Clinical Governance and Risk Management
Introduction
The Board of Management at St. Andrew’s Hospice is responsible for quality of services provided. It has delegated the
responsibility for delivering the Clinical Governance agenda to the Clinical Governance Committee chaired by the Medical
Director. The Clinical Governance Committee meets quarterly. The Clinical Governance Committee members comprise:
The Chief Executive.
The Director of Nursing Services.
The Day-Hospice Manager
The Ward Manager.
The Director of Support Services.
A Hospice Consultant Physician.
Audit and Risk Management Facilitator.
External Membership
The Minutes of the committee meetings, together with policy documents, are received and approved by the Board of Management.
Definition of Clinical Governance
An internal framework through which voluntary sector providers of Hospice and Specialist Palliative Care demonstrate accountability for and ensure continuous improvement in the quality of their services for patients and those who care for them. Clinical Governance aims to safeguard high standards of care, creating an environment in which excellence of care will flourish.
Remit of St. Andrew’s Hospice Clinical Governance Committee
The Clinical Governance Committee receives and discusses the following:
Reports from staff with key responsibilities: -









