Health Service Governance


The aim of the health service governance module is to equip the chartered secretary with the knowledge and key skills necessary to act as adviser to governing bodies across the NHS in England.

The advice of the chartered secretary includes all aspects of the governance obligations of NHS organisations in England, covering not only legal duties, but also applicable and recommended standards of best practice.

CSQS students can choose to take this module in place of the Corporate Governance module as part of CSQS level one. This module can also be taken as a stand-alone qualification, the ICSA Advanced Certificate in Health Service Governance.

Download the Health Service Governance module syllabus.

Past papers

View recent exams to practise the different types of questions that you might face in the exam.  You can then take a look at the suggested answers to compare the two and find out where you may need to do more study. 

Health Service Governance past papers
Exam sessionExam paperSuggested answers
November 2017 View View
June 2017 View View
November 2016 View View
June 2016 View View
November 2015 View View
June 2015 View View
November 2014 View View
June 2014 View View
November 2013 View View
June 2013 View View
Sample paper View View


ICSA delivers a number of study support webinars for each exam session covering topics ranging from planning your study to exam strategy. You will get details of upcoming webinars via email. Each session is recorded so you can view it at a time to suit you - view the sessions below on YouTube.

Recent webinars include:

  • CSQS new student webinar from January 2018 - this session dealt with study organisation and myICSA.  Click here for the recording.
  • Exam strategy from November 2017. Click here for the recording.  This session dealt with exam techniques, what you can learn from the examiners’ reports and reminders for exam day. 

Past webinars:

  • Study texts and pre-released material for CSQS from March 2016. This session looked at approaches to using the material for CSQS to study for any exam. Please use the link above to view the recording.
  • Exam paper analysis for CSQS from April 2016. This session focused on different approaches to questions, using examiners comments to your advantage and preparing for exam day. Please use the link above to view the recording.
  • Exam strategy for CSQS from May 2016. This session dealt with exam techniques, what you can learn from the examiners’ reports and reminders for exam day. The scripts for this webinar can be found under Financial Decision Making. When the scripts are shown on the recording the screen does go grey but you can still hear commentary.

Exam scripts

The papers below are examples of student answers that were produced in recent exam series. Some papers also include the examiner's comments and feedback.

Health Service Governance student scripts
Exam session Response to question
June 2017 Response to question 2
June 2017 Response to question 5
November 2015 Response to questions 2 & 6
November 2015 Response to question 2
June 2014 Response to question 1
June 2014 Response to question 2



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