Practice Development for Clinical Governance
1. WHAT DOES CLINICAL GOVERNANCE MEAN FOR GP'S?
- Continuing Professional Development.
- Evidence based practice and quality improvement activities.
- Identifying and managing risks.
The majority of practices are already doing many of the elements of Clinical Governance and just need to document what happens to formalise the activities. However, it is important to remember that this is a long-term process, which involves step-wise improvement. It doesn’t need to be done all at once.
2. ROLE OF PRACTICE CLINICAL GOVERNANCE LEAD
- Act as practice link with the health board.
- Work out a practice plan for Clinical Governance in collaboration with practice team, with the help of the health board if desired.
- Ensure the plan is implemented.
- Keep up-to-date with Clinical Governance and quality issues.
The plan should include regular progress reports to team meetings, and any training implications for team members.
3. PRACTICE BASED HANDBOOK FOR CLINICAL AND SOCIAL CARE GOVERNANCE
- Continuing Professional Development e.g. Demonstration of practice based activities.
- Evidence based practice e.g. evidence of use of guidelines and standards.
- Risk Management e.g. repeat prescriptions, health & safety procedures.
- Significant event audits e.g. organisational/clinical events which impacted on patient care.
- Audit e.g. demonstration of participation in and any changes made to practice as a result of audit activities.
- User/Patient involvement e.g. evidence of patient participation (satisfaction surveys, participation in practice development).
The practice handbook will facilitate the gathering of evidence in the above categories and can be signed off by the Clinical and Social Care Governance Practice Lead and also by each GP, as a record of their active participation in clinical and social governance activities at practice level. This evidence will not only provide practice based evidence for the annual contractual review but also could provide significant evidence for each GP of his/her role in improving the quality of patient care within his/her own practice development.
4. HOW TO USE THIS PORTFOLIO
- to facilitate GPs and their practice staff to draw together outputs from those quality improvement measures which are taking place in the practice
- to highlight to the practice some other quality control measures which they might wish to consider implementing
- to provide a statement by all doctors that they are participating in quality assurance mechanisms within the practice
- to provide reference material around elements of Clinical Governance
- to facilitate the practice in identifying priorities for improvement in the subsequent year.
The Clinical Governance lead should ensure that the outputs of practice quality initiatives such as audits and significant event analyses are drawn together within the portfolio and stored in the relevant section of the folder. This will make it easier for you to identify priorities for action for next year and, should you agree, then it will be a resource to demonstrate Clinical Governance activities to your board. We wish to thank the Ashleigh, Leigh and Wigan Primary Care Quality Group for permission to use sections of their reference material.