The governance handbook explains how NHS Essex makes decisions, manages its responsibilities and remains accountable to patients, local communities and partner organisations.
It brings together the key rules, structures and processes that support good governance across the organisation. The handbook sets out who can make decisions, how responsibilities are delegated and how NHS Essex ensures public money is used responsibly.
For more information, read the full governance handbook by downloading the accessible Word document at the end of this page.
What the governance handbook covers
The governance handbook brings together information about:
- decision-making and delegated authority
- Board and committee responsibilities
- financial management arrangements
- governance principles
- policy management
- public engagement and involvement
- risk management and accountability
- working with partner organisations
Why governance is important
Good governance helps NHS Essex to:
- make fair and transparent decisions
- use public money responsibly
- manage risks effectively
- meet legal and NHS requirements
- improve services for local people
- maintain public confidence and trust
How decisions are made
The governance handbook explains how decisions are made across NHS Essex.
It sets out:
- which decisions are made by the Board
- which responsibilities are delegated to committees
- how financial decisions are approved
- how accountability is maintained
Although some responsibilities can be delegated, the Board remains accountable for the organisation’s functions and performance.
Committees and partnerships
The handbook describes the role of the Board, committees and partnership groups that support decision-making and oversight across NHS Essex.
These groups help oversee areas such as:
- quality and performance
- neighbourhood health
- financial management
- workforce matters
- risk and compliance
- public engagement
Working with local communities
NHS Essex is committed to involving people in decisions about health and care services.
The governance handbook includes information about public engagement and how NHS Essex works with local communities, local authorities, NHS organisations and other partners to improve health and wellbeing across Essex.
Governance principles
The governance handbook is based on recognised principles and standards that promote:
- accountability
- openness
- integrity
- transparency
- fairness
- good decision-making
These principles help NHS Essex deliver safe, effective and high-quality services.
About this handbook
The governance handbook was published in April 2026 and is updated as governance arrangements, legislation and NHS guidance change.
For more information, read the full governance handbook by downloading the accessible Word document below.