Wildlife health is important for conservation, healthy ecosystems, sustainable development, and biosecurity. It presents unique challenges for national programme governance and delivery because wildlife health crosses not only jurisdictional responsibilities and authorities but also inherently spans multiple sectors of expertise. The World Organisation for Animal Health (OIE) encourages its Members to have wildlife disease monitoring and notification systems. Where national wildlife health surveillance programmes do exist, they vary in scope and size. Evidence-based guidance is lacking on the critical functions and roles needed to meet the OIE’s recommendations and other expectations of a national programme. A literature review and consultation with national wildlife health programme leaders identified five key attributes of national programmes including: (1) being knowledge and science based; (2) fostering cross-nation equivalence and harmonisation; (3) developing partnerships and national coordination; (4) providing leadership and administration of national efforts and (5) capacity development. Proposed core purposes include: (1) establishing and communication of the national wildlife health status; (2) leading national planning; (3) centralising information and expertise; (4) developing national networks leading to harmonisation and collaborations; (5) developing wildlife health workforces and (6) centralising administration and management of national programmes. A national wildlife health programme should aim to identify, effectively communicate, and manage the risk to or from a country’s wildlife populations. It should generate the appropriate knowledge required to improve the effectiveness of wildlife policies and systems, including identifyinhttp://www.oie.int/en/publications-and-documentation/scientific-and-technical-review-free-access/peer-reviewed-papers-for-the-plurithematic-review-2018/g and assessing emerging priorities, thus increasing warning for preparedness and preventive actions.