How are we governed?
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.
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.
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.
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
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.
The Governing Body has also established a number of committees to assist with the discharge of its functions. These committees are set out below
The Union - Putting the needs of the community at the heart of commissioning
Since 2007, North East Lincolnshire Council and the North East Lincolnshire Clinical Commissioning Group have been working very closely together to deliver health services in North East Lincolnshire. As this relationship has developed, both organisations looked forward to the next stage to consider how they could be better equipped to deal with the on-going challenges faced by local government and the NHS.
In 2017, a Union Board was established to integrate both organisations, as far as practicable and appropriate, in order to maximise use of our combined resources and focus. The focus being, to improve the health, care and wellbeing of the local population of North East Lincolnshire.
A Section 75 Agreement is now in place which allows a local authority and a CCG to jointly commission social care and public health services. This agreement represents a natural progression of the relationship between North East Lincolnshire Council and North East Lincolnshire Clinical Commissioning Group, but most important is that, the Union, (through the sum of its CCG and Council parts), operates in a manner that best serves the needs of the population and achieves outcomes that improve the health and wellbeing of the residents, patients and communities we serve.
The Union Board hold a public meeting on a bi-monthly basis.
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.
Quality Governance Committee
This committee oversee quality governance arrangements within the CCG and its providers and oversee the Quality Governance arrangements within the CCG for arrangements around the commissioning of health and social care. The Quality 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 Quality Governance Committee 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.
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 called Community Leads who volunteer their time to work alongside clinical and managerial staff from the CCG. Community Leads are involved in service areas, committees and working groups within the CCG to make sure local people’s views are heard and influence our plans and decisions.
Find out more about the Community Forum