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The concept of clinical governance includes how we conduct ourselves as individuals – that is, our ‘personal conduct’ in ‘controlling, regulating, directing or overseeing’ the ‘assessment and management of a person’s health to support optimal outcomes’, where ‘outcomes’ includes the ‘experience of care’.
Professional boundaries in healthcare delineate the therapeutic relationship. They have been defined as ‘parameters that describe the limits of a relationship in which one person entrusts their welfare to another and to whom a fee is paid for the provision of a service’ - or, more broadly, as the ‘edge of appropriate clinical care’.
We are all responsible for clinical governance - whether as health practitioners at the point of care, managers, or decision-makers on the Board. While we usually refer to clinical governance in terms of organisational frameworks, systems and processes, clinical governance is also an individual responsibility.
Certainly, governing bodies are responsible for robust clinical governance - however, individuals within the organisation are equally accountable and responsible for ensuring that clinical governance operates in practice. A failure to do so may amount to professional misconduct.
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