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Non-executive Director Independence – NHS Foundation Trust Boards

by Charlie Helps FRSA | Feb 3, 2026 | Board of Directors, Conflict of Interest, Governance, NHS

Overview of Relevant Governance Codes NHS Foundation Trusts (FTs) operate within a framework that blends public sector accountability with corporate governance principles, ensuring transparency, risk management, and effective oversight. The primary guidance for their...

NHS Improvement and Assessment Framework 2025-26 – Analysis and Implications

by Charlie Helps FRSA | Feb 26, 2025 | Articles, Board of Directors, CQC, Governance, NHS, NHS Quality, Quality Assurance, Strategy

Introduction: The NHS Improvement and Assessment Framework (IAF) for 2025/26 is set to replace the current NHS Oversight Framework, reflecting a new operating model for the NHS. It is being introduced in the context of significant pressures (elective backlogs, urgent...

From Crisis to Transformation – The 25-Year Journey of NHS Patient Safety

by Charlie Helps FRSA | Feb 13, 2025 | Articles, Board of Directors, Clinical Governance, Governance, NHS, NHS Quality, Quality Assurance

It was a crisp morning in 1995 when Dr. Steve Bolsin walked into Bristol Royal Infirmary, his stomach knotted with anxiety. For months, he had been tracking the disturbing mortality rates in the hospital’s pediatric cardiac surgery unit. Children were dying at...

Words of Assurance – Taking it on Trust in the 21st Century NHS Boardroom

by Charlie Helps FRSA | Feb 11, 2025 | Board of Directors, Governance, Integrated Reporting, Integrated Thinking

How do NHS Boards get their assurance? The transformation from “internal control” to “Board Assurance Framework” (BAF) represents a significant shift in both terminology and practice that has had far-reaching implications for NHS governance. In...

Global Trends in AI Governance and Regulation

by Charlie Helps FRSA | Jan 21, 2024 | AI, Articles, Artificial Intelligence

Global Trends in AI Governance and Regulation As we venture into 2024, the realm of Artificial Intelligence (AI) governance is witnessing a kaleidoscope of transformative developments worldwide. This dynamic landscape is marked by a confluence of regional initiatives,...
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  • Leadership Succession Planning Advisory: A Governance Checklist for Institutional Fidelity 11 June 2026
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