Governance template

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Integrated Digital Governance
Care Fund: Diagram
Applicant Name:
Overview
• The assessment panels are looking to assure themselves
that a clear governance structure is in place that supports
decision-making and successful delivery of the project
• A governance structure chart allows assessment panels
to have a simple overview of the governance in place
Checklist
Checklist criteria
Project Board for this specific initiative is clearly shown
Relationship of Project Board to organisation Board(s) is clearly shown
Status of Project Board is clearly indicated (i.e. planned or in-place)
Membership of Project Board (job title and project role is clearly listed, but
names are not essential)
Senior Responsible Owner for Project is clearly shown
Commencement Date and Frequency of Meetings shown on diagram for
Project Board
Project Governance is presented on one page of A4, in a PDF format
Self-check
EG: AN Other City NHS FT e-Prescribing Project
AN Other City NHS
FT Board
First meeting: October 2012
Frequency: Monthly
First meeting: January 2014
Frequency: Monthly
AN Other City NHS
FT EPR Programme
Board
Chair: J. Bloggs,
Medical Director
E-Prescribing
Project Board
Chair: A.Pill, Chief
Pharmacist
Job Title
Project Role
Chief Pharmacist
SRO
IT Project Manager
Project Manager
Service Transformation
Manager
Change Lead
Pharmacist
Clinical Lead
Other…
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