Governance is ensuring that we do the right things, at the right time, in the right way. There are two key areas of Governance in healthcare:
Clinical Governance: a framework for ensuring the Trust is accountable for continually improving the quality of our services and safeguarding a high standard of care.
Corporate Governance: ensuring that the Trust is well-run with robust systems and processes, ensuring that the Trust operates within the law and the parameters set out by its Regulators.
All staff are responsible for Governance in the Trust and it is embedded into the work we do every day. However, the Trust has specific staff to help manage the process. For more information see below.
The RD&E has adopted an integrated approach to Governance. The Head of Governance oversees the Trust’s strategic approach to Governance. The Risk Management Department and Clinical Audit Department are key to this. There are also close links with the PALS, Complaints and Legal departments as we can learn much from our patient and the public about how we run our services.
The Trust has developed an organisational structure that ensures that we manage Governance in the correct way. Key to this structure is the Governance Committee and its sub-committees.
There are many external organisations that regulate, audit, inspect and review healthcare in England. The Trust has a systematic approach to the planning, management and response to visits from external organisations.
Corporate Governance are responsible for:
- Corporate Governance and "company secretary" responsibilities
- Ensuring that the Trust is governed responsibly, operates within the law and the parameters set out by its regulators
- Managing the Trust's relationship with the Board of Directors and the Audit Committee
- The Executive Support Office
- Ensuring the Trust has a functioning Council of Governors
- Overseeing the production of the Trust's Annual Report and Annual Members' Meeting
- Ensuring a central repository of Corporate Governance documentation is maintained
Board of Directors
The Board of Directors is collectively responsible for the performance of the Trust and exercises all the powers of the Trust. In so doing, the Board members bear full legal liability for the operational and financial performance of the Trust. The Board comprises of both Executive and Non-Executive Directors.
The Corporate Governance Team role is to provide a high quality, responsive and timely administrative function to the Board.
Council of Governors
Working alongside the Trust's Board of Directors, the RD&E's Council of Governors are an important part of the Trust’s Corporate Governance structure.
It collectively holds the Trust’s Directors to account and ensures that the interests of the Trust's members are taken into account.
RD&E Governors have shown great commitment in representing the views of local people and helping the RD&E to shape its plans for the future.
The Trust is required by its Constitution to keep several registers including Board of Directors Register of Interests and Register of Offers of Gifts & Hospitality.
The Clinical Governance team are responsible for:
- Clinical Audit Department
- External Visits
- Policy Management
- Clinical Guidelines
- The Governance Committee and its sub-Committees
Clinical Audit is a quality improvement process designed to improve patient care and outcomes through the systematic review of care.
There are many external organisations that regulate, audit, inspect or review elements of health and social care in England. Inspections are defined as audits, reviews, assessments and the regulation of services.
The Trust has developed standard ways for writing policies, procedures, practice guidelines and standards. You can view all the Trust policies in the Hub Library.
There is a reference library of all local clinical guidelines used across the Trust.
The Governance Committee is a key component of the Trust’s Governance Performance System. The Governance Committee is responsible for ensuring that governance is embedded in the organisation and that legislation and all standards are met. It provides assurance to the Board of Directors that the Trust has effective systems of internal control in relation to risk management and governance.
Our Governance office provides expert oversight and support to the Trust, to ensure that we implement good governance and fulfil our governance duties.
They can be contacted by telephone on: