Principle 2 – Clinical governance processes for doctors are managed and monitored with a view to continuous improvement

This checklist is a tool to support the development of well-structured and governed systems that have learning and continuous improvement at their heart.

2a. Quality assurance

Your organisation’s board ensures internal and external quality assurance is undertaken to ensure the robustness of clinical governance processes for doctors. 


Your organisation seeks internal and external assurance that clinical governance systems for doctors are operating effectively.

Your organisation ensures recommendations from quality assurance exercises are taken forward and reviewed on a regular basis.

Your organisation encourages lay involvement in their quality assurance processes, to provide independent scrutiny and challenge, and to increase public confidence that local governance is robust.

Local medical education providers meet the requirements within our Promoting Excellence guidance. This includes making sure:

  • That education and training for doctors is a valued part of the organisational culture
  • Doctors are actively supported to participate in education and training.
  • That the environment and culture with your organisation meets learners’ and educators’ needs, is safe, open, and provides a good standard of care and experience for patients.


  • What quality assurance activity does your organisation undertake to assess the robustness of its clinical governance processes for doctors?
  • How does your organisation assure itself clinical governance processes generate accurate, timely and reliable data to support continuous monitoring?
  • In what ways does your organisation use lay representation to support and improve clinical governance for doctors?
  • How does your organisation measure whether quality improvement activities undertaken have improved patient care?

2b. Continuous improvement

Your organisation’s board ensures learning is used to continually improve clinical governance processes for doctors.


Your organisation demonstrates a commitment to making clinical governance processes for doctors more robust, by overseeing their continuous improvement.

Your organisation encourages learning drawn from your own organisation’s systems and experience, as well as from good practice in other organisations and feedback from patients and patient groups.


  • How is the continuous improvement of clinical governance for doctors planned, delivered and reviewed within your organisation?
  • What examples can you provide of incorporating learning from good practice in other organisations and patients and patient groups into your organisation’s clinical governance systems for doctors?