' 'CONSIDER THE FACTORS THAT MAY CONTRIBUTE TO THE IMPLEMENTATION AND ACHIEVMENT OF
             CLINICAL EFFECTIVENESS WITHIN AN IDENTIFIED AREA OF PRACTICE''
             In this essay I will be looking at the adult with Learning Disabilities. I will identify the factors that may contribute to clinical effectiveness in this area of health and social need. I will discuss the importance of collaboration between the health professionals and service users. Firstly I will discuses clinical effectiveness, utilising its relevance to the area of learning disability and to the barriers the service users in general come up against finally I will conclude with the relevance to collaboration amongst all professionals that provide the continuity of care.
             The NHS has gone through many changes over the last decade in its endless quest for effectiveness and quality of its service. One of which is the government's New Initiative 'The NHS Plan'. (DoH, 2000). Indeed the NHS Plan confesses that the NHS falls short of the standards patients expect and staff want to provide. The labour government introduced clinical governance (CG) in order to deal with the wide diversity in quality of care throughout the country. Mcsherry and Pearce (2000) back up this notion, by stating that a great deal of literature has been carried out to support the governments' view, that there is a need for clinical governance to improve quality of healthcare provision. It would seem that many previous attempts have been made to improve the efficiency and effectiveness of the NHS, such as the Griffiths Report in 1983,and then the White paper 'Working for Patients' (DoH 1989), which introduced the market forces and delivery of healthcare by the introduction of purchaser and provider. Clinical effectiveness is a component of clinical governance, and has been defined by the NHS Executive (1996) as, "the extent to which specific clinical interve...