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This page shows you the latest news and research items in this category.

Reporting of Clinical Risk Incidents in a Cardiothoracic Surgical Unit
Introduction: Internationally, various systems have been used in clinical governance models to assess clinical risk management . The Australian Incident Management System (AIMS) was previously used for reporting clinical risk incidents at the Royal Adelaide Hospital up until May 31st 2011. From June 1st 2011, the Safety Learning System (SLS) was adopted and led to increased reports due to ease of access by all hospital personnel. Herein we report the nature and type of incidents with the SLS that occurred in a Cardiothoracic Unit, encompassing the operating theatre, a dedicated Cardiothoracic Intensive Care Unit (ICU) and ...
Source: Heart, Lung and Circulation - May 23, 2013 Category: Cardiology Authors: Krish Chaudhuri, Ros Woodfine, Paula Richardson, Svatka Micik, Craig Jurisevic, James Edwards, Rob Stuklis, Mike Worthington Tags: Abstracts Source Type: research

Improving clinical governance in continuous renal replacement therapy in the paediatric intensive care unit
Winner: Best Paediatric Nursing Paper sponsored by ACCCN Introduction: In 2009 our Paediatric Intensive Care Unit (PICU) established a process to improve our clinical governance of continuous renal replacement therapy (CRRT). (Source: Australian Critical Care)
Source: Australian Critical Care - May 1, 2013 Category: Nursing Authors: P. Knudsen Source Type: research

Improving clinical governance in continuous renal replacement therapy in the paediatric intensive care unit
Introduction: In 2009 our Paediatric Intensive Care Unit (PICU) established a process to improve our clinical governance of continuous renal replacement therapy (CRRT). Objectives: To achieve consensus, and improve the quality and safety standards when prescribing and delivering CRRT therapy. (Source: Australian Critical Care)
Source: Australian Critical Care - May 1, 2013 Category: Nursing Authors: P. Knudsen Source Type: research

Recovering from childhood sexual abuse: a theoretical framework for practice and research
This study elicited experiences of recovery from CSA in male and female survivors who have/have not utilized mental health services. The tangible end‐point was to propose a theoretical model of personally meaningful recovery. This is a qualitative study, which utilized semi‐structured individual interviews following the critical incident technique. Transcripts were analysed using Interpretative Phenomenological Analysis to identify recurrent themes. A total 22 adult survivors of CSA. Main themes identified were: The Affected Self, Factors Hindering Recovery, Factors Enhancing Recovery, The Hurdles of Recovery and the R...
Source: Journal of Psychiatric and Mental Health Nursing - February 5, 2013 Category: Nursing Authors: Z. Chouliara, T. Karatzias, A. Gullone Tags: Original Article Source Type: research

When can dentists supply medicines?
Source: North West Medicines Information Centre Area: Evidence > Medicines Q & A The Human Medicines Regulations 2012 allows dentists to issue any medicine (PoM, P or GSL) directly to a patient but this only applies if patients are receiving private treatment. The current NHS terms of service do not allow dentists to supply any medicines, other than those for immediate use before the issue of a prescription, directly to a patient. The NHS regulations as set out in the NHS Act 2006 do not allow dentists providing an NHS service to provide any form of pharmaceutical service. Prescription only medicines issued by...
Source: NeLM - Medicines Q and A - January 28, 2013 Category: Drugs & Pharmacology Source Type: news

Remediation: where does the responsibility lie?
Twelve years after it was first proposed by the General Medical Council (GMC), December 2012 sees the introduction of ‘revalidation’ for all doctors in the UK. This 5-yearly affirmation of fitness to practise builds on existing legislation assigning every doctor to a ‘responsible officer’ (RO) and laying out a set of expectations in relation to professional development and performance review.1 Revalidation is founded on a strengthened appraisal processes covering the full scope of work for which a doctor holds their licence to practise, and a closer link with clinical governance systems. For doctors...
Source: Postgraduate Medical Journal - December 17, 2012 Category: Journals (General) Authors: Swanwick, T., Whiteman, J. Tags: Editor's choice, Epidemiology Editorials Source Type: research

Standard of medical tribunal reports in a high secure setting [Current Practice]
Aims and method To investigate whether medical tribunal reports were meeting acceptable standards as set out in the practice direction issued by the Tribunal Service in 2010. We looked at 50 medical reports and compared the content of the reports with a 13-item checklist that was derived from the recommendations set out in the practice direction. Results The results show a number of areas where the reports are not meeting acceptable standards. For 5 of 13 items in our checklist, less than 80% of reports evaluated included the required information. Clinical implications The results have important clinical governance implica...
Source: Psychiatric Bulletin - December 3, 2012 Category: Psychiatry Authors: Murphy, P. M., Basu, A. Tags: Current Practice Source Type: research

Clinical engagement and improved care
Moorfields has transformed its approach to clinical governance and staff engagement (Source: HSJ)
Source: HSJ - December 2, 2012 Category: UK Health Source Type: news

Managing acute upper gastrointestinal bleeding in the acute assessment unit.
Abstract AAUs should develop and review protocols and local guidelines for the multidisciplinary team management of upper GI bleeding, for example with respect to: Early and appropriate resuscitation. Use of the tools for assessing severity. Timing of endoscopy, including recognising low-risk patients who could be discharged for outpatient investigation. Postendoscopy drug treatment, including appropriate and limited use of iv PPIs and Helicobacter pylori eradication therapy. Follow up, including referral for repeat endoscopy and/or urea breath testing. Regular review and audit of local guidance of the management o...
Source: Clinical Medicine - December 1, 2012 Category: Journals (General) Authors: Dinesen L, Benson M Tags: Clin Med Source Type: research

Tuesday 9 October
The Care Quality Commission has begun an inspection into breast cancer screening, pathology and clinical governance at Sherwood Forest Hospitals NHS Foundation Trust. The inspection comes as 79 women are being recalled relating to test results from breast tissue biopsies. Monitor has also announced that it is taking regulatory action to ensure that the Trust has strong leadership. (Source: Royal College of Nursing News Alert)
Source: Royal College of Nursing News Alert - October 9, 2012 Category: Nursing Source Type: news

Clinical governance implementation in a selected teaching emergency department: a systems approach
DiscussionSuccessful implementation of CG, like other quality improvement frameworks, requires special consideration of underlying complexities. We believe that addressing the complex situation and reflections on involvement in this action research will make it possible to understand the concept of CG and its implementation in the selected setting. By describing the context and executed flexible methods of implementation, the results of this study would contribute to the development of implementation science and be employed by boards and executives governing other clinical settings to facilitate CG implementation. (Source:...
Source: Implementation Science - September 10, 2012 Category: Health Management Authors: Ali HeyraniMohammadreza MalekiAhmad Barati MarnaniHamid RavaghiMojtaba SedaghatMosadegh JabbariDavood FarsiAbdoljavad KhajaviZhaleh Abdi Source Type: research

Educating nonmedical prescribers
The last decade has seen developments in nonmedical prescribing, with the introduction of prescribing rights for healthcare professionals. In this article, we focus on the education, training and practice of nonmedical prescribers in the UK. There are around 20 000 nurse independent prescribers, 2400 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. Key aims of nonmedical prescribi...
Source: British Journal of Clinical Pharmacology - September 5, 2012 Category: Drugs & Pharmacology Authors: Derek Stewart, Katie MacLure, Johnson George Tags: Review Source Type: research

Audit of audit: review of a clinical audit programme in a teaching hospital intensive care unit.
Abstract Clinical audit is a core component of good clinical governance, and participation is a requirement for all doctors registered with the General Medical Council. PMID: 23124406 [PubMed - in process] (Source: British Journal of Hospital Medicine)
Source: British Journal of Hospital Medicine - September 1, 2012 Category: Internal Medicine Authors: Anderson P, Fee P, Shulman R, Bellingan G, Howell D Tags: Br J Hosp Med (Lond) Source Type: research

Cases from HEMS series
The Emergency Medicine Journal has long supported the development of medical pre-hospital care in the UK, and is the official journal of both the Faculty of Pre-hospital Care and BASICS. This commentary is the first in a series of pre-hospital case reports from the Helicopter Emergency Medical Service (HEMS) which provides services in London and the South East England. London HEMS was the first air ambulance in the UK to carry a doctor-paramedic team and celebrated its 21st year of operation last year. The service still operates with a doctor, a paramedic and two pilots, but is in many other ways dramatically different fro...
Source: Emergency Medicine Journal - August 17, 2012 Category: Emergency Medicine Authors: Weaver, A. Tags: Commentary Source Type: research

Practice development: implementing a change of practice as a team.
This article discusses PD through collaborative working using the example of a case study on change of practice in falls reduction within a localised community setting. The process is underpinned by a PD framework and facilitated by leaders of PD within a university setting. The article identifies that PD frameworks are conducive to developing leadership and management roles within a democratic process. The article discusses the potential for multiprofessional PD within the locality and further afield. PMID: 22875213 [PubMed - in process] (Source: British Journal of Community Nursing)
Source: British Journal of Community Nursing - August 1, 2012 Category: Nursing Authors: Covill C, Hope A Tags: Br J Community Nurs Source Type: research

Evaluation of clinical and financial outcomes of a new no‐sting barrier film and barrier cream in a large UK primary care organisation
The objective was to determine the clinical outcomes and clinical acceptability of a newly available range of no‐sting barrier film and no‐sting barrier cream products offering significant financial benefits. The importance of undertaking this study is underpinned by evidence in the literature relating to the use of no‐sting barrier preparations within clinical practice. The first part of the study (arm 1) involved extensive evaluation of either the film or cream barrier in 36 patients and was compared to existing standardised barrier protection care within the organisation. The results indicated that the new product...
Source: International Wound Journal - July 27, 2012 Category: Surgery Authors: Jackie Stephen‐Haynes, Claire Stephens Source Type: research

Care Quality Commission annual report: Safer management of controlled drugs
Source: Department of Health (DH), Care Quality Commission (CQC) Area: News The Care Quality Commission (CQC) has published their 2011 annual report on the safer management of controlled drugs. This fifth report makes a number of recommendations for local action to improve the safer management of controlled drugs and also cites examples of good practice. The main recommendations for controlled drugs accountable officers are to: . Ensure they have systems in place to assure safe prescribing and administration of controlled drugs. . Work more closely and collaboratively with the responsible...
Source: NeLM - News - July 27, 2012 Category: Drugs & Pharmacology Source Type: news

Modern anaesthesia training: is it good enough?
This article examines the effects these changes may have had on the training of anaesthetists and concludes that despite the introduction of changed working patterns and reduced hours over the past decade, academic and professional standards appear to have been maintained, but at the expense of reduced confidence among some trainees. The UK system focuses heavily on achieving competence in different areas of training. While this is clearly important, it understates the added value of consolidation and experience based on repeated exposure. Trainer and trainee surveys suggest that due to perceived service pressures, and wor...
Source: British Journal of Anaesthesia - June 13, 2012 Category: Anesthesiology Authors: McIndoe, A. K. Tags: Review Articles Source Type: research

NHS Alliance chair 'disappointed' by CCG configuration
The size and number of CCGs has been too determined by “conservative views” on financial risk and costs of corporate and clinical governance, it is claimed (Source: Management in Practice)
Source: Management in Practice - May 29, 2012 Category: Practice Management Source Type: news

Shared Decision Making: A Model for Clinical Practice
Abstract The principles of shared decision making are well documented but there is a lack of guidance about how to accomplish the approach in routine clinical practice. Our aim here is to translate existing conceptual descriptions into a three-step model that is practical, easy to remember, and can act as a guide to skill development. Achieving shared decision making depends on building a good relationship in the clinical encounter so that information is shared and patients are supported to deliberate and express their preferences and views during the decision making process. To accomplish these tasks, we pr...
Source: Journal of General Internal Medicine - May 23, 2012 Category: Internal Medicine Tags: Journal of General Internal Medicine Source Type: research

Why we like clinical guidelines
"What are the best things about BASHH (British Association for Sexual Health and HIV)?" was a question posed in the strategy consultation held in August 2011. Patient care and clinical governance was seen as an ‘extremely high’ priority for BASHH by almost everyone responding, and the ‘best thing’ chosen by 96% of the 258 members participating were the clinical guidelines (J Wilson, personal communication). These were given as the main reasons for using the BASHH website by 98% of those responding, and were said to be ‘completely’ or ‘mostly’ relevant to their clinical practi...
Source: Sexually Transmitted Infections - May 12, 2012 Category: Sexual Medicine Authors: FitzGerald, M., Kingston, M. A., BASHH Clinical Effectiveness Group Tags: Patients, Drugs: infectious diseases, HIV/AIDS, HIV / AIDS, Chlamydia, Gonorrhoea, HIV infections, Urethritis, Vulvovaginal disorders, Guidelines BASHH column Source Type: research

An agenda for UK clinical pharmacology: The roles of clinical pharmacologists in UK universities
Clinical pharmacologists in universities play major roles in research and teaching and provide important contributions to National Health Service (NHS) activities, such as work for research ethics, drug and therapeutics, and clinical governance committees. Their research extends from preclinical studies using drugs to understand physiology and the mechanisms of disease to large‐scale clinical trials and population studies. This work is truly translational, with a focus on drugs and medicines and an emphasis on efficacy and safety. The lack of an organ base has allowed clinical pharmacologists to follow their interests wh...
Source: British Journal of Clinical Pharmacology - May 8, 2012 Category: Drugs & Pharmacology Authors: David John Webb Source Type: research

Community pharmacy assurance framework - new and revised documents
Source: PCC Area: News Primary Care Commissioning has worked with the PSNC to develop community pharmacy assurance framework (CPAF) documents for the new medicines service, appliance use reviews and stoma appliance customisation. These documents are now available for use by PCTs when monitoring pharmacies providing one or more of these services. The clinical governance CPAF document has also been updated to reflect the changes to the clinical governance system and the approved particulars released on 30 March 2012. All four documents can be found at the link below. (Source: NeLM - News)
Source: NeLM - News - April 26, 2012 Category: Drugs & Pharmacology Source Type: news

A proposed new international convention supporting the rights of pregnant women and girls and their newborn infants
For a multitude of eminently modifiable reasons, death rates for pregnant women and girls and their newborn infants in poorly resourced countries remain unacceptably high. The concomitant high morbidity rates compound the situation. The rights of these vulnerable individuals are incompletely protected by existing United Nations human rights conventions, which many countries have failed to implement. The authors propose a novel approach grounded on both human rights and robust evidence-based clinical guidelines to create a ‘human rights convention specifically for pregnant women and girls and their newborn infants&rsq...
Source: Archives of Disease in Childhood - April 22, 2012 Category: Pediatrics Authors: Winrow, B., Bile, K., Hafeez, A., Davies, H., Brown, N., Zafar, S., Cham, M., Phillips, B., MacDonald, R., Southall, D. P. Tags: Reviews Source Type: research

Clinical governance approved particulars
Since 2005, community pharmacies have had to provide pharmaceutical services in a framework of clinical governance as provided for in the National Health Service (Pharmaceutical Services) Regulations 2005. New and revised approved particulars associated with the clinical governance requirements cover: premises; incident reporting; information governance; patient satisfaction survey; and pharmacy practice leaflet. Guidance Department of Health - news (Source: The Kings Fund - Health Management Specialist Collection)
Source: The Kings Fund - Health Management Specialist Collection - March 30, 2012 Category: Health Management Authors: The King's Fund Information & Library Service Source Type: news

A qualitative study of ethical, medico-legal and clinical governance matters in Australian telehealth services
We examined how Australian telehealth service providers perceived and addressed ethical, medico-legal and clinical governance matters arising from service delivery. Thirty-seven telehealth clinicians and managers were interviewed and a qualitative content analysis was conducted. The services covered six Australian jurisdictions and a range of clinical disciplines. There were 11 medical specialities, surgery, mental health, paediatrics, nursing and allied health. Thirty services (83%) used video consulting and 25 (68%) delivered services to rural areas. Telehealth was reported to be beneficial by reducing adverse events, im...
Source: Journal of Telemedicine and Telecare - March 1, 2012 Category: Information Technology Authors: Wade, V. A., Eliott, J. A., Hiller, J. E. Tags: Original articles Source Type: research

Engaging medical staff in clinical governance: introducing new technologies and clinical practice into public hospitals.
This study outlines the development, implementation and evaluation of a framework for introducing new technologies and clinical practice to a major tertiary health service. Evaluation includes survey of medical Heads of Units (HOUs) for framework's effectiveness, and comparison of level of medical staff engagement against a best-practice model. Results. Over 2-year period: 19 applications, 7 approved. Successful external funding of $1.993million achieved. Survey of HOUs in June 2009: response rate 59% (25 of 42 HOUs), with 11 of 25 respondents utilised the committee. Of those 14 of 25 who had not utilised the committee, lo...
Source: Australian Health Review - March 1, 2012 Category: Hospital Management Authors: Dwyer AJ, Becker G, Hawkins C, McKenzie L, Wells M Tags: Aust Health Rev Source Type: research

Evaluation of a superabsorbent dressing in a primary care organization.
Evaluation of a superabsorbent dressing in a primary care organization. Br J Community Nurs. 2012 Mar;Suppl:S36, S38-41 Authors: Stephen-Haynes J, Stephens C Abstract This 40-patient evaluation of superabsorbent dressing DryMax Extra (Aspen Medical) was conducted within a large UK primary care organization adhering to an agreed evaluation protocol as approved by clinical governance. Exudate management and key performance requirements of absorbent dressings are considered with an analysis made of the clinical data relating to DryMax Extra. Clinical expectation of the product was rated and met in 38 of 40 cas...
Source: British Journal of Community Nursing - March 1, 2012 Category: Nursing Authors: Stephen-Haynes J, Stephens C Tags: Br J Community Nurs Source Type: research

An agenda for UK clinical pharmacology The roles of clinical pharmacologists in UK universities
AbstractClinical pharmacologists in universities play major roles in research and teaching, and provide important contributions to National Health Service (NHS) activities, such as work for research ethics, drug and therapeutics, and clinical governance committees. Their research extends from pre‐clinical studies using drugs to understand physiology and the mechanisms of disease, to large‐scale clinical trials and population studies. This work is truly translational, with a focus on drugs and medicines and an emphasis on efficacy and safety. The lack of an organ base has allowed clinical pharmacologists to follow their...
Source: British Journal of Clinical Pharmacology - February 23, 2012 Category: Drugs & Pharmacology Authors: David John Webb Source Type: research

Educating non‐medical prescribers
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: Ke...
Source: British Journal of Clinical Pharmacology - February 2, 2012 Category: Drugs & Pharmacology Authors: Derek StewartKatie MacLureJohnson George Source Type: research

Mental health nurse independent prescribing: what are nurse prescribers' views of the barriers to implementation?
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 prescr...
Source: Journal of Psychiatric and Mental Health Nursing - February 1, 2012 Category: Nursing Authors: J. D. ROSSA. M. KETTLES Source Type: research

From policy to reality: clinical managers' views of the organizational challenges of primary care reform in Portugal
The objective is to strengthen primary healthcare services to reduce the inappropriate utilization of secondary and emergency services and to make efficiency gains and to better control costs. New interventions include the introduction of a system of production‐based incentives for family health units. This paper presents an initial assessment of the implementation of the new policies and tries to explain the gap between its expected results and what was observed in the field 5 years later. We used a Strengths, Weaknesses, Opportunities, and Threats analysis conducted in 12 regions, to collect the perceptions of member...
Source: The International Journal of Health Planning and Management - January 1, 2012 Category: Health Management Authors: Luís Velez Lapão, Gilles Dussault Tags: Research Article Source Type: research

Clinical governance: many fancies, very few facts
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)
Source: Internal and Emergency Medicine - December 16, 2011 Category: Emergency Medicine Tags: Internal and Emergency Medicine Source Type: research

Assessing prescribing competence
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 tra...
Source: British Journal of Clinical Pharmacology - November 25, 2011 Category: Drugs & Pharmacology Authors: John MucklowLynne BollingtonSimon Maxwell Source Type: research

Student doctors taking responsibility
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)
Source: The Clinical Teacher - November 17, 2011 Category: Universities & Medical Training Authors: Pirashanthie Vivekananda‐SchmidtJim CrossleyNigel Bax Tags: Food for thought Source Type: research

Group A streptococcus outbreak – A clinical governance issue
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)
Source: International Journal of Surgery - October 6, 2011 Category: Surgery Authors: Kavita S. Sharma, Preetha Muthayya, David Lam Tags: Abstracts From The 2011 Meeting Of The Association Of Surgeons In Training Source Type: research

Audit of audits in an orthopaedic university teaching hospital: A eight and half year experience
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)
Source: International Journal of Surgery - October 6, 2011 Category: Surgery Authors: Rahul Singh, Ben Hickey, Steve Jones Tags: Abstracts From The 2011 Meeting Of The Association Of Surgeons In Training Source Type: research

Pre-operative echocardiogram in hip fracture patients with cardiac murmur- an audit.
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 grou...
Source: Journal of Orthopaedic Surgery and Research - September 23, 2011 Category: Orthopaedics Authors: Prithee JettooRajesh KakwaniShahid JunejoImtiyaz TalkhaniPaul Dixon Source Type: research

Clinical governance guidance
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)
Source: NHS Networks - September 21, 2011 Category: UK Health Authors: Maria Axford Source Type: news

How paediatricians can prepare for revalidation
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 fee...
Source: Archives of Disease in Childhood - September 12, 2011 Category: Pediatrics Authors: Thomson, A., Fellows, S. Tags: Short report Source Type: research

A program of professional accreditation of hospital wards by the Italian Society of Internal Medicine (SIMI): self- versus peer-evaluation
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 internist...
Source: Internal and Emergency Medicine - August 11, 2011 Category: Emergency Medicine Tags: Internal and Emergency Medicine Source Type: research

Do inquiries into health system failures lead to change in clinical governance systems?
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 th...
Source: Collegian - July 29, 2011 Category: Nursing Authors: Heather Gluyas, Selma Alliex, Paul Morrison Tags: Regular papers Source Type: research

NICE consults on first non-drug asthma treatment
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 proc...
Source: NHS Networks - July 24, 2011 Category: UK Health Authors: Maria Axford Source Type: news

The GMC welcomes the evaluation of the pilots for revalidation
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 feedba...
Source: MEDEV News - July 21, 2011 Category: Universities & Medical Training Source Type: news

New FAQ: Can a clinical governance lead of one PCT sign off PGDs on behalf of all PCTs in the cluster?
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)
Source: NeLM - News - June 26, 2011 Category: Drugs & Pharmacology Source Type: news

Governance system learns and improves
'It's like clinical governance on steroids' (Source: BMA daily feed)
Source: BMA daily feed - June 21, 2011 Category: UK Health Source Type: news