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Unlike clinical governance, there is no national framework for social care governance in Australia, nor definition. The Social Care Institute of Excellence (SCIE) of the UK (Northern Ireland) has described the requirements of social care governance as follows (emphasis added):
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There is no formula to clinical governance. While there are key components that should always be considered, how we consider them requires flexibility and agility to achieve good clinical outcomes.
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Last week (on 15 November 2021) new NDIS Practice Standards (Standards) came into force in relation to severe dysphagia. Under the National Disability Insurance Scheme (Provider Registration and Practice Standards) Rules 2018 (Cth), the Standards specify minimum requirements regarding the quality of supports and services to be provided by registered NDIS providers (Providers).
Clinical governance (the concept of which emerged in the 1990s in the context of health care) has traditionally attracted less attention in the care of people living with a disability, with a noticeable dearth of research specific to this sector. Such oversight has been highlighted in the recent draft report by the Royal Commission into Violence, Abuse, Neglect and Exploitation of People with Disability (Disability Royal Commission), which inquired into the Federal Government's approach to the rollout of COVID-19 vaccines to disability care residents and workers.
Primary and community care are fundamental to population health. They support the community’s physical and mental well-being through their role in health promotion, health literacy and preventative care, as well as in the early intervention and ongoing management of acute and chronic conditions, including end-of-life care
Clinical governance has attracted fresh limelight in recent times in the context of a pandemic, intense public scrutiny of our aged care and disability systems, and concomitant acceleration of digital health.
