Bradford VTS Online Resources:
Patient Safety & Quality of Care
Clinical Governance
path: For LEADERSHIP – see main ONLINE RESOURCES > THE GP IN THE WIDER PROF. ENVIRONMENT/communication-skills/dysfunctional-consultations
- also see CONSULTATION SKILLS–BEHAVIOUR ANALYSIS IN PATIENTS
- barriers to effective consultations.doc
- communication skills – can you handle these difficult scenarios.doc
- conflict style – handout.doc
- dysfunctional consultations role play scenarios.doc
- heart sink patient – tutoral lesson plan (TEACHING RESOURCE).doc
- heart sink patient revisited.pdf
- heartsink patients and dysfunctional consultations.ppt
- heartsinks – classification and management.doc
- heartsinks – theory and scenarios (TEACHING RESOURCE).doc
- heartsinks and difficult consultations (TEACHING RESOURCE).doc
- heartsinks and dysfunctional consultations – tutoral plan (TEACHING RESOURCE).doc
- heartsinks and dysfunctional consultations in detail.doc
- heartsinks and dysfunctional consultations role play scanrios (TEACHING RESOURCE).doc
- karpmans drama triangle – breaking out.pdf
- karpmans drama triangle – the 3 faces of victim.doc
- karpmans drama triangle.doc
- maintaining professional boundaries when patients are rude (TEACHING RESOURCE).doc
- managing challenging patients – keep calm model.docx
- managing the difficult dr-patient-carer-relative relationship.pdf
- medically unexplained symptoms – a positive guide.pdf
- medically unexplained symptoms – how to tell if organic or not – reducing uncertainty.ppt
- medically unexplained symptoms mus – the whole systems plymouth approach.pdf
- medically unexplained symptoms.pdf
- my life as a heartsink patient.doc
- phq15 – somatic symptom severity scale.doc
- psychodynamics of heartsinks in a nutshell.ppt
- reattribution somatisation – case scenario (TEACHING RESOURCE).doc
- somatisation – disguisers, deniers and dont knows.doc
- somatisation – reattribution – skills in detail.doc
- somatisation – reattribution – summarising the skills.doc
- somatisation and reattribution – with slide notes.ppt
- succeeding with difficult people – a programme outline.doc
- the difficult patient.doc
- the patients lament – hidden key to effective listening.pdf
- the patients lament – turning moaning into therapy.pdf
Clinical governance is “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.” (Scally and Donaldson 1998, p.61). Clinical governance is an umbrella term. It covers activities that help sustain and improve high standards of patient care. Doctors may already be familiar with some of these activities, quality and safety improvement, for example. What is different is the effort to bind these activities together and make them more effective. Health care organisations now have a duty to the communities they serve for maintaining the quality and safety of care. Whatever structures, systems and processes an organisation puts in place, it must be able to show evidence that standards are upheld. The Bradford VTS website aims to promote a better understanding of clinical governance with this web resource. It wants to help GP trainees (and trainers) to become more involved with local and national quality improvement projects.
There are 5 key themes of clinical governance.
1. Patient Focus 2. Quality Improvement 3. Staff Focus 4. Leadership 5. Information Focus