Quality | Innovative | Training


Clinical record keeping & effective documentation within the social care sector requires a person-centred approach whilst meeting legislative and information governance requirements. Ensuring that records are effectively and accurately kept, appropriately shared and accessed by multi-agencies and within a social care team can be complex with ever increasing demands, yet the integrity of clinical records and best practice for their management is of paramount importance.

Who is Clinical Record Keeing aimed at?

Staff working in the care sector

Course Length

1 day

Learning Outcomes

On conclusion of the course, participants will be able to:

  • state the purpose of different types of clinical records.
  • understand the 4 main rules of effective clinical record keeping.
  • apply an understanding of information governance to record keeping within their role from a case study.
  • plan to apply learning to improve best practice and management of record keeping upon return to their workplace.

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