Page 79 - Regional Services Plan 2016/19

Appendix 2: Regional governance Regional collaboration framework
The DHBs have a history of co-operating on issues of regional importance and on new programmes of change. The formalising of a new regional collaboration structure, and the development of associated accountabilities, provides the strategic framework for advancing a more aligned regional programme of work.
It is acknowledged that regional work is complex and occurs alongside the need for DHBs to continue to meet the current health needs of their populations. However, as the Midland region continues to plan for service improvement within the current and mid-term environments, via the Regional Services Plan, the region’s governors have signalled their desire to take a longer- term, more integrated, approach to health and community wellbeing. They see the development of a more formal regional collaboration framework as supporting this aspiration and future regional planning.
Regional Structure
While responsibility for the overall performance of regional activity collectively rests with the five Midland DHB Boards, operational and management matters concerning the RSP and its implementation have been delegated to the Midland Chief Executives Group.
The diagram below illustrates the overarching regional reporting and accountability arrangements for Midland DHBs. This includes those for HealthShare Ltd and for various regional projects and workstreams.
B
o
s s
DHB DHB DHB
DHB DHB
Boards Boards
Boards
B
o
a
a
r
r
d
d
Midland Region Governance Group [DHB chairs]
Midland CE Group
HealthShare Board
Midland Strategic Forum
CE Clinician CXO group Leads Leads
Topic based membership
DHBs
Regional Regional Regional capital executive clinical committee forums forums
HealthShare
Chairs
GMs Maori
Health subject experts
PHO/ Primary Leads
Other Consumer subject SMEs experts
 The Midland Region Governance Group (MRGG) is the key governance group for the region, overseeing and taking accountability and responsibility for regional direction, strategy and key programmes of change. Each member is accountable to their DHB Board and is responsible for informing their DHB of matters of significance, including risk and mitigation strategies, for matters arising from the group’s deliberations.
 The Midland CE Group (MCEG) provides active leadership and operational decision making for regional activities. The group is responsible for the resourcing and the
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Regional Regional Regional
planning /Clinical networks
Workforce
Information systems