title: Clinical governance. Scope to improve.
abstract: A survey of all 47 trusts in the West Midlands found that clinical governance had not been advanced beyond the production of strategies, establishing committees and appointing leads. There is little evidence of the cultural change clinical governance requires. Clinical governance has yet to make a real difference at the clinical workface.
authors.affiliation: Health Services Management Centre, Birmingham University.
authors.forename: K
authors.initials: K
authors.lastname: Walshe
authors.forename: T
authors.initials: T
authors.lastname: Freeman
authors.forename: L
authors.initials: L
authors.lastname: Latham
authors.forename: P
authors.initials: P
authors.lastname: Spurgeon
authors.forename: L
authors.initials: L
authors.lastname: Wallace
mesh_terms: D003625:Data Collection; D006779:Hospitals, Public / Q000592:standards*; D006801:Humans; D007857:Leadership; D008485:Medical Audit / Q000458:organization & administration*; D015279:Organizational Culture; D011367:Professional Staff Committees; D013222:State Medicine / Q000592:standards*; D006113:United Kingdom