Between the Flags

Governance

Governance is a critical foundational element of this and any program of similar size. Defining clear roles and responsibilities for governance was a high priority. A partnership between the Ministry of Health (previously known as the Department of Health) and local health districts (previously area health services) provided the leadership, structure, support and local ownership for the implementation and continual success of BTF.

Given the importance of establishing the essential governance structure, the CEC developed and released a model governance plan for NSW local health districts (LHDs), to encourage consistency and to help identify key elements required.

They included:

  • Leadership of the overall program by the Director-General of NSW Health
  • Leadership at the LHD level by chief executives
  • Executive sponsors (mostly directors of clinical governance), who were responsible for implementation in LHDs
  • Clinical leads, who were the clinical champions for the program and for credibility among clinicians
  • Program managers, who were allocated specific responsibility for running the program in each LHD, among other responsibilities
  • The peak clinical quality committee in each LHD was responsible for advice and review of performance.

NSW Health Policy

Governance structures in each local health district and hospital in NSW oversaw the local implementation and sustainability of BTF. The program governance is supported by the NSW Health Policy PD2013_049 Recognition and Management of Patients who are Clinical Deteriorating.