News Video | Policy | GPs | Hospitals | Medical | Mental Health | Welfare | Search

 

Report highlights lack of progress in clinical governance


OU Media Release

Monday 9 July, 2018

Otago report highlights lack of progress in clinical governance in NZ’s health system

Eight years after the Government called for more clinical governance in the health system to help improve patient care and safety, University of Otago researchers have found little has changed.

In a survey commissioned by the Health Quality & Safety Commission, Professor Robin Gauld and Dr Simon Horsburgh from the University’s Centre for Health Systems and Technology found, compared to an earlier study in 2012, there was an increase in health professionals’ understanding of the concept of clinical leadership, but a considerable decline in them reporting involvement in changing the health system to benefit patients.

Clinical governance is a collaborative venture between clinicians, managers and consumers that aims to create a culture that makes quality and safety everyone’s primary goal. Clinical governance is considered a key indicator and a requirement of a quality and safety culture within organisations and the wider health sector.

The survey shows there was a slight improvement in the extent to which respondents perceived District Health Boards had sought to foster clinical leadership. However, there was a decrease in the number who thought their board sought to give responsibility to their team for clinical service decision- making and thought it was easy to speak up if they perceived a problem with patient care.

The report’s lead author, Professor Gauld, who is also the Pro-Vice-Chancellor and Dean, Otago Business School, says the report is a wake-up call for both the government and the health sector.

He is joining the Health Quality & Safety Commission in calling for more support for clinical governance across the health sector and clear commitment from District Health Boards, saying it is disappointing there has not been greater improvement in engagement with clinical governance over time.

“Although good progress was made between 2010 and 2012, this continued improvement has not been seen in the 2017 survey results,” Professor Gauld says.

“The decline in staff saying that it is easy to speak up when they perceive a patient care problem is a concern,” he says.

“This has occurred despite the work from central agencies and the organisations themselves. All consumers would want improvements in clinicians’ willingness to speak up.”

New Zealand’s focus on clinical governance began in 2009, following the report of the Ministerial Task Group on Clinical Leadership. Then Minister of Health, Tony Ryall, stated an expectation that all District Health Boards would work to implement recommendations centred around clinicians being involved in decision-making, both to help improve the quality of clinical services and ultimately improve patient care.

In 2012, Professor Gauld helped lead the country’s largest ever health workforce survey, together with the Commission, Ministry of Health and District Health Boards, assessing clinical governance in boards.

Since then, results from the latest survey show there has been a slight increase in the percentage of respondents who believed health professionals in their District Health Board involved patients and families in improving patient care. This is together with an increase in respondents who thought their board had an established governance structure that ensured a partnership between health professionals and management.

But there was little change in the percentage of respondents who believed their District Health Board had worked to enable strong clinical leadership.

“There is a real need for boards, chief executives, senior management and clinical staff themselves to be focused on developing clinical governance and clinical leadership,” Professor Gauld says.

“In times of fiscal constraint and increasing clinical workload, evidence shows that organisations with strong clinical governance continue to provide higher quality, safer, care.”

Health Quality & Safety Commission medical director Dr Iwona Stolarek says it is hoped boards and senior management will note this report and increase their focus on the areas that have shown little or no improvement.

“The development of strong clinical governance must continue to be a top priority for DHBs, and we will keep partnering with the sector to support improvement,” Dr Stolarek says.

Professor Gauld notes the latest survey had an 18.4 per cent response rate compared with a 25 per cent response rate for the 2012 survey, which may have had an influence on the findings.

ends

© Scoop Media

 
 
 
Culture Headlines | Health Headlines | Education Headlines

 

2021: NZ To Host Women’s Rugby World Cup

New Zealand’s successful bid to host the 2021 Women’s Rugby World Cup will raise the profile of the game locally and provide a valuable economic boost for the game, Minister for Sport and Recreation Grant Robertson says. More>>

ALSO:

Max Rashbrooke Review: Mahler 7 - NZSO

Gustav Mahler’s Seventh Symphony may be one of the least well-known of its ilk, but Edo de Waart and the New Zealand Symphony Orchestra made a compelling case for a reassessment. They showed us a work of immense variety, surprising contrast and delicate shades of light and dark. More>>

Howard Davis Review: Strange Overtones - David Byrne's American Utopia Tour

Scotch-born singer-songwriter David Byrne starts each show on his latest world tour stroking a pink brain as he sits alone at a table in a gray three-button Kenzo suit singing a song called Here from his latest album American Utopia. More>>

Governor-General's Speech: Armistice Day 100 Years On

The response was more muted amongst our soldiers at the Front. Many received the news quietly... There was no cheering. The chaps didn’t get excited. It was just a matter of relief. We didn’t celebrate at all. More>>

ALSO:

Auckland Fringe Programme: A Celebration Of The Bizarre And Beautiful

Building on a huge 2018 programme that saw 492 creatives take 81 events for ventures around the city for a total of 347 performances, Auckland Fringe returns this summer, running February 19 – March 3, 2019. More>>

 
 
 
 
 

LATEST HEADLINES

  • CULTURE
  • HEALTH
  • EDUCATION
 
 
  • Wellington
  • Christchurch
  • Auckland