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The Royal College of Psychiatrists Improving the lives of people with mental illness

Clinical Governance in Mental Health and Learning Disability Services: A Practical Guide

Edited by Adrian James, Adrian Worrall and Tim Kendall

Price: £35.00

College members' price: £31.50

Published: Jun 2005

Format: hardback

Number of pages: 376

ISBN: 9781904671121

Clinical Governance in Mental Health and Learning Disability Services:
A Practical Guide

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


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
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