Good governance ensures the change is of high quality and results in good management, performance, engagement and outcomes. Effective and transparent governance systems underpin the change process from planning through to delivery, holding the team delivering the change to account. Governance systems and processes are robust, focused on learning and promote shared decision making. Governance systems should consider the full implications of the change including safety, effectiveness, financial impact, risk management, legal considerations, workforce, population health and inequalities. Governance should be proportionate and avoid duplication.