Local initiatives in clinical effectiveness

Abstract

With the arrival of clinical governance, psychiatrists working for the National Health Service (NHS) can no longer work in isolation, and commitment to both clinical effectiveness and continuing professional development (CPD) is expected and likely to become mandatory. Clinical governance gives clinical effectiveness a high priority within NHS organisations, both at primary and secondary care levels, together with clearer lines of accountability.

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“…These opportunities are usually missed because we do not seek answers, or we refer to less reliable but more convenient sources of information. Kehoe (2000) has described one local solution in a mental health setting: a 'big red book' to record questions that arise from case conferences and ward rounds.…”