1. Integrated Digital Care Fund: Applicant Name: Governance Diagram

2. Overview The assessment panels are looking to assure themselves that a clear governance structure is in place that supports decision-making and successful delivery of the project A governance structure chart allows assessment panels to have a simple overview of the governance in place

3. Checklist criteriaSelf-check Project Board for this specific initiative is clearly shown Relationship of Project Board to organisation Board(s) is clearly shown Status of Project Board is clearly indicated (i.e. planned or in-place) Membership of Project Board (job title and project role is clearly listed, but names are not essential) Senior Responsible Owner for Project is clearly shown Commencement Date and Frequency of Meetings shown on diagram for Project Board Project Governance is presented on one page of A4, in a PDF format Checklist

4. EG: AN Other City NHS FT e-Prescribing Project Job TitleProject Role Chief PharmacistSRO IT Project ManagerProject Manager Service Transformation Manager Change Lead PharmacistClinical Lead Other… AN Other City NHS FT Board AN Other City NHS FT EPR Programme Board Chair: J. Bloggs, Medical Director E-Prescribing Project Board Chair: A.Pill, Chief Pharmacist First meeting: January 2014 Frequency: Monthly First meeting: October 2012 Frequency: Monthly