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  • Governance in Health and Social Care an introduction

    Topics:
    • Governance in health and social care
    This section provides an overview of Governance in Health and Social Care in Northern Ireland.

    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 Trust08 May 2024
    Business Services Organisation18 October 2024
    Northern Health & Social Care Trust14 March 2024
    Northern Ireland Ambulance Service01 August 2024
    Northen Ireland Blood Transfusion Service7 February 2024
    Northern Ireland Fire & Rescue Service10 April 2024
    Children’s Court Guardian Agency for Northern Ireland29 January 2024
    Norther Ireland Practice and Education Council20 February 2024
    Northern Ireland Medical and Dental Training AgencyUnder Review
    Northern Ireland Social Care Council7 March 2024
    Patient Client Council14 February 2024
    Public Health Agency16 April 2025
    Regulation and Quality Improvement Authority3 July 2025
    South Eastern Health & Social Care Trust5 June 2024
    Southern Health and Social Care Trust7 February 2024
    Western Health and Social Care Trust7 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.

    • Assessment Tool

    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.

    • NAO Website

    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

    More in this topic

    • Raising a concern
    • Social media policy
    • Complaints Procedures

    Related to Governance in Health and Social Care an introduction

    Most recent news items

    • Statistical press release - Clinical/Social Care Negligence Cases in Northern Ireland (2014/15)

      Published 18 November 2015
    See all news in this topic

    Access to information

    How to request information from the Department of Health including Freedom of Information, information about yourself and the type of information we commit to publish on a regular basis.

    Find out more about accessing Department of Health information

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