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Putting the principles of good governance into clinical practice

^1. The Royal Wolverhampton Hospitals NHS Trust, New Cross Hospital, Wednesfield, Wolverhampton WV10 0QP, UK Email: david.churchill{at}rwh-tr.nhs.uk (corresponding author)

Key content:

• An understanding of the principles of good governance will enable doctors to construct more effective and robust departments.
  
• Healthcare organisations are best suited to a task culture where expert power and team working are respected.
  
• A holistic approach should be applied to governing a department.
  
• Monitoring the effectiveness of a department is crucial.
  

Learning objectives:

• How to apply the principles of governance to departmental structures.
  
• How organisational culture can influence the effectiveness of an organisation
  

Ethical issues:

• Has the bureaucracy surrounding clinical governance diverted attention away from its real intent of improving quality of care?
  

Please cite this article as: Churchill D. Putting the principles of good governance into clinical practice. The Obstetrician & Gynaecologist 2008;10:93–98.

Keywords assurance / clinical governance / organisational culture / patient safety / risk management