The Seven Flows of Clinical Handover Governance

What's inside the framework

A 28-page governance model that defines the minimum conditions for safe clinical handovers across organisational boundaries — regardless of care setting, employer, system vendor, or pathway design.

• Executive summary — why handovers fail and what the Seven Flows address
• Seven governance invariants — each Flow defined with responsibilities, failure modes, and DCB 0129/0160 implications
• Clinical safety framing — hazard classes, cascade effects, and safety case evidence for each Flow
• Engagement model — how to adopt incrementally, starting with one Flow
• Summary table — quick-reference: what each Flow governs, the risk it prevents, and the typical NHS moment