Clinical Governance in Mental Health and Learning Disability Services:
A Practical Guide
Edited by Adrian James, Adrian Worrall and Tim Kendall
This practical handbook describes the foundations and the key
elements of clinical governance as they apply to mental health and
learning disability services. Key topics include: service user
involvement; clinical audit; clinical risk management;
evidence-based practice; information management; staffing; and
education and training.
These issues have special relevance to mental health and
learning disability services, which often engage a more varied
staff than many others. Difficulties may arise when viewpoints
diverge, as might be the case between health, social services and
criminal justice professionals.
Above all, user and carer involvement calls for special
insights. Patients and carers are often vulnerable and
misunderstood: the protection of their rights calls for skills of
advocacy and communication.
Two sets of standards that describe the structures and
strategies required to implement clinical governance, and ways
managers can support their front-line staff, are provided.
- Practical guide for practitioners and managers.
- Well-illustrated, concise chapters presenting a wealth of
practical wisdom from expert writers.
- Comprehensive clinical governance standards.
“One of those books that has found a niche target audience and
then delivers exactly ‘what it says on the tin’. …There should be
room on the bookshelves of many mental health and/or learning
disability practitioners for this book.”
The Mental Health
Review
“Overall this book serves as a good
comprehensive guide to contemporary (quality) management in the
NHS.”
The British Journal of
Psychiatry
“It will be invaluable in teaching and
supervising trainees and for recently appointed clinical
directors.”
Psychiatric
Bulletin
Contents
Foreword - Sir Liam Donaldson and Mike Shooter
Preface - Rachel E. Perkins
Part I: Setting the scene
1. Introduction - Adrian James and Adrian
Worrall
2. Background, history and philosophy: the origins of clinical
governance - Clare Perkins and Gabriel Scally
Part II: Foundations and organisational
structure
3. How to structure clinical governance - Adrian
James
4. The role of trust boards in clinical governance - Tim
Kendall and Claire Palmer
5. Healthcare inspectorates - John J. Sandford
6. The mental health guidance programmes of the National Institute
for Clinical Excellence - Peter Littlejohns, Gillian Leng and
Carole Longson
7. National support for clinical governance - Adrian
Worrall
8. Clinical governance and the National Service Framework for
Mental Health - Melba Wilson
Part III: Building blocks/key elements
9. Involving service users and their relatives - Rachel E.
Perkins and Kim L. Goddard
10. Evidence-based practice - John Geddes
11. Evidence-based policies, guidelines, procedures and protocols -
Mary Lindsey
12. Risk management - Tim Amos and Peter Snowden
13. Appraisal - Sheila Mann and Cornelius Katona
14. Education and training - Lesley Stevens and Pearl
Hettiaratchy
15. Clinical audit - Robert F. Kehoe
16. Multi-agency working - Paddy Cooney and Barry
Wilson
Part IV: Translating clinical governance into the
clinical context
17. Clinical information systems - Martin
Briscoe
18. Monitoring and improving performance - David Roy
19. Clinical governance and the role of the lead clinician -
Tim Kendall and Katy Kendall
20. Clinical governance and nurse leadership - Martin F.
Ward
21. Managing change in mental health services - Jenny
Firth-Cozens
22. Vulnerable people in care: person-centred values and clinical
governance - Errol Cocks
Appendix 1: Clinical governance standards – Structures and
strategies
Appendix 2: Clinical governance standards – Enabling front-line
staff