Freedman Danielle B
Luton & Dunstable Hospital NHS Trust, Luton, UK.
Clin Chem Lab Med. 2006;44(6):699-703. doi: 10.1515/CCLM.2006.121.
Clinical Governance is a framework through which the National Health Service (NHS) organisations in the UK are accountable for continuously improving the quality of their services and safeguarding high standards by creating an environment in which excellence in clinical care will flourish. The NHS has moved on from being an organisation that simply delivered services to people, to being a service that is totally patient-led and responds to their needs and wishes. There are numerous national drivers and initiatives for patient involvement, including the NHS Plan 2000, Involving Patients and public in healthcare 2001 and, more recently, Creating a patient-led NHS 2005 and Patient choice 2005. There is also an independent public body funded by the Department of Health, the Commission for Patient and Public Involvement in Health (CPPIH), which supports and enables patient involvement in local decisions about delivery of healthcare. At Luton & Dunstable Hospital NHS Trust, patients and carers are seen as a valuable resource and there are formal mechanisms for recruiting patient representatives to sit on hospital committees and to be involved in service provision, including Clinical Governance arrangements.
临床治理是一个框架，通过该框架，英国的国民医疗服务体系（NHS）组织对持续提升其服务质量负责，并通过营造一个能使卓越临床护理蓬勃发展的环境来维护高标准。国民医疗服务体系已从一个单纯为民众提供服务的组织，转变为一个完全以患者为导向、回应患者需求和愿望的服务机构。有许多全国性的推动因素和患者参与倡议，包括《2000年国民医疗服务计划》《2001年让患者和公众参与医疗保健》，以及最近的《2005年创建以患者为导向的国民医疗服务体系》和《2005年患者选择》。还有一个由卫生部资助的独立公共机构，即患者及公众健康参与委员会（CPPIH），它支持并促使患者参与有关医疗服务提供的地方决策。在卢顿与邓斯特布尔医院国民医疗服务信托基金，患者和护理人员被视为宝贵资源，并且有正式机制招募患者代表加入医院委员会并参与服务提供，包括临床治理安排。
