The Membership Forum of the clinical commissioning group has been established as a vehicle for the member practices to hold the governing body to account for the delivery of the clinical commissioning group’s functions. It meets annually and on an ad hoc basis if called by any member practice or where business requires a meeting outside of the annual meeting.
The main function of the governing body is to ensure that the clinical commissioning group has made appropriate arrangements for ensuring that it complies with such generally accepted principles of good governance as are relevant to it and that the group exercises its functions effectively, efficiently and economically.
All governing body members act in accordance with the Standards for Members of NHS Boards and Clinical Commissioning Group Governing Bodies in England.
In delivering its duties the governing body considered a range of strategies, quality, financial and performance assurance reports and policies and received assurances from the governance infrastructure.
The governing body met formally seven times in the period 1 April 2014 to 31 March 2015 (including one extraordinary meeting) on alternate months, in public and was quorate at each meeting. In addition, the governing body met in the intervening months for development sessions.
The committee was constituted in line with the provisions of the NHS Audit Committee Handbook and meets a minimum of five times per year. The committee provides the governing body with an independent and objective view of the clinical commissioning group’s systems of integrated governance, risk management and internal control. The committee ensures that there is an effective internal audit function and that control processes around counter fraud and bribery are in place and reviews the findings of the external auditor.
The Committee has been established in accordance with the above statutory provisions to enable the members to make decisions on the review, planning and procurement of primary care services in Rushcliffe, under delegated authority from NHS England.
In performing its role the Committee will exercise its management of the functions in accordance with the agreement entered into between NHS England and the CCG, which will sit alongside the delegation and terms of reference.
The functions of the Committee are undertaken in the context of a desire to promote increased co-commissioning to increase quality, efficiency, productivity and value for money and to remove administrative barriers.
The role of the Committee shall be to carry out the functions set out in Schedule 2 relating to the commissioning of primary medical services under section 83 of the NHS Act.
This includes the following:
The Committee will also ensure that the CCG carries out the following activities:
The Remuneration Committee makes recommendations to the Governing Body on determinations about the remuneration, fees and other allowances for employees and on determinations about allowances under any pension scheme that the clinical commissioning group may establish as an alternative to the NHS pension scheme. The committee meets as and when required but at least once per year.
The Clinical Cabinet is responsible for overseeing the development of the clinical commissioning group’s vision and strategy, providing clinical direction and ownership of commissioning plans.
GP members of the Clinical Cabinet have a lead clinical role for the clinical commissioning group. Those member practices without a clinical portfolio are present in attendance.
The Patient Cabinet is responsible for overseeing patient and public engagement and participation arrangements, ensuring that the NHS Constitution and the voice of patients and public is embedded in the functions and business of the clinical commissioning group.
The clinical commissioning group hosts a joint Information Governance, Management and Technology Committee under a memorandum of understanding with NHS Nottingham North and East CCG, NHS Nottingham West CCG, NHS Mansfield and Ashfield CCG and NHS Newark and Sherwood CCG.
The IGMT Committee supports and drives the broader information governance (IG) and information management and technology (IM&T) agendas, including ensuring risks relating to information governance and health informatics are identified and managed, leading the development of community-wide IG and IM&T strategies and developing IM&T to improve communication between services for the benefit of patients. The committee meets bi-monthly and is chaired by the director of outcomes and information.
The clinical commissioning group established a joint Quality and Risk Committee under a memorandum of understanding with NHS Nottingham North and East CCG and NHS Nottingham West CCG.
The Quality and Risk Committee monitors reviews and provides assurance that services commissioned by the CCGs are being delivered in a high quality and safe manner, and to promote a culture of continuous improvement and innovation by focusing on the three quality domains: patient safety, patient experience and clinical effectiveness.
The committee acts on behalf of the three CCGs to fulfil their obligations in respect of the following functions:
A joint Safeguarding Committee is established under a memorandum of understanding with NHS Nottingham North and East CCG, NHS Nottingham West CCG, NHS Rushcliffe CCG, NHS Mansfield and Ashfield CCG, NHS Newark and Sherwood CCG and NHS Bassetlaw CCG.
Chaired by the Newark and Sherwood CCG chief nurse, its aims are to ensure that systems and processes are in place to safeguard vulnerable adults and children. The sub-committee responds to matters referred to it by the Nottinghamshire CCG governing bodies, Nottinghamshire Safeguarding Children and Adult Boards, the Nottinghamshire Multi Agency Public Protection Strategic Management Board and the Domestic and Sexual Abuse Executive Group. Wider clinical consultation takes place across the Nottinghamshire and Nottingham City health community, the Care Quality Commission and other multi agency partnership groups and forums.
The committee oversaw the health component of the Nottinghamshire Multi Agency Safeguarding Hub, which brings partner agencies together to ensure prompt information sharing across the health community to safeguard children and vulnerable adults.
The joint Individual Funding Request panel is hosted under a memorandum of understanding by NHS Nottingham West CCG in conjunction with NHS Nottingham North and East CCG, NHS Mansfield and Ashfield CCG and NHS Newark and Sherwood CCG and NHS Rushcliffe CCG.
Clinical commissioning groups are required to have a process for considering funding for individuals who seek NHS commissioned services outside established commissioning policies. This may be a request for funding treatment either where there is no commissioning policy or where the medical condition is not included in a current policy or does not meet the criteria set out in the policy.
The IFR panel is constituted in accordance with the scheme of reservation and delegation of Nottingham West CCG. The applicable policies and procedures are owned and maintained by Nottingham West CCG.