Nuada Medical clinical governance
Clinical Governance is provided by a Clinical Governance Committee, which reports to the Board of Directors.
The Committee is chaired by Dame Janet Husband and includes
- Dr. Paul Butler, our Clinical Director,
- and the Chief Executive of Nuada Medical Specialist Imaging.
The Imaging Manager is Secretary of the Committee.
The Committee meets (at least) quarterly, and reviews the qualifications of all medical professionals working at Nuada Medical.
Our Medical Advisory Board includes
- Dame (Professor) Janet Husband, past President of the Royal College of Radiologists, and sometime Clinical Director of the Royal Marsden Hospital
- Professor Hedvig Hricak MD Phd, Chairman of the Department of Radiology,
Memorial Sloan-Kettering Cancer Centre
CLINICAL GOVERNANCE POLICY
Objective
The purpose of Clinical Governance is to make sure that the quality of patient care is at the heart of the way we provide services for patients. Clinical Governance is everything NMSI does as individuals and as an organisation to strive to achieve excellence in the clinical services we provide.
Policy
Clinical Governance is an umbrella term for the following key components central to our existing arrangements, in summary:
- Clinical Effectiveness
- Clinical Audit
- Evidence Based Healthcare
- Education and Training
- Incidents, Complaints and Claims
- User/Patient Involvement
- Clinical Risk management
- Performance Appraisal and Continuous Professional Development
- Clinical Information
The existing arrangements for Clinical Governance within NMSI are:
1. Individual responsibilities for Clinical Governance:
- NMSI’s Chief Executive has overall accountability for all governance, both clinical and corporate arrangements within NMSI.
- The Imaging Manager/MRI Superintendent is responsible for ensuring the implementation and monitoring of a clear and robust clinical governance framework.
- The Medical Director is responsible for providing leadership and supporting clinicians and individuals with clinical governance.
2. Board responsibilities for Clinical Governance:
- Nuada Medical Group Board: Has the overall responsibility for ensuring that NMSI has robust clinical governance arrangements in place.
- Integrated Governance Committee: As a sub-committee of the Nuada Medical Group Board, the Integrated Governance Committee (including the Medical Director) must provide assurance that there are robust clinical governance arrangements being implemented across the company.
3. A programme of quality improvement activities:
- Radiology reporting audit.
- Continuing professional development (CPD) programmes are available for all health professional staff
4. Quality systems for clinical record keeping that:
- Safeguards confidentiality of patient information
- Record keeping will be audited on an annual basis
5. Procedures in place to identify and remedy poor performance:
- Systems in place to identify, manage and reduce where possible risks to patients and staff
- Incident reporting (including accidents/ concerns/ near misses) to identify adverse events.
- Effective complaints/claims procedures in place
NMSI achieves the Clinical Governance Agenda by:
- Bi-Monthly Management Reviews, and Quarterly (Group) Board Reviews.
- Achievement of compliance with external accreditation bodies such as the Care Quality Commission
- Development of Care Quality Commission Quality and Risk Profiles to enable registration and ongoing monitoring. Information requirements will relate to the following essential standards of quality and safety:
- Involvement and Information
- Care, treatment and support
- Safeguarding and safety
- Suitability of staffing
- Quality and management
- The Patient’s experience is monitored via customer satisfaction surveys. Issues that arise will be addressed via the Bi-Monthly Management Review.
- When required, review investigation and analysis of clinical and other safety related incidents as identified by:
- Clinical and corporate risk assessments
- Reporting of incidents
- Patient complaints
- Support of clinical innovation
- The Clinical Audit programme
- Effective Complaints System
|
