NMS11156 Clinical Governance and Improvement Practice
Introduction
Clinical governance is focused on a system through which a business is accountable for continuously developing the quality of services as well as safeguarding high standards of care in creating an environment in which clinical excellence can flourish.
The purpose of this present study is to analyse the effectiveness of clinical governance to manage business activities in a country while developing its services. This study highlighted proper clinical governance policies and models that help to manage overall business activities according to expectations.
Policies of Clinical Governance
Clinical governance describes the proper structure, culture and process that is needed to ensure the management of healthcare organisations and all individuals who are related to this industry. It helps to assure the quality of care that a healthcare organisation has provided and continuously seeks improvement in the context of quality. Seven basic pillars of this clinical governance include “clinical effectiveness,” “information,” “risk management,” “education and training,” “audit,” “patients and public involvement” and “staff management” (Publishing, 2022).
Based on these basic pillars and principles, it is possible to manage healthcare organisations and their working system to provide proper services towards their customers.
In the context of the UK, there are several principles based on clinical governance that help to manage their healthcare system along with continuous support of the NHS. Clinical governance is a system through which the NHS organisations are accountable to improve the quality of services and standard of clinical services. Clinical governance encompasses quality improvement, quality assurance, risk, and incident management as well as quality improvement.
Responsibility is one of the important key governance policies that ensure the “whole screening pathway,” including follow-up services that are functional and safe. NHSP team leader is one of the people locally with responsibility based on clinical governance that helps to manage the performance of the UK healthcare sector in the UK (Gov, 2022). Another clinical governance principle of the UK includes “programme standards and performance monitoring” that is focused on the healthcare program maintenance process accurately.
This program standard provides a defined set of measures which gives a safe and effective program maintenance process. These methods “should be equal access to uniform and quality assured screening across England”.
NHSP programme standards reported adherence through robust and regular interrogation of screening data and performance management of their screeners. In this aspect, screening KPIs are contained within “both the Section 7a agreements between the DH and NHS England and in the Public Health Outcomes Framework (PHOF)”.
The other principle of clinical governance includes a quality assurance that is based on a process of checking that is met as well as encouraging continuous development to ensure all women and their children or babies have access to high-quality screening wherever they live.
This principle helps to manage UK people’s healthcare services obtaining quality to manage their satisfaction. Quality development makes the local program effective, efficient, equitable, safe and many more that help to manage support for UK people. Quality improvement culture is based on an integral component of governance as well as performance management processes for “screening and hearing care pathway for children”. From a patient satisfaction survey report, this NHS organisation reassures local programmes about the services, also highlighting areas for development (NCBI, 2022).
Risk and incident management is another clinical governance principle in the UK that helps to reduce the risks of patients at the time of their treatment in a healthcare organisation. The main purpose of managing safety incidents “in national screening programmes guidance is to set out the requirements for managing safety concerns, safety incidents and serious incidents in NHS screening programmes.” These principles are helped to manage the healthcare organisational working system and the safety of people within the UK.
Different models to develop Clinical Governance
Social Cognitive Theory
The social cognitive theory describes the influence of an individual’s experiences, environmental factors and actions of others based on individual health behaviour. As discussed by Beauchamp, Crawford & Jackson (2019), based on the utilisation of this theory, it is possible to develop the morale of people in the healthcare industry that helps to maintain the clinical governance system according to needs.
This theory used in education, communication, and psychology is that portion of a person’s knowledge acquisition that is directly related to observing others within the context of experiences, social interactions, and outside media influences. In the context of the UK, this deity helps organisations to manage their systematic way of working with developing interactions of their workers with patients that contain comparatively better services for them.
In the aspect of the NHS organisation team managing the development of their interactions with society, people help to ensure their needs analysis to improve the healthcare sector (Dace, Stibe & Timma, 2020).
Figure 1: Social Cognitive Theory
(Source: As inspired by Dace, Stibe & Timma, 2020)
Health belief model
“The health belief model” is focused on the theoretical model that is needed to be used in guiding health promotions and disease prevention programs. It is used to explain and predict an individual change in the context of health behaviour that is one of the most widely used models to understand health behaviours.
As discussed by Limbu Gautam & Pham (2022), in the context of clinical governance management, this theory helps to manage a systemic way within an organisation to maintain patients’ behaviours also. Based on the development of this theory use, UK healthcare organisations such as NHS and others can improve healthcare promotional strategies that help to reduce issues according to expectations.
Figure 2: Health Belief Model
(Source: As inspired by Limbu, Gautam & Pham, 2022)
Conclusion
This study has focused on a clinical governance model that helps healthcare organisations to maintain their activities and quality of services according to needs. It also provided impact in handling the reputations of businesses and this clinical governance is possible to manage based on some model implementations.
Business issues also needed to reduce along with the adoption of proper clinical governance-based systems that help to maintain business processes. It can be concluded that based on proper methods and clinical governance policies used, the development of the healthcare sector in the UK is possible and provides a positive impact on healthcare in the UK.
Reference list
Beauchamp, M. R., Crawford, K. L., & Jackson, B. (2019). Social cognitive theory and physical activity: Mechanisms of behaviour change, critique, and legacy. Psychology of Sport and Exercise, 42, 110-117. Retrieved on 24.09.2022 from: https://doi.org/10.1016/j.psychsport.2018.11.009
Dace, E., Stibe, A., & Timma, L. (2020). A holistic approach to managing environmental quality by using the Kano model and social cognitive theory. Corporate Social Responsibility and Environmental Management, 27(2), 430-443. Retrieved on 24.09.2022 from: https://doi.org/10.1002/csr.1828
Gov.uk (2022). Clinical governance. Retrieved on 28.09.2022 from: https://www.gov.uk/government/publications/newborn-hearing-screening-programme-nhsp-operational-guidance/4-clinical-governance
Limbu, Y. B., Gautam, R. K., & Pham, L. (2022). The Health Belief Model Applied to COVID-19 Vaccine Hesitancy: A Systematic Review. Vaccines, 10(6), 973. Retrieved on 24.09.2022 from: https://doi.org/10.3390/vaccines10060973
Ncbi.nlm.nih.gov (2022). Clinical governance. Retrieved on 24.09.2022 from: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC1114504/
Publishing.service.gov.uk (2022). Clinical governance in the UK NHS. Retrieved on 24.09.2022 from: https://assets.publishing.service.gov.uk/media/57a08d59ed915d622c001935/Clinical-governance-in-the-UK-NHS.pdf
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