respond deliver & enable governance effectiveness framework royal devon and exeter nhs...

Respond Deliver & Enable

Governance EffectivenessFramework

Royal Devon and Exeter

NHS Foundation Trust


Values and Behaviours

Good Governance Standard for Public Services

Good governance flows from a shared ethos or culture, as well as from systems and structures. It cannot be reduced to a set of rules, or achieved by compliance with a set of requirements


Progress so far….

• Foresight Partnership – Half day session on Board effectiveness and appraisals – linked to COG effectiveness

• Established a “Governance Framework” • Next steps:

– Agree framework– Develop individual appraisals– Established collective Board appraisal– Consider fit with COG appraisal/ effectiveness


Governance guidance galore

• Range of guidance as NHS organisations embark on the FT journey (+30 sources of guidance)

•Key Monitor documents:• Compliance framework (May 08)• Code of Governance (Sep 06) •Applying for FT Status: guide for applicants

•Governance Effectiveness Framework brings together the guidance, using Good Governance Standard as the conceptual framework


Performing effectively in clearly defined functions and roles

Promoting values for the whole organisation and demonstrating good governance through behaviour

Taking informed, transparent

decisions, managing performance and risks

Developing capacity and capability of governing body and the organisation to be effective

GEF - Based on Good Governance Standard for Public Services

Focus on purpose, strategy

& outcomes for citizens and patients


Focus on purpose, strategy and outcomes for citizens and patients

• Being clear about the organisation’s purpose and its intended outcomes for citizens and patients

• Developing strategy to reflect purpose and to deliver outcomes for citizens and patients


Performing effectively in clearly defined functions and roles

• Clear understanding of core functions of governance (strategy, accountability, stewardship)

• Clarity of roles: executive, non-executive and relationship with governors

• Quality, Clinical and research governance arrangements

• Role of Governors


Promoting and demonstrating values for the whole organisation through behaviour

• Developing values for the whole organisation, including corporate social responsibility, equality and human rights

• Individual directors behaving in ways that uphold and exemplify effective governance


Taking informed, transparent decisions managing performance and risk

• Rigour and transparency re how decisions are made particularly strategic decisions

• Having and using good quality information, advice and support

• Focus on organisational performance management

• Financial performance, allocation of resources, value for money

• Management of risk• Management of investments


Developing the capacity and capability of the organisation to be effective

• Making sure directors (both executive and NEDs) have skills, knowledge and experience needed to perform well

• Developing capability of directors, and the Council of Governors including corporate team working

• Evaluating performance of BoD, as individuals and as a group

• Striking a balance, in membership of BoD, between continuity and renewal


Engaging stakeholders and making accountability real

• Understanding formal and informal accountability relationships

• Taking an active and planned approach to dialogue with and accountability to membership, patients and public

• Taking an active and planned approach to responsibility to staff

• Engaging effectively with institutional stakeholders


Direct and control organisation in the public interest

Allocate resources Constructively challenge

Ensure effective top team Forge strategic partnerships

Delegate to management Ensure public and patient voice is heard

Accountability for organisational

performance

StewardshipAssure organisation managed

with probity and integrity

Strategic directionIn conjunction with the executive

Monitor performance Manage risk


Application to COG

• Governance framework can be applied to COG

• Foresight Partnership proposed the following framework for COG

• Key issues – fit with overall governance framework– Development of specific approach to both

framework and collective effectiveness appraisal

Respond Deliver & Enable © Foresight Partnership Ltd 2009

Membership/Advisory

Strategy

Ambassador Guardian

Council of Governors Effectiveness Framework


Issues for COG

• Does this look like a good starting point for a COG governance framework?

• What are the similarities/ differences between the governance framework for the Board and the COG

• What issues do we need to consider when developing a process for appraising COG effectiveness?


Proposed next steps

• Develop an integrated Governance framework for the COG that fits to overall governance framework - FP

• Develop an approach to undertake effectiveness appraisal of the COG – FP

• Undertake collective appraisal of the COG later this year

respond deliver & enable governance effectiveness framework royal devon and exeter nhs...

Documents