Clinical Governance

1
Clinical Governance

• The Pharmacy Perspective

2
Clinical Governance

• ...a 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 excellence in clinical care will flourish

3
What C.G. Means for the Patient

• The mechanism whereby patients can be assured
  that they are receiving up-to-date,
  cost-effective treatment, monitored for
  effectiveness and delivered by clinicians fit and
  suitably trained for the tasks that they are
  undertaking and who are working in safe and
  healthy conditions

4
A First Class Service

• Clear national standards and treatments (NSF,
  HimPs NICE)
• Local delivery high quality healthcare,
  underpinned by professional self-regulation and
  extended lifelong learning (LLL)
• Effective monitoring of progress (CHI)
• Modernisation! (NHS Plan/PITF)

5
Framework for Quality Improvement Fair Access
NSFs NICE
Clear Stds of Service
Clin Gov
Professional self reg
LLL
Pt Public Involvement
Dependable local delivery
Nat. Performance Framework, CHI, Nat Pt User
Survey
Monitored Standards
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Main Components of C.G.

• Clear lines of responsibility accountability
  for the overall quality of care
• Comprehensive programme of quality improvement
  activities
• Risk Management policies
• Professional self-regulation of poor performers

7
Quality Improvement Activities

• Participation in Audit
• Evidence Based Practice Supported Applied
• NSF/NICE guidelines implemented
• Research and Development
• Specialist Service Development
• Continuing Professional Development

8
Clear Accountability

• Professional Accountability through Trust Chief
  Pharmacist
• Line Management relationship to Chief Executive
• Liaison with Trust Clinical Governance Lead
• Member of Trust CG Committee

9
Risk Management Policies

• Promote Self Assessment of risks
• Clinical Risk Systematically Assessed
  Minimised
• Medication Error Reporting, Recording and
  Dissemination
• Complaints

10
Professional Self-Regulation

• Critical Incident Reporting
• Complaints Procedure
• Professional Performance Monitored
• Staff Support in Reporting Poorly Performing
  Colleagues

11
Pharmacy and Clinical Governance

• Ensure Clinical Effectiveness
• Ensure Clinical Risk Management
• Engagement with Trust Management
• Input into Appropriate Groups
• Clear Lines of Responsibility
• Continuous Professional Development

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Current Situation 1

• Medicines Management Policies?
• Prescribing Advice to MD Teams?
• D T Committees?
• Monitoring Clinical Care?
• Medication Reviews?
• Development of Clinical Guidelines using EB
  Practice?

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Current Situation 2

• Accountable to Chief Executive?
• Implementing NSF/NICE?
• Quality Indicators?
• Clinical Record Keeping?
• Induction and Training of Professionals?
• Resources to Deliver?

14
Future Service Developments

• Electronic Prescribing and the EPR
• NSF and NICE Guidelines
• Ability to Deliver Change
• Equality of Service Delivery
• Interface with PCT, Social Services and Trusts