Clinical governance is the system through which MTI Bananu is 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
Clinical governance encompasses quality assurance, quality improvement and risk and incident management.
Dr. Khalid Naseem
Head of Clinical Governance , MTI Bannu
Responsibilities
The aim is to ensure that the whole screening pathway, including associated follow-up services, is functional and safe.
MTI Bannu team leader is the person locally with responsibility for clinical governance of the screening programme, safety and overall performance.
Commissioning arrangements are important to good governance. Team leaders need to engage with commissioners to ensure that the quality of services provided are specified and that service level agreements are in place, ensuring that funding is secured and takes into consideration future needs of the service specifically around screening, equipment and staffing resources.
internal review and audit in place to demonstrate continuous improvement against programme standards.
Programme standards and performance monitoring
Programme standards
This programme defines standards against which data is collected and reported annually. The programme standards provide a defined set of measures that providers have to meet to ensure local programmes are safe and effective.
Performance monitoring
Performance data is monthly, quarterly and annual reports programme performance and monitor improvements over time.
Key performance indicators
KPIs are a subset of programme standards that are collated and reported quarterly. Currently, there are 2 KPIs for MTI Bannu Clinical programme. Once a KPI consistently reaches the achievable level, the KPI will be reviewed to determine if other areas should be included instead.
Quality assurance
QA is the process of checking that programme standards are met and encouraging continuous improvement, to ensure that all women and their babies have access to high-quality screening wherever they live. QA is essential in order to minimise harm and maximise benefits of screening.
Quality improvement
Quality improvement makes local programmes safe, effective, patient-centred, timely, efficient and equitable.
A quality improvement culture is an integral component of the governance and performance management processes for the screening and hearing care pathway for children.
Competent and motivated screening staff, evidence-based protocols and accurate information all underpin a high-quality service.