From the handbook: The purpose of the original Good Governance Handbook was to help achieve good governance focused on delivery for patients. It sought to challenge existing and complex committee structures; to better align with the external environment without duplication of effort and to ensure better decision taking properly informed by timely, relevant information. The handbook placed emphasis upon an effective system of support to boards including trained board secretaries, effective audit committees and an assurance framework more properly aligned to the risks which could compromise the clearly defined strategic objectives of the organisation. The new handbook is not a definitive guide to governance (try Claire Lea’s excellent ICSA Handbookii) rather, as with many GGI papers, it is a think piece, seeking to outline challenging ideas for board members and their supports. It is based on our extensive governance reviews of the UK public sector, our regular Chairs dinners and our contacts worldwide in the fields of governance, risk and quality. Hence we set out here some diversions from normal guidance to provide for future discussion.