This chapter covers quality governance, clinical audit, evidence-based healthcare, the Quality and Outcomes Framework (QOF), patient and public experience, complaints procedures, and clinical risk management. It includes professional conduct, the provision of anti-discriminatory healthcare, and consent. Professional accountability is outlined, as well as the role of chaperones, methods of whistleblowing, correct record keeping and access to records, confidentiality, and client- and patient-held records. Health and safety at work for both employers and employees is discussed, together with specific issues that arise with lone working in the context of community nursing. Personal safety measures such as hand washing and personal protective equipment are covered. Occupational exposure to blood-borne viruses and the appropriate response is described, as well as notifiable diseases, managing healthcare waste, and the management of sharps waste.