Facere Melius (FM) has a strong track record of working successfully with organisations who have ambition to improve their governance, here is a case study of the work we undertake:


The trust serves a population of 240,000 across the English/Welsh border, it had significant nursing and medical vacancies with 17% of nursing costs spent on agency staff. The number of people leaving month on month was higher than those joining the Trust. There was an predicted end of year deficit of £40m.


The trust was put into special measures following a CQC Inspection which rated them as ‘Inadequate’ for Safety, Responsive and Well-Led. This was followed by a further inspection a year later where they were assessed as 'Inadequate' for Safety and Responsive. Six months later, supported by NHS Improvement, the Trust commissioned an external governance review. The review, conducted by Darren Thorne, made over 60 recommendations for improvement.  


Governance Improvement Programme

Three months after the governance review had been completed the trust commissioned the development and delivery of a governance transformation programme. The programme was developed and delivered by Darren Thorne and his team over a six month period. 

Key elements of the programme included; patient safety, quality strategy and quality improvement, sustainability, integrating systems and governance assurance and engaging with partners and stakeholders.


Patient Safety

  • safety campaigns

  • incident reporting

  • serious incident management

  • duty of candour

  • learning lessons (do once and share).


Quality Improvement

  • quality strategy

  • quality improvement

  • quality surveillance.



  • board development

  • corporate quality and safety support

  • quality and safety workforce review

  • divisional leadership development programme

  • rapid roll-out training


Integrated Systems and Governance Assurance

  • board to ward assurance

  • board and committees

  • risk management improvement

  • risk management systems (Datix, Ulysees)

Engaging Stakeholders

  • commissioners

  • provider partners

  • system-wide quality and safety


Our Experience

We have supported several organisations to improve their governance these have included; NHS organisations, Independent healthcare organisations and charities.