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Governance

Introduction

5
This chapter sets out the way in which the governance arrangements for Healthy Ambitions (and for regional service reviews more generally) will operate at the regional level.

It provides clarity for all Y&H organisations about the ways in which:

• Progress on the delivery of Healthy Ambitions is to be assured by the SHA at regional and at local level
• Clinical leadership and advice will be at the heart of regional delivery and assurance
• The small number of regional reviews recommended by clinicians in Healthy Ambitions will be taken forward
• Any further regional reviews or proposed region-wide strategic development work should be initiated and undertaken. Such work might be proposed from a variety of sources (e.g. Specialised Commissioning Group, clinical networks) and may include sub-regional reviews likely to have a wider impact on services across Y&H.
• The outcomes of all reviews will be assured through the Y&H Service Change Assurance Process (SCAP).

It is important that the approach to all of these issues is agreed and clear so that there is transparency of approach, and the cumulative impact of reviews on the NHS system in Y&H can be assessed and agreed.

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