Clinical Governance, Training and MAPA

Clinical Audit is at the heart of Clinical Governance (NICE, 2002) and is an essential tool in raising the quality of care through:

Introduction to Clinical Governance.

Clinical Governance (CG) is an NHS terms of service requirement, it is also a requirement for Care Quality commission registration. Clinical governance includes:

• Policies, which are the principles that guide actions in the practice
• Procedures, which are the details of how things are done. Procedures can also be called standards
• Risk assessments, which are the ways that risks are identified and managed
• Audits, which are the 'health checks' of practice procedures
• Reviews, which are used to check procedures, to look at the results of audits and to think about resolving any problems or difficulties that arise. An important aspect of managing problems is to plan how to prevent them from recurring. A review is an opportunity to plan for the future, in particular how to maintain and improve the standards and the outcomes to patients. At the review the practice team checks that procedures are being followed, that standards are being met.

If you have an effective clinical governance system, you should be able to meet the requirements for CQC registration plus all of the other regulations and legislation.

These are grouped into 6 key areas:
• Involvement and information
• Personalised care, treatment and support
• Safeguarding and safety
• Suitability of staffing
• Quality and management
• Suitability of management

Staff Training and Supervision:

In a highly demanding and stressful work environment it is essential that staff be well trained. In the current climate of evidence based practice, it is also important that clinicians keep up to date in the knowledge, skills and attitudes to provide high quality care.

In line with clinical governance it is essential that there is a robust system of supervision within secure environments and is an interregnal part of continual professional development.

Click here for more information on supervision:

Management of Actual and Potential Aggression (MAPA):

The core value of this model is that the techniques to not cause pain. Great emphasis is placed upon risk assessment and detailed risk management plans with the involvement of individual patients. This enables staff and patients to resolve these situations wherever possible without restrictive interventions. However if they need to be utilised, the risk management plan provides specific instructions on how to manage situations which all staff follow to provide a cohesive approach to the situation. This then allows for accurate reporting and evaluation of interventions used.

The emphasis of MAPA is for restrictive physical interventions are the last resort in challenging situations and that other techniques need to be utilised to de-escalate/defuse potentially difficult situations. The JMH Group is proud that it has been accredited a training centre by Positive Options. This means we have two accredited staff members who can keep all their colleagues updated.

Click here to view our accreditation.