This work considers what clinical governance really means, how to integrate planning for quality care, and hwo to focus on looking at services across the organization, rather than within departments. It examines in detail the implications for health authorities, primary care groups, NHS Trusts, and the NHS Executive Regional Offices. It looks at the realities of putting ideas into practice, through establishing leadership, accountability and working arrangements, carrying out assessments of capacity and capability, formulating action plans, and clarifying reporting arrangements. This practical workbook takes readers through the process of understanding and implementing clinical governance. It contains a series of exercises to bring the reader closer to the subject, and to provide a foundation for clinical governance policies in primary and secondary care. The workbook may be used for private study, or as a practical approach for a group to develop and understanding of the topic and evolve policy.