|Scooped by Jacquelyn Evans|
Clinical Governance & OT
Clinical governance is "a framework through which NHS organisations are accountable for continually improving the quality of their services and safeguarding high standards of care by creating an environment in which excellence in clinical care will flourish”. It is a tool to support staff and develop all health organisations so that they are able to deliver quality care (Department of Health, 1999).
Clinical governance influences how an occupational therapist (OT) works to ensure that the patient receives the safest, most effective care possible. Occupational therapists are regulated by the Health Professions Council. Clinical governance does not replace regulation:
Registration with the HPC and clinical governance are linked, and the paper ‘Clinical Governance Quality in the new NHS’ describes the relationship between clinical governance and regulation by the profession’s governing body as one in which the two aspects ‘complement each other’ (Department of Health, 1999).
An OT needs to ensure that s/he is working towards all of the clinical governance components: doing this will help the OT to meet the criteria in order to maintain registration and will ensure that patients are receiving the best care possible.
OTs need to ensure that they use their professional and clinical reasoning to make sure that clinical governance is achieved through the use of evidence based practice, appropriate use of a model and approach
The 7 key initiatives: ‘Seven Pillars of Clinical Governance’ model
Providing good quality care is at the top.
• risk management
• staff appraisal
• continuing professional development
• evidence-based practice
• research and development
• quality assurance
• clinical audit
• patient and public involvement.
Beneath the pillars are the Foundation stones:
systems awareness, teamwork, communication, ownership and leadership