Areas we examine to ensure we are working efficiently and to the highest standards include:
- consultation and patient involvement
- clinical risk management
- clinical audit
- research and effectiveness
- staffing and staff management
- education, training and continuing personal and professional development
- the use of information about patients’ experience, outcomes and processes
Key governance personnel
Professor Tim Evans; medical director
Dr Caroline Shuldham; director of nursing & governance
Dr Elizabeth Haxby; lead clinician for clinical risk (Royal Brompton Hospital)
Dr Jeremy Mitchell; lead clinician for clinical risk (Harefield Hospital)
Overview of the governance & quality department
The governance & quality directorate is charged with ''enhancing the safety and quality of the services the Trust provides'', by ensuring co-ordination of the work that goes on in the following areas:
Clinical audit and information
Co-ordinating and advising directorates on clinical audit projects, clinical outcomes, databases and indicators.
Alexandra Weller; clinical audit and effectiveness manager
Nicola Gilkes; deputy clinical audit manager
Philip Kimberley; governance information manager
Clinical risk & risk management
Monitoring incident reports, investigating incidents and advising on patient safety.
Elizabeth Haxby; clinical lead for risk management
Performance and information management
Reviewing and reporting on the Trust's performance against national and local targets.
Richard Connett; director of performance and Trust secretary
Louise Gilson; information manager
Patient and public involvement
Co-ordinating and enhancing the role patients and others provide feedback, input and get involved in they way our services are run.
Melanie Foody, Membership & User Involvement Manager
Patient advice & liaison service
Set up in every trust since 2002, offering a confidential and informal service to patients and careers.
Eve Cartwright; PALS manager
Ensuring that the Trust is compliant with each of our Human Tissue Authority licences.
Melanie Reid, Tissue Governance Manager
Research & development
Ensuring that principles of good research governance are followed in every research project set up in the Trust.
Ira Jakupovic; Research Governance and Regulatory Compliance Manager
Infection prevention and control
Keeping the incidence of hospital infection to a minimum and dealing effectively with any infection problems and outbreaks.
Anne Hall; consultant microbiologist & infection control doctor
Overseeing and co-ordinating the formal and verbal complaints received by the Trust.
Helen Blair; complaints manager and PALS
Department of Health (2001) Building a safer NHS for patients
Integrated Governance Handbook 2006