MAT boards are facing increasing pressure to move beyond compliance and exercise confidence and strategic clarity. Trustees must navigate the balance of guiding vision, holding executives accountable, and safeguarding public resources, while maintaining operational focus. Yet, blurred boundaries, uneven capability, and increasing complexity around finance, SEND and risk continue to challenge many trusts, particularly during merger, growth or crisis. This session will explore how modern governance can unlock strategic value, strengthen executive leadership and build board capacity for the future.