This work considers what clinical governance really means, how to integrate planning for quality care, and hwo to focus on looking at services across the organization, rather than within departments. It examines in detail the implications for health authorities, primary care groups, NHS Trusts, and the NHS Executive Regional Offices. It looks at the realities of putting ideas into practice, through establishing leadership, accountability and working arrangements, carrying out assessments of capacity and capability, formulating action plans, and clarifying reporting arrangements.
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