Governance: An analogy:

Governance is analogous to the control systems within an airport: none of us would feel comfortable flying if there were not confidence that clear, robust systems are in place for Managing Risk and which also learn actively from "near misses", and search pro-actively the possibility of new risks. Given that the AMBIT team is Scaffolding existing relationships, where these relationships may be known to be far from ideal (but where better alternatives do not exist), the requirement for a stress on this is clear.

Why here?

AMBIT works with high risk young people and their families, where things can go very wrong, very quickly, with potentially catastrophic implications, so unsurprisingly the adoption of clear governance structures to support Managing Risk is one of the Core Features of AMBIT.



Rather than presuming to 'reinvent the wheel', AMBIT recommends the adoption of Local Risk Management and Governance structures and it is essential that these are implemented to high standard. Where local Governance structures are poorly defined, or inadequate, this is a matter for the wider management structures around the AMBIT team to address. There are a range of recommended Boundaries recorded and manualized in this manual help to support this.

All subsequent aspects of AMBIT are underpinned by this basic principle. Governance includes:

• Clarity in line-management and clinical supervision arrangements
• Appropriate Risk Management protocols
• Attention to processes such as Audit to ensure the 'institution' (or team) is LEARNING at work.

There are a series of topics within this manual relating to the management of risk, which are gathered together under the Topic heading Managing Risk .

There is a built in RiskAssessment that is based on the Hampstead Child Adaptation Measure (see an adapted form of this being embedded within this manual in the form of the AIM.)