title: Clinical governance in the real world.
abstract: NURSES AND midwives have a unique contribution to make to the development and delivery of health care and a deep commitment to realising that contribution. Over the years we have seen many changes and we constantly have to adapt to growing health care needs and expectations. The 'new NHS' represents an exciting but very significant challenge for the nursing and midwifery professions.
authors.affiliation: Was executive nurse director at Bedford Hospital at the time of writing, she is now director of nursing, East and North Hertfordshire NHS Trust.
authors.forename: Debra
authors.initials: D
authors.lastname: Otte