NHC Corporate Governance: How does this work in practice?
The Board is comprised of 3 directly elected GPs, 4 selected from CDs, 2 non-execs and the CEO; they meet ten times a year and are held to account at the Annual General Meeting.
Board Responsibilities:
- Set the direction for the organisation
- Determines the mission, vision and approves the organisational strategy
- Oversees the finances, sets budgets and approves the accounts
- Oversees risk and compliance
- Meets monthly to review previous month and direct change where needed
- Reports on performance and exceptions
- Risk register reviewed quarterly
The SLT is comprised of Service directors, Finance, HR and office management; the SLT deal with day to day management of oversight and services, and are accountable to the Board.
SLT Responsibilities:
- Implements the agreed strategy
- Oversees the operational responsibilities for the organisation
- Reports to the Board on course corrections needed
- Manages finances, budgets and prepares the accounts
- Manages risks and reports to the board on compliance
- Meets weekly to review performance and delivery against strategy
- Prepares options for the Board to consider and determine
- Reviews and manages risk
- Delivers against individual objectives
- Reports to the SLT on their operational responsibilities
- Where financial responsibility is given staff report to the SLT on management of budgets
- Reports on risks and compliance – clear on decisions needed
- Have annual appraisals and goal setting
- Have regular one to ones and support from managers & directors
- Supported to take actions independently where appropriate
Clinical Governance
The clinical leads