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Assesses the role of the NHS’s new quality initiative “clinical governance” in introducing change and monitoring clinical and trust performance to improve the quality of service. An examination is made into continuous improvement methodology and quality tools, as a means to improving service delivery through this newly developed framework. The paper comments on the effectiveness of clinical governance as an approach to managing quality in the NHS in view of the increased public demand for clinical accountability and efficient service delivery as stated in The NHS Plan.

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