Clinical Governance: An International Journal: Volume 8 Issue 1
Table of contents
Practical clinical governance for senior house officers
Yan KonClinical governance is a framework for improving quality. Clinical audit is a corner‐stone of clinical governance. For clinical audit to work, there needs to be staff to…
The frontier of control: doctors and managers in the NHS 1966 to 1997
Stephen Harrison, Jennifer N.W. LimSummarises the impact of challenges of reorganization faced by the UK medical profession over a 30‐year period up to the arrival in government of New Labour in 1997 in order to…
The implementation of a local primary care incentive scheme: medical vs management priorities
Kashifa MahmoodTreats GPs’ perceptions of their level of influence in designing the primary care development scheme as a litmus test of their professional involvement in driving NHS policy and…
Towards better prescribing – a model for implementing clinical guidelines in primary care organisations in the NHS
Arash Rashidian, Ian RussellClinical guidelines aim to disseminate evidence and thus to change behaviour. This process is complex and needs a coherent approach. Aims to develop a model for implementing…
Janus: the two faces of the Commission for Health Improvement
Hilary RowlandA complex, competing and paradoxical array of roles is ascribed to the Commission for Health Improvement (CHI). This contrast in roles is perhaps best epitomised by descriptions…
Getting a word in edgeways? Patient group participation in the appraisal process of the National Institute for Clinical Excellence
Pauline QuennellThis paper examines patient organisations’ participation in the technology appraisals process of the National Institute for Clinical Excellence (NICE). In particular, it considers…
“There’s no time to learn” … like the present
Rhetta MoranUsing a socio‐linguistic meta‐theoretical framework of language creation from below, this paper explores the significance of language for understanding how clinical governance is…
The value of visits to non‐involved and single‐handed practices from a primary care audit group
John D. HoldenTwo series of visits to practices in a district in north west England were undertaken to encourage significant event review. The first was to non‐participants in audit projects…
Sedative‐hypnotic prescription in an out‐patient mental health service in the north‐west
V. Duddu, P.T. Saleem, K. GreenSedative‐hypnotic medications are commonly abused prescription drugs, which are commonly prescribed by psychiatrists. We aimed at studying benzodiazepine and related drug…
Changing physician behavior: half‐empty or half‐full?
Anika Hardie Alvanzo, Gail M. Cohen, Mary NettlemanPhysicians can significantly impact both the quality and the cost of health care. Thus, it is not surprising that there is great interest in modifying physician behavior. There…
Team resource management: a programme for troubled teams
Howard Arthur, Debbie Wall, Aidan HalliganThe necessity for effective multidisciplinary team working within increasingly complex health and social care environments has been emphasised in The NHS Plan. Good teamwork makes…
Risk management and the NSF for older people
Jane CowanExamines the issues faced in the implementation of the National Service Framework for Older People from the perspective of the risk manager in secondary care. It suggests that a…