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Yes. The LHB Standing Orders have already been substantially revised to ensure that they are fit for purpose for the new NHS and to make then more understandable and practical. The intention also is to revise the NHS Trust Standing Orders and to substantially revise the Values and Standards of Behaviour Guidance, the Healthcare Standards, and the Risk and Assurance Framework, and to provide more guidance on information governance. Substantial revisions have been also been made to the Internal Audit manual.
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No. Governance has always been important. What is new is the emphasis being placed to ensure an equal focus across all the guiding principle of the Citizen Centred Governance and the traditional strands of governance.
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The seven guiding principles of the Citizen Centred Governance is a central feature of the new NHS. The NHS will only be able to achieve its objectives in full partnership with local people, local partner organisations and central government. The values that underpin the new structure include putting patients first and patient safety above all things; Maintaining consistently high standards of care; All services being given equal prominence; Open and transparent governance; Compliance with the highest standard of probity; Strong commitment to partnership working; and Valuing staff
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The seven guiding principle of the Citizen Centred Governance applies to all public bodies in Wales, including the NHS. This framework helps to ensure that governance is not compartmentalised into the traditional strands seen as being the sole responsibility of certain professionals or parts of an organisation, for example, financial aspects of governance being the responsibility of accountants alone, but rather that governance is addressed across the organisation as a whole in an integrated way. The seven guiding principles of the Citizen Centred Governance form the basic framework for the manual with each principle addressing, where appropriate, the traditional strands of governance (i.e. financial governance; clinical governance; corporate governance; information governance and research governance.).
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Yes. This approach to good governance will make it easier for patients and the public, NHS organisations, local authorities and social care providers, charities and the third sector to better understand and interpret what governance actually is and its importance. It will also enable informed practitioners to focus on particular aspects of governance (such as finance) in a more effective way. It will also enable Board Members, in particular, non-officer members, to gain a better understanding of governance and what needs to be done to achieve good governance.
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