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Clinical governance: Six months of a functional programme in a forensic service

  • Ernest Gralton (a1), Adrian James (a1) and Sue Oxborrow (a1)
Abstract
Aims and Method

To describe the introduction of a clinical governance programme within a regional forensic psychiatric service.

Results

The established programme meets the objectives of clinical governance. It affords regular appraisal of model practice and dissemination of information among staff. It provides a forum for continuing professional development, assessment of users' views and input of its staff to service development.

Clinical Implications

A functional clinical governance programme is possible, and likely to produce considerable benefits, but requires substantial commitment from clinical, secretarial and managerial staff. To be sustainable in the long term it may require additional funding. It is still too early to seek to evaluate any long term changes produced in patient care by the process.

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Copyright
This is an Open Access article, distributed under the terms of the Creative Commons Attribution (CC-BY) license (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted re-use, distribution, and reproduction in any medium, provided the original work is properly cited.
References
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Department of Health (1998) A First Class Service: Quality in the New NHS. London: HMSO.
Department of Health (1999) National Service Framework for Mental Health: Modern Standards and Service Models. London: Department of Health.
Holden, J. D. (1999) Audit in British general practice: domination or disillusionment. Journal of Evaluation in Clinical Practice, 5, 313322.
Hopkinson, R. B. (1999) Clinical governance: putting it into practice in an acute trust. Clinician in Management, 8, 8188.
James, A. J. B. (1999) Clinical governance and mental health: a system for change. Clinician in Management, 8, 92100.
Jones, G. (1999) Clinical governance: a customisation of corporate principles. Will it work? Clinician in Management, 8, 8991.
McErlain-Burns, T. L. & Thomson, R. (1999) The lack of integration of clinical audit and the maintenance of medical dominance within British hospital trusts. Journal of Evaluation in Clinical Practice, 5, 323333.
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Wiener, B. J., Shortell, S. M. & Alexander, J. (1997) Promoting clinical involvement in hospital quality improvement efforts: the effects of top management, board and physician leadership. Health Services Research, 32, 491510.
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BJPsych Bulletin
  • ISSN: 0955-6036
  • EISSN: 1472-1473
  • URL: /core/journals/bjpsych-bulletin
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Clinical governance: Six months of a functional programme in a forensic service

  • Ernest Gralton (a1), Adrian James (a1) and Sue Oxborrow (a1)
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