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Establish and Embed Governance and Accountability Framework

Project Lead: To be confirmed

Project Manager: To be confirmed


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

Aims for the next 12 months

  • 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

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