Book contents
- Frontmatter
- Contents
- Tables, boxes and figures
- Contributors
- Abbreviations
- Preface
- 1 Introduction
- 2 CAMHS in context
- 3 CAMHS and the law
- 4 Structure, organisation and management of CAMHS
- 5 Evidence-based practice
- 6 Clinical governance
- 7 Education, supervision and workforce development
- 8 Multidisciplinary working
- 9 User and carer participation and advocacy
- 10 A comprehensive CAMHS
- 11 Referral management
- 12 Demand and capacity management
- 13 Strategies for working with Tier 1
- 14 Structuring and managing treatment options
- 15 CAMHS in the emergency department
- 16 Paediatric liaison
- 17 Self-harm
- 18 Learning disability services
- 19 Services for autism-spectrum disorders
- 20 Attentional problems services
- 21 Eating disorder teams
- 22 Bereavement services
- 23 CAMHS for refugees and recent immigrants
- 24 CAMHS and looked-after children
- 25 Drug and alcohol teams
- 26 Parenting risk assessment service
- 27 Court work
- 28 Tier 4 options
- 29 In-patient psychiatric care
- 30 Forensic services
- 31 Neuropsychiatry and neuropsychology services
- 32 Mental health provision for deaf children: study of a low-incidence service provision
- 33 Chief Executives – what do they want and how do they get it?
- Index
6 - Clinical governance
- Frontmatter
- Contents
- Tables, boxes and figures
- Contributors
- Abbreviations
- Preface
- 1 Introduction
- 2 CAMHS in context
- 3 CAMHS and the law
- 4 Structure, organisation and management of CAMHS
- 5 Evidence-based practice
- 6 Clinical governance
- 7 Education, supervision and workforce development
- 8 Multidisciplinary working
- 9 User and carer participation and advocacy
- 10 A comprehensive CAMHS
- 11 Referral management
- 12 Demand and capacity management
- 13 Strategies for working with Tier 1
- 14 Structuring and managing treatment options
- 15 CAMHS in the emergency department
- 16 Paediatric liaison
- 17 Self-harm
- 18 Learning disability services
- 19 Services for autism-spectrum disorders
- 20 Attentional problems services
- 21 Eating disorder teams
- 22 Bereavement services
- 23 CAMHS for refugees and recent immigrants
- 24 CAMHS and looked-after children
- 25 Drug and alcohol teams
- 26 Parenting risk assessment service
- 27 Court work
- 28 Tier 4 options
- 29 In-patient psychiatric care
- 30 Forensic services
- 31 Neuropsychiatry and neuropsychology services
- 32 Mental health provision for deaf children: study of a low-incidence service provision
- 33 Chief Executives – what do they want and how do they get it?
- Index
Summary
‘My own rules are very simple. Don't hurt nobody. Be nice to people.’
Sammy Davis JrDefinition
‘Clinical governance is the system through which NHS organisations [and independent health providers] are accountable for continuously improving the quality of their services and safeguarding high standards of care, by creating an environment in which clinical excellence will flourish.’ (Department of Health, 2003)
Clinical governance is a way of integrating financial control, service performance and clinical quality into the management of health services (Scally & Donaldson, 1998), and provides:
‘an organising principle, a state of mind, the day-by-day, flesh-and-blood embodiment of how we practise – acting together across the traditional boundaries of our different roles and responsibilities; concentrating our will to care, the skills we have acquired, and the resources at our disposal – in order to give our patients – all of them, whatever their means, wherever they are – the best and safest care that a good health service can deliver.’ (Donaldson, 2003).
It became an integral part of the health service with the publication of A First Class Service (Department of Health, 1998), which described the methods by which the quality of services would be set, delivered and monitored with the publication of Providing Assurance on Clinical Governance (Department of Health, 2005).
Objectives
The objective of clinical governance is to provide clinical excellence to those served by the health services. In CAMHS, this may be achieved by:
• focusing on the quality of services;
• placing the patient and family at the centre of work with them through an informed therapeutic alliance;
• safeguarding high standards of service delivery;
• creating an environment in which excellence in clinical care and awareness of current evidence will flourish;
• using failures and exemplars to improve the quality of care;
• providing an organisational culture that encourages clear role definition within supportive teams and that discourages control by blaming;
• protecting patients and their families from harmful interventions or side-effects of treatments;
• effective regulation of mental health professionals.
Clinical governance processes
Patient experience
Clinical practice means incorporating user and carer views into the management plan of every child.
- Type
- Chapter
- Information
- Child and Adolescent Mental Health ServicesAn Operational Handbook, pp. 51 - 57Publisher: Royal College of PsychiatristsFirst published in: 2017