Establish and Embed Governance and Accountability Framework

The project aims to create a clear and systematic governance and accountability framework, covering the DHSC, Manx Care and associated Government functions.

The project aims to deliver a comprehensive corporate governance framework and a clinical and care governance framework covering all health and care services (including quality and risk management) as well as the relationship to areas such as external regulation. Key objectives include:

• Support the implementation and embedding of a fully comprehensive Clinical and Care Governance Framework for Manx Care
• Ensure clear accountability for operational delivery, with a 'golden thread' linking policy and strategy to day-to-day improvements in outcomes
• Provide transparency around quality, performance and finances across all associated health and care services
• Embed continuous improvement and proactively address risks and issues in our health and care system
• Ensure that future corporate and clinical and care governance frameworks are fully aligned, system-wide, with active representation and involvement of patients and service users

• Detailed mapping of interfaces between Manx Care, DHSC, Treasury, Public Health complete
• Best practice model of clinical and care governance developed
• Corporate governance and accountability models, including related Terms of Reference and roles and accountabilities, for Manx Care Board and Health and Care Partnership Board completed
• Best practice Duty of Candour procedure developed for implementation using existing processes and systems
• Delivery of governance induction for new Manx Care Non-Executive Members
• Co-development, with Manx Care patient safety and quality leads, of the new Duty of Candour operational policy, covering all care settings
• Configuration of Datix incident reporting system to record and report on Duty of Candour incidents
• Development of supporting training specification to support roll-out of Duty of Candour
• Manx Care complaints processes updated in line with new Regulations
• Baseline analysis completed of all existing Clinical and Care Governance policies – to be progressed by Manx Care (with support from the project if required)
• Supporting the development of the DHSC proposed assurance framework for future health and care services

• Baseline of current clinical and care governance procedures and policies established across all care settings and priority areas for development identified
• Support development of governance arrangements between the DHSC and Manx Care during first year’s establishment, ensuring model remains true to the Report
• Embedding Corporate and Clinical and Care Governance Framework

Linked recommendation: 2