Shared Governance

logo The Shared Governance model of leadership encourages personal and professional development whilst focussing on improving patient safety, patient experience and staff experience. You can read more about our Shared Governance journey by reading the articles below:


Shared Governance forms a key part of NUH’s journey to care excellence and obtaining ANCC Magnet® Accreditation. Find out more about Magnet® Accreditation and how the Shared Governance Councils structure and the improvement projects are vital to this journey in this presentation: 


Shared Governance and Magnet Showcase Event


What is Shared Governance?

We define Shared Governance as:

Where staff have collective ownership to develop and improve practice; ensuring patients receive caring, safe and confident care. It places staff at the centre of the decision making process and sees managers having a facilitative leadership role


So far we have implemented Shared Governance at NUH in two ways:

  • Promoting and fostering a facilitative rather than directive leadership approach in our teams
  • Using councils as a vehicle to implement Shared Governance principles

Shared Governance 4 pillars diagram


1) Unit Practice Councils

Unit Practice Councils include one ward/clinical area only. They are our most common form of councils at NUH. These councils meet monthly and tend to have an average of 5-6 members of staff across Bands 2-6 sitting on the council. They focus on improvement that is meaningful to them, whilst using measurable outcomes to evaluate improvement.


2) Speciality Councils

A speciality council sits across wards/clinical areas that are still within the same speciality. One example of this is our Trauma and Orthopaedic council which sits across Wards C4, C5 and C6. This council also sits monthly and will have 2-3 members of staff per ward representing their area on the council. As above, they focus on improvement that is meaningful to them, whilst using measurable outcomes to evaluate improvement.


3) Themed Councils

These councils do not sit across one specific clinical area but sit within our Trust as a whole. They represent a group of staff or particular topic/theme using Shared Governance principles to formulate discussions and actions. They discuss topics such as: the evidence-based practise agenda and the BAME council (Twitter: @BAMEsharedgove1) which supports equality and diversity within the Trust.


4) Leadership Council - chaired by the Chief Nurse, Mandie Sunderland

All the chairs of our councils attend Leadership Council and report back on their work. They answer three questions:

  • What are you working on?
  • What’s going well?
  • What do we need help with?

Ven diagram


The Leadership Council exists to support the frontline staff councils described above, to develop and push forward their agendas, whilst focussing on successes and unblocking challenges where necessary.

If you would like more information please email us at


Celebrating Care Excellence Conference

Once a year we celebrate our Shared Governance and Magnet® achievements, inviting our council members and Magnet® advocates to the ‘Celebrating Care Excellence’ conference. You can watch the video below of our Chief Nurse, Mandie Sunderland opening the 2018 conference.

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