Clinical Impact Clinical Governance Clinical Governance Clinical Governance is a process that makes medical care organisations accountable for continuously improving the quality of their services and safeguarding high standards of care by creating an environment in which excellence in clinical care can flourish. TVAA, although an independent charity, works in partnership with South Central Ambulance Service NHS Foundation Trust (SCAS). SCAS provide the paramedics and doctors. They also have the responsibility for the service's Clinical Governance. Clinical Governance underpins all aspects of care that TVAA provides to the people of this region. Regular Clinical Governance meetings are run in conjunction with our closest air ambulance partner, Hampshire and Isle of Wight Air Ambulance. At these meetings cases are discussed openly and frankly. Lessons learned and things that can be done better are minuted, and reviewed regularly to make sure improvements are consistently put in place. TVAA also work closely with the main hospitals in the region, including The John Radcliffe, Stoke Mandeville and Wexham Park Hospitals, to research and review clinical impact. All significant trauma cases are discussed every month in detail. All treatments delivered from the Pre Hospital phase are scrutinised in detail by a multi-speciality board. This ensures our practice within Thames Valley Trauma Network is fully integrated and we are constantly forming new partnerships with our NHS partners to improve acute medical and trauma care.