Reviving clinical governance? A qualitative study of the impact of professional regulatory reform on clinical governance in healthcare organisations in England.

•Revalidation has increased alignment between systems for organisational and professional accountability.•Organisations have developed or improved clinical governance systems to facilitate this alignment.•Doctors are now more accountable for their engagement with clinical governance activities.•Organisational size and type mediates the impact of revalidation on clinical governance.•Further research should examine the impact of these changes on patient outcomes.