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The key focus of this assessment has been on the Health Board’s corporate arrangements for ensuring that resources are used efficiently, effectively, and economically, with a specific focus on: board transparency, cohesion, and effectiveness; corporate systems of assurance; the corporate approach to planning and financial management. We have not reviewed the Health Board’s operational arrangements as part of this work.
Overall, we found that since last year’s structured assessment and our follow-up work on board effectiveness, there have been positive developments in some of the Health Board’s key corporate governance arrangements and progress in recruiting to some business-critical senior roles. However, there remains much to do especially in respect of establishing a stable, cohesive and high performing Executive Team, developing a longer-term strategy and supporting Clinical Services Plan, and ensuring the Health Board’s organisational structure and operating model is fit for purpose.