Strong governance is the foundation of high-performing NHS organisations. Boards are expected to demonstrate leadership, accountability, and continuous improvement—not just in principle, but through evidence-based practice. One of the most important ways to achieve this is through regular Board Effectiveness Reviews.

Why Are Board Effectiveness Reviews Essential?

NHS Boards operate under a range of governance frameworks that reinforce the need for ongoing evaluation, including:

  • CQC’s Well Led assessment
  • NHS England’s Annual Governance Statement requirements
  • Updated Board Member Appraisal Guidance
  • Wider good governance principles applied across the NHS and public sector

Together, these frameworks create a clear expectation: Boards must regularly assess their effectiveness and take action to strengthen governance arrangements.

What Happens Without Regular Reviews?

Without structured evaluation, Boards risk:

  • Gaps in leadership and decision-making
  • Reduced accountability and transparency
  • Challenges in meeting regulatory standards
  • Missed opportunities for improvement

In today’s environment of heightened scrutiny, demonstrating robust governance isn’t optional—it’s essential.

How We Can Help

We support NHS organisations in completing their next Board Effectiveness Review through an independent, structured assessment that:

  • Reflects current regulatory standards
  • Highlights strengths and identifies improvement opportunities
  • Provides clear, practical recommendations for the Board

Our approach is proportionate, collaborative, and tailored to the maturity and needs of each organisation. We work with you to ensure the review adds real value—not just compliance.

Ready to Strengthen Your Board Governance?

Contact our Board Effectiveness specialists today to discuss how we can help your organisation meet its governance obligations and drive continuous improvement.