Governance Around Working Together 19 th June 2018 Dr Vijay Rawal - Medical Director Haverstock Healthcare Ltd
What are we going to cover? • What is governance? • Characteristics of Good Governance • Governance before starting to work together • Governance after starting to work together
Governance ‘The action or manner of governing a state, organization, etc.’ Oxford Dictionaries
Characteristics of governance Bad Good • No Freedom of • Inclusivity Expression • Fairness • Lack of Transparency • Transparency • Corruption • Responsiveness • Conflicts of Interest • Consensus • Not enough checks and balances (monitoring) • Equity • Inequity • Efficiency • No strategic plan • Accountability • Lack of • Vision and Strategy knowledge/competence
Governance before starting working together • Corporate Governance • What is the legal basis of your working together? • How are decisions going to be made? • Who is going to oversee or manage the organisation/services? • Is it a Election or a selection process? • Remember regulation 6 of the CQC • Do you need to be CQC registered or change or add to your registration? • Polices and Procedures – Are they localised to meet the service needs?
Governance before starting working together • Corporate Governance (cont.) • Understand and appreciate the differences between shareholders, board directors and executive directors • Understanding roles and responsibilities (including companies house) • Leadership • Vision, Objectives, Strategy • Business Development Plan • Clinical Governance • Integrated Services – Map out responsibility across the pathway – will help with indemnity
Governance before starting working together • Financial Governance • Accountability • Fairness • Agreements • Remuneration • Sustainable • HR Governance • Recruitment checks and processes • Induction
Governance after starting to work together • Key systems and processes • Incident Reporting (remember Duty of Candour) • Complaints handling • Communication (meetings etc) • Audit programme • Safeguarding • Monitoring performance • Risk Assessments
Governance after starting to work together • Financial Governance • Book keeping and Accounting • Companies House Returns • Information Governance • GDPR • Data Sharing Agreements
Governance after starting to work together • Clinical Governance • Evidence of how you reassure yourself that staff working within your organisation/service are up to date, competent and using the appropriate guidance • Corporate Governance • Feedback from Service Users and Staff
Questions
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