Commission)

Clinical Governance Sitewide RSS Feed — Wed, 24 Feb 2010 16:16:48 +0100

This interactive web tool provides comparative information about a selected PCT's performance in managing costs and delivering outputs (activities) and outcomes (... (Source: Clinical Governance Sitewide RSS Feed)

Guidance for access to health records requests (DH)

Clinical Governance Sitewide RSS Feed — Wed, 24 Feb 2010 16:16:48 +0100

DH guidance on access to health records for both living and deceased individuals. (Source: Clinical Governance Sitewide RSS Feed)

The heart of the matter: patient and public engagement in today's NHS (NHS Confederation)

Clinical Governance Sitewide RSS Feed — Tue, 23 Feb 2010 11:02:48 +0100

This February 2010 report says that patient and public engagement (PPE) must become integral to the operation of every NHS organisation. (Source: Clinical Governance Sitewide RSS Feed)

Six years on: delivering the Diabetes National Service Framework (DH)

Clinical Governance Sitewide RSS Feed — Wed, 17 Feb 2010 10:02:42 +0100

The Diabetes National Service Framework (NSF) set out the first ever set of national standards for the treatment and care of people with diabetes. The (Source: Clinical Governance Sitewide RSS Feed)

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Guidance about compliance: Essential standards of quality and safety (CQC)

Clinical Governance Sitewide RSS Feed — Tue, 16 Feb 2010 15:42:02 +0100

This guide is designed to help providers of health and adult social care to comply with the Health and Social Care Act 2008 (Regulated Activities) Regulations 2009 and the Care Quality Commission (Re... (Source: Clinical Governance Sitewide RSS Feed)

Guidance about compliance: Summary of regulations, outcomes and judgement framework (CQC)

Clinical Governance Sitewide RSS Feed — Tue, 16 Feb 2010 15:42:02 +0100

This guide is a summary of the guidance that we have produced to help providers of health and adult social care to comply with the Health and Social Care Act 2008 (Regulated Activities) Regulations 2... (Source: Clinical Governance Sitewide RSS Feed)

Clinical governance and adult safeguarding: an integrated process

NHS Networks — Tue, 16 Feb 2010 12:21:17 +0100

The 'Report on the consultation on the review of No Secrets', highlighted that adult safeguarding systems were under developed within the NHS. Respondents argued that there is a need to clarify the relationship between adult safeguarding, adverse incident reporting, patient safety, and complaints. The guidance and flow chart has been developed to encourage organisations to establish local robust arrangements to ensure that adult safeguarding becomes fully integrated into NHS systems. Clinical governance and adult safeguarding an integrated process (PDF, 119KB) (Source: NHS Networks)

Guidance about compliance: Judgement framework (CQC)

Clinical Governance Sitewide RSS Feed — Mon, 15 Feb 2010 23:02:31 +0100

The Judgement framework is written for staff of the Care Quality Commission to help them make decisions and reach judgements about the registration status of providers. (Source: Clinical Governance Sitewide RSS Feed)

Sustainability

Clinical Governance Sitewide RSS Feed — Mon, 15 Feb 2010 15:27:41 +0100

NHS Institute webpages providing tools and advice on sustaining service improvements. (Source: Clinical Governance Sitewide RSS Feed)

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National Reporting and Learning Service

Clinical Governance Sitewide RSS Feed — Mon, 15 Feb 2010 15:27:41 +0100

NPSA website dedicated to the National Reporting and Learning Service. Resources include: - Patient safety alerts, including Rapid Response Reports - Seven Steps series of patient safety guides - Regular feedback on ... (Source: Clinical Governance Sitewide RSS Feed)

Quality and productivity

Clinical Governance Sitewide RSS Feed — Mon, 15 Feb 2010 15:27:41 +0100

DH webpages detailing the work of DH and NHS experts demonstrating how to improve productivity and how this work protects or improves the quality of care deliver... (Source: Clinical Governance Sitewide RSS Feed)

Response to the consultation on: The Health and Social Care Act 2008 code of practice for health and adult social care on the prevention and control of infection and related guidance, and prevention and control of infection in care homes (DH)

Clinical Governance Sitewide RSS Feed — Mon, 15 Feb 2010 15:27:41 +0100

A public consultation on The Health and Social Care Act Code of Practice for health and social care on the prevention and control of infections and related guidance and a supporting document on prevention and control of infection in care homes ran betwe... (Source: Clinical Governance Sitewide RSS Feed)

Quality Accounts Toolkit: Advisory guidance for providers of NHS Services producing Quality Accounts for the year 2009 / 2010 (DH)

Clinical Governance Sitewide RSS Feed — Mon, 15 Feb 2010 15:27:41 +0100

This toolkit is for NHS providers to assist with the production and publication of their Quality Accounts in 2010. It features best practice guidanc... (Source: Clinical Governance Sitewide RSS Feed)

Clinical governance and adult safeguarding: an integrated process (DH)

Clinical Governance Sitewide RSS Feed — Mon, 15 Feb 2010 15:27:41 +0100

The 'Report on the consultation on the review of No Secrets' (DH 2009), highlighted that adult safeguarding systems were under developed within the NHS. Respondents argued that there is a need to clarify the relationship between adult safeguarding, adve... (Source: Clinical Governance Sitewide RSS Feed)

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HCAI improvement sustainability tools (Clean, Safe Care)

Clinical Governance Sitewide RSS Feed — Mon, 15 Feb 2010 09:02:44 +0100

HCAI focused Sustainability Tools (Source: Clinical Governance Sitewide RSS Feed)

Independent investigation of serious patient safety incidents in mental health services good practice guidance (NPSA)

Clinical Governance Sitewide RSS Feed — Sat, 13 Feb 2010 15:30:37 +0100

This document describes the three main stages of the independent investigation process. It examines the initial service management review, internal NHS me... (Source: Clinical Governance Sitewide RSS Feed)

Guidelines for the NHS: in support of the Memorandum of Understanding - Investigating patient safety incidents involving unexpected death or serious untoward harm (DH)

Clinical Governance Sitewide RSS Feed — Sat, 13 Feb 2010 15:30:37 +0100

These guidelines provide practical advice to NHS organisations about what to do when fac... (Source: Clinical Governance Sitewide RSS Feed)

Independent investigation of adverse events in mental health services (DH)

Clinical Governance Sitewide RSS Feed — Sat, 13 Feb 2010 15:30:37 +0100

This guidance replaces paragraphs 33 –36 in HSG (94) 27, (LASSL(94)4), concerning the conduct of (Source: Clinical Governance Sitewide RSS Feed)

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Independent investigation of serious patient safety incidents in mental health services good practice guidance (NPSA)

Clinical Governance Sitewide RSS Feed — Fri, 12 Feb 2010 22:02:02 +0100

Guidance on clinical governance and adult safeguarding

NeLM - News — Thu, 11 Feb 2010 00:00:00 +0100

Source: Department of Health (DH) Area: News The aim of this guidance is to enable NHS organisations in England to develop local robust arrangements to ensure that clinical governance systems and adult safeguarding are fully integrated. (Source: NeLM - News)

Access to health services for military veterans: priority treatment (DH)

Clinical Governance Sitewide RSS Feed — Wed, 10 Feb 2010 15:49:47 +0100

This letter advises of the guidance in place to ensure that military veterans receive priority access to NHS secondary care, for any conditions which ... (Source: Clinical Governance Sitewide RSS Feed)

Delivering same-sex accommodation: self declaration (DH)

Clinical Governance Sitewide RSS Feed — Wed, 10 Feb 2010 12:02:27 +0100

This letter introduces the declaration process for all providers of NHS funded care. Monitor will be introducing similar reporting requirements for N... (Source: Clinical Governance Sitewide RSS Feed)

Social partnership forum

Clinical Governance Sitewide RSS Feed — Tue, 09 Feb 2010 15:48:58 +0100

This new website contains information and resources to support you to embed partnership working in your organisation; background information about the Social Partnership Forum and the key areas of ... (Source: Clinical Governance Sitewide RSS Feed)

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Long term conditions community

Clinical Governance Sitewide RSS Feed — Tue, 09 Feb 2010 15:48:58 +0100

The LTC team's purpose is to help anyone with an interest in improving delivery of Long-Term Conditions services. Three interlinked parts of this website work together: - To bring information Long Term ... (Source: Clinical Governance Sitewide RSS Feed)

National Information Governance Board for Health and Social Care

Clinical Governance Sitewide RSS Feed — Mon, 08 Feb 2010 21:02:53 +0100

The National Information Governance Board for Health and Social Care (NIGB) provides leadership and promotes consistent standards for information governance across health and social care. Their website covers the NHS and Soc... (Source: Clinical Governance Sitewide RSS Feed)

Getting the measure of quality: opportunities and challenges (King's Fund)

Clinical Governance Sitewide RSS Feed — Mon, 08 Feb 2010 15:51:38 +0100

This report offers information about how quality is defined and how quality measures can be used – and misused. It sets out the main debates and choices faced by those involved in... (Source: Clinical Governance Sitewide RSS Feed)

Giving children a healthy start (Audit Commission)

Clinical Governance Sitewide RSS Feed — Mon, 08 Feb 2010 15:51:38 +0100

This report assesses the local implementation of national policy from 1999 to 2009 on the health of children from birth to five years of age i... (Source: Clinical Governance Sitewide RSS Feed)

Legislation on Hospital Environments for young Mental Health patients (DH)

Clinical Governance Sitewide RSS Feed — Mon, 08 Feb 2010 15:51:38 +0100

This letter from David Flory and CNO informs how from 1 April 2010 legislation places a duty on hospital managers to ensure that under 18s are treated... (Source: Clinical Governance Sitewide RSS Feed)

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Healthcare for people with learning disabilities: recommendations of the Parliamentary and Health Service Ombudsman (DH)

Clinical Governance Sitewide RSS Feed — Mon, 08 Feb 2010 15:51:38 +0100

The Parliamentary and Health Services Ombudsman's report, 'Six Lives', highlighted failings in health and social care services that led to premature and avoidable deaths of people with learning disabilities. These (Source: Clinical Governance Sitewide RSS Feed)

Clarification of Complaints Regulations 2009 (DH)

Clinical Governance Sitewide RSS Feed — Mon, 08 Feb 2010 15:51:38 +0100

New regulations for handling NHS and adult social care complaints came into effect on 1 April 2009 - however, some local provider websites are still referencing the 2004 regulations. Additionally, (Source: Clinical Governance Sitewide RSS Feed)

Help shape your local health and social care: your guide to Local Involvement Networks (LINks) (DH)

Clinical Governance Sitewide RSS Feed — Mon, 08 Feb 2010 15:51:38 +0100

Leaflet explaining to members of the public, that they have a right to be involved in discussions and decisions about their health and social care s... (Source: Clinical Governance Sitewide RSS Feed)

Health and wellbeing reports (DH)

Clinical Governance Sitewide RSS Feed — Mon, 08 Feb 2010 15:51:38 +0100

A group of independent experts have published their reports on health and well-being, specifically focussing on the prevention of ill health. - ... (Source: Clinical Governance Sitewide RSS Feed)

Does the experience of staff working in the NHS link to the patient experience of care? An analysis of links between the 2007 acute trust inpatient and NHS staff surveys (DH)

Clinical Governance Sitewide RSS Feed — Mon, 08 Feb 2010 15:51:38 +0100

This report links the results of the 2007 acute inpatient and staff surveys using a series of statistical analyses intended to highlight the most im... (Source: Clinical Governance Sitewide RSS Feed)

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Models and options for children's equipment and related services: CSED consultant's report (DH)

Clinical Governance Sitewide RSS Feed — Mon, 08 Feb 2010 15:51:38 +0100

This independent consultant’s report notes that in many areas the commissioning and provision of children’s equipment is poor. It analyses the vario... (Source: Clinical Governance Sitewide RSS Feed)

Delivering quality in primary care: performers lists - language knowledge (DH)

Clinical Governance Sitewide RSS Feed — Mon, 08 Feb 2010 15:51:38 +0100

Interim guidance to PCTs in England to assist in making decisions about whether or not a doctor has sufficient knowledge of English to be included o... (Source: Clinical Governance Sitewide RSS Feed)

General practice out-of-hours services: project to consider and assess current arrangements (DH)

Clinical Governance Sitewide RSS Feed — Mon, 08 Feb 2010 15:51:38 +0100

In June 2009, the Care Quality Commission (CQC) began an investigation into the provision of out-of-hours primary care services in five PCTs by Take Care Now (TCN). The CQC’s enquiry was prompted by the tragic death of a patient in February 2008 after h... (Source: Clinical Governance Sitewide RSS Feed)

Transforming Community Services: The assurance and approvals process for PCT-provided community services (DH)

Clinical Governance Sitewide RSS Feed — Mon, 08 Feb 2010 15:51:38 +0100

The NHS Operating Framework 2010/11 set a requirement for proposals for future forms of PCT-provided community services to be agreed with SHAs by 31 March 2010. Building on Enabling new patterns of provision, further (Source: Clinical Governance Sitewide RSS Feed)

Consultation on our assessments of quality 2010-11 (CQC)

Clinical Governance Sitewide RSS Feed — Mon, 08 Feb 2010 09:02:42 +0100

Consultation: 02 February 2010 to 27 April 2010 This consultation details how we propose to assess the quality of: •Councils as commissioners •PCTs as commissioners •NHS... (Source: Clinical Governance Sitewide RSS Feed)

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Annual Report 2008/09 (Health Service Ombudsman)

Clinical Governance Sitewide RSS Feed — Fri, 05 Feb 2010 10:02:39 +0100

The Parliamentary and Health Service Ombudsman, Ann Abraham, publishes her Annual Report 2008/09 today. The Report links lessons learned from individual complaints to the wider p... (Source: Clinical Governance Sitewide RSS Feed)

Preparing Professionals for Partnership with the Public

Clinical Governance Sitewide RSS Feed — Thu, 04 Feb 2010 15:46:32 +0100

Also known as the 4P's, this Primary Care Programme has evolved from a project within the Department of Post Graduate Education in General Practice North Thames (West). The 4P's philosophy is that patient and public involvement in healthcare must meet t... (Source: Clinical Governance Sitewide RSS Feed)

Patient and Public Involvement Exchange (PPIX network)

Clinical Governance Sitewide RSS Feed — Thu, 04 Feb 2010 15:46:32 +0100

The Patient and Public Involvement Exchange (PPIX network) has been created by the NHS Centre for Involvement (NCI) as a facilitated e-network for sharing good practice and supporting and developing NHS who work in, and are int... (Source: Clinical Governance Sitewide RSS Feed)

Patient and Public Empowerment

Clinical Governance Sitewide RSS Feed — Thu, 04 Feb 2010 15:46:32 +0100

DH Webpages providing information on LINkS, PALs and key publications. (Source: Clinical Governance Sitewide RSS Feed)