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Such an approach enables the board to exercise its responsibilities in an active rather than a reactive manner and minimises ‘surprises’. actively engage externally on current and emerging issues relevant to their organisation and the political, social, and economic environment in which it operates.īy understanding the environment and the pressures the health service and its management face, the board can assure itself that the material risks are being identified and, most importantly, managed.ensure a disciplined approach to risk governance.actively contribute to strategy, and closely monitor strategic effectiveness.champion a productive and ethical culture.effectively use board committees to enhance governance.understand stakeholder and management expectations.understand the board’s role in governance.The core purpose of good governance in health services is ensuring the delivery of high quality, safe and effective person-centred care.īoards of high performing health services: Good corporate governance requires a balance between compliance (with codes, regulations and standards) and oversight of operational and financial performance. However, it is impractical and undesirable for a board to attempt to supervise minutia associated with the health service’s operation. The board of directors is held to be ultimately responsible for virtually every aspect of the health service’s activities. This accountability starts with the board. The 2016 report ‘Targeting Zero’, a review of quality and safety in the Victorian public health service, highlighted the need for greater oversight of clinical care systems across the state in the delivery of high quality, safe, person-centred care. The department developed the Toolkit to enhance the support tools available to directors of health services, recognising the need for a stronger emphasis on public sector health governance. This Toolkit is a resource to assist board directors of public health services and public hospitals (including multi purpose services) and other interested parties to better understand their role and the operating environment of the public sector health service entities they govern.