This briefing explores issues around system governance and decision-making. It explores the tensions that can arise due to competing financial duties and identifies the key questions to be asked in shaping local governance arrangements.
Recognising that there is no one simple approach to making this work and that at this point in time each system is still developing its own arrangements, this paper sets out the context and key questions to be asked locally in shaping arrangements covering:
• Duty, authority and power
• Accountability, responsibility and
• Governance and delegation
• Differences in governance
• Barriers in integrated decision-making
• Collective decision-making
• Managing conflict
• Handling fundamental disagreement
• Conflict within an NHS organisation
• Assurance mechanisms
This paper will be revisited as arrangements have time to develop.
Ross will set out the findings of the study and their practical implications so that NHS bodies can make the most of working collaboratively.
HFMA members, associates and friends come together again for the biggest and most prestigious HFMA event of the NHS finance calendar.