Abstract
A foundation trust will usually elect one or more medical staff representatives to the board of governors. This person is likely to be the most influential member of that board through knowledge, experience and self-confidence. This paper outlines the experience of one medical staff governor and some of the ways in which it is possible to support colleagues as well as management. Most importantly the role can have a crucial watchdog function when major financial pressures impinge on resources. The role is ideally suited to a senior physician with reduced clinical commitments. It repays the time and trouble invested.