How are we governed?

Unlike other CCGs across England we are responsible for health and adult social care services.

Our governance structure is made up of the following committees which supports the running of the CCG:

Council of Members

The Council of Members is made up of representatives from our 26 GP member practices who each have voting rights. As a joint commissioning organisation a representative from our adult social care provider, Focus also joins and has a voting rights. This group makes decisions on service changes, which are then approved by the Governing Body.

Terms of Reference 

Governing Body

Our Governing Body meets at least four times a year. It’s made up of a mix of clinical/professional members, lay members and CCG officers. The Governing Body main funtion is ensuring that the group has appropriate arrangements in place to exercise its functions effectively, efficiently and economically and in accordance with the groups principles of good governance.  This group makes the final strategic decisions for the organisation.

Meeting dates here

Governing Body Members here 

The Community Forum

The Community Forum plays an important role within North East Lincolnshire Clinical Commissioning Group (CCG).  The forum is made up of people from the local community who volunteer their time to work alongside clinical and managerial staff from the CCG. A representative from this group sits on the Council of Members and Governing Body to make sure local people’s views are heard.

Find out more about the Community Forum

Terms of reference 

Remuneration Committee

The remuneration committee shall be accountable to the groups Governing Body and make recommendations on determinations about the remuneration, fees and other allowances for employees and for people who provide services to the group, and on determinations about allowances under any pension scheme that the group may establish as an alternative to the NHS pension scheme.

Terms of Reference 

Integrated Governance & Audit Committe

The Integrated Governance & Audit Commitee shall be accountable to the group’s Governing Body. It shall also be specifically responsible for providing to the Governing Body  an independent and objective view of all matters pertaining to that body’s functions and responsibilities, notably

  • economy, effectiveness and efficiency
  • governance arrangements, including compliance with those laws regulations and directions governing the group

Terms of Reference 

Primary Care Commissioning Committee

The Primary Care Commissioning Committee, which is accountable to the Group’s governing body, has been established under delegated authority from NHS England to carry out specified functions relating to the commissioning of primary medical services under section 83 of the 2006 Act as set out in the delegation from NHS England. In performing its role the Committee will exercise the specified functions in accordance with the delegation agreement entered into between NHS England and the Group.

Terms of Reference 

The Governing Body has also established a number of sub-committees to assist with the discharge of its functions.  These committees are set out below

The Union 

The 2012 Act makes provision for clinical commissioning groups to make

Section 75 (s75) agreements with local authorities.  The CCG & North East Lincolnshire Council (“The Partners”) have developed integrated commissioning arrangements as defined in the s75.

The Partners have established a committee in common (“The Union”) made up of sub-committees of each of the Partners (so far as CCG concerned a sub-committee of its Governing Body and the Council, a sub-committee of Cabinet) to govern the strategic overview and development of the s75 Services pursuant to the s75 Agreement, s75 of the National Health Service Act 2006 and other enabling legislation. The partners remain sovereign organisations which shall comply with the legal and regulatory obligations that apply to them.

Each Partner shall be represented on the Union by 4 individuals; (“Members”) decision must be unanimously agreed by both Partners and in accordance with the delegated authority referred to in the Terms of Reference.

Terms of Reference - under review

Delivery Assurance Committee

This committee oversees the continuous development of the organisation’s internal performance and delivery assurance framework, encompassing balanced scorecard and exception reporting. The committee provides delivery assurance to the Governing Body that there are robust structures, processes and accountabilities in place for managing performance and delivery throughout the organisation.

Terms of Referene

Care Contracting Committee

This Committee oversee all of the CCGs contracts, ensuring appropriate contracts in place to deliver commissioning strategy, with the exception of those which relate solely to General Practice, for example, Primary Medical Contracts & General Medical Contracts.  These will be managed by the CCGs Primary Care  Commissioning Committee (PCCC).  Where it is not clear whether a contract should be overseen by the CCC or the PCCC, the CCC will determine whether General Practice is the most capable provider or not, and therefore which is the most appropriate committee to deal with the contract/procurement.

Terms of Reference

Clinical Governance Committee 

This committee oversee clinical governance arrangements within the CCG and its providers. Clinical Governance Committee is set around the clinical governance framework 7 pillars, aiming to seek assurance from the CCG Officers, that providers & the CCG are meeting the clinical governance requirements.

The Clinical Governance Committee provides a central point for consulting on new clinical pathways, policies or standard operating procedures and approval ensuring any further action required is undertaken. The Clinical Governance group may also receive reports or results from audit, benchmarking or research and may be required to make recommendations or requests for actions of further work.

 Terms of reference - under review 

Leadership Meeting

The Leadership Meeting is a formal committee of the Governing Body. The authority of the meeting comes primarily from the authority of the individual members of the meeting, but also through its responsibilities as defined by these Terms of Reference.  The key responsibilities of the meeting are to support the day to day management and delivery of the CCG’s business

Terms of Reference - under review