Medicopolitical digestConsultants receive guidance on clinical governanceThe young should be protected from alcohol dangersScottish juniors resume talks on hours of workNHSE will issue circular on working time directiveFamily doctors will now be in the driving seatBMJ 1999; 318 doi: https://doi.org/10.1136/bmj.318.7190.1081 (Published 17 April 1999) Cite this as: BMJ 1999;318:1081
Consultants receive guidance on clinical governance
The government has recommended that the responsibility of trusts' chief executives for implementing frameworks for clinical governance should be delegated to “lead clinicians.” The English white paper, A First Class Service, envisages that it will be the clinicians who will ensure that systems for clinical governance are in place.
In its guidance on clinical governance the Central Consultants and Specialists Committee says that the clinician should normally be a consultant as consultants hold ultimate clinical responsibility for patient care in trusts. The post will mean additional workload, which the trust should recognise by a reduction of other work or additional payment. The white paper suggests that the lead clinicians might discharge their responsibility through a clinical governance committee.
The guidance sets out three summaries of structures which trusts are developing. Whichever model is adopted consultants on local negotiating committees should ensure that they are kept informed of developments.
Copies of the guidance are available from local BMA offices or from the CCSC secretariat …