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Clinical governance is a systematic approach to maintaining and improving the quality of patient care within the National Health Service (NHS) and private sector health care. Clinical governance became important in health care after the Bristol heart scandal in 1995, during which an anaesthetist, Dr Stephen Bolsin , exposed the high mortality ...
Criteria of best practice in clinical audit; Healthcare Quality Improvement Partnership. Clinical audit resources; Department of Health, Working for patients. London: The Stationery Office, 1989 (Cm 555) NHS Executive, Promoting clinical effectiveness. A framework for action in and through the NHS. London: NHS Executive, 1996
In June 2014, NHS England approved a local alternative to the framework for practices in Somerset. Under the Somerset Practice Quality Scheme agreement practices that choose to take part only have to formally report against five of the indicators in the 2014–15 QOF.
European Union: In the EU, Good Clinical Practice is backed and regulated by formal legislation contained in the Clinical Trial Regulation (Officially Regulation (EU) No 536/2014 of the European Parliament and of the Council of 16 April 2014 on clinical trials on medicinal products for human use, and repealing Directive 2001/20/EC). [3]
The term was originally used to describe an approach to teaching the practice of medicine and improving decisions by individual physicians about individual patients. [ 2 ] The EBM Pyramid is a tool that helps in visualizing the hierarchy of evidence in medicine, from least authoritative, like expert opinions, to most authoritative, like ...
Its key functions include approving education and training programmes which health and care professionals must complete before they can register with the HCPC; and maintaining and publishing a Register of health and care providers who meet predetermined professional requirements and standards of practice.
In the United Kingdom, the National Health Service (NHS) began an ambitious pay for performance initiative in 2004, known as the Quality and Outcomes Framework (QOF). [147] General practitioners agreed to increases in existing income according to performance with respect to 146 quality indicators covering clinical care for 10 chronic diseases ...
It received praise for brevity, being only 39 pages, and lacking the illustrations which had graced its predecessors. Like the NHS Plan 2000 with which Stevens was also associated it was supported by the great and good of the NHS, but in this case it was regulators - Monitor, the Care Quality Commission and the like, rather than the Royal Colleges and Trades Unions of the earlier plan.