12 Accepted

In May 2020, the new governance arrangements for NHSX had not been finalised.19 We received...

Conclusion
In May 2020, the new governance arrangements for NHSX had not been finalised.19 We received written evidence from NHS Providers, which told us that national governance and oversight arrangements remained fragmented and ambiguous, with many trust leaders still unsure where responsibilities sat between NHSX, NHS Digital and NHSE&I.20 The Department, NHSX and NHS Digital admitted that there were still tensions in the governance model, a lack of clarity over the roles of NHSX and NHS Digital, and overlaps in work. NHS Digital told us that it had started working with NHSX to clarify where the boundary between the two organisations should sit, although it said the work has become less of a priority while it dealt with the COVID-19 outbreak. It told us that the new Chair of NHS Digital was due to take their post within the next few months and would review the approach that had been taken to digital transformation, including the operating models being used across NHS Digital, NHSX and NHSE&I.21
Government Response Summary
The government agrees with the committee's conclusion, recognising the importance of clear governance. It states that the new digital strategy, due in Spring 2021, will set out a clear vision for how national digital bodies will work together and outline their distinct roles and responsibilities. The Digital Transformation Board has also already been established to ensure strategic alignment.
Government Response
Accepted
HM Government Accepted
3.1 The government agrees with the Committee’s recommendation. Target implementation date: Spring 2021 3.2 DHSC and NHSX fully recognise the importance of having clear governance arrangements with defined roles and responsibilities across the health and social care system, to ensure transparency and accountability for the digital transformation of the NHS. It is crucial that the national bodies work together in a coherent and co-ordinated way to effectively deliver the digital transformation and ensure value for money. 3.3 The new digital strategy, due for publication in Spring 2021, will set out a clear vision for how the national digital bodies will work together as one team, to lead and empower local systems to digitally transform health and social care. It will outline their distinct roles and responsibilities, along with how they will operate cohesively to drive progress and ensure accountability. 3.4 DHSC and NHSX have already established the Digital Transformation Board, bringing together senior leaders from DHSC, NHSX, NHS Digital and NHS E&I, to ensure strategic alignment, clear accountability and joined-up decision-making across the national digital system.
Addressee Bodies
HM Treasury
Timeline
Recommendation age 5.7 yrs
Report published 06 Nov 2020