Table 3

Main barriers to the development of clinical governance

Type of barrierNo. of responses
Lack of resources (money, manpower, time)50
Need to change organisational culture24
Lack of professional accountability and resistance, resistance to team-working9
Lack of IT/information/library systems8
External priorities, emphasis on quantity6
Lack of evidence base, outcomes, national standards5
Organisational distractions (mergers, establishing boundaries with Primary Care Groups)3
Lack of training for clinicians and managers2
Increased bureaucracy1
Lack of audit manpower1
Difficulties implementing consultant appraisal1
No. of trusts68