This assignment aims to analyse my performance in care management, within an acute care setting, a scenario has been chosen and areas of clinical governance have been identified and applied to this case. It will conclude with a discussion of what I have learnt from analysing the scenario.
Clinical Governance is the application of ethical, legal and professional principles. It is a framework through which the NHS organisations are accountable for continuously improving the quality of their services and safeguarding high standards of care by creating an environment in which excellence in care can flourish (NHS Executive (1999) cited p57, Braine (2006) . Clinical Governance was first mentioned in the British Health Policy 1997 as a term used to describe the accountability process for clinical quality of care, this system evolved to respond and address a series of high profile media cases that highlighted poor quality patient care such as the Bristol inquiry (1997). Clinical Governance according to McSherry and Pearce (2008) was introduced as there was a rising patient/carer expectation and a perceived decline in clinical standards. Clinical Governance does not just relate to clinical treatment it is also about the quality of the patient experience of the delivery of patient care from entry into the health system to aftercare (National Health Service (NHS) 2007), so if a child needed an operation, from the moment the parents take their child to the doctors because they are concerned, to the moment they are discharged after surgery, through Clinical Governance the patient should received quality care and experience.
The Key themes of Clinical Governance according to Baines (2006) include clinical audit, patient involvement, use of information, education and training, staff and staff management, risk management, clinical effectiveness and research. How this clinical