111.—(1) The contractor shall have an effective system of clinical governance.
(2) The contractor shall nominate a person who will have responsibility for ensuring the effective operation of a system of clinical governance.
(3) The person nominated under sub-paragraph (2) shall be a person who performs or manages services under the contract.
(4) In this paragraph “system of clinical governance” means a framework through which the contractor endeavours continuously to improve the quality of its service and safeguard high standards of care by creating an environment in which clinical excellence can flourish.