Neighbourhood healthcare maturity matrix

This maturity matrix is designed to support NHS local place-based neighbourhood boards in hosted arrangements to self-assess whether they are appropriately applying the key principles of good governance practice.

It describes key elements of governance along the y-axis, and graduations of maturity along the x-axis. For each of the key elements, there are indicative statements so that organisations can self-assess their maturity.

The matrix outlines nine core areas for assessment:

• Agency
• Vision and strategy
• Structures / integration
• Neighbourhood leadership
• Relationships (within the neighbourhood and across the broader system)
• Capability development for board and management team
• Umbrella governance from host
• Risk and assurance systems
• Patient and community experience