Download or read book An Organisation with a Memory written by Departm Chief Medical Officer of Health and published by Stationery Office Books (TSO). This book was released on 2000 with total page 92 pages. Available in PDF, EPUB and Kindle. Book excerpt: The introduction of clinical governance gives National Health Service organisations a powerful incentive to focus on serious failures in health care. This report reviews what is known about the scale and nature of these failures, examining the extent to which the NHS has the capacity to learn from them when they do occur, and recommending measures which could help to minimise the likelihood of repeated failures in service in the future. Information was drawn from industry, aviation and academic research.