Primary care groups: Improving the quality of care through clinical governance

Primary care groups: Improving the quality of care through clinical governance.

The UK government has set a challenging agenda for monitoring and improving the quality of health care. It is based on a series of national standards and guidelines, a strategy for quality improvement termed “clinical governance,” and a framework for monitoring the quality of care in and performance of NHS organisations (box). Clinical governance is “a framework through which NHS organisations ...

Clinical governance in primary care. Improving quality in the changing world of primary care.

Publication of A First Class Service placed quality improvement at the centre of the health policy stage. The term clinical governance was used to capture the range of activities required to improve the quality of health services. Central among these were the need for all NHS organisations to develop processes for continuously monitoring and improving the quality of health care and to develop s...

How are primary care groups approaching clinical governance? A review of clinical governance plans from primary care groups in London.

BACKGROUND The aim of this study was to investigate how primary care groups (PCGs) were implementing clinical governance in their first year. METHODS A structured review was carried out of clinical governance plans of 57 PCGs in London. RESULTS There was considerable variation in content of the plans. Priority areas were generally based on national service frameworks and local health improv...

Implementing clinical governance in English primary care groups/trusts: reconciling quality improvement and quality assurance.

OBJECTIVES To investigate the concept of clinical governance being advocated by primary care groups/trusts (PCG/Ts), approaches being used to implement clinical governance, and potential barriers to its successful implementation in primary care. DESIGN Qualitative case studies using semi-structured interviews and documentation review. SETTING Twelve purposively sampled PCG/Ts in England. ...

A model for clinical governance in primary care groups.