Podiatry And The Nhs
Clinical governance was introduced in New NHS Modern Dependable – 1997 white paper (REF) where it was stated that standards would be met and continuously improved backed by statutory duty of the trusts and that every NHS trust ” would guarantee and emphasis on quality” (QUOTE REF)
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“Clinical governance is the system through which NHS organisations are accountable for continuously improving the quality of their services and safeguarding high standards of care, by creating an environment in which clinical excellence will flourish” (QUOTE REF http://www.dh.gov.uk/en/Publichealth/Patientsafety/Clinicalgovernance/index.htm)
Valuing and Development of staff – egs MSc by Jane Kennedy; Homeopathy exploration by Jane Greenwood.
An interesting thought occurred where a conflict of interest may arise, pods now only have 30 minutes for lunch and 20 minutes for an appt. They also have no time to add details onto computer for patients (SystmOne and make pts appts on the new system. Appt time lengths have now increased from 8 weeks to 10 weeks and will probably rise to 12 weeks in line with Calderdale.
All these squeezes begs the question whether pt quality and thus clinical governance will suffer. Clinical governance is described as “quality assurance, quality improvements and patent safety” (p3 Clinical Governance in Primary Care by van waneberg and Harrison).
When in the vascular/angiography department it was commented that they had the staff and the equipment but often lacked the infrastructure ie they didn’t have beds available as patients having undergone the procedure were required to stay in overnight for monitoring. Clinical excellence could be improved by introducing fast-tracking for non-healing ulcers as often………………………
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