Clinical Governance

Clinical Governance is a system through which NHS organisations improve the quality of their services and safeguarding high standards the principles by which they do this are:

  • Patient involvement
  • Information governance
  • Risk management
  • Audit
  • Training + Education
  • Evidence based medicine
  • Staff management
  • Patient involvement: Ensuring that the service provided suits patients. Local feedback from patients. PALS. Patient forums
  • IT and information governance: Patient data is accurate, confidentiality is respected, use of data e.g. audits
  • Risk management: Learning from mistakes and near misses
  • Audit: maintain standards
  • Training and education: Attending course, taking exams
  • Effectiveness and research: ensuring that everything you do is designed to provide the best outcome for patients (the right thing for the right person in the right place).
  • Staff management: Providing good working conditions

Examples of how you can demonstrate clinical governance:

Patient involvement

  • Consent using Montgomery principles
  • Keep patients informed of changes to care
  • Duty of candour when things go wrong

Information governance

  • Complete IT training
  • Don’t share logins
  • Anonymise data when conducting clinical/academic work where possible.

Risk management

  • Complete DATIX/incidence reporting.


  • Audits 
  • Quality improvement projects

Training + Education

  • Read papers
  • Listen to webinars
  • Attend conferences
  • Teach others/attend teaching sessions

Evidence based medicine

  • Regularly read latest evidence/paper that has changed practice
  • Publish/personal involvement with research. 
  • Developed skills to appraise research

Staff management

  • Rota coordination
  • Organised swaps with colleagues when requesting leave to minimise disruption etc.