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01/5415 A Critical Analysis of the Elements for Effective Clinical Governance Quality Centred Health Care Management Course Tutor - Simon Carr January 2004 A Critical Analysis of the Elements for Effective Clinical Governance Clinical Governance as the mechanism to ensure continuous improvement of quality care within the NHS was introduced as part of the Health Act in 1999. One of the more widely used generic definitions comes from Scally and Donaldson who suggest that clinical governance is: " A system through which NHS organisations are accountable for continually 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 & Donaldson 1998, pp 61-65) Other definitions (RCN 2003) discuss that nurses are already naturally involved in ensuring high standards of patient care through clinical audit and practice development, and that clinical governance is a means of structuring and co-ordinating quality improvement...

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