Clinical Governance and Risk Management

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Clinical Governance and Risk Management have become increasingly important over the last decade in the various fields of nursing. The development of the concept of clinical governance will be discussed and how it can be facilitated into practice with relation to learning disabilities nursing. Clinical Governance was first introduced in the White Paper ‘The New NHS: Modern, dependable’ (DoH, 1997). Donaldson (1998) viewed clinical governance as the vehicle to achieve, locally, continuous improvements in clinical quality, which will aid the government’s agenda for modernisation of the NHS. This modernisation includes improving services such as clinical audit, clinical effectiveness programmes and risk management. Donaldson was among many…show more content…
The Health Act (1999) gave chief executives of NHS trusts a statutory responsibility for clinical governance; they are accountable for the successful implementation. However, to achieve the daily high standards of care all staff must acknowledge and understand the components that support clinical governance into their practice. Boden and Kelly (1999) view these components as Clinical audit, Clinical effectiveness, Clinical Risk management, Quality assurance and Organisational and staff development. Some of the components may or may not be new but they are now placed in an overall framework for quality and assurance. Each element mentioned, must be scrutinised to ensure it is serving both the patient and the organisation. McSherry and Pearce (2007a pg.59) state that ‘to ensure that an organisation and staff deliver a high quality service, they need to have sound knowledge and well developed skills and competencies to perform their roles efficiently and effectively’. To attain this, it is essential that each component is lead by a clinician who has respect and confidence in healthcare staff and has the ability to influence, guide and lead through change. Walshe (2000) recognise the growing number of research articles on clinical governance that identify the many challenges that organisations face in its implementation. The barriers affecting the implementing process originate from internal and external sources, which can affect
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