The Centre for Innovation in Health Management (CIHM) at Leeds University Business School has identified a number of aspects of fit for purpose Governance in the NHS that warrant clarification and development. These come from their work with Boards, and discussions at the CIHM bi-annual network, where NHS Trusts identified questions about governance for which they were seeking answers. The areas of Inquiry that CIHM are seeking to follow are:
– The impact of governance on changing behaviours in a public system, and on the effectiveness of the organisation
– How to generate local accountability and local ownership within a national service, with national regulation frameworks.
– The nature of governing service versus products.
– The relationship between governance of individuals (e.g. the clinical decision-making of a consultant) and governance of collectives (e.g. teams/professional groups) in an organisation
– Fit-for purpose design – what structures work?
– What tools and processes are effective in supporting governance?
And specifically in relation to Boards:
– How to design a Board that knows what to do for the whole.
– How governance creates alignment across the whole organisation.
– On whose behalf is the Board working?
– The role and function of the Board and Chair.
– What value for money does the Board offer?
The Inquiry aims to build on the growing acknowledgement that nationally there needs to be a way of governing that is not driven by targets; that locally in the NHS the growth of Foundation Trusts challenges the traditional models of governance and the ‘membership’ model is still to make its mark in terms of increasing local accountability and local engagement; the need to make more of the potential of governors and of governance processes within the public sector (for it to demonstrably add value); and that there needs to be more clarity about ‘whose in charge’. A range of workshops and meetings have been arranged between January and April 2008 and a report is expected to be produced later in 2008.
For further information, click here.