CLINICAL GOVERNANCE is a term that was coined in 2000 with a view to improving clinical care delivered to patients, and came about as a direct result of deficiencies identified in the wake of the Bristol heart scandal and the Shipman murder scandal.
Many aspects of clinical governance such as CPED, research and communication, have been around for centuries in healthcare. However, this new emphasis is a form of re-education for the health system. Clinical governance is the framework which creates the environment where clinical excellence can flourish within the NHS.
There are 7 pillars of clinical governance, these are:
- Clinical audit
- Clinical effectiveness
- Communication
- Research
- Audit
- CPED (Continued Professional Education and Development)
- Risk management
Here are some typical questions that can be asked during the consultant interview process on clinical governance:
- What is clinical governance?
- What are the pillars of clinical governance?
- Which pillar do you think is the most important?
- Who is responsible for clinical governance in your hospital?
- When was clinical governance started and why?
- To whom has Lord Darzi given the role of assessing the cost of effectiveness of new therapeutic procedures?



