The Policy Governance of the College of Physicians and Surgeons of Saskatchewan:
Over several years, the Council for the College of Physicians and Surgeons of Saskatchewan has been discussing the issue of Policy Governance. In 1998, Council adopted a motion to formulate a governance structure for the College based on the Carver Model.
The significant benefit of a governance structure is that it clearly defines the role, responsibilities, and accountability of the Council and the Council President. As well, it defines the nature of the Council's relationship with the C.E.O. (Registrar). As transition occurs in the membership of Council and in the Council presidency, the model assures continuity in governance policy.
Council, under the Policy Governance structure, develops policies in five distinct categories: Ends, Governance Process, Council (Board)/Staff Relationships, Executive Limitations, and Criteria Governing the Practice of Medicine. These policies define the essence of the organization, what it believes, what it stands for, and what it values and considers important.
Ends: These are the policies that state what the College wants to achieve for the people that it serves. These are not services or programs, but outcomes of the activities of the College. Even though Council members are elected or appointed, they are there to protect the interests of the public (i.e. the Moral Ownership) and not as advocates for the profession (i.e. its members). Although the College does not serve the interests of the profession, it does remain accountable to it by virtue of the obligation to provide public protection at a reasonable cost to the profession.
Governance Process: These are the policies that ensure that the College of Physicians and Surgeons of Saskatchewan achieves its Ends, and avoids unacceptable actions and situations. They are the rules set up by Council to run the organization.
Executive Limitations: These are the policies that articulate what the Registrar can do even though they are stated as what cannot be done. They limit what the Registrar does, but and are stated as what cannot be done. Council limits what the Registrar can do, but does not prescribe how he/she does it.