St Barnabas Hospice Lincolnshire
35th Birthday

Quality and Governance

St Barnabas Hospice strives to provide safe, high quality care, tailored to individual needs, for all those it serves.

We ensure our practice is safe, effective and compliant with the Care Quality Commission; Essential standards of quality and safety, through our clinical governance team who continually monitor care provided across all our services. We are regulated by the Care Quality Commission - to see what the Care Quality Commission says about our services click here

St Barnabas is also regulated by the Charity Commission for England and Wales and under its rules is legally required to complete, sign and submit a Summary Information Return (SIR) annually. A copy of the most recent SIR can be viewed by clicking here

Clinical governance is a framework through which organisations are accountable for continually improving the quality of their services and safeguarding high standards of care, by creating an environment in which excellence in clinical care will flourish.

Scally and Donalson 1998

Key elements of clinical governance include, audit, risk assessment, analysis of information, education and training and asking the people who receive our services about their experience.

St Barnabas are proud to support the work of the POhWER NHS Complaints Advocacy Service.

POhWER provide a free, independent and confidential advocacy service to support people with their NHS complaint.

Please feel free to visit their local website:

Telephone: 0300 456 2370 or at Local Rate for Lincolnshire: 0300 200 0084

Other useful links for PohWer you may be interested in:

NHS Complaints Advocacy self help tools

Leaflets in alternative languages

Frequently Asked Questions

Clinical audit is all about measuring the quality of care and services against best practice standards and making improvements where required. The Trust has an annual audit programme covering a range of audits from the use of medicines to symptom management.

In addition there is ongoing monitoring and analysis of information including service activity, monitoring the rate of infections, pressure damage, incidents, complaints and the identification of any trends or issues that may require further action.

Each clinical area assesses risks that might impact on their care and puts in place measures to reduce or eliminate the risk. This might include policies and procedures that guide how things are done or education and training to ensure practice is up to date.

Education and training are important in ensuring the care we provide is safe and effective. This includes mandatory training, e.g. moving and handling training as well as education that develops staff skills, e.g. communication and symptom management courses.

Infection prevention is a core element of quality and governance. We ensure all our staff have annual training and our teams are aware that infection control is “everyone’s responsibility.”

This includes implementing safe practice and maintaining a clean environment to prevent healthcare acquired infections.

We monitor the experience of people who use our services through a variety of methods including paper questionnaires, telephone surveys and real time reporting. See what patients and families have said about our care and services.

It isn’t always about the big things though so we also provide postcards ‘Small things make a difference’ so that people can tell us about the small things that have made a difference for them.

Sometimes even in the best run organisations things go wrong. We believe that how an organisation deals with complaints is a mark of how it values the people it serves.

If you have a comment or complaint about the services provided by St Barnabas Hospice you can discuss this with the local manager of the service or alternatively you can:-

Telephone: 01522 511566 or

or write to:

Chris Wheway, Chief Executive,
St Barnabas Hospice, 36 Nettleham Road, Lincoln, LN21RE.