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Published by Via Medica.  \nAll rights reserved. e-ISSN 2083–4640  \nISSN 1507–1367  \nISSN: 1507–1367  \nREVIEW ARTICLE  \nReports of Practical Oncology and Radiotherapy 2025, Volume 30, Number 6, pages: 850–856  \nDOI: 10.5603/rpor.110118  \nSubmitted: 29.10.2025  \nAccepted: 09.12.2025  \nClinical governance in radiation oncology  \nJulian Malicki1, 2, Ferran Guedea3, Marco Krengli4, 5  \n1Department of Electroradiology, University of Medical Sciences, Poznan, Poland  \n2Department of Medical Physics, Greater Poland Cancer Centre, Poznan, Poland 3Radiation Oncology Department, Institut Català d’Oncologia (ICO), Hospital Duran I Reynals, L’Hospitalet de Llobregat, Barcelona, Spain 4Department of Imaging and Radiotherapy, Veneto Institute of Oncology IOV IRCCS, Padua, Italy 5Department of Surgical, Oncological and Gastroenterological Sciences (DISCOG), University of Padua, Italy  \nABSTRACT  \nClinical governance (CG) is an emerging framework that ensures accountability for delivering safe, effective, and continuously improving healthcare services. Originally introduced in the United Kingdom in the late 1990s as part of reforms in the National Health Service, CG draws upon principles of corporate governance to establish system-wide oversight of clinical quality, safety, and accountability. CG provides an overarching organisational framework encompassing leadership structures, clinical effectiveness, risk management, audits, professional development, and patient engagement. In radiation oncology, CG plays a critical role in enhancing treatment safety and quality by standardising protocols, conducting regular audits and peer reviews, implementing risk management strategies, and supporting continuous education for multidisciplinary teams. It also ensures accountability through transparent reporting to regulators, collaboration with patient groups, and commitment to evidence-based practice. Ethical principles—beneficence, non-maleficence, autonomy, and justice—are central to CG and provide the foundation for maintaining professional standards of care. Despite the increasing use of the term clinical governance, it is often only poorly understood. In the present review, we define the concept of clinical governance and discuss its role in healthcare, with a particular focus on the field of radiation oncology.  \nKeywords: clinical governance; radiotherapy; quality assurance Rep Pract Oncol Radiother 2025;30(6):850–856  \nIntroduction  \nThe concept of clinical governance (CG) was first introduced in the United Kingdom (UK) in the late 1990s [1, 2] following a governmental inquiry into the management of the National Health Service (NHS) [3] . The inquiry, led by Sir Roy Griffiths, identified numerous deficiencies in how the NHS was managed, most notably the lack of managerial accountability and the absence of processes to evaluate the quality of clinical practice and measure health care outcomes. Based on the findings ofthat  \nreview, the UK government restructured the NHS to improve its effectiveness and efficiency [4]. They implemented a new governance model inspired by a well-established model from the business world— corporate governance — which was originally developed to help to manage and improve complex business organisations [5] .  \nClinical governance was first defined in 1998 by the UK Department of Health as “a framework through which NHS organisations are accountable for continuously improving the quality if their services and safeguarding high standards of care by  \nAddress for correspondence: Julian Malicki, Department of Electroradiology, University of Medical Sciences, Poznan, Poland;  \n[e-mail: julian.malicki@wco.pl](e-mail: julian.malicki@wco.pl)  \nThis article is available in open access under Creative Common Attribution-Non-Commercial-No Derivatives 4.0 International (CC BY-NC-ND 4.0) license, allowing to download articles and share them with others as long as they credit the authors and the p","cbCaivxQQLhsdG5K","https://ap.wps.com/l/cbCaivxQQLhsdG5K","pdf",404533,"English","# Introduction\n## Clinical governance origins in the UK\n## Patient safety and quality improvement tools\n## Patient-centred change and accountability","[{\"question\":\"What is clinical governance and where did it originate?\",\"answer\":\"Clinical governance is a framework that ensures accountability for continuously improving healthcare quality and safeguarding high standards of care. It was introduced in the UK in the late 1990s as part of National Health Service reforms.\"},{\"question\":\"How does clinical governance improve safety and quality in radiation oncology?\",\"answer\":\"It enhances treatment safety and quality by standardising protocols, conducting regular audits and peer reviews, implementing risk management strategies, and supporting continuous education for multidisciplinary teams.\"},{\"question\":\"Why is ethical grounding important in clinical governance?\",\"answer\":\"Ethical principles of beneficence, non-maleficence, autonomy, and justice are central to clinical governance and underpin maintaining professional standards of care.\"}]","Clinical governance in radiation oncology | PDF",1790674358,18]