Clinical Governance in Mental Health and Learning Disability Services:
A Practical Guide
Edited by
Adrian James, Adrian Worrall and Tim Kendall
This practical handbook describes
the foundations and the key elements of clinical governance as they
apply to mental health and learning disability services. Key topics
include: service user involvement; clinical audit; clinical risk
management; evidence-based practice; information management;
staffing; and education and training.
These issues have special relevance
to mental health and learning disability services, which often
engage a more varied staff than many others. Difficulties may arise
when viewpoints diverge, as might be the case between health,
social services and criminal justice professionals.
Above all, user and carer
involvement calls for special insights. Patients and carers are
often vulnerable and misunderstood: the protection of their rights
calls for skills of advocacy and communication.
Two sets of standards that describe
the structures and strategies required to implement clinical
governance, and ways managers can support their front-line staff,
are provided.
- Practical guide for practitioners and managers.
- Well-illustrated, concise chapters presenting a wealth of
practical wisdom from expert writers.
- Comprehensive clinical governance standards.
“One of those books that has found a
niche target audience and then delivers exactly ‘what it says on
the tin’. …There should be room on the bookshelves of many mental
health and/or learning disability practitioners for this book.”
The Mental
Health Review
“Overall this book serves as
a good comprehensive guide to contemporary (quality) management in
the NHS.”
The British
Journal of Psychiatry
“It will be invaluable in
teaching and supervising trainees and for recently appointed
clinical directors.”
Psychiatric
Bulletin
Contents
Foreword - Sir Liam Donaldson and
Mike Shooter
Preface - Rachel E. Perkins
Part I: Setting the
scene
1. Introduction - Adrian James
and Adrian Worrall
2. Background, history and philosophy: the origins of clinical
governance - Clare Perkins and Gabriel Scally
Part II: Foundations and
organisational structure
3. How to structure clinical
governance - Adrian James
4. The role of trust boards in clinical governance - Tim
Kendall and Claire Palmer
5. Healthcare inspectorates - John J. Sandford
6. The mental health guidance programmes of the National Institute
for Clinical Excellence - Peter Littlejohns, Gillian Leng and
Carole Longson
7. National support for clinical governance - Adrian
Worrall
8. Clinical governance and the National Service Framework for
Mental Health - Melba Wilson
Part III: Building
blocks/key elements
9. Involving service users and their
relatives - Rachel E. Perkins and Kim L. Goddard
10. Evidence-based practice - John Geddes
11. Evidence-based policies, guidelines, procedures and protocols -
Mary Lindsey
12. Risk management - Tim Amos and Peter Snowden
13. Appraisal - Sheila Mann and Cornelius Katona
14. Education and training - Lesley Stevens and Pearl
Hettiaratchy
15. Clinical audit - Robert F. Kehoe
16. Multi-agency working - Paddy Cooney and Barry
Wilson
Part IV: Translating
clinical governance into the clinical context
17. Clinical information systems -
Martin Briscoe
18. Monitoring and improving performance - David Roy
19. Clinical governance and the role of the lead clinician -
Tim Kendall and Katy Kendall
20. Clinical governance and nurse leadership - Martin F.
Ward
21. Managing change in mental health services - Jenny
Firth-Cozens
22. Vulnerable people in care: person-centred values and clinical
governance - Errol Cocks
Appendix 1: Clinical governance
standards – Structures and strategies
Appendix 2: Clinical governance standards – Enabling front-line
staff