clinical governance question

[Laura01]

I have an interview for a junior job in an outpatient department and am trying to prepare. My last interview i was asked what i understood about clinical governance and to give an example of when i had been involved in it. this sort of question always gets me in a fankle and can never think of anything good to say. i was thinking along the lines of audit or use of outcome measures.
anybody care to shed some light!!!!
cheers

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[alophysio]

Hmm.. Can you tell me exactly what people mean by clinical governance?

[Laura01]

well its one of the buzz words flying around. the whole idea is based around returning power to local level as opposed to being puppets of central government. the aim is providing consistency in clinical practice through adherence to national standards and achieving clinical effectiveness.
make any sense?

[alophysio]

uh - no! But i think i know what you mean.

Clinical governance being that your are empowered to act by using the evidence available to you.

Perhaps you could say that you are an evidence-based practitioner - that you use the available SCIENTIFIC evidence (level 1, 2) as well as CLINICAL experience (level 3, 4) to help guide your clinical reasoning process.

In saying that, you won't be providing homogeneity because a real evidence-based practitioner will always use their clinical judgement based on experience as well as the scientific evidence to treat. Therefore, everyone will be different. Having said that, there should be a base-level of quality treatment available to people.

Have i helped at all?? it is hard to answer a question when you don't know what they are asking! If it is a governement job, just tell them that you are so good that you will save them money by getting people better and not using up electricity with electrotherapy, patient satisfaction is improved and outcome measures will be improved!!

Good luck!!

[Laura01]

thanks, sometimes what you need is a wee bit of perspective!
its an NHS job but the questions are becoming more and more obscure i think due to the newly qualified crisis and ive also been told that the standard is so high.
well here goes.......maybe this will be the job one year on!

[alophysio]

good luck!

[emad]

Well , clinical governance means using best evidence to obtain best outcome , this what I understood from an article I read 2 years ago . In UK ,there is much debat over clinical governance , EBP and Qulaity improvment .

What clinical governance
Clinical governance is the framework through

Meaning there is much knoweldge regarding it , even at Uk.physio.professional body there was much articles regarding EBP , However Currently they make every thing with fees , months ago were free ...Why ???!!!

cheers
Emad

[clarett]

If you've ever reviewed/been involved with review of a particular case history when things didn't go as expected you can use that as an example - can be a multidisciplinary case - doesn't have to be just physio.
Or - reviewing care pathways....
Or reviewing e.g. on a ward the standard outcome measure that is used, whether it is best for that client group
Or putting outcome measures in place to be able to monitor care that's being provided.

Unfortunately for you (in terms of interview) - most clinical governance work at the moment is being done at a higher level...

Reflective practice and use of outcome measures are good examples that you can give - anything to do with CPD too. CPD is a component of clinical governance and being newly qualified it is likely to be your biggest contribution. Have a look at this website:
http://www.cgsupport.nhs.uk/ - it should help with finding some examples

[neurospast]

To be honest when someone asks me about clinical governance I go completely blank. Personally I think no one knows exactly what it means but can only describe what they think it means. The word is to open for interpretation and therefor to my opinion not well chosen.
For this reason I think you better return the question to the interviewer with the comment that you cannot answer the question because no clear definition (not well defined, no exact borders) can be given and you might misinterprete his question. Then you give some examples like it has to do with CPD, buddy system, EBP and so on. After this you ask the interviewer if he or she is able to define for you clinical governance so you are able to answer his/her question instead of doing some guess work about the meaning of the word.
It is just fashion unfortunately we have to deal with it. To my opinion the same with p.e. Evidence based practice, unfortunately there is very little clinical evidence to physiotherapy treatment and a lot of evidence which is used is to my opinion just "what someone has thought and spinned a theory around it" Just think p.e. manipulations done by a chiropractor or a manual therapy trained physio; they might do the same but their theory (and therefor thinking what happens) is different.
IN this way you have to look at clinical governance, try to return the question in a polite way because if you are unable to put borders on the question every answer will be wrong!
Good luck for the future, I think you deserve it.

[atp76]

Clinical governance is a systematic approach the term used to maintaining and improving the quality of patient care within a health system. It was originally elaborated within the United Kingdom National Health Service (NHS), and its most widely cited formal definition describes it as:

"A framework through which NHS organisations are accountable for continually improving the quality of their services and safeguarding high standards of care by creating an environment in which excellence in clinical care will flourish." (Scally and Donaldson, 1998)

Clinical governance is composed of the following elements:
Education and Training
Clinical audit
Clinical effectiveness
Research and development
Openness
Risk management

[VeeSp82]

Clinical governance is a systematic approach the term used to maintaining and improving the quality of patient care within a health system. It was originally elaborated within the United Kingdom National Health Service (NHS), and its most widely cited formal definition describes it as:

"A framework through which NHS organisations are accountable for continually improving the quality of their services and safeguarding high standards of care by creating an environment in which excellence in clinical care will flourish." (Scally and Donaldson, 1998)

Clinical governance is composed of the following elements:
Education and Training
Clinical audit
Clinical effectiveness
Research and development
Openness
Risk management

This is by far the best and most consistent reply!

[fizzio]

Don't give up laura, I know a student who got a junior physio post against over 200 other applicants 10months after qualifying. i am also one of the rare species known as an 'employed staff grade physio' - i had a job by the time i finished my degree (june 06) , and no, i didn't get a 1st!!
googled 'clinical governance for you'

'The framework through which the NHS is accountable for the continuing improvement of quality of their services whilst still safeguarding high standards of care, thereby creating an environment which aims for clinical excellence.'

OR

Clinical Governance is the term used in the United Kingdom National Health Service (NHS) and private healthcare system to describe a systematic approach to maintaining and improving the quality of patient care. The most widely cited formal definition describes clinical governance as: This definition is intended to embody three key attributes: recognisably high standards of care, transparent responsibility and accountability for those standards, and a constant dynamic of improvement.'

basically meaning as i understand it the way you make sure you keep up to date with the latest research to apply best physio practice - e.g. reading journals, attending new training etc.

hope that's of help (and no, i didn't get asked about clinical governance in my successful interview)

[Laura01]

thanks for all the help, there was no clinical governance questions and i got the job! the post is only a temporary contract but its the experience that matters anyhow.

[alophysio]

Congratulations Laura! In my limited experience in the publiv hospital system here (not NHS!!), once people know you, they are more likely to hire you.

You are well on your way now!

[meghavyas84]

hello all..
i m now to this forum
have an interview next week for band 5 paediatric physio.
anyone please let me know as to what questions are asked frequently in the interview
thanks

[bmensah]

Hello Laura

You probably would have gotten the job by the time you see this message and therefore my comments will be irelevant.

There are lots of junior physio jobs in France, with some junior salaries as I've heard, starting from 4000-6000 euros. So if you're brave enough and ready for an adventure why not give it ago.

I qualified in the UK in 2007 as a physio, my husband is French so we moved to France after my studies. After 6 months of learning the language (which is far from perfect) in the first week of looking for a job, I got almost all the jobs. I had to choose which one I wanted to go for. I'm also due to change jobs and I have a couple of offers awaiting me.

You may not have the luxury of having 6 months to learn the language but I think you'll learn on the job. There's a real shortage of physiotherapists (known as Masseur Kinesitherapeute in France).

Of course moving might not be as easy as it sounds with lives commitments in mind. Good luck. If you're interested and you need help regards to how to register here and any other details I am very happy to help.