Explore the evolution of principles of clinical governance and the quality improvement agenda at both the UK and International Level. Exploration, analysis and synthesis of the principles and policies relating to quality assurance, clinical effectiveness, theories and measures, clinical governance, evidence based practice and the role clinical guidelines, clinical standards, integrated care pathways and best practice statements, user involvement, monitoring the quality of care, teamwork, accountability and reflective activities which are designed to challenge assumptions and promote learning. To critically examine and analyse current issues related to health and social care practice.