Integrated Governance

Integrated Governance is a co-coordinating principle. It does not seek to replace or supersede clinical, financial or any other governance domain. Rather it highlights their vital importance and their inter-dependence and interconnectivity.

Integrated Governance is the means by which we pull together all the competing pressures on Boards and their supporting structures, to enable good governance. As a key building block of good governance, Integrated Governance is a process that spans the various functional governance processes that are often unlinked and result in the handling of issues in silos.

The role of the Governance Department at The Walton Centre is to continually demonstrate that we are strengthening and streamlining our governance arrangements within our organisation continuously.

Our main focus is to improve the safety of our services we offer to patients; ensure that our procedures are clinically effective and ensure that we provide the best possible patient experience. We do this by pro-actively assessing risk in order to eliminate, reduce, isolate or reduce risks to our organisation as low as reasonably practicable. We also investigate incidents when events don’t always go to plan and we monitor our controls in place using an agreed audit program.

The Governance Team has a wide range of specialist knowledge and skills in order to deliver this agenda and we work closely with all clinical and non-clinical departments, patient groups and our external partners to ensure we do this effectively and efficiently.


Clinical Governance

Clinical Governance is a system which has been created by the NHS to examine and improve the quality of their services - in other words, to constantly monitor the care provided to patients. “The big opportunity offered by clinical governance is the opportunity to change systems – to pull together different components and strands from the clinical and managerial worlds to improve things for patients” (Garside 1999).  The key pillars of clinical governance are:

  • Clinical Audit/Effectiveness
  • Patient and Public Involvement
  • Risk Management
  • Research      
  • Training and Education
  • Staff and Staff Management
  • Using Information


Clinical Governance – what does this mean?

Clinical governance is here to ensure safe, high quality care from all involved in the patient journey and to ensure that patients are the main focus and priority. (NHS CGST 2007)

Clinical Governance is a term that describes the Trusts corporate accountability for clinical performance. It is the Trust statutory duty to ensure that the quality of clinical care provided is constantly monitored and improved as appropriate.

  • Staff have relevant and appropriate qualifications and training,
  • Good practice is shared and implemented throughout the trust,
  • Poor performance is quickly recognised and addressed.