Multi-Agency Working in NHS Systems: Practical Governance for Providers
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Integrated care depends on multi-agency working. Providers are increasingly expected to deliver services across organisational boundaries while maintaining clear governance and accountability.
This creates operational and leadership challenges that need to be actively managed.
These expectations align closely with quality, safety and governance and risk management and safeguarding.
Why multi-agency governance matters
When multiple organisations are involved:
- Accountability can become unclear
- Risks may be shared or fragmented
- Decision-making can slow
Governance frameworks reduce ambiguity.
Clarifying roles and responsibilities
Effective providers ensure:
- Clear role definitions
- Named accountable leads
- Documented escalation routes
This protects both people and organisations.
Information sharing and decision-making
Good practice includes:
- Agreed information-sharing protocols
- Consistent documentation standards
- Shared decision records
This supports continuity and safety.
Managing risk across organisations
Providers should:
- Identify shared and organisational risks
- Agree mitigation actions jointly
- Review risks regularly
Risk management must be proactive.
What commissioners and system leads expect
System partners expect providers to:
- Operate transparently
- Escalate concerns early
- Maintain professional accountability
This underpins system trust.
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