How do you support effective system decision-making?

Lisa Robertson

28 November 2018


The second briefing in our mini-series on system finance and governance issues explores how to support effective system decision-making.

There is now a clear direction of travel towards collaborative working across health and care systems, requiring decisions to be managed collectively to provide best value for the population. As health and care systems work more closely together, a clear understanding of how, what, where and when decisions are made is vital to deliver improvements for patients within the system. Recognising that these systems are not statutory bodies, a foundation of effective relationships and will is essential.

Each health and care system is different and one size doesn’t fit all. However, there are some common essential ingredients to developing good system-wide finance and governance arrangements. This briefing considers the key challenges, shares experiences from across the country and draws out the top tips to help readers as they think about how to develop their own governance arrangements.

The briefing is intended to be particularly helpful for health and care system leaders, finance officers, non-executive directors and lay members.



How do you support effective system decision-making?

November 2018 (PDF 4395KB)