Clinical Governance Framework: Clinical performance and effectiveness

Roles and responsibilities for this component of the Clinical Governance Framework relate to the processes that exist in effective clinical governance systems for ensuring that the workforce has the right qualifications, skills and supervision to deliver safe and high-quality care.

Patients and consumers

  • Provide feedback, complaints and compliments about experiences in the health service, including
    • participating in patient experience surveys
    • communicating with the organisation about any opportunities for improving services and systems
    • communicating with the organisation about potential safety and quality risks
  • Consider sharing experiences through patient stories, information sessions, letters, pictures, patient journeys, or presentations at meetings or training sessions for the workforce
  • Consider participating in recruitment processes for the workforce, when opportunities exist

Clinicians

  • Maintain personal professional skills, competence and performance
  • Contribute to relevant organisational policies and procedures
  • Comply with professional regulatory requirements and codes of conduct
  • Monitor personal clinical performance
  • Supervise and manage the performance of junior clinicians
  • Ensure that specific performance concerns are reported appropriately
  • Work constructively in clinical teams
  • Take part in the design and implementation of the organisation’s systems for
    • credentialing and defining scope of clinical practice
    • clinical education and training
    • performance monitoring and management
    • clinical, and safety and quality education and training

Managers (including clinical managers)

  • Maintain personal professional skills, competence and performance
  • Set up an operational policy and procedure framework
  • Implement and resource effective systems for management of
    • credentialing and defining scope of clinical practice
    • clinical education and training
    • performance monitoring and management
    • clinical, and safety and quality education and training
  • Respond in a prompt and effective way to indications of clinical underperformance
  • Systematically monitor safety and quality performance across all clinical

Governing bodies

Ensure that the following organisational systems are in place, involve all members of the clinical workforce and are subject to periodic review of system performance

  • credentialing and defining scope of clinical practice
  • clinical education and training
  • performance monitoring and management
  • whole-of-organisation clinical, and safety and quality education and training