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Policies are the instrument that governments mobilize for carrying out their intentions to interfere in reality, transforming their vision for the development of the territories they encompass into reality, whether on a national, local or supralocal scale. Several definitions have been proposed for the concept, with the following being suitable for the purposes of this publication: “a process, which involves decisions on the part of governmental bodies and authorities, and actions, carried out by an actor or a group of actors, which consists of goals and the means to achieve them” (Heller & Castro, 2007).
Much of the work of a clinical director carries a large element of common sense and much of this chapter is familiar territory to the experienced clinical director. The views of many groups and individuals need to be considered when drawing up a local maternity services strategy. Broadly, they can be categorised into: the patients or users of the service, the commissioners, policy makers and regulatory bodies, and the professionals who deliver the service. Women who use maternity services form the most important interest group. All maternity services strategies will have to take into account government policies, standards set by professional bodies and limits set by regulators. The third element of strategy development is to obtain the views of all staff groups involved in delivering the service. The most valuable component of a risk management system is incident reporting and it remains so during the implementation of strategic change.
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