The advent of clinical governance has been accompanied by much rhetoric, and an essentially poor explanation and understanding of its core rationale and the methods necessary for its implementation. The current text directly addresses a range of areas of commonly expressed controversy and concern in relation to the impact of clinical governance on clinical practice and NHS service delivery in the immediate, medium and long term.

Three different viewpoints emerge from the text: the view that clinical governance will deliver a sustained improvement in the quality of health services, the view that clinical governance may result in a wide variety of improvements to health systems and the view that clinical governance will not be associated with a positive impact on the nature and quality of service provision.

This sheer breadth and plurality of thought is an honest reflection of the current state of thinking on the nature of clinical governance within the NHS, and the current volume is advanced as an important and useful tool in contributing to the development of an intellectually rigorous and mature debate.

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