ABSTRACT
The complex and constantly evolving role of the Medical Director provides a fascinating perspective from which to view the development of clinical governance. The Medical Director in any NHS organisation is so closely involved in the development of clinical governance, it could perhaps be said that the principles of clinical governance more or less define the job of the Medical Director. This chapter sets out to examine the role of the Medical Director - perhaps the most challenging position in today’s NHS. The underlying thesis is that in most organisations the Medical Director is the key player in clinical governance. It is crucial for the long-term health of the NHS that Medical Directors have the highest level of education and development, as well as sophisticated support systems, so that they are equipped to deliver these complex and challenging roles, in an ever-changing environment, effectively and with confidence.
