Clinical governance : a study of implementation : a study of change

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http://eprints.org/relation/isVersionOf http://etheses.bham.ac.uk/id/document/706 http://eprints.org/relation/isVolatileVersionOf http://etheses.bham.ac.uk/id/document/706 http://eprints.org/relation/isIndexCodesVersionOf http://etheses.bham.ac.uk/id/document/706 archive 4031 disk0/00/00/02/91 2009-10-20 16:39:12 2019-01-18 12:18:42 2011-07-19 16:15:16 thesis show 0 Latham Linda Ann lindalatham@waitrose.com Spurgeon Peter University of Birmingham Clinical governance : a study of implementation : a study of change unpub HV HJ RA 30sch_ppol Clinical governance, clinical quality, organisational change The concept of clinical governance was first introduced to the National Health Service in the White Paper published in 1997 (Department of Health); it has been described as the 'linchpin' of the quality reforms and, as of April 1999, is one of the statutory duties placed on NHS Trust Boards. Clinical governance is defined as: 'A framework through which NHS organisations are accountable for continuously improving the quality if their services and safeguarding high standards of care by creating an environment in which excellence in clinical care will flourish.' (Department of Health, 1998; p33). The research project upon which this thesis is based took place over an 18 month period and has followed one NHS Trust as it implemented this new policy. Implementation may be conceptualised as both a change process and an end state; to capture this duality, two broad research questions are posed namely: what constitutes the local clinical governance agenda (content) and how has clinical governance been implemented (process). Given that the main purpose of these research questions is to explore and describe, an overarching qualitative framework has been adopted and, within this, an action research approach utilised 2003-07-21 2003-02 graduation 2310134 eng other Scanned by Hollingworth & Moss This unpublished thesis/dissertation is copyright of the author and/or third parties. The intellectual property rights of the author or third parties in respect of this work are as defined by The Copyright Designs and Patents Act 1988 or as modified by any successor legislation. Any use made of information contained in this thesis/dissertation must be in accordance with that legislation and must be properly acknowledged. Further distribution or reproduction in any format is prohibited without the permission of the copyright holder. public 344 University of Birmingham School of Health and Population Sciences d_ph na 2003-07-21 graduation