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Clinical governance describes the systems, processes, leadership and culture that helps ensure healthcare is safe.

Here is a list of health service obligations to help achieve good clinical governance.

Clinical governance framework

Our Delivering high-quality healthcare: Clinical governance framework will help you:

  • frequently evaluate your clinical governance systems and processes to drive continuous improvement
  • ensure adequate internal documentation in line with the framework.

Board training and support

We regularly run targeted training sessions for health service board members on clinical governance.

View our events calendar to find the next available session.

Credentialing policy

Our Credentialing and scope of clinical practice for senior medical practitioners policy helps you ensure medical and dental practitioners are qualified, competent, and operating within their scope of clinical practice.

Your obligations under the policy

Senior medical practitioners and dentists

You must disclose personal, legal or professional impediments or conditions, and maintain professional standards in your area of practice.

Public hospitals

You must ensure the medical and dental practitioners you appoint and retain are qualified, competent, fit and operating within their scope of clinical practice.

Private hospitals

We encourage you to make all new appointments in accordance with this policy.

Reporting your quality and safety activities

We provide guidance to health services on transparent reporting of performance and improvement work. 

All public health services and registered community health services submit an annual  quality account, although these were suspended for 2019-20.

Read the latest guidance.

Page last updated: 23 Nov 2020

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