having just been to a talk on clinical governance from the regional office
nurse exec. I decided it was a posh name for audit and as an ex member of
our local MAAG it would be an idea for MAAG to have a place but on past
experience the MAAG unless it has a strong voice and is respected it will
lose out. Us nurses however have been doing clinical audit for yonks so
hopefully this will not prove a problem.
zena np
-----Original Message-----
From: owen dempsey <[log in to unmask]>
To: GP UK <[log in to unmask]>
Date: 10 July 1998 07:14
Subject: clinical governance
>don't know if anybody at all out there is interested, however, press on:
>
>further session on c.g. at the HA, eventually 5 possibilities presented
>themselves,
>
>i'd be interested in views and developments in other parts of the
>country
>
>clinical governance for pcgs could have five strands, and these are to
>be discussed by the pcg
>
>1. policing of poor practice, by the HA, (prob no. crunching) process
>and penalties to be agreed by the pcg
>
>2. educational incentive monies for practices to demonstrate
>improvements according to the 'quality standards framework' perhaps
>administered via cme tutors, and developed by the LMC in conjunction
>with HA (used some of the criteria RCGP developed for fellowship ass. by
>practice)
>
>
>3. joint working with secondary care to agree generic standards, and to
>develop speciality liaison groups
>
>
>4. the development of maag to become a resource for the pcg to audit
>aspects
>of the care being purchased and for the input of the latest best
>evidence from
>NICE or other sources in to the Speciality Liaison Groups.
>
>5. For MAAGs to facilitate and to provide training for practices so that
>they can
>develop their own practice based pathways of care, that may or may not
>involve consultants or other clinicians, again with financial incentives
>as in 2.
>
>
>owen dempsey
>GP
>West Yorks
>
>
>
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