Well-led framework for governance reviews: guidance for NHS foundation trusts: updated April 2015

Document type
Corporate author(s)
Monitor (Agency : Great Britain)
Date of publication
13 April 2015
Health Services
Social welfare
Material type

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Monitor expects NHS foundation trusts to carry out an external review of their governance every three years. This document supports NHS foundation trusts to gain assurance that they are well led. It will help them continue to meet patients’ needs and expectations in a sustainable manner under challenging circumstances. The framework presented here represents a ‘core’ reference for NHS foundation trusts to structure reviews of their governance. The individual trust can shape the depth and breadth of the areas for investigation through their self-assessment and initial review team findings at the start of the process. Where trusts choose to exclude core elements of the framework, they should tell Monitor, in line with a ‘comply or explain’ approach. The framework has four domains, ten high level questions and a body of ‘good practice’ outcomes and evidence base that organisations and reviewers can use to assess governance

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