1. Introduction - Clinical Governance and the Wider Quality Agenda. 2. Structure and Accountability. 3. Achieving Change in Clinical Governance. 4. Quality Initiatives - The Process of Clinical Effectiveness. Part 1, Research and Development and Guideline Formation. 5. Quality Initiatives - The Process of Clinical Effectiveness. Part 2, Getting the Evidence into Practice (Evidence Based Practice, Care Pathways and Clinical Audit). 6. Complaints and Risk Management. 7. Support for Clinical Governance. 8. The User Perspective on the Quality of Care. 9. Evidence Based Management. 10. Some Legal and Ethical Principles