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We looked at how well the Health Board is governed and whether it makes the best use of its resources, and mainly: how well its board works; how it keeps track of risks, performance, service quality, and recommendations; how it produces key plans and strategies; and how it manages its finances.
We found that the Board and its committees are operating effectively with open discussion and effective challenge. However, executive leadership arrangements are causing some concern. Despite there being a largely substantive Executive Team in place, the Chief Executive is still being drawn too extensively into operational issues and specific programme leadership. There is also a need to ensure executive portfolios support more collective organisational leadership by the Executive Team rather than this being vested in just a few individuals.