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Our Governance

Governance as the strong foundation of SANBS’ business

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Our Governance

Reporting frameworks, process and combined assurance

Board responsibilities

The Board of Directors Charter describes the roles, responsibilities, and procedures for the Board. This Charter is reviewed every year or whenever needed. The Board takes the lead by:

Setting strategic direction

Deciding on the overall goals and direction of the company

Approving policies

Agreeing on policies and planning that support the strategic direction, including managing risks and promoting an ethical culture

Overseeing management

Monitoring how effectively the management team is implementing plans and strategies

Ensuring accountability

Making sure that the company meets its performance goals through regular reporting and transparency

Onboarding new Board members

When new Board members are appointed, they participate in an induction programme designed to familiarise them with SANBS, their roles, and their responsibilities.

Board focus areas during FY25

Onboarding new Board members

Integration and engagement of two newly appointed Directors with expertise in clinical governance. Extension of tenures of two co-opted members.

Development of new strategy 2025–2030

Focus on the new five-year strategy emphasising customer centricity, including discussions on strategic projects and initiatives that support this direction.

Engagement with Exco

Regular engagement with Exco on strategy development, risk identification, and Board oversight alignment.

Balanced scorecard and budget approval

A new scorecard, incorporating updated KPIs, was approved in March alongside a revised budget, ensuring alignment of resources with strategic priorities.

Risk and opportunity management

Detailed discussion on strategic risks associated with the new strategy and ensuring these are managed effectively within the risk management framework.

Stakeholder management and engagement

Growing emphasis on strengthening stakeholder identification, prioritisation, and engagement strategies, informed by input from a broad range of stakeholders.

Serve with Heart

Artificial intelligence: The use, governance, risks and opportunities

SANBS is conducting extensive research to ensure thoughtful integration of Artificial Intelligence (AI) as part of its digital transformation journey. The Board appreciates that AI holds transformative potential for SANBS. With appropriate governance, it can enhance efficiency, decision-making, and service delivery. However, there is a strong appreciation that it is essential to carefully manage risks related to data privacy, bias, and overreliance on AI systems.

The ICT team has provided the RTIG Committee with a comprehensive outline, which includes AI concepts, strategic opportunities, relevant real-world use cases tailored to SANBS, and a phased approach for governance-led adoption. This structured approach aims to ensure that AI is implemented responsibly and effectively within the company.

King V guidelines

SANBS commented extensively on the draft King V guidelines to understand the proposed changes and prepare for their implementation. The Board has requested regular feedback on this process to remain informed about forthcoming adjustments.

Board training and development

Enhancing Board training, particularly in light of governance improvements and upcoming regulations such as King V, as well as the importance of AI. Focus on remuneration governance, risk governance, and AI with three sessions scheduled for FY26.

Committee focus

Discussions surrounding the functions and outputs of various committees within the Board, outlining roles and responsibilities in relation to governance.

Review of governance policies

Review of governance policies to maintain alignment with best practice and regulations.

Nurturing organisational culture

Monitoring the company's culture, values, and ethical practices, ensuring they align with strategic objectives and stakeholder expectations.

Performance monitoring

Continuous evaluation of organisational performance relative to strategic goals, supported by regular updates and data from different divisions. FY25 marks the final year of implementing the iHEALTh strategy. From FY25 onwards, the new strategy to 2030 will be monitored.

It takes more than one heart to save a life. At SANBS, we serve with heart, together with every donor, every colleague, and every life touched by our mission.