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Clinical Governance Annual Report

Clinical Governance Annual Report. Trust AGM, 25 September 08. Dr S F Evans FRCA Medical Director. Clinical Governance:. Quality Safety. Clinical Governance: risk. Clinical Governance:. Clinical risk management Outcome measures (HSMR, etc)

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Clinical Governance Annual Report

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  1. Clinical Governance Annual Report Trust AGM, 25 September 08 Dr S F Evans FRCA Medical Director

  2. Clinical Governance: • Quality • Safety

  3. Clinical Governance: risk

  4. Clinical Governance: • Clinical risk management • Outcome measures (HSMR, etc) • Performance against national standards (NSFs) • Performance against national targets (HCAI, etc) • Incident reporting • Patient surveys • Complaints

  5. Approved by Trust Board January 08 Provides template for Divisional Strategies Forward Plan for Clinical Governance Executive Structured Agendas Clinical Governance Strategy

  6. Clinical Governance Performance Indicators

  7. Trends in Incident Reporting 2005/2008

  8. CNST level 3 in Maternity - June 2007 “The maternity service are to be congratulated for achieving Level 3 compliance with the NHSLA Clinical Negligence Scheme for Trusts Maternity Clinical Risk Management Standards (April 2006) at this assessment. This result is well deserved as it reflects positively on the enormous amount of work undertaken since the last assessment. A supportive and learning culture has clearly been established within the maternity service, along with robust risk management systems.”

  9. Clinical Governance Annual Report

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