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U. pminster. PCG. Clinical Governance. Making a Start. The Journey. Clinical Governance. Where are we now? Questionnaires IT capabilities IT Use PACT data / FHSA data Practice visiting Chairs Clinical Governance leads Foot soldiers. Clinical Governance. Where are we going ?
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U pminster PCG Clinical Governance Makinga Start
Clinical Governance • Where are we now? • Questionnaires • IT capabilities • IT Use • PACT data / FHSA data • Practice visiting • Chairs • Clinical Governance leads • Foot soldiers
Clinical Governance • Where are we going ? • National guidelines • Local guidelines • Strategic Plans • Protocols HIMP / NICE • Quality • CPD • Management or Risk • Improving performance across PCG
Clinical Governance • Everyone Aboard ! Consensus • All the practices • Communication systems • Clinical Leads in each practice • All the passengers • Doctors • Nurses • SW • Lay members • Other PCG • Health Authority
Clinical GovernanceHow might it happen? NICE/HIMP Best Practice Provide Patient Care Review and revise care AND Guidelines Compare IT record with guidelines
Clinical Governancean example standard • IHD Register • .Blood pressure • .Cholesterol • .Glucose • .Smoking status • BP <140,& < 85. Use a beta blocker unless contraindicated.. • Aspirin unless contra-indicated • Cholesterol < 5mM AND LDL < 3mMol/L if <69 yrs . Use statin for this
The shortest route One train only No duplication of effort Arriving together Achievable targets Keeping it simple Use your signals IT is the key to communication and data collection Talk to the railwaymen Make use of your employed staff Clinical Governance