Governance between organisations
As the Audit Commission (2005) observed: ‘In the absence of formal governance arrangements, responsibility for supporting the governance of partnerships falls to partners own corporate governance mechanisms’. Likewise, the Chief Executive of the Care Quality Commission, Cynthia Bower, has argued: ‘There needs to be a change of attitude in the NHS in recognising how important it is for clinicians to pass the baton smoothly between services in order to offer person-centred, integrated care’. This raises a series of important questions: Who is accountable when our staff are working in other’s premises? Who is responsible for seeing a patient home to a place of safety? Who can cut pooled budgets?