Governance Training

Governance Training for
Health, Care & Charity
Organisations

Practical, sector-specific governance training for boards, senior leaders, registered managers, and trustees, grounded in current regulatory requirements and delivered by specialists who work in your sector every day.

Governance failures do not usually happen because people do not care. They happen because the right knowledge, systems, and habits are not embedded across an organisation. Cognito's governance training programmes are designed to change that, practically rather than theoretically.

Our training is grounded in live regulatory requirements: CQC's 2026 sector-specific frameworks, the Charity Governance Code 2025, NHS England's patient safety strategy, and the Core Skills Training Framework. We design and deliver programmes for healthcare providers, social care organisations, charities, and NGOs, at board level, senior leadership level, and for registered managers and frontline supervisors.

1. NHS & Independent Healthcare

Governance Training for NHS & Independent Healthcare Providers

Board-to-frontline training aligned to CQC's 2026 sector-specific frameworks, Regulation 17, PSIRF, and the NHS Well-led framework.

CQC confirmed in March 2026 that it is moving from the Single Assessment Framework to four sector-specific frameworks, with KLOEs returning and rating characteristics reintroduced. The Well-led domain remains central. Inspectors will look more closely at whether governance and oversight are genuinely embedded, not just documented. For healthcare providers, this means governance training is no longer optional infrastructure. It is inspection-critical.

Well-led Governance Foundation

Who it is for

Boards, NEDs, and executive leads at NHS trusts and independent providers

What it covers
✓

CQC 2026 Well-led KLOE requirements

✓

Board assurance framework design

✓

Governance and accountability structures

✓

Risk escalation to board

✓

Evidence preparation

✓

Self-assessment against the five key questions

Duration

1 day or 2 × half-days

Regulation 17: Good Governance in Practice

Who it is for

Governance leads, quality managers, heads of compliance

What it covers
✓

Regulation 17 requirements in full

✓

Documenting governance systems

✓

Board reporting standards

✓

Quality and safety committee structures

✓

Common inspection findings and how to address them

Duration

Half-day workshop

PSIRF Implementation Programme

Who it is for

Patient safety leads, quality directors, clinical governance teams

What it covers
✓

PSIRF policy and Patient Safety Incident Response Plan (PSIRP)

✓

Moving from retrospective RCA to systemic learning

✓

Patient Safety Specialist role and competencies

✓

Connecting risk and safety improvement

✓

Reporting requirements and NHS England expectations

✓

2026 CQC Well-led and Safe framework alignment

Duration

1 day or modular (3 × 2 hours)

CQC Inspection Readiness Workshop

Who it is for

Registered managers, directors of nursing, quality teams

What it covers
✓

Understanding the 2026 sector-specific framework changes

✓

Evidence file preparation by key question

✓

Mock inspection questions and practice

✓

Duty of Candour in practice

✓

Outstanding actions and how to close them

✓

Reactive to proactive governance: what good looks like

Duration

1 day (can be delivered on-site)

Governance for Clinical Leaders

Who it is for

Clinical directors, lead consultants, senior nurses and AHPs

What it covers
✓

Understanding your governance responsibilities

✓

Risk identification and escalation in clinical settings

✓

Incident reporting and learning (PSIRF)

✓

Raising concerns and duty of candour

✓

Documentation standards for CQC

Duration

Half-day workshop

Digital Governance & Microsoft 365

Who it is for

Governance leads, IT leads, executive teams

What it covers
✓

Using Microsoft 365 to improve governance visibility

✓

Automating reporting and risk tracking

✓

Board dashboards and assurance reporting

✓

Reducing administrative burden while strengthening control

Duration

Half-day or bespoke

Regulatory References
CQC 2026 sector-specific frameworks (confirmed March 2026)
Regulation 17: Good Governance
NHS Well-led framework
PSIRF: Patient Safety Incident Response Framework
Core Skills Training Framework (CSTF): NHS England
Oliver McGowan Code of Practice (full effect September 2025)
2. Social Care

Governance Training for CQC-Regulated Social Care Providers

Training for registered managers, operations directors, and care group boards, grounded in CQC's 2026 social care framework and the reality of running regulated services.

Social care providers face some of the most demanding governance requirements of any regulated sector. CQC's 2026 social care-specific framework introduces structured KLOEs for the Well-led domain, with greater scrutiny of how registered managers demonstrate oversight, learning from incidents, and quality monitoring. At the same time, the Oliver McGowan Code of Practice on learning disability and autism training became a legal requirement in September 2025 under the Health and Care Act 2022, adding another mandatory element to training matrices. Cognito's social care governance training is designed for the real world of care, for organisations running multiple registered locations, managing complex staffing, and trying to maintain quality under regulatory pressure.

Governance for Registered Managers

Who it is for

Registered managers and deputy managers

What it covers
✓

Your governance responsibilities as a Registered Manager

✓

Regulation 17 in practice

✓

Building and maintaining your evidence file

✓

Incident reporting, learning, and Duty of Candour

✓

Managing complaints and feedback

✓

Preparing for a CQC inspection: short notice readiness

✓

Common "Requires Improvement" findings and how to avoid them

Duration

1 day (can be on-site)

Board & Leadership Governance for Care Groups

Who it is for

Board members, CEOs, and operations directors at multi-site care providers

What it covers
✓

Board assurance framework for social care

✓

Risk register ownership and escalation

✓

Quality monitoring across multiple registered locations

✓

CQC relationship management

✓

Governance failures in social care: case studies and lessons

✓

Moving from reactive to proactive governance

Duration

1 day or 2 × half-days

Quality Monitoring & Audit Systems

Who it is for

Quality leads, compliance managers, operations teams

What it covers
✓

Building a quality monitoring programme

✓

Audit design and scheduling

✓

Connecting audit findings to improvement plans

✓

Reporting quality data to the board

✓

Themes from CQC's State of Care 2025/26

Duration

Half-day workshop

Safe Recruitment & Workforce Governance

Who it is for

HR leads, registered managers, operations directors

What it covers
✓

Regulation 19 (Fit and Proper Persons) in practice

✓

Safe recruitment checklists and record-keeping

✓

DBS checking requirements and processes

✓

Agency and bank staff governance

✓

Supervision and appraisal frameworks

✓

Whistleblowing and speaking up culture

Duration

Half-day workshop

Incident Management & Learning

Who it is for

Registered managers, seniors, quality leads

What it covers
✓

Serious incident reporting obligations

✓

Duty of Candour: what it means in social care

✓

Building a learning culture

✓

Thematic analysis of incidents

✓

Connecting incident learning to training and practice change

✓

CQC expectations on evidence of learning

Duration

Half-day workshop

Oliver McGowan & Equality in Governance

Who it is for

All care staff: managers and frontline

What it covers
✓

Oliver McGowan Code of Practice: legal requirements from September 2025

✓

Learning disability and autism awareness

✓

Reasonable adjustments in governance and care

✓

Equality Act 2010 obligations in social care

✓

Person-centred care governance

Duration

Half-day: can be combined with induction

Regulatory References
CQC 2026 adult social care sector-specific framework (confirmed March 2026)
Regulation 17: Good Governance
Regulation 19: Fit and Proper Persons
Regulation 20: Duty of Candour
Oliver McGowan Code of Practice: Health and Care Act 2022, Section 181 (September 2025)
CQC State of Care Report 2025/26: common findings in social care
3. Charities & Non-Profits

Governance Training for Charities & Non-Profit Organisations

Trustee training, board development, and governance capacity building aligned to the Charity Governance Code 2025 and Charity Commission requirements, for charities of all sizes.

The Charity Governance Code was updated in November 2025, its first revision in five years. The new Code sets out eight universal governance principles with 41 outcomes. While compliance is not legally required, the Charity Commission references it in its guidance, grant funders increasingly ask about governance standards, and a strong governance framework provides the assurance that trustees, regulators, and the public increasingly expect. For CQC-registered charities (those providing health or care services), governance requirements are even more demanding. They face dual regulation: the Charity Commission and CQC simultaneously, each with distinct and sometimes overlapping expectations. Cognito works with charities of all sizes, from small volunteer-led organisations to large national charities and international NGOs. Our training is practical, not academic, and is designed to help trustees and senior leaders understand what good governance actually looks like in their organisation.

Trustee Essentials: Roles, Duties & Responsibilities

Who it is for

New and existing trustees, board members

What it covers
✓

Six main duties of a charity trustee (from The Essential Trustee, CC3)

✓

Charity Commission guidance and regulatory framework

✓

Governing documents and charitable purposes

✓

Trustee liability and personal responsibility

✓

Conflicts of interest: policy, register, and management

✓

Decision-making at board level

✓

What the Charity Commission looks for when things go wrong

Duration

Half-day workshop or online module

Charity Governance Code 2025: Board Self-Assessment

Who it is for

Full board of trustees and CEO

What it covers
✓

The eight principles of the Charity Governance Code 2025

✓

Facilitated self-assessment against all 41 outcomes

✓

Identifying governance gaps and priorities

✓

Producing a governance improvement plan

✓

Using the Code to strengthen funder and public confidence

Duration

Full-day facilitated session (on-site recommended)

Finance & Risk Governance for Trustees

Who it is for

Trustees with financial oversight responsibilities, treasurers, CEOs

What it covers
✓

Trustee financial duties and liabilities

✓

Reading and understanding charity accounts

✓

Risk register design and oversight

✓

Internal controls and financial governance

✓

Charity SORP 2026: what changes and what trustees need to know

Duration

Half-day workshop

Serious Incident Reporting & Crisis Governance

Who it is for

CEOs, Chairs, senior trustees

What it covers
✓

Charity Commission serious incident reporting obligations

✓

What must be reported and when

✓

How to manage a regulatory intervention

✓

Whistleblowing governance

✓

Crisis communication and transparency

✓

Case studies: what went wrong and how it could have been prevented

Duration

Half-day workshop

Dual Regulation: Charity Commission & CQC

Who it is for

CEOs, trustees and senior leaders at CQC-registered charities

What it covers
✓

Understanding dual regulation: Charity Commission and CQC obligations

✓

Where the frameworks overlap and where they diverge

✓

Building an integrated compliance calendar

✓

Evidence of compliance for both regulators

✓

Common failures in dual-regulated charities and how to avoid them

Duration

1 day (recommended for CQC-registered charities only)

Strategic Governance & Board Effectiveness

Who it is for

Boards undertaking a governance review or planning for growth

What it covers
✓

Board composition and skills: the skills matrix approach

✓

Trustee recruitment, induction, and succession planning

✓

Chair and CEO relationship and boundaries

✓

Board meeting effectiveness: papers, challenge, and decision quality

✓

Diversity and inclusion in governance

✓

Long-term sustainability and organisational resilience

Duration

1 day or structured board away-day

Governance for International NGOs

Who it is for

Boards and senior leaders of NGOs operating across multiple jurisdictions

What it covers
✓

Governance across multiple legal frameworks

✓

Risk management in complex international environments

✓

Safeguarding governance

✓

Donor compliance and reporting

✓

Working with local partners: accountability and governance

✓

FCPA, UK Bribery Act, and anti-corruption governance

Duration

Bespoke: typically 1 to 2 days

Regulatory References
Charity Governance Code 2025: 8 universal principles, 41 outcomes (updated November 2025)
The Essential Trustee: CC3 (Charity Commission)
Conflicts of Interest: CC29 (Charity Commission)
Charity Commission serious incident reporting guidance
Charities SORP 2026: new three-tier framework
Health and Care Act 2022 (for CQC-registered charities)