What is Governance?

Monitoring good governance

Governance is the way in which something is governed. In the case of EEAST, it is the system we use to monitor how the Trust is managed and controlled.

Good governance means that we will achieve our organisational objectives whilst meeting standards in terms of:  

  • Accountability
  • Openness
  • Regulatory requirements
  • Quality
  • Value for money
  • Assurance

Governance at EEAST also incorporates financial and clinical governance as well as risk management.

Accountability and Assurance

Accountability and assurance are the cornerstones of good governance.

Accountability means that the Trust (or person who is undertaking a role within the Trust) is held accountable to our Board and stakeholders in terms of:

  • Actions
  • Decisions
  • Products
  • Policies

Assurance is the level of confidence in the ability of the Trust (or person) to deliver and achieve strategic objectives. We monitor assurance using:

  • Audit
  • Surveys
  • Evidence based reporting
  • Triangulation of progress


The four levels of Assurance

Assurance can be measured across four levels, ranging from No Assurance, right through to High Assurance. Having confidence in the Trust to deliver on its objectives is really important, whether you’re a member of staff, a patient, or a member of the public. At EEAST, we are constantly striving for High Assurance, which means we are effective and delivering on our objectives. 

No Assurance - Insufficient evidence or information to provide any level of assurance of effectiveness. Delivery of the objective is unlikely without significant action

Limited Assurance - Some evidence (single source, or inconsistent application) of limited level of effectiveness, delivery of the objective is at significant risk. There are areas of concern that require resolution.

Moderate/Reasonable Assurance – Clear evidence in place (from multiple sources) that effectiveness is consistently good and delivery of the objective is likely. There are minor areas of concern that require strengthening.

High/Substantial Assurance - Substantial evidence from multiple sources that effectiveness is fully delivered with no identified areas of weakness or concern requiring resolution. The objective is either delivered or fully on track with no issues

If you have any questions about governance within EEAST please email CQC.Group@eastamb.nhs.uk 

Published 1st December 2021