The inclusion of clinical governance aimed to enhance quality as part of the multi-disciplinary approach to care. Clinical governance in acute settings has traditionally focused on monitoring and addressing adverse events and risks.
Approaches to clinical governance in the GP Super Clinics were variable at best with some clinics formalising approaches to clinical governance through policies, clinical protocols and mechanisms such as clinical review meetings. Only one of the GP Super Clinic Directors reported full implementation of formal clinical governance approaches. Only one of the Directors reported involvement of multiple disciplines in clinical governance. This was aligned to views of clinicians who reported less than optimal approaches to clinical governance, and in particular, multi-disciplinary involvement.
The majority of clinicians (79%) rated multi-disciplinary involvement in clinical governance as important. However, only 64% of clinicians indicated that this had been fully implemented. In contrast, a number of the GP Super Clinics appeared to have a more informal and reactive approach which included dealing with issues as they arose.