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Clinical governance: a system

Liz Irvine

Since its inception, the subject of clinical governance has produced a vast amount of literature which has given rise to various interpretations of its role and function.This has often led to fragmented pieces of work to produce performance indicators, evidence for visits from standards agencies, satisfaction surveys, etc.Clinical governance has been seen by some as a framework, an agenda or a strategy.The authors would contend that it is none of these but that it is a system which covers all the necessary processes involved in providing a service which moves patients with wants and needs through to being satisfied patients.The system is designed to be an iterative process which allows opportunities for ongoing change and improvement.