Main barriers to the development of clinical governance
| Type of barrier | No. of responses |
|---|---|
| Lack of resources (money, manpower, time) | 50 |
| Need to change organisational culture | 24 |
| Lack of professional accountability and resistance, resistance to team-working | 9 |
| Lack of IT/information/library systems | 8 |
| External priorities, emphasis on quantity | 6 |
| Lack of evidence base, outcomes, national standards | 5 |
| Organisational distractions (mergers, establishing boundaries with Primary Care Groups) | 3 |
| Lack of training for clinicians and managers | 2 |
| Increased bureaucracy | 1 |
| Lack of audit manpower | 1 |
| Difficulties implementing consultant appraisal | 1 |
| Total | 110 |
| No. of trusts | 68 |