The Essence of Care in clinical governance

To review progress of the Essence of Care Programme of Clinical Governance. To describe its development and highlight its achievements.

The background to the programme is outlined and the methods adopted by the Clinical Governance Support Team (CGST) and NHS personnel involved are described.

At the heart of commitment to improve quality of health care lies Essence of Care to which the fundamental needs and comfort of patients are paramount. This provides a benchmarking tool for national standards of practice across health and social care which is applicable across medical specialties and relevant to all health professionals involved in caring for patients. Fundamental aspects of care were identified based on concerns of patients and professionals; these include communication, personal hygiene, food and nutrition. Standards are agreed between patients, carers, user groups, health care professionals, professional bodies and NHS departments. Systems for feedback and monitoring ensure continual improvement. Wide dissemination has ensured that Essence of Care is embedded in the NHS.

This review summarises the aims, objectives and progress of the work of the Essence of Care Programme of Clinical Governance since its initiation.