The aim is to ensure that the whole screening pathway, including associated follow-up services, is functional and safe.MTI Bannu team leader is the person locally with responsibility for clinical governance of the screening programme, safety and overall performance. Commissioning arrangements are important to good governance. Team leaders need to engage with commissioners to ensure that the quality of services provided are specified and that service level agreements are in place, ensuring that funding is secured and takes into consideration future needs of the service specifically around screening, equipment and staffing resources. internal review and audit in place to demonstrate continuous improvement against programme standards.