BMJ 2001;322:1580-1582 ( 30 June )

Primary care

Primary care groups

Improving the quality of care through clinical governance

This is the third in a series of five articles

Stephen Campbell, research fellow, Martin Roland, professor, general practice, David Wilkin, professor, health services research. 

National Primary Care Research and Development Centre, University of Manchester, Manchester M13 9PL

Correspondence to: M Roland m.roland@man.ac.uk

The first 150 words of the full text of this article appear below.

The UK government has set a challenging agenda for monitoring and improving the quality of health care. It is based on a series of national standards and guidelines, a strategy for quality improvement termed "clinical governance," and a framework for monitoring the quality of care in and performance of NHS organisations (box). Clinical governance is "a framework through which NHS organisations are accountable for continually improving the quality of their services, safeguarding high standards by creating an environment in which excellence in clinical care will flourish."¹ To be successful this strategy requires effective leadership by clinicians who have responsibility for improving quality; it must engage the doctors and nurses who provide care on a daily basis; and it must have commitment and support from managers within the NHS.

Table Removed (Available Only in the Full Text)

Table Removed (Available Only in the Full Text)

	Clinical governance

Primary care groups and trusts are responsible for implementing clinical governance in primary care. These new organisations bring together general practitioners, nurses, . . . [Full text of this article]

CiteULike    Complore    Connotea    Del.icio.us    Digg    Reddit    StumbleUpon    Technorati    What's this?

Relevant Article

Impact of financial incentives on clinical autonomy and internal motivation in primary care: ethnographic study

Ruth McDonald, Stephen Harrison, Kath Checkland, Stephen M Campbell, and Martin Roland
BMJ 2007 334: 1357. [Abstract] [Full Text] [PDF]

This article has been cited by other articles:

• Pantoja, T., Beltran, M., Moreno, G. (2009). Patients' perspective in Chilean primary care: a questionnaire validation study. Int J Qual Health Care 21: 51-57 [Abstract] [Full text]  
• Campbell, S., Reeves, D., Kontopantelis, E., Middleton, E., Sibbald, B., Roland, M. (2007). Quality of Primary Care in England with the Introduction of Pay for Performance. NEJM 357: 181-190 [Full text]  
• McDonald, R., Harrison, S., Checkland, K., Campbell, S. M, Roland, M. (2007). Impact of financial incentives on clinical autonomy and internal motivation in primary care: ethnographic study. BMJ 334: 1357-1357 [Abstract] [Full text]  
• Doran, T., Fullwood, C., Gravelle, H., Reeves, D., Kontopantelis, E., Hiroeh, U., Roland, M. (2006). Pay-for-performance programs in family practices in the United Kingdom.. NEJM 355: 375-384 [Abstract] [Full text]  
• Rittenhouse, D. R., Grumbach, K., O'Neil, E. H., Dower, C., Bindman, A. (2004). Physician Organization And Care Management In California: From Cottage To Kaiser. Health Aff (Millwood) 23: 51-62 [Abstract] [Full text]  
• Campbell, S M, Hann, M, Hacker, J, Durie, A, Thapar, A, Roland, M O (2002). Quality assessment for three common conditions in primary care: validity and reliability of review criteria developed by expert panels for angina, asthma and type 2 diabetes. Qual Saf Health Care 11: 125-130 [Abstract] [Full text]  
• Campbell, S M, Sheaff, R, Sibbald, B, Marshall, M N, Pickard, S, Gask, L, Halliwell, S, Rogers, A, Roland, M O (2002). Implementing clinical governance in English primary care groups/trusts: reconciling quality improvement and quality assurance. Qual Saf Health Care 11: 9-14 [Abstract] [Full text]  

Rapid Responses:

Read all Rapid Responses

The need for evidence based clinical governance

Alan Maynard, et al.
bmj.com, 6 Jul 2001 [Full text]

Online poll

Find out more >>