woman reading file

Good governance and the systems and processes which support it, create an open and honest organisational culture led by compassionate and inclusive leaders. In the current systems-focused world, senior leaders and boards will develop ways for good governance to reach and work across systems, supporting staff to deliver high quality safe care to patients and populations.

It is recommended that you keep up to date with developments in how your Integrated Care Systems are working on collaborating and developing accompanying governance.

The NHS Constitution – the constitution sets out rights for patients, public and staff. It outlines NHS commitments to patients and staff, and the responsibilities that the public, patients and staff owe to one another to ensure that the NHS operates fairly and effectively. All NHS bodies and private and third sector providers supplying NHS services are required by law to take account of the constitution in their decisions and actions.

NHS Trust Code of Governance – the code supports NHS Trust and NHS foundation trust boards in leading their organisations and making decisions effectively.

Guidance: Integrated Care Systems These documents set out the headlines for how we will ask NHS leaders and organisations to operate with their partners in Integrated Care Systems (ICSs) from April 2022 and guidance in respect of what the employment commitment is, its application in practice and how it affects people.

Framework: NHS System Oversight Framework 2021/22 – this Accountability Framework with NHS England and NHS Improvement, which includes the Government’s statutory mandate to NHS England, sets out the government’s expectations for NHS England and NHS Improvement.

Resource: Integrated care systems explained: making sense of systems, places and neighbourhoods The King’s Fund 2021

Resource: The Foundations of Good Governance: A Compendium of Best Practice, NHS Providers and DAC Beachcroft – A detailed guide to increase the level of understanding of what good governance looks like, raise awareness of the need for continual maintenance of governance infrastructures and provide immediate and practical assistance to NHS provider boards and those who support them as they tackle governance challenges. General governance principles are applicable across boards.

Paper: The Healthy Board – Principles for Good Governance – The NHS Leadership Academy, prepared by Foresight and UCL department of applied health research unit. This document describes the principles of high-quality governance and is a useful introduction to governance in the NHS.

PDF 2012: Director-governor interaction in NHS foundation trusts  -A best practice guide for boards of directors

PDF 2011: Current practice in NHS foundation trust member recruitment and engagement

Audit and assurance: a guide to governance for providers and commissioners NHS England/NHS Improvement Dec 2019 – Overview and guide of good governance around audit and assurance.