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Clinical Governance Annual Report 2023-2024

Contents:

1. Introduction
2. Clinical Governance Arrangements
   1. NHS Greater Glasgow and Clyde purpose
   2. Clinical Governance in NHS Greater Glasgow and Clyde
      1. The NHSGGC Clinical and Care Governance Committee
      2. The NHSGGC Board Clinical Governance Forum
      3. Divisional Clinical Governance Forums/Groups
   3. Clinical Governance Polices and Frameworks
      1. NHSGGC Clinical Governance Policy
      2. NHSGGC Healthcare Quality Strategy
      3. NHSGGC Policy on the Management of Significant Adverse Events
      4. NHSGGC Clinical Guidelines Framework
      5. NHSGGC Clinical Quality Publications Framework
      6. NHSGGC New Interventional Procedure Policy
3. Key Messages
4. Programmes of work
   1. Clinical Governance Arrangements
   2. Clinical Risk Management
      1. Significant Adverse Event Reviews (SAERs)
      2. Significant Adverse Event Review Outcomes
      3. Contributory factors and thematic analysis from Significant Adverse Event Reviews
      4. Recommendations from SAERs
   3. Duty of Candour
      1. Duty of Candour Update from 2022/23
   4. Morbidity and Mortality
   5. Datix
      1. Procurement for a new NHSGGC Risk Management System
      2. Risk Registers
      3. Datix Data Quality Improvement
      4. Support to End Users
      5. Communication
   6. Quality Improvement Programmes
      1. Scottish Patient Safety Programme (SPSP) Acute Adult Collaborative
      2. SPSP Mental Health
      3. SPSP Primary Care Programme
   7. Clinical Guidelines
   8. Clinical Quality Publications
   9. Scottish National Audit Programme (SNAP)
   10. New Interventional Procedures Policy
5. Spotlight on Innovation and Improvement
6. Capability Building
   1. Clinical Risk Training
      1. Significant Adverse Events Reviewer Training
      2. Duty of Candour Training
      3. Commissioner Training
   2. Quality Improvement Capability
      1. Engagement and coordination
      2. National QI Training Programmes
      3. NHSGGC Quality Improvement Training
      4. Return of Investment
7. Plan for 2024-2025
8. Conclusion

Attached Files