Yesterday someone drew my attention to a “Compendium of Best Practice” setting out the “Foundations of Good Governance” for NHS foundation trusts, and in particular a short appendix on accountability and holding non-executive directors to account. As this is a subject that I’ve been giving a lot of thought to recently, I was intrigued. But I was also a little suspicious — and with good reason, it turns out.
Here is a further draft proposal for the Council of Governors of the 2gether NHS Foundation Trust, concerning the ways in which the Council can hold the Trust’s non-executive directors (NEDs) to account. This is the version that was tabled at the Council of Governors meeting on November 12th.
Monitor is consulting on a revised version of its Code of Governance for NHS Foundation Trusts, to come into effect from April 2014. The deadline for feedback is November 29th. Here is the feedback that I submitted to Monitor in a personal capacity. The 2gether NHS Foundation Trust is likely to submit feedback separately.
On October 30th I attended an awareness session run by the Alzheimer’s Society, and I became a Dementia Friend. The Dementia Friends programme has Department of Health backing and aims to involve a million people so as to create dementia friendly communities throughout England. The awareness session I attended was well run, enjoyable and worthwhile, I felt. On that basis I can thoroughly recommend the programme. However, for me some questions remained unanswered.
NHS England plans to create a national Citizens’ Assembly to “put people at the heart of everything the NHS does”. The Assembly will be “digital by default”, meaning that online participation will be the primary way in which people can take part. Unfortunately, in the current draft of the design, there’s a curious parallel between the way the Assembly is designed and the way websites are designed, which could make the Assembly vulnerable to hackers.