Four articles on the risks that exist at organisational crossings — and what to do about them.
For medical directors, CSOs, and insurer compliance leads. See also: Private Healthcare | For Clinical Safety Officers
CQC inspects your organisation. GMC regulates your consultants. FCA oversees your insurer. Each regulator examines the node. None of them examine the crossing — the point where clinical information must flow, clinical responsibility must transfer, and clinical risk must be governed between one organisation and the next.
Private healthcare providers operate across more organisational boundaries than at any point in their history. NHS referral pathways, insurer authorisation chains, sub-contracted services, cross-provider care pathways, PE portfolio integrations. This series examines what those ungoverned crossings cost — clinically, commercially, and existentially — and how the Seven Flows methodology makes the gap measurable and closable.
From invisible risks to structural remediation
Nine clinical governance exposures that exist between providers, not within them. Patient safety, regulatory liability, growth constraints, pathway quality, interoperability, data governance, exclusion risk, operational inefficiency, and M&A exposure — all arising from the same structural gap.
Seven flows, five maturity levels, and the cascading failure logic that reveals structural dependencies invisible to internal governance. The methodology for diagnosing boundary risk.
From audit findings to governed pathways: the three-stage remediation model. Diagnosis, co-design, lighthouse, and the board business case.
Legal. Safety. People. Process. Technology. The LSPPT framework — why boundary governance demands all five disciplines and why choreography is the one nobody talks about.
Private Healthcare Governance Framework
Eight articles mapping governance gaps from practising privileges to the digital front door — the companion series covering the full private healthcare governance landscape.
Julian Bradder
CEO, Inference Clinical
julian@inferenceclinical.com
Score the governance maturity of every organisational boundary. DCB 0129/0160 gap analysis, CQC boundary assessment, funded remediation roadmap.
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