Harbour Governance Insights and Analysis.

Harbour Governance publishes regular analysis and practical guidance for independent and private healthcare providers in England and Wales. Our three sections cover regulatory updates, practical governance guidance and broader sector insight — all written by experienced governance professionals, for governance professionals.

How to Make Shared Governance Work: Navigating the NHS and Independent Sector Divide
Practical Governance Christine Katherine Sawyer Practical Governance Christine Katherine Sawyer

How to Make Shared Governance Work: Navigating the NHS and Independent Sector Divide

A landmark 2026 national survey of 320 NHS and independent sector leaders confirms that shared clinical governance across the two sectors mostly relies on informal goodwill rather than formal process, leaving independent providers exposed to risks — like unverified consultant scope-of-practice claims — they may not discover until a crisis forces the issue.

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