Jove
Visualize
Contact Us
JoVE
x logofacebook logolinkedin logoyoutube logo
ABOUT JoVE
OverviewLeadershipBlogJoVE Help Center
AUTHORS
Publishing ProcessEditorial BoardScope & PoliciesPeer ReviewFAQSubmit
LIBRARIANS
TestimonialsSubscriptionsAccessResourcesLibrary Advisory BoardFAQ
RESEARCH
JoVE JournalMethods CollectionsJoVE Encyclopedia of ExperimentsArchive
EDUCATION
JoVE CoreJoVE BusinessJoVE Science EducationJoVE Lab ManualFaculty Resource CenterFaculty Site
Terms & Conditions of Use
Privacy Policy
Policies

Related Experiment Videos

Clinical governance. Thin on the ground.

J Hayward1, R Rosen, S Dewar

  • 1King's Fund Primary Care Programme.

The Health Service Journal
|January 6, 2000
PubMed
Summary

Clinical governance implementation faces challenges, with many leaders lacking quality improvement experience and inadequate support from health authorities. Few primary care groups (PCGs) have dedicated budgets or collaborate with finance and information managers.

Related Concept Videos

You might also read

Related Articles

Articles linked to this work by shared authors, journal, and citation graph.

Sort by
Same author

Non-theatre emergency airway management: a multicentre prospective observational study.

Anaesthesia·2023
Same author

Patient-reported health outcomes of SARS-CoV-2-tested patients presenting to emergency departments: a propensity score-matched prospective cohort study.

Public health·2023
Same author

How genomic information is accessed in clinical practice: an electronic survey of UK general practitioners.

Journal of community genetics·2020
Same author

Bayesian strategy selection identifies optimal solutions to complex problems using an example from GP prescribing.

NPJ digital medicine·2020
Same author

Point-of-care testing by healthcare workers for detection of meticillin-resistant Staphylococcus aureus, Clostridioides difficile, and norovirus.

The Journal of hospital infection·2019
Same author

Long-term evaluation of the impact of urbanization on chloride levels in lakes in a temperate region.

Journal of environmental management·2019

Area of Science:

  • Healthcare Management
  • Quality Improvement in Healthcare
  • Clinical Governance Frameworks

Background:

  • Clinical governance is crucial for ensuring high-quality patient care.
  • Effective implementation requires dedicated leadership, resources, and support.
  • Understanding current practices and challenges in primary care settings is essential.

Purpose of the Study:

  • To assess the current state of clinical governance leadership and resource allocation in Primary Care Groups (PCGs).
  • To identify barriers to effective clinical governance implementation.
  • To evaluate the perceived support from health authorities for clinical governance initiatives.

Main Methods:

  • A survey was distributed to PCGs to gather data on clinical governance structures.
  • Data collected included information on leadership roles, experience, budget allocation, and collaboration with support managers.

Main Results:

  • Most PCGs have clinical governance led by a General Practitioner (GP) and a nurse.
  • A significant portion of clinical governance leads (20%) lacked prior quality improvement experience.
  • Nearly a third of respondents reported poor or no support from their health authority.
  • Only 10 PCGs had a specific budget for clinical governance.
  • Limited collaboration with finance (0%) and information managers (5) was observed.

Conclusions:

  • Clinical governance leadership in PCGs often lacks specialized experience in quality improvement.
  • Inadequate support from health authorities and a lack of dedicated resources hinder effective clinical governance.
  • There is a critical need for better resource allocation, including finance and information management support, to strengthen clinical governance in PCGs.

Related Experiment Videos