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Clinical governance

Clinical governance is central to providing the best outcomes for patients. It is the combination of culture, systems and processes that enables everyone in a health service to deliver care that is consistently high quality and improving. 

It is the system by which boards, executives, clinical leaders and the workforce are accountable to patients and the community for providing high-quality care – care that is person-centred, safe, effective, accessible and integrated, provided in a way that is equitable, efficient and sustainable.

Strong outcome-focused clinical governance is a strategic priority for the Commission. Our vision is that all health services in Australia have the leadership, culture and systems to provide consistently high-quality care.

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National Model for Clinical Governance

National Model for Clinical Governance

The foundations of clinical governance for public and private acute health services.

Practical guide and tools

Practical guide and tools

How to implement the National Model for Clinical Governance in your health service.

Clinical Governance Standard

Clinical Governance Standard

The clinical governance requirements in the NSQHS Standards.

Stories of success

Stories of success

What good looks like in public and private acute health services.

News and views

News and views

Insights into clinical governance in the health system.

Resource hub

Resource hub

Curated clinical governance resources from across Australia.

New 2026 national model and practical guide to implementation

The Commission has released a new National Model for Clinical Governance (national model) that aims to drive high-quality care and better outcomes for patients in Australian hospitals. 

The national model represents a significant change in how clinical governance should be understood, led and embedded in every health service. It aims to elevate the approach to clinical governance, shifting the main focus from complying with accreditation requirements to building the culture of the whole organisation to support the delivery of high-quality care.

The national model is accompanied by a practical guide to implementation and tools
 

Revising the National Safety and Quality Health Service Standards

The Commission has started a national consultation to inform the development of the NSQHS Standards (third edition) in collaboration with the healthcare system and community representatives. The new Clinical Governance standard will be based on the new clinical governance model.

Visit the NSQHS Standards (third edition) Engagement Hub
 

Credentialing of clinicians

This document provides high-level principles and guidance on credentialing and defining clinicians’ scope of practice. It supports the National Safety and Quality Health Service Standards Clinical Governance Standard. This factsheet summarises the guide and we also have information on frequently asked questions.

Examples of model scopes of practice for a range of specialist medical practitioners and dental specialists are available on the website of the NSW State Scope of Clinical Practice Unit.

Clinical Governance Advisory Committee

NamePosition 
Mr Michael Gorton AM (Chair)
  • Consultant, Russell Kennedy Lawyers
  • Chair, Monash Health, Wellways Australia and Holmesglen Institute
  • Board member, Australian Psychological Society, Latrobe Regional Hospital, Victorian TAFE association
Professor Christine Kilpatrick AO
  • Chair, Australian Commission on Safety and Quality in Health Care Board
  • Professor (Enterprise), Faculty of Medicine, Dentistry and Health Sciences, University of Melbourne
  • Chair, Healthdirect Australia and The Royal Children’s Hospital
Dr Cathy Balding
  • Adjunct Professor, James Cook University
  • Board Director, RSL LifeCare
  • Director, Qualityworks PL
Ms Elleni Bereded-Samuel AM
  • Executive Manager, Diversity and Inclusion, Great Care Pty Ltd.
  • Board member, Royal Children’s Hospital, Wellways Australia
Dr Peggy Brown AO
  • Consultant psychiatrist
  • Chair, Mental Health Australia
Ms Suzanne Cadigan
  • Board member, Children’s Health Queensland and Ronald McDonald House Charities
Ms Christine Gee AM
  • Chair, Australian Commission on Safety and Quality in Health Care Private Hospital Sector Committee
  • Director, Ramsay Mental Health Australia
Professor David Greenfield
  • Professor of Health Leadership and Management, School of Population Health, Faculty of Medicine and Health, University of New South Wales
Mr Tony Kiessler
  • Member, National Indigenous Health Leadership Alliance
Dr Audrey Koay
  • Chair, Australian Commission on Safety and Quality in Health Care Inter-Jurisdictional Committee
  • Executive Director, Patient Safety and Quality, Clinical Excellence Division, Department of Health, Western Australia
Ms Louise McKinlay
  • Deputy Chair, Australian Commission on Safety and Quality in Health Care Inter-Jurisdictional Committee
  • Chief Executive Officer, Safer Care Victoria
Professor Jennifer Martin
  • Chair of Clinical Pharmacology, School of Medicine and Public Health, University of Newcastle
  • President, Royal Australasian College of Physicians
Associate Professor Aunty Carmen Parter
  • Chief Executive Officer, Girudala Community Cooperative Society
  • Board member, Ahpra
Professor Judy Searle
  • Chair, Central Adelaide Local Health Network Governing Board
Ms Maureen Williams
  • Consumer representative, Emergency Medicine Foundation
  • Consumer consultant, Institute for Communication in Health Care, Australian National University
  • Member, Consumer Leaders Taskforce, Health Consumers NSW

Contact us

For questions about our work in Clinical Governance, please email our Clinical Governance team.

Last updated: 30 April 2026