Clinical Governance - GP
The policy has been significantly expanded and focusses on aspects of clinical and care pathways in general practice to demonstrate their purpose, the need for standardisation of approach for many valid reasons and the many and varied benefits of clinical and care pathways. The policy contains an ongoing thread to remind the user that not all patients will fit into a pathway and pathways can never overrule clinical decision-making, because patients are individuals first and foremost and the recording of variances etc is a natural topic for clinical audit at practice level as well as within the multidisciplinary team. There are a number of new references although actual material on this subject tends to be more academic and concentrated on the design and evaluation of individual pathways for specific health conditions.
This policy has had an extensive review and significantly expanded to cover as many aspects as possible in relation to medicines and prescribing in general practice, while trying not to overlap with other policies, and therefore avoid repetition or confusion.