Raj Rattan, Ruth Chambers, Gill Wakley

• Part One: Introduction 1. What’s new? 2. How to do it: Identify your practice development needs and your associated learning needs 3. What methods could you use to identify your practice development and learning needs? 4. The plan: Where do you want to be and how do you get there? 5. Setting your priorities for developing clinical governance 6. You have identified your learning needs: What happens now? 7. Baseline review Part Two: The 14 themes of clinical governance 8. Establishing and sustaining a learning culture 9. Managing resources and services 10. Establishing and disseminating a research and development culture 11. Reliable and accurate data 12. Evidence-based practice and policy 13. Confidentiality 14. Health gain 15. Coherent teamwork 16. Audit and evaluation 17. Meaningful patient involvement 18. Health promotion 19. Risk management 20. Accountability and performance 21. Core requirements Part Three: Quality improvement 22. The challenges of quality improvement