Good Governance Handbook - HQIP

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Neil Goodwin’s 10-point plan 48 is a straightforward method of checking whether an organisation is being proactive: 1. Assess your position in terms of financial management, service delivery and strategic change. Where are you delivering and where are you struggling? What are your strengths and weaknesses and those of your key partners? 2. Speed up system reform and re-engineering. Do not wait. 3. Review your team’s capability and capacity. It needs to be match fit. If you have team weaknesses address them now. 4. Assess the strength and depth of your inter-organisational relationships. The first meaningful conversation should not be about the impact of the economic downturn. 5. Scenario plan for the future, exploring the impact of decreasing amounts of growth. 6. Critically review your organisation’s priorities and develop Plan Bs for those you cannot put off. Start incorporating risk assessment in planning. 7. Communicate. Be honest and realistic with staff because above all else they will be looking for leadership. Don’t withhold difficult messages. Staff will want the opportunity to contribute to solutions to wicked problems. 8. Seek external help if necessary, but be very specific about the outcomes you want. 9. Keep your nerve and maintain a balanced perspective. Do not panic. Plan ahead. Future-gazing is an activity that far too few boards spend time on. 10. Be positive and optimistic. It is OK for leaders to say they do not always have the answers, but negative emotions are infectious in organisations. 9. Conclusion Good governance needs to be at the heart of the current reforms of the NHS. It is vital for the development of a vibrant healthcare market that will continue to provide high quality healthcare. Those who are working to further improve existing healthcare organisations or developing the new CCGs and HWBs need to understand and apply the principles of good governance. It is important to think through how these principles should best be applied to their own local situation. The opportunities that come with getting the right governance system in place is that a useful balance will be struck between flexibility and proper risk management, and between control and freedom to innovate. Patients and local communities will be confident in the system, and governance will become proportionate, and an asset to an organisation rather than an irksome series of tasks. These principles, allied to carefully considering how your organisation can best use the body of good governance knowledge, will ensure higher quality healthcare and proper governance. 48 http://www.goodwinhannah.co.uk www.good-governance.org.uk 38
10. Further Information A comprehensive bibliography of governance issues has been compiled by the NLC working with the Kings Fund. The Healthy NHS Board: A review of guidance and research evidence by Angus Ramsay and Naomi Fulop, February 2010. A select list of references and useful websites is included below: HQIP: GGI: www.hqip.org.uk www.good-governance.org.uk Care Quality Commission (takes over the regulation of health and social care on 1 April 2009): www.cqc.org.uk Council for Healthcare Regulatory Excellence: www.chre.org.uk Department of Health: www.dh.gov.uk (www.dh.gov.uk/en/Managingyourorganisation/PatientAndPublicinvolvement/dh_076366) General Medical Council: www.gmc-uk.org Healthcare Governance Review: www.healthcaregovernance review.wordpress.com IHM: www.ihm.org.uk Monitor: www.monitor-nhsft.gov.uk NHS Confederation: www.nhsconfed.org NHS Confederation Wales: www.welshconfed.org NHS Choices: www.nhs.uk The Health Professions Council: www.hpc-uk.org (which regulates 13 professions, including paramedics and physiotherapists) The Nursing and Midwifery Council: www.nmc-uk.org (which regulates nurses, midwives and specialist community public health nurses) The General Dental Council: www.gdc-uk.org (which regulates dentists, dental hygienists and dental therapists) The General Chiropractic Council: www.gcc-uk.org (which regulates chiropractors) The General Optical Council: www.optical.org (which regulates dispensing opticians and optometrists) The General Osteopathic Council: www.osteopathy.org.uk (which regulates osteopaths) The Parliamentary and Health Service Ombudsman: www.ombudsman.org.uk The Royal Pharmaceutical Society of Great Britain: www.rpsgb.org.uk (which regulates pharmacists) www.good-governance.org.uk 39
Page 1 and 2: GOOD GOVERNANCE HANDBOOK From the G
Page 3 and 4: 6.4. NHS Constitution 25 6.4.1. Pri
Page 5 and 6: 3. Good governance in today’s NHS
Page 7 and 8: 3.2 The role of regulators and comm
Page 9 and 10: 4. Principles of Governance and why
Page 11 and 12: Governance principle 4: Governance
Page 13 and 14: Governance principle 6: Delegation
Page 15 and 16: Nolan 14 says on Openness: “Holde
Page 17 and 18: To ensure that these systems are ro
Page 19 and 20: “a framework through which NHS or
Page 21 and 22: which set out a process for integra
Page 23 and 24: 6. Behaviours, Systems and Supports
Page 25 and 26: principles by leadership and exampl
Page 27 and 28: 1. Take decisions and abide by them
Page 29 and 30: The Audit Commission 38 observed th
Page 31 and 32: the beginning of a meeting. If a bo
Page 33 and 34: 7. Systems 7.1 Systems integration
Page 35 and 36: 7.3 Annual cycle of business An eff
Page 37: 8. Governance in challenging econom

Good Governance Handbook - HQIP

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