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The Seven Pillars of Clinical Governance framework outlines a comprehensive approach to delivering high-quality, safe healthcare within NHS organisations, emphasising seven interconnected domains.

By integrating these pillars, healthcare organisations can align systems, practices, and culture around continuous improvement, accountability, and excellence in clinical care.

1. Patient-Centred Care 

This pillar puts patients at the heart of healthcare. It means listening to patients, respecting their choices, and involving them in decisions about their care. Effective communication between staff and patients enables the tailoring of services to meet individual needs and enhances overall care. 

2. Clinical Effectiveness 

Clinical effectiveness involves utilising the best available evidence to inform treatment decisions. It involves applying proven methods, tracking outcomes, and regularly reviewing practices. Staying up to date with research ensures care is both current and effective. 

3. Patient Safety 

Keeping patients safe is a top priority. This includes having systems in place to report and learn from mistakes, conducting regular risk assessments, and adhering to established safety procedures. A culture of honesty and responsibility helps prevent harm and builds trust. 

4. Governance and Leadership 

Strong leadership and transparent governance help healthcare teams deliver high-quality care. This pillar focuses on having clear roles, supporting leaders, and building a structure that encourages improvement and innovation. Good leadership drives a culture of care and accountability. 

5. Information Management 

Managing information effectively is crucial to making informed decisions. This means using reliable systems to collect, analyse, and share data. Accurate and timely information helps track progress, spot problems early, and improve services. 

6. Training and Education 

Healthcare is constantly evolving, so staff require ongoing training. This pillar supports continuous learning to keep skills and knowledge current. Well-trained staff are better equipped to provide safe, effective, and modern care. 

7. Performance and Monitoring 

Regular checks help make sure care meets high standards. This includes audits, reviews, and evaluations. By examining what works and what doesn't, healthcare organisations can make targeted improvements and continually raise the bar.