A reflection on the practical implementation of the clinical governance framework in the Cape Winelands District of the Western Cape

Figures & data

Box 1: Strategies used to implement clinical governance

1. District clinical governance meetings

2. Focus on clinical governance in existing meetings

3. Create a family physician forum

4. Leadership development

5. Defining clinical governance activities

6. Monitoring and evaluation meetings with a quality improvement focus

7. Developing competent clinical teams

8. PHC-centred approach

Box 2: Lessons learnt when implementing a clinical governance framework

1.	Dedicated time in meetings to reflect on implementation of the clinical governance framework
2.	Need to clarify the roles and responsibilities of the family physician
3.	Need to foster leadership capability
4	Importance of quality improvement cycles
5.	Need for tools to monitor the core dimensions of PHC service
6.	Care for the carer
7.	Clarify the role of the doctor in the PHC clinics

Figure 1: Conceptual framework for clinical governance.⁵

Figure 2: Regulatory framework for clinical governance.⁵

Figure 3: The district management accountability framework.

WCDOH. Circular H31/2012 policy framework for clinical governance [cited 2015 Sep 7]. Available from: http://dws.pgwc.gov.za/pls/dmsv525/PubShowFolders?p_folder_id=71447.

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