Clinical governance is a systematic approach to maintaining and improving the quality of patient care within the National Health Service (NHS). Clinical governance became important in health care after the Bristol heart scandal in 1995, during which an anaesthetist, Dr Stephen Bolsin, exposed the high mortality rate for paediatric cardiac surgery at the Bristol Royal Infirmary. It was originally elaborated within the United Kingdom National Health Service (NHS), and its most widely cited formal definition describes it as:
A framework 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.
Homerton Healthcare NHS Foundation Trust is an NHS foundation trust based in London, England, which runs Homerton University Hospital.
A Patient Safety Organization (PSO) is a group, institution, or association that improves medical care by reducing medical errors. Common functions of patient safety organizations are data collection and analysis, reporting, education, funding, and advocacy. A PSO differs from a Federally designed Patient Safety Organization (PSO), which provides health care providers in the U.S. privilege and confidentiality protections for efforts to improve patient safety and the quality of patient care delivery
BMJ Quality & Safety is a peer-reviewed healthcare journal dealing with improving patient safety and quality of care. The journal was established in 1992 as Quality in Health Care, subsequently became Quality & Safety in Health Care and obtained its current name in 2011. It co-owned with the Health Foundation and is published by BMJ Publishing Group. The editor-in-chief role is shared by Bryony Dean Franklin and Eric J Thomas. Before them the co-editors in chief were Kaveh Shojania and Mary Dixon-Woods.
The Cambridge Biomedical Campus is the largest centre of medical research and health science in Europe. The site is located at the southern end of Hills Road in Cambridge, England.
Trevor A. Sheldon is a British academic and University administrator who is a former Deputy Vice-Chancellor of the University of York and Dean of Hull York Medical School. He has held academic posts at the University of York, the University of Leeds, the University of Leicester and Kingston University.
Healthcare in England is mainly provided by the National Health Service (NHS), a public body that provides healthcare to all permanent residents in England, that is free at the point of use. The body is one of four forming the UK National Health Service as health is a devolved matter, there are differences with the provisions for healthcare elsewhere in the United Kingdom, and in England it is overseen by NHS England. Though the public system dominates healthcare provision in England, private health care and a wide variety of alternative and complementary treatments are available for those willing and able to pay.
Donald M. Berwick is a former Administrator of the Centers for Medicare and Medicaid Services (CMS). Prior to his work in the administration, he was President and Chief Executive Officer of the Institute for Healthcare Improvement a not-for-profit organization.
Dame Anne Marie Rafferty FRCN is a British nurse, academic and researcher. She is professor of nursing policy and former dean of the Florence Nightingale Faculty of Nursing, Midwifery and Palliative Care at King's College London. She served as President of the Royal College of Nursing from 2019 to 2021.
The National Institute for Health and Care Research (NIHR) is the British government’s major funder of clinical, public health, social care and translational research. With a budget of over £1.2 billion in 2020–21, its mission is to "improve the health and wealth of the nation through research". The NIHR was established in 2006 under the government's Best Research for Best Health strategy, and is funded by the Department of Health and Social Care. As a research funder and research partner of the NHS, public health and social care, the NIHR complements the work of the Medical Research Council. NIHR focuses on translational research, clinical research and applied health and social care research.
Healthcare Improvement Scotland (HIS) is the national healthcare improvement organisation for Scotland. It is a public body which is part of the Scottish National Health Service, created in April 2011.
Jeffrey Braithwaite BA [UNE], DipIR, MIR [Syd], MBA [Macq], PhD [UNSW], FIML, FACHSM, FAAHMS, FFPHRCP [UK], FAcSS [UK], Hon FRACMA is an Australian professor, health services and systems researcher, writer and commentator. He is Founding Director of the Australian Institute of Health Innovation at Macquarie University, Sydney, Australia; Director of the Centre for Healthcare Resilience and Implementation Science, Australian Institute of Health Innovation; Professor of Health Systems Research, Macquarie University; Professor, Centre for Implementation of Hearing Research, Macquarie University.
Dame Parveen June Kumar is a British doctor who is currently Professor of Medicine and Education at Barts and The London School of Medicine and Dentistry. She worked in the NHS for over 40 years as a consultant gastroenterologist and physician at Barts and the London Hospitals and the Homerton University Hospital. She was the President of the British Medical Association in 2006, of the Royal Society of Medicine from 2010 to 2012, of the Medical Women's Federation from 2016 to 2018 and of the Royal Medical Benevolent Fund from 2013 to 2020. She was also Vice President of the Royal College of Physicians from 2003 to 2005. In addition, she was a founding non-executive director of the National Institute of Clinical Excellence, chaired the Medicines Commission UK until 2005, and also chaired the BUPA Foundation Charity for Research until 2013.
Health care quality is a level of value provided by any health care resource, as determined by some measurement. As with quality in other fields, it is an assessment of whether something is good enough and whether it is suitable for its purpose. The goal of health care is to provide medical resources of high quality to all who need them; that is, to ensure good quality of life, cure illnesses when possible, to extend life expectancy, and so on. Researchers use a variety of quality measures to attempt to determine health care quality, including counts of a therapy's reduction or lessening of diseases identified by medical diagnosis, a decrease in the number of risk factors which people have following preventive care, or a survey of health indicators in a population who are accessing certain kinds of care.
Michael Alexander Leary Pringle CBE is a British physician and academic. He is the emeritus professor of general practice (GP) at the University of Nottingham, a past president of the Royal College of General Practitioners (RCGP), best known for his primary care research on clinical audit, significant event audit, revalidation, quality improvement programmes and his contributions to health informatics services and health politics. He is a writer of medicine and fiction, with a number of publications including articles, books, chapters, forewords and guidelines.
Patricia Mary Greenhalgh is a British professor of primary health care and a practising general practitioner.
Ramani Moonesinghe OBE MD(Res) FRCP FRCA FFICM SFFMLM is Professor of Perioperative Medicine at University College London (UCL) and a Consultant in Anaesthetics and Critical Care Medicine at UCL Hospitals. Moonesinghe was Director of the National Institute for Academic Anaesthesia (NIAA) Health Services Research Centre between 2016 and 2022, and between 2016 and 2019 was Associate National Clinical Director for Elective Care for NHS England. In 2020 on she took on the role of National Clinical Director for Critical and Perioperative care at NHS England and NHS Improvement.
Jason Andrew Leitch is the National Clinical Director of the Scottish Government. He is a Senior Clinical Advisor to the Scottish Government and a member of the Health and Social Care Management Board. Leitch provided key leadership throughout the response to the COVID-19 pandemic. He has been praised for his ability to translate complex scientific information to the public, providing calm and clear advice.
Alison Leary is a Chair of Healthcare & Workforce Modelling at London South Bank University. She works on the modelling of private and public healthcare systems. She is a Fellow of the Royal College of Nursing and Queen's Nursing Institute.
Jennifer Dixon, CBE, MBChB, FRCP, FFPH, is the chief executive of the Health Foundation, a large independent charity in the United Kingdom. Her work has been recognised by several national and international bodies for her significant impact in driving national health policy making.
