Why Governance Matters

Strong leadership is only effective when it is underpinned by robust governance frameworks, systems, and processes. In a complex environment, good governance is not just a requirement—it’s a strategic enabler.

As a trusted advisor, we offer a wide range of tailored services to support your organisation’s leadership, risk, and governance development.
 
Our Services

Governance

• Well-Led Reviews aligned with national frameworks (e.g. CQC)
• Board and Committee Effectiveness Reviews
• Support for new organisational forms and cross-organisational governance
• Board development and facilitation

Risk

• Development and review of strategic and operational risk frameworks
• Support with Board Assurance Frameworks (BAFs) and integrated governance models 

Leadership

• Executive Coaching and Mentoring
• Board and Company Secretary Support
• Thought Leadership Events and insights to stay ahead of governance trends

Why Work With Us?

• Experienced and Independent – We work across the NHS and wider public sector, bringing best practice from a wide range of settings
• Tailored and Collaborative -  Every organisation is different. We co-design strategies that meet your unique needs
• Insightful and Impactful – Our work goes beyond compliance to deliver meaningful, strategic results 

Let MIAA support your journey to outstanding leadership.

Contact

Our clients say

"The recent ICB committee governance review has been instrumental in shaping the work to strengthen our overall governance assurance framework. The thorough and collaborative approach provided the Audit Committee and the Executive Team with clear insights and actionable recommendations, enables us to enhance transparency, accountability, and effectiveness across our governance structures. The professionalism and expertise of the MIAA team have been consistently recognised and appreciated by our Board and Audit Committee members.”

ICB Leader

“The outcomes of this review have been instrumental in shaping a more robust and transparent governance framework across our organisation. MIAA’s collaborative approach and evidence-based recommendations have provided assurance but also served as a catalyst for meaningful change. We are confident that the improvements we are making will contribute to a more resilient and responsive health and care system.”

Healthcare System CEO

Contact

Louise Cobain, Executive Director Assurance or Sarah Dowbekin, Associate Director - Continuous Improvement