Integrated governance is the process of "system

System

System is a set of interacting or interdependent components forming an integrated whole....

s, processes

Systems engineering process

A systems engineering process is a process for applying systems engineering techniques to the development of all kinds of systems. Systems engineering processes are related to the stages in a system life cycle...

 and behaviours by which NHS trust

NHS Trust

A National Health Service trust provides services on behalf of the National Health Service in England and NHS Wales.The trusts are not trusts in the legal sense but are in effect public sector corporations. Each trust is headed by a board consisting of executive and non-executive directors, and is...

s providing services for the National Health Service

National Health Service

The National Health Service is the shared name of three of the four publicly funded healthcare systems in the United Kingdom. They provide a comprehensive range of health services, the vast majority of which are free at the point of use to residents of the United Kingdom...

 in the United Kingdom

United Kingdom

The United Kingdom of Great Britain and Northern IrelandIn the United Kingdom and Dependencies, other languages have been officially recognised as legitimate autochthonous languages under the European Charter for Regional or Minority Languages...

 lead, direct and control their functions in order to achieve organisational objectives, safety and quality of service, and in which they relate to patients and carers, the wider community

Community

The term community has two distinct meanings:*a group of interacting people, possibly living in close proximity, and often refers to a group that shares some common values, and is attributed with social cohesion within a shared geographical location, generally in social units larger than a household...

 and partner organisations". It was developed by Michael Deighan and John Bullivant as an approach to simplfying the complex governance

Governance

Governance is the act of governing. It relates to decisions that define expectations, grant power, or verify performance. It consists of either a separate process or part of management or leadership processes...

 arrangements of NHS organisations, and consists of a series of ten improvement activities which are designed to rationalise and sharpen the way NHS organisations are run.

Activities

The ten improvement activities are:

• Establish and revisit the organisation's clarity of purpose and strategic objectives
• Establish a strategic annual cycle
  Annual cycle
  In geosciences, an annual cycle is the part of a measured quantity's fluctuation that is attributed to Earth's changing position in orbit over the course of the year. Such quantities might be influenced directly or indirectly In geosciences, an annual cycle is the part of a measured quantity's...
  
   of business
  Business
  A business is an organization engaged in the trade of goods, services, or both to consumers. Businesses are predominant in capitalist economies, where most of them are privately owned and administered to earn profit to increase the wealth of their owners. Businesses may also be not-for-profit...
  
  
• Ensure integrated assurance systems are in place
• Move to decision-taking supported by intelligent information
• Create a streamlined committee
  Committee
  A committee is a type of small deliberative assembly that is usually intended to remain subordinate to another, larger deliberative assembly—which when organized so that action on committee requires a vote by all its entitled members, is called the "Committee of the Whole"...
  
   structure
  Structure
  Structure is a fundamental, tangible or intangible notion referring to the recognition, observation, nature, and permanence of patterns and relationships of entities. This notion may itself be an object, such as a built structure, or an attribute, such as the structure of society...
  
   with clear terms of reference, delegation and reporting arrangements
• Set up a strengthened audit committee to scrutinise all Trust activities
• Establish effective Board supports
• Establish processess to ensure Board fitness for purpose through selection, induction and review of Board members
• Agree and apply Board etiquette
• Develop individual executive
  Executive director
  Executive director is a term sometimes applied to the chief executive officer or managing director of an organization, company, or corporation. It is widely used in North American non-profit organizations, though in recent decades many U.S. nonprofits have adopted the title "President/CEO"...
  
  and non-executive directors to ensure Board corporacy