1. Clinical Governance Making a Start

2. The Journey

3. Clinical Governance l Where are we now? –Questionnaires l IT capabilities l IT Use l PACT data / FHSA data –Practice visiting l Chairs l Clinical Governance leads l Foot soldiers

4. Clinical Governance l Where are we going ? –National guidelines –Local guidelines –Strategic Plans l ProtocolsHIMP / NICE l Quality l CPD l Management or Risk l Improving performance across PCG

5. Clinical Governance l Everyone Aboard ! Consensus –All the practices –Communication systems Clinical Leads in each practice –All the passengers l Doctors l Nurses l SW l Lay members l Other PCG l Health Authority

6. Clinical Governance How might it happen? NICE/HIMP Best Practice Provide Patient Care Compare IT record with guidelines Review and revise care AND Guidelines

7. Clinical Governance an example standard l IHD Register.Blood pressure.Cholesterol.Glucose.Smoking status l BP <140,& < 85. Use a beta blocker unless contraindicated.. l Aspirin unless contra-indicated l Cholesterol < 5mM AND LDL < 3mMol/L if <69 yrs. Use statin for this

8. Getting there

10. Clinical Governance l The shortest route –One train only l No duplication of effort –Arriving together l Achievable targets l Keeping it simple –Use your signals l IT is the key to communication and data collection –Talk to the railwaymen l Make use of your employed staff