Clinical Governance FAQ's

FAQs (Frequently Asked Questions)

  1. What Is Clinical Governance?

Clinical Governance is a framework through which organizations are accountable for continually improving the quality of their services and safeguarding high standards of care.


  1. What are the elements of Clinical Governance?

Clinical Governance is composed of at least the following elements:

  • Education and Training
  • Clinical Audit
  • Clinical Effectiveness
  • Openness
  • Risk Management
  • Information Management
  1. What is Clinical Audit?

Clinical audit is the review of clinical performance, the refining of clinical practice as a result and the measurement of performance against agreed standards - a cyclical process of improving the quality of clinical care.

  1. What is Clinical Effectiveness?

Clinical effectiveness is a measure of the extent to which a particular intervention works. The measure on its own is useful, but decisions are enhanced by considering additional factors, such as whether the intervention is appropriate and whether it represents value for money.

  1. What is Risk Management?


Risk management in health care are the “clinical and administrative activities undertaken to identify, evaluate, and reduce the risk of injury to patients, staff, and visitors and the risk of loss to the organization itself.” Risk management is proactive or reactive. Proactive is avoiding/preventing risk. Reactive is minimizing loss or damage after an adverse/bad event. 


  1. What are Minimal Service Delivery Standards (MSDS)?

The MSDS define a set of the benchmarks for minimum level of mandatory services that a Healthcare Establishment (HCE) is responsible to achieve and patients have a right to expect.  


  1. What are Sindh Service Delivery Standards (SSDS)?

SSDS stipulate a framework to improve quality of care provided in public and private hospitals in a structured manner. Provide the basis for organizational assessment of the delivery of quality patient care and services, and utilization of available resources. These standards are applicable to all types of hospitals – public and private, large and small, urban and rural in the Sindh province.

  1. What is the importance of SSDS?

The SSDS comprehend prominent elements of healthcare system requirements as well as service standards that can be easily implemented by a healthcare establishment and monitored by the Sindh Health Care Commission through an impartial and transparent evaluation process to assess a healthcare establishment’s level of compliance with the standards.

  1. How were the SSDS developed?

The SSDS came into existence pursuant to the promulgation of the SHCC Act 2013, which heralds the beginning of a new paradigm of healthcare service delivery framework in Sindh. The SSDS are developed by the Sindh Health Care Commission through a collaborative approach, bringing together healthcare experts, healthcare practitioners from medical community, Homeopathy, Tibb and other key stakeholders from public and private sector to ensure open debate, and use of technical knowledge and bring in comprehensive consensus.

  1. SSDS covers which areas of the Health Care Establishments (HCEs)?

SSDS covers the following areas of HCEs:

  • Management
  • Service Delivery
  • Auxiliary Services
  • Infection Control, Hygiene and Waste Management
  • Safe and Appropriate Environment


  1. Is it necessary to implement SSDS in our organization/establishment?

Yes it is. Because without the implementation of SSDS, the Health Care Establishment will not be able to get license from Sindh Health Care Commission and furthermore will not be eligible for the provision of health care services.


  1. What if somebody not satisfied with the services of Health Care Establishment or noticed that standards have not being followed?

He/she can highlight the same to the concern HCE and if not get suitable resolution can contact SHCC for necessary proceedings.


  1. Is there any element of protection of HCEs included in Clinical Governance/SHCC?

Clinical Governance and SHCC have policies which not only protect HCEs, these rather give protection to HCWs and patients aw well.