Governance in Health and Social Care an introduction
What is Governance
Governance is "the system by which an organisation directs and controls its functions and relates to its stakeholders” HM Treasury
In other words, the way in which organisations:
- manage their business
- determine strategy & objectives
- go about achieving these objectives
Arm’s Length Bodies Partnership Agreements
The Department manages its relationships with its 16 Arm’s Length Bodies (ALBs) by way of Partnership Agreements.
The purpose of the Partnership Agreement is to set out the governance framework and assurance arrangements which have been agreed and are in place between the Department and the ALB.
Partnership Agreements are reviewed and agreed by both partners ahead of implementation and arrangements are periodically reviewed.
Current Partnership Agreements in place are:
Organisation | Effective Date |
Belfast Health & Social Care Trust | 08 May 2024 |
Business Services Organisation | 18 October 2024 |
Northern Health & Social Care Trust | 14 March 2024 |
Northern Ireland Ambulance Service | 01 August 2024 |
Northen Ireland Blood Transfusion Service | 7 February 2024 |
Northern Ireland Fire & Rescue Service | 10 April 2024 |
Children’s Court Guardian Agency for Northern Ireland | 29 January 2024 |
Norther Ireland Practice and Education Council | 20 February 2024 |
Northern Ireland Medical and Dental Training Agency | Under Review |
Northern Ireland Social Care Council | 7 March 2024 |
Patient Client Council | 14 February 2024 |
Public Health Agency | 16 April 2025 |
Regulation and Quality Improvement Authority | 3 July 2025 |
South Eastern Health & Social Care Trust | 5 June 2024 |
Southern Health and Social Care Trust | 7 February 2024 |
Western Health and Social Care Trust | 7 February 2024 |
Board Governance Self Assessment Tool
DoH Arm’s Length Bodies Boards are required to complete a Board Governance Self Assessment Tool on an annual basis.
The tool assesses the effectiveness of board composition & commitment; board evaluation, development & learning; board insight and foresight; and board engagement and involvement.
National Audit Office Audit Committee Checklist
DOH Arm’s Length Bodies are required to complete the National Audit Office Audit Committee Checklist, on an annual basis as recommended as best practice by the National Audit Office. Audit Committees can assess their performance against best practice using the checklist.
Code of Conduct and Code of Accountability For Department of Health Arm’s Length Bodies Board Members
This document comprises a Code of Conduct and a Code of Accountability for Board Members