Primary Care Commissioning Next Steps to Delegated Commissioning September Board Paper. 2.0 Delegated Opportunities, Benefits and Risks

Size: px
Start display at page:

Download "Primary Care Commissioning Next Steps to Delegated Commissioning September Board Paper. 2.0 Delegated Opportunities, Benefits and Risks"

Transcription

1 Primary Care Commissioning Next Steps to Delegated Commissioning September Board Paper 1.0 Introduction This paper provides a briefing to the Wandsworth CCG Board on our progress in developing a Primary Care Commissioning Programme in Wandsworth as part of the wider transforming primary care programme. Previous papers to the Board have provided detail on our progress to date and addressed the potential opportunities and risks associated with taking on fully delegated primary care functions in the future. This paper should be read in conjunction with the Delegated Commissioning paper submitted by South West London Collaborative Commissioning (SWLCC) which provides an update on matters relating to delegated commissioning for each of the South West London CCG Governing Bodies to support the decision making process. This paper details our local progress to date updating on the developments of the work programme and how the CCG is ensuring that we will be in a position to take on fully delegated commissioning responsibilities in the future whilst addressing some of the previous concerns raised by the Board. 2.0 Delegated Opportunities, Benefits and Risks Delegated Commissioning arrangements give CCGs full responsibility for commissioning general practice services. Legally NHSE will retain the residual liability for the performance of primary medical care commissioning and as such NHSE will require assurance that its statutory functions are being discharged effectively by the CCG. The formal liability for primary care commissioning for legal reasons will remain with NHS England although individual CCGs will remain accountable for meeting their statutory duties for instance in relation to quality, financial resources and public participation. Delegated responsibilities will include: Contractual GP performance management Budget management Complaints management Design of local incentive schemes as an alternative to QOF and DES contracts Delegated commissioning arrangements will exclude any individual GP performance management. NHSE will also be responsible for the administration of payments and list management Legally NHSE will retain the residual liability for the performance of primary medical care commissioning. Therefore will require robust assurances that its statutory functions are being discharges effectively Delegated commissioning excludes functions reserved to NHS England but CCGS will be expected to work collaboratively with NHS England and will assist and support NHS England to carry out these 1

2 Reserved Functions. These Reserved Functions include individual GP performance management, administration of payments and performers list management, Section 7A (Public Health) functions and funds, capital expenditure functions and funds, complaints management and decisions in relation to the Prime Ministers Challenge Fund. Fully Delegated Commissioning offers an opportunity for CCGs to assume full responsibility for commissioning general practice services. Opportunities and benefits that exist within full delegation arrangements include: GPs in CCGs to have direct leadership to influence the development of investment in general practice CCGs will be best place to commissioning primary, community and secondary care in holistic and integrated manner Ability to design local schemes to replace QOF and DESs based on local knowledge CCGs will have more power to drive forward the five year forward agenda Greater freedom for how primary care finances are used Local decisions closer to patients needs Ability to use innovative commissioning to implement local priorities Better care for patients via joined up working Tailored services to meet the local needs of the patient population Local patients have greater opportunities to input and influence Creates the ability to develop and commission end to end care Adopting fully delegated arrangements for Primary Care Commissioning Services will benefit patients as it will provide a greater opportunity for them to influence local service delivery as CCGs take a more active role in commissioning primary care services. This will mean the provision of local services that are better suited to address local needs and priorities. The increased control over locally commissioned services will enable us to develop more seamless, joined up patient pathways and end to end patient care. By delivering these services we can ensure a better patient experience e.g. if we want to have better access to care over the weekend or out of hours, this can be achieved as a result of GPs working closely together. The more GPs that work together to address this issue, the greater the likelihood that we will be able to make it a reality. The choice on whether we wish to move towards a fully delegated approach in 2016/17 is not without its risks and it is proposed that the CCG Primary Care Commissioning Implementation Group work through identifying these risks and establish systems and/or processes to mitigate against these. Risks associated with adopting the fully delegated approach include: CCG has full accountability if it goes wrong Limited access to resources to perform well Performance management places tension between the CCG and its Members Increase in expectation from NHSE in contract management and complaints handling Failure to deliver effective commissioning plans will undermine the whole primary care transformation plan 2

3 Reliant on IT and practice data sources being shared outside of Primary care Reputational risk if failure occurs Under delegated arrangements there are additional risks in terms of the increased responsibilities associated with this option and there is lack of clarity from NHSE of the exact resources to be allocated and the impact of undertaking additional functions at an individual CCG level. 3.0 Primary Care Commissioning Update 3.1 Progress to date In July the Board agreed in principle that they were confident that a move to delegated commissioning would be the most suitable option for Wandsworth, although further assurances would be required in order to make the formal decision in September. The Board asked for more detail on the governance arrangements in place to support Primary Care Commissioning as well as more information on the due diligence associated with potentially taking on these new responsibilities. Much of the progress taken place over the last two months has been to ensure that we can provide further assurances to the Board in order to make a final decision our future approach to primary care commissioning. 3.2 High Level Work Programme The work programme for the Primary Care Commissioning Implementation Group (PCCIG) can be split into two; in terms of a local implementation programme for Wandsworth and then to ensure the delivery of the requirements of the Joint Committee and meeting any associated programme timeframes. Below details the high level priorities for the Wandsworth PCCIG, which will ensure that we successfully deliver Primary Care Commissioning in Wandsworth and meet the requirements associated our current responsibilites under the Joint Commissioning arrangements in 2015/16. Working through the specific requirements for a move to full delegation from 2016/17 Submission and application process to NHS England Development of the 'Primary Care Committee' as part of the requirements for delegated commissioning Financial Development - managing the risk within the framework of moving to delegated commissioning Development of the governance arrangements to support fully delegated commissioning Reviewing capacity and resources to ensure that there is sufficient capacity, resources and skills to take on delegated commissioning including contract management, payment authorisation etc. Support the PMS Review Programme in conjunction with NHS England Area Team Development of a comprehensive Communication and Engagement Plan To provide a forum for Wandsworth specific discussion/decisions that are required by NHS England Area Team i.e practice closures, GP retirements Developing the future Quality performance indicators for Primary Care 3

4 The delivery of this workplan is fundamental in ensuring that Wandsworth will be in a position to take on the functions assocaited with delegated arrangements aiming to locally address some of the risks associated with delegated commissioning. 3.3 Governance Arrangements The Primary Care Commissioning Implementation Group (PCCIG) has been established the aim of which is to operationalise the vision and strategy for Primary Care Commissioning more specifically to enable to the CCG to move forward with taking on fully delegated primary care commissioning functions from April This group will act as the formal Wandsworth CCG Working Group as required by the South West London Joint Committee and as such will support the Committee requirements and associated work programme until Wandsworth is in a position to take on the fully delegated primary care functions. The membership of this group includes the three Wandsworth representatives on the Joint Committee, with the purpose of ensuring effective lines of communication between the Joint Committee and the CCG. The Terms of Reference (TORs) for the group are currently being finalised but it s important to note that these stipulate that this group will be established on an interim basis with the sole purpose of supporting the work programme to establish delegated commissioning arrangements. These TORs also make reference to the wider context of our overarching Primary Care Transformation Strategy; consequently it is important to recognise that there will be additional groups that will have interdependencies with the work programme of the group; namely the Estates Working Group, the Primary Care Transformation Steering Group, GP Resources Committee and the Contract and Procurement Management Group. As part of the future requirements to move to fully delegated commissioning arrangements the CCG need to ensure that we have a Primary Care Committee in place in order for NHS England to effectively discharge the functions associated with primary care commissioning. As part of the governance structure in development it is proposed that the current GP Resources Committee take the place of the Primary Care Committee in the future, with the Primary Care Implementation Group charged with supporting this process in order to ensure that we meet the requirements as stipulated by NHS England. Guidance has been released from NHS England in the form of Draft TORs (Appendix A) which detail the requirements of this Committee. 3.4 Engaging with our Members, Patients and the Public Engagements activities have been part of an ongoing programme of work to ensure that Members, Patients and the Public are kept informed on our programme of work associated with Primary Care Commissioning in Wandsworth and have an opportunity to comment on and influence the decisions being made. Our Wandsworth Membership have been kept constantly updated and involved in the decision making throughout this process via focussed Joint Locality Members Forums, and presentations and discussions at all Locality Member Forums to consider the option of moving to delegated commissioning in In addition, to ensure that the Board can confidently make a decision in full 4

5 knowledge of the views of our Members all GPs and Practice Mangers have been asked to feedback via an online survey, any concerns or raise any queries in light of the decisions being made. Of the 270 members surveyed, nineteen (7%) ) responses were received from our Membership, with 8 (3%) individuals either requesting further information or raising concerns; the key themes of which are detailed below Key Themes from our Member s Survey 1. Would you like more information about what Full Delegation may mean for Member Practices, and if so what? Practical Details and Examples Provide a concise summary of what it actually means specifics of the changes and the implications of these changes Contracting KPIs PMS Review process Contracting routes for the future Withdrawing of contracts Process Timescales for the changes When will the CCG be managing the contracts 2. Do you have any concerns about a move to taking on Fully Delegated Commissioning that you would like to raise? Are systems in place to take on delegated short time frame for establishing new structure and processes Does the CCG have the staff, and capacity to do the work Impact of the additional responsibilities on the organisation Do we have systems in place to mange Conflicts of Interest Consequences of taking on delegated commissioning Creating uncertainty What will with impact be on Primary Care staff and their workload Destabilise Primary Care Contracting Process Will there be changes in the funding of contracts How will they be funded Will it create inequalities/inequity in funding for practices Will contract values be reduced In response to the survey a report will be sent back to our Members which will look to address these questions and concerns and provide the additional information as required. Additionally a frequently asked questions (FAQ) leaflet will be developed that will be regularly updated in order to provide a forum for Members to raise any questions and ensure that any additional queries can be answered. A structured programme of patient and public engagement has taken place over the last 11 months which has included regular attendance and presentations at a number of Locality Patient Group meetings, Locality Member Forums and the PPI Reference Group. The general response following these engagement activities is that there is consistent support for a move towards taking on fully delegated commissioning responsibilities from 2016/17 with each group recognising the benefits and opportunities associated with taking on these arrangements. Targeted engagement work is ongoing with the Wandsworth PPI Reference Group to look at how we can continue to meaningfully engage with patients and the public on the subject of Primary Care Commissioning. As part of this work the Group have begun to look at developing our key messages 5

6 on delegated commissioning to ensure that we provide suitable information for the public that explains the subject and reflects our decision processes and outcomes of implementing our work programme. A Communications and Engagement Plan will be developed by the PCCIG which will further outline our plans to continue to effectively engage with members, patients, Public and stakeholders. 3.5 PMS Review Process for As part of the Joint Commissioning work programme for 2015/16 it is understood that the CCG will need to support the PMS review process that is being undertaken by NHS England which is part of a National directive which required a review of all local PMS contracts and to complete this review process by March 2016 at the latest. The purpose of the review is to secure best value from future investment of the premium element of PMS funding. NHS England London Area Team colleagues have stated that they will be providing additional non recurrent resource within the London Team to support the baseline review process, although it has been noted that the time frames associated are exceptionally challenging; with CCGs formally feeding back these concerns. NHS England Area Teams are looking at the data within the contracts and reviewing the KPIs; with the aim of developing a London principle for the premiums for PMS practices. It is clear that any newly developed KPIs should be lined to the 17 specifications including the Strategic Commissioning Framework for London, with the potential for a picking list developed for London which will detail the possible premium options for London CCGs enabling individual organisations to pick those that were are the most appropriate for their area enabling better use of the funding. The Primary Care Implementation Group discussed some of these principles with the NHS England Area Team as there was a concern that it was not sensible to conduct a large scale review until the development of the Multispecialty Community Providers (MCP) model is better established (in 2018) also noting that Wandsworth had previously undertaken a review within the least 3 years and we have some practices who are still in transition as a result. With this is mind it was agreed that a light-touch desktop based review would be the most appropriate approach for Wandsworth looking towards implementing a more robust review process over the next few years in order to ensure that this is completed in conjunction with the wider primary care transformation agenda. 3.6 Delegated Application Process Initial deadlines for our submission to NHS England of our application for delegated commissioning were set at the 2nd October; however these have now been extended to the 6th November to allow CCGs time to complete the application process. This will not change the need to make a formal decision on the direction for Wandsworth at the September Board meeting, however it will provide additional time for us to ensure that we have the information and assurances in place to complete our application. NHS England has recently released a revised application form (Appendix B), and it will be expected that this is completed by the CCG rather than at South West London level as previously with Joint Commissioning. The PCCIG will be responsible for ensuring that information is available to complete the application process and will ensure that the submission timelines are met. 6

7 As such the Board will be asked to delegate the responsibility for completing and submitting the application to the PCCIG in order to meet the timescales involved. As with the 2014/15 process, regional panels will meet to review the proposals and make recommendations to a national panel on which proposals to take forward. It is anticipated that NHS England will compete this process by the end of Next steps due diligence It has been noted that for those CCGs that have taken on delegated commissioning in the first wave there have been a considerable number of legacy issues to manage. As such it has been proposed by the South West London Chief Officers and Chairs that an additional commissioned due diligence exercise is undertaken between September and November to identify any possible areas of risk. The scope of the detailed due diligence exercise will include finance, legal and governance and regulatory issues, the findings of which will be shared with CCGs in December. 5.0 Recommendations The Board are asked to note: The progress to date in developing our local approach to delivering our Primary Care Commissioning Programme and establishing our Primary Care Commissioning Implementation Group. The details included in the South West London Paper and the request to decide whether to proceed with a submission to NHS England on 6th November 2015 to move to delegated commissioning, as of the 1st April 2016, subject to the outcome of the due diligence exercise. The Board are also asked: To delegate the responsibility to the Primary Care Commissioning Implementation Group for the completion and submission of Wandsworth CCG s application to ensure that the correct due diligence is in place as required to complete submission by the 6 th November. 7

8 Appendix A Next steps towards primary care cocommissioning: Annex F Delegated commissioning model-draft terms of reference November

9 Draft terms of reference [insert name] CCG Primary Care Commissioning Committee Introduction 1. Simon Stevens, the Chief Executive of NHS England, announced on 1 May 2014 that NHS England was inviting CCGs to expand their role in primary care commissioning and to submit expressions of interest setting out the CCG s preference for how it would like to exercise expanded primary medical care commissioning functions. One option available was that NHS England would delegate the exercise of certain specified primary care commissioning functions to a CCG. 2. In accordance with its statutory powers under section 13Z of the National Health Service Act 2006 (as amended), NHS England has delegated the exercise of the functions specified in Schedule 2 to these Terms of Reference to [insert name] CCG. The delegation is set out in Schedule The CCG has established the [insert name] CCG Primary Care Commissioning Committee ( Committee ). The Committee will function as a corporate decisionmaking body for the management of the delegated functions and the exercise of the delegated powers. 4. It is a committee comprising representatives of the following organisations: [insert name] CCG [NHS England]; [insert others as relevant]. Statutory Framework 5. NHS England has delegated to the CCG authority to exercise the primary care commissioning functions set out in Schedule 2 in accordance with section 13Z of the NHS Act. 6. Arrangements made under section 13Z may be on such terms and conditions (including terms as to payment) as may be agreed between the Board and the CCG. [insert details as relevant] 9

10 7. Arrangements made under section 13Z do not affect the liability of NHS England for the exercise of any of its functions. However, the CCG acknowledges that in exercising its functions (including those delegated to it), it must comply with the statutory duties set out in Chapter A2 of the NHS Act and including: a) Management of conflicts of interest (section 14O); b) Duty to promote the NHS Constitution (section 14P); c) Duty to exercise its functions effectively, efficiently and economically (section 14Q); d) Duty as to improvement in quality of services (section 14R); e) Duty in relation to quality of primary medical services (section 14S); f) Duties as to reducing inequalities (section 14T); g) Duty to promote the involvement of each patient (section 14U); h) Duty as to patient choice (section 14V); i) Duty as to promoting integration (section 14Z1); j) Public involvement and consultation (section 14Z2). 8. The CCG will also need to specifically, in respect of the delegated functions from NHS England, exercise those set out below: Duty to have regard to impact on services in certain areas (section 13O); Duty as respects variation in provision of health services (section 13P). 9. The Committee is established as a committee of the [Governing Body] of each named CCG [Individual agreements should include appropriate provisions consistent with overriding governance arrangements] in accordance with Schedule 1A of the NHS Act. 10. The members acknowledge that the Committee is subject to any directions made by NHS England or by the Secretary of State. 10

11 Role of the Committee 11. The Committee has been established in accordance with the above statutory provisions to enable the members to [for example] make collective decisions on the review, planning and procurement of primary care services in [insert name of area], under delegated authority from NHS England. 12. In performing its role the Committee will exercise its management of the functions in accordance with the agreement entered into between NHS England and [insert name] CCG, which will sit alongside the delegation and terms of reference. 13. 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. 14. The role of the Committee shall be to carry out the functions relating to the commissioning of primary medical services under section 83 of the NHS Act. 15. This includes the following: GMS, PMS and APMS contracts (including the design of PMS and APMS contracts, monitoring of contracts, taking contractual action such as issuing branch/remedial notices, and removing a contract); Newly designed enhanced services ( Local Enhanced Services and Directed Enhanced Services ); Design of local incentive schemes as an alternative to the Quality Outcomes Framework (QOF); Decision making on whether to establish new GP practices in an area; Approving practice mergers; and Making decisions on discretionary payment (e.g., returner/retainer schemes). 16. The CCG will also carry out the following activities: a) [to be completed examples listed below] 11

12 b) To plan, including needs assessment, primary [medical] care services in [insert area]; c) To undertake reviews of primary [medical] care services in [insert area]; d) To co-ordinate a common approach to the commissioning of primary care services generally; e) To manage the budget for commissioning of primary [medical] care services in [insert area]. Geographical Coverage 17. The Committee will comprise the [insert name] CCG [and, if relevant, other named CCGs]. Membership 18. The Committee shall consist of: [insert make-up of committee list of members included as Schedule 3] 19. The Chair of the Committee shall be [insert process for identification/appointment] 20. The Vice Chair of the Committee shall be [insert process for identification/appointment]. 21. [Consider whether others will be non-voting attendees. This should include a standing invite to a HealthWatch representative and a Health and Wellbeing Board representative.] Meetings and Voting 22. The Committee will operate in accordance with the CCG s Standing Orders. The Secretary [amend as relevant to individual CCG arrangements] to the Committee will be responsible for giving notice of meetings. This will be accompanied by an agenda and supporting papers and sent to each member 12

13 representative no later than [x] days before the date of the meeting. When the Chair of the Committee deems it necessary in light of the urgent circumstances to call a meeting at short notice, the notice period shall be such as s/he shall specify. 23. Each member of the Committee shall have one vote. The Committee shall reach decisions by a simple majority of members present, but with the Chair having a second and deciding vote, if necessary. However, the aim of the Committee will be to achieve consensus decision-making wherever possible. [Reconsider voting procedures following a decision on the make-up of the committee]. Quorum [Insert provisions for quorum. This will need to be consistent with the CCG s Standing Orders and as agreed between the parties. Quoracy will also need to reflect conflicts of interest guidance] Frequency of meetings 24. [Insert provisions for frequency of meetings. The suggested frequency is weekly for the first month and then as agreed after that]. 25. Meetings of the Committee shall: a) be held in public, subject to the application of 23(b); b) the Committee may resolve to exclude the public from a meeting that is open to the public (whether during the whole or part of the proceedings) whenever publicity would be prejudicial to the public interest by reason of the confidential nature of the business to be transacted or for other special reasons stated in the resolution and arising from the nature of that business or of the proceedings or for any other reason permitted by the Public Bodies (Admission to Meetings) Act 1960 as amended or succeeded from time to time. 26. Members of the Committee have a collective responsibility for the operation of the Committee. They will participate in discussion, review evidence and provide objective expert input to the best of their knowledge and ability, and endeavour to reach a collective view. 13

14 27. The Committee may delegate tasks to such individuals, sub-committees or individual members as it shall see fit, provided that any such delegations are consistent with the parties relevant governance arrangements, are recorded in a scheme of delegation, are governed by terms of reference as appropriate and reflect appropriate arrangements for the management of conflicts of interest The Committee may call additional experts to attend meetings on an ad hoc basis to inform discussions. 29. Members of the Committee shall respect confidentiality requirements as set out in the CCG s [Constitution or Standing Orders, amend as relevant]. 30. The Committee will present its minutes to [insert name of relevant area team] of NHS England and the governing body of [insert name] CCG each month [could be longer] for information, including the minutes of any sub-committees to which responsibilities are delegated under paragraph 27 above. 31. The CCG will also comply with any reporting requirements set out in its constitution. 32. [It is envisaged that these Terms of Reference will be reviewed from time to time, reflecting experience of the Committee in fulfilling its functions. NHS England may also issue revised model terms of reference from time to time.] Accountability of the Committee [Budget and resource accountability arrangements and the decision-making scope of the Committee to be included within this section as agreed] [The CCG will need to review its Standing Financial Instructions and Standing Orders to ensure that are sufficient in the context of delegated commissioning.] [For the avoidance of doubt, in the event of any conflict between the terms of this Scheme of Delegation and Terms of Reference and the Standing Orders of Standing Financial Instructions of any of the members, the latter will prevail.] [Allowance for consultation with members of CCGs / public] 14

15 Procurement of Agreed Services [The detailed arrangements regarding procurement will be set out in the delegation agreement. Please refer to the Next Steps in primary care cocommissioning document for further guidance on this.] Decisions 33. The Committee will make decisions within the bounds of its remit. 34. The decisions of the Committee shall be binding on NHS England and [insert name] CCG. 35. The Committee will produce an executive summary report which will be presented to [insert name of area team] of NHS England and the governing body of [insert name] of the CCG each month [could be longer period] for information. [Signature provisions] [Schedule 1 Delegation-to be added when final arrangements confirmed] [Schedule 2 Delegated functions-to be added when final arrangements confirmed] [Schedule 3 - List of Members-to be added when confirmed] 15

16 Appendix B Delegated Commissioning: Submission pro forma and checklist to apply to commence on 1st April CCGs who do not currently have delegated arrangements for the commissioning of primary medical services are invited to apply for delegated responsibility between now and 6 November To apply, the pro forma communication below should be jointly completed and signed by CCGs and the relevant NHS England Director of Commissioning Operations (DCO), and be sent to the two addresses set out below before midday Friday 6 November 2015 as specified below. It is strongly recommended that CCGs begin working with the corresponding NHS England DCO at least 6-8 weeks in advance of submission to ensure that all the necessary internal processes, information and documentation is updated and approved in advance. NHS England will provide the offer of support to all CCGs to take forward the cocommissioning arrangement of their choice except in cases where the assurance process has raised significant concerns in respect of current capacity and/or capability to enter into a delegated commissioning arrangement. As with the 2014/15 process, regional panels will meet to review the proposals and make recommendations to a national panel on which proposals should be taken forward. CCGs will be notified of the outcome of their application by the end of the year. Further information on the application and approvals process can be found here. Begin communication From: <CCG Name> and <NHS England DCO title> To: england.co-commissioning@nhs.net and NHS England Regional Primary Care Co-Commissioning contact Subject: Application for <CCG Name> to begin delegated commissioning arrangements on 1 April Dear colleagues, This is to confirm that <CCG Name> is applying to begin delegated commissioning of primary medical services with NHS England on 1 April NHS England is requested to progress the application to the regional panels for consideration. 16

17 We are pleased to confirm that the CCG has met the following requirements and that satisfactory evidence of this has been provided to the NHS England DCO: Delegated Commissioning Checklist <CCG Name> has set out clearly defined objectives and benefits of the arrangement CCG Constitution or proposed constitutional amendment has been updated in line with the guidance (and this has also been approved by the NHS England regional office and sent to prior to this submission). Governance documentation has been updated in line with the NHS England guidance (delegated terms of reference) CCG has reviewed its conflicts of interest policy in line with NHS England s managing conflicts of interest statutory guidance. The DCO confirms the CCG meets the required conflicts of interest management thresholds. CCG IG Toolkit meets level 2 criteria as a minimum Y / N Y / N Y / N Y / N Y / N The CCG s current assurance level (as at Q2 of 2015/16 or equivalent) for each of the five assurance components: (Key: Outstanding, Good, Limited Assurance, Not Assured) Well led organisation Delegated Functions, if previously engaged in joint commissioning Finance Performance Planning Additional Comments: O/G/LA/NA O/G/LA/NA O/G/LA/NA O/G/LA/NA O/G/LA/NA Finance template for delegated budgets completed in full (include completed table below): Y / N Notes for completing the finance template: 1. Double click into the table to complete the excel template. 2. Please enter the notified numbers for your CCG and how the primary care allocation is split between GP Services and other primary care functions for 2015/16 (below) 3. This will be reconciled back to the area team allocation for primary care and subsequent in year adjustments. Where possible M6 2015/16 figures should be used. 4. It is recognised that uplift for 2016/17 cannot be notified until the completion of the spending review, and allocation process which is expected to be available from late December

18 PART II Finance Template for delegated budgets Notified delegated Budget (1) Movement out of GP Services (2) Movement Into GP Services (3) Total '000 '000 '000 '000 GP Services /- General Practice - GMS 0 General Practice - PMS 0 Other list based services (APMS) 0 Premises cost reimbursements 0 Other premises costs 0 Enhanced services 0 QOF 0 Other GP services 0 Primary care NHS property services - GP 0 Sub Total GP services N/A + - +/- Acute services 0 Mental health services 0 Community health services 0 Primary care services 0 Continuing care services 0 Other care services 0 Sub total CCG programme costs Total Please provide a description in the change in spend detailed above The DCO confirms the CCG demonstrates appropriate levels of sound financial control and meets all statutory and business planning requirements. The DCO confirms the CCG is capable of taking on delegated functions Y / N Y / N Four scanned / electronic signatures provided at the foot of this . Typed names unfortunately cannot be used. Y / N I hereby confirm that <CCG Name> membership and governing body have seen and agreed to all proposed arrangements in support of taking on delegated commissioning arrangements for primary medical services on behalf of NHS England for 2016/17. NHS England is requested to progress the application to the regional panels for consideration. 18

19 Signed by <CCG Name> Accountable Officer Signature (scan/electronic version required): Print Name: Position: Date: Signed on behalf of <CCG Name> Audit Committee Chair Signature (scan/electronic version required): Print Name: Position: Date: Signed by NHS England Director of Commissioning Operations Signature (scan/electronic version required): Print Name: Position: Date: End communication 19

Delegated Commissioning Updated following latest NHS England Guidance

Delegated Commissioning Updated following latest NHS England Guidance Delegated Commissioning Updated following latest NHS England Guidance 13th August 2015 Croydon, Kingston, Merton, Richmond, Sutton and Wandsworth NHS Clinical Commissioning Groups and NHS England (Direct

More information

Primary Care Commissioning Committee. Terms of Reference. FINAL March 2015

Primary Care Commissioning Committee. Terms of Reference. FINAL March 2015 Primary Care Commissioning Committee Terms of Reference FINAL March 2015 1. Introduction 1.1. Simon Stevens, the Chief Executive of NHS England, announced on 1 May 2014 that NHS England was inviting Clinical

More information

Clinical Commissioning Group Governing Body Paper Summary Sheet For: PUBLIC session PRIVATE session. Date of Meeting: 24 March 2015

Clinical Commissioning Group Governing Body Paper Summary Sheet For: PUBLIC session PRIVATE session. Date of Meeting: 24 March 2015 Clinical Commissioning Group Governing Body Paper Summary Sheet For: PUBLIC session PRIVATE session Date of Meeting: 24 March 205 For: Decision Discussion Noting Agenda Item and title: Author: GOV/5/03/20

More information

Update on co-commissioning of primary care: guidance for CCG member practices and LMCs

Update on co-commissioning of primary care: guidance for CCG member practices and LMCs Update on co-commissioning of primary care: guidance for CCG member practices and LMCs British Medical Association bma.org.uk This paper is an update of previous GPC (general practitioners committee) guidance

More information

Next steps towards primary care cocommissioning

Next steps towards primary care cocommissioning Next steps towards primary care cocommissioning November 2014 1 NHS England INFORMATION READER BOX Directorate Medical Commissioning Operations Patients and Information Nursing Trans. & Corp. Ops. Commissioning

More information

Delegated Commissioning of Primary Medical Services Briefing Paper

Delegated Commissioning of Primary Medical Services Briefing Paper Appendix One Delegated Commissioning of Primary Medical Services Briefing Paper 1.0 Introduction Swindon CCG has been jointly commissioning Primary Medical Services with NHS England under co-commissioning

More information

Clinical Commissioning Group Governing Body Paper Summary Sheet For: PUBLIC session PRIVATE session

Clinical Commissioning Group Governing Body Paper Summary Sheet For: PUBLIC session PRIVATE session Clinical Commissioning Group Governing Body Paper Summary Sheet For: PUBLIC session PRIVATE session Date of Meeting: 22 November 2016 For: Decision Discussion Noting Agenda Item and title: Author: Lead

More information

Leeds West CCG Governing Body Meeting

Leeds West CCG Governing Body Meeting Agenda Item: LW2015/115 FOI Exempt: N Leeds West CCG Governing Body Meeting Date of meeting: 4 vember 2015 Title: Delegated Commissioning of Primary Medical Services Lead Governing Body Member: Dr Simon

More information

West London Governing Body 01 November 2016 Progression to potential delegated commissioning - discussion

West London Governing Body 01 November 2016 Progression to potential delegated commissioning - discussion West London Governing Body 01 November 2016 Progression to potential delegated commissioning - discussion Executive Summary Local Services Programme Executive on 16 and 23 September, and CWHHE Chairs and

More information

Transforming Primary Care

Transforming Primary Care Transforming Primary Care Co-commissioning - a new local way for designing and providing Primary Care Services What will it mean for me and my family? Croydon, Kingston, Merton, Richmond, Sutton and Wandsworth

More information

Delegated Commissioning in NW London: Frequently Asked Questions

Delegated Commissioning in NW London: Frequently Asked Questions Delegated Commissioning in NW London: Frequently Asked Questions 16 November 2016 Contents General questions 3 Benefits and risks of delegated commissioning 4 2017 V 2018 6 Conflict of interest 9 Contracting

More information

INTEGRATION SCHEME (BODY CORPORATE) BETWEEN WEST DUNBARTONSHIRE COUNCIL AND GREATER GLASGOW HEALTH BOARD

INTEGRATION SCHEME (BODY CORPORATE) BETWEEN WEST DUNBARTONSHIRE COUNCIL AND GREATER GLASGOW HEALTH BOARD INTEGRATION SCHEME (BODY CORPORATE) BETWEEN WEST DUNBARTONSHIRE COUNCIL AND GREATER GLASGOW HEALTH BOARD This integration scheme is to be used in conjunction with the Public Bodies (Joint Working) (Integration

More information

NHS WOLVERHAMPTON CLINICAL COMMISSIONING GROUP CONSTITUTION

NHS WOLVERHAMPTON CLINICAL COMMISSIONING GROUP CONSTITUTION NHS WOLVERHAMPTON CLINICAL COMMISSIONING GROUP CONSTITUTION Version: [78] NHS England Effective Date: 1 December 2015 April 2017 CONTENTS Part Description Page Foreword 1 1 Introduction and Commencement

More information

Collaborative Agreement for CCGs and NHS England

Collaborative Agreement for CCGs and NHS England RCCG/GB/15/164 Collaborative Agreement for CCGs and NHS England East Midlands Collaborative Commissioning Oversight Group (EMCCOG) 1. Particulars 1.1. This Agreement records the particulars of the agreement

More information

Methods: Commissioning through Evaluation

Methods: Commissioning through Evaluation Methods: Commissioning through Evaluation NHS England INFORMATION READER BOX Directorate Medical Operations and Information Specialised Commissioning Nursing Trans. & Corp. Ops. Commissioning Strategy

More information

Kingston Primary Care commissioning strategy Kingston Medical Services

Kingston Primary Care commissioning strategy Kingston Medical Services Kingston Primary Care commissioning strategy Kingston Medical Services Kathryn MacDermott Director of Planning and Primary Care Kathryn.macdermott@kingstonccg.nhs.uk kmacdermott@nhs.net 1 Contents 1. Introduction...

More information

Quality and Governance Committee. Terms of Reference

Quality and Governance Committee. Terms of Reference Quality and Governance Committee Terms of Reference 1. Constitution 1.1 The Clinical Commissioning Group s Governing Body hereby resolves to establish a Committee of the Governing Body known as the Quality

More information

MEMORANDUM OF UNDERSTANDING

MEMORANDUM OF UNDERSTANDING MEMORANDUM OF UNDERSTANDING Memorandum of Understanding Co-Commissioning Between NHS England Lancashire And South Cumbria And Clinical Commissioning Groups 1 Memorandum of Understanding (MoU) for Primary

More information

Meeting of the Primary Care Joint Committee

Meeting of the Primary Care Joint Committee Meeting of the Primary Care Joint Committee to be held on Tuesday 29 November 2016, 4.30 pm 6 pm in the Armstrong Stephenson Room, Newcastle Civic Centre, NE1 8QH Agenda Papers Presenter 1. Welcome and

More information

CLINICAL AND CARE GOVERNANCE STRATEGY

CLINICAL AND CARE GOVERNANCE STRATEGY CLINICAL AND CARE GOVERNANCE STRATEGY Clinical and Care Governance is the corporate responsibility for the quality of care Date: April 2016 2020 Next Formal Review: April 2020 Draft version: April 2016

More information

SPONSORSHIP AND JOINT WORKING WITH THE PHARMACEUTICAL INDUSTRY

SPONSORSHIP AND JOINT WORKING WITH THE PHARMACEUTICAL INDUSTRY SPONSORSHIP AND JOINT WORKING WITH THE PHARMACEUTICAL INDUSTRY 1 SUMMARY This document sets out Haringey Clinical Commissioning Group policy and advice to employees on sponsorship and joint working with

More information

Enhanced service specification. Avoiding unplanned admissions: proactive case finding and patient review for vulnerable people

Enhanced service specification. Avoiding unplanned admissions: proactive case finding and patient review for vulnerable people Enhanced service specification Avoiding unplanned admissions: proactive case finding and patient review for vulnerable people 1 Enhanced service specification Avoiding unplanned admissions: proactive case

More information

Integrating care: contracting for accountable models NHS England

Integrating care: contracting for accountable models NHS England New care models Integrating care: contracting for accountable models NHS England Accountable Care Organisation (ACO) Contract package - supporting document Our values: clinical engagement, patient involvement,

More information

Manchester Health and Care Commissioning Board. A partnership between Manchester. City Council and NHS Manchester Clinical Commissioning Group

Manchester Health and Care Commissioning Board. A partnership between Manchester. City Council and NHS Manchester Clinical Commissioning Group Manchester Health and Care Commissioning Board A partnership between Manchester City Council and NHS Manchester Clinical Commissioning Group Agenda Item: Report Title: Date: Strategic Commissioning Prepared

More information

Joint Commissioning Committee Terms of Reference

Joint Commissioning Committee Terms of Reference Role of the Joint Committee Joint Commissioning Committee Terms of Reference 1. The role of the Joint Committee shall be to carry out the functions relating to the commissioning of primary medical services

More information

ALLOCATION OF RESOURCES POLICY FOR CONTINUING HEALTHCARE FUNDED INDIVIDUALS

ALLOCATION OF RESOURCES POLICY FOR CONTINUING HEALTHCARE FUNDED INDIVIDUALS ALLOCATION OF RESOURCES POLICY FOR CONTINUING HEALTHCARE FUNDED INDIVIDUALS APPROVED BY: South Gloucestershire Clinical Commissioning Group Quality and Governance Committee DATE Date of Issue:- Version

More information

NATIONAL INSTITUTE FOR HEALTH AND CARE EXCELLENCE. Health and Social Care Directorate Quality standards Process guide

NATIONAL INSTITUTE FOR HEALTH AND CARE EXCELLENCE. Health and Social Care Directorate Quality standards Process guide NATIONAL INSTITUTE FOR HEALTH AND CARE EXCELLENCE Health and Social Care Directorate Quality standards Process guide December 2014 Quality standards process guide Page 1 of 44 About this guide This guide

More information

NHS continuing health care joint dispute resolution procedure

NHS continuing health care joint dispute resolution procedure Title: Developed by: Document type: Policy library: Sub Section: Document status: Date of ratification: Ratified By: Date to be reviewed: Version NHS continuing health care joint dispute resolution procedure

More information

Internal Audit. Health and Safety Governance. November Report Assessment

Internal Audit. Health and Safety Governance. November Report Assessment November 2015 Report Assessment G G G A G This report has been prepared solely for internal use as part of NHS Lothian s internal audit service. No part of this report should be made available, quoted

More information

QUALITY COMMITTEE. Terms of Reference

QUALITY COMMITTEE. Terms of Reference QUALITY COMMITTEE Terms of Reference This Committee will report to NHS Halton CCG Governing Body on the development, improvement and monitoring of all areas of quality. This will include clinical effectiveness,

More information

JOB DESCRIPTION. Joint Commissioning Manager for Older People s Residential Care and Nursing Homes

JOB DESCRIPTION. Joint Commissioning Manager for Older People s Residential Care and Nursing Homes JOB DESCRIPTION Job Title: Grade: Team: Accountable to: Joint Commissioning Manager for Older People s Residential Care and Nursing Homes HAY 14 / AfC 8b (indicative) Partnership Commissioning Team Head

More information

City Integrated Commissioning Board

City Integrated Commissioning Board Meeting-in-common of the City & Hackney Clinical Commissioning Group and City of London Corporation City Integrated Commissioning Board Meeting on Tuesday 23 May, 09:30-11:30 Tomlinson Centre, Queensbridge

More information

The Integrated Support and Assurance Process (ISAP): guidance on assuring novel and complex contracts

The Integrated Support and Assurance Process (ISAP): guidance on assuring novel and complex contracts The Integrated Support and Assurance Process (ISAP): guidance on assuring novel and complex contracts Part A: Introduction Published by NHS England and NHS Improvement August 2017 First published: Friday

More information

Yorkshire and Humber Integrated Urgent Care: Service Development and Procurement

Yorkshire and Humber Integrated Urgent Care: Service Development and Procurement Yorkshire and Humber Integrated Urgent Care: Service Development and Procurement NHS Hull Clinical Commissioning Group Governing Body Meeting 23 rd March 2018 1. Purpose Integrated Urgent Care (IUC) is

More information

SAFEGUARDING CHILDREN POLICY

SAFEGUARDING CHILDREN POLICY SAFEGUARDING CHILDREN POLICY The child s needs are paramount, and the needs and wishes of each child, be they a baby or infant, or an older child, should be put first Working Together 2015 p 8 Keeping

More information

Salford Integrated Care System Governance Framework: Adult Health and Care Services FINAL

Salford Integrated Care System Governance Framework: Adult Health and Care Services FINAL Salford Integrated Care System Governance Framework: Adult Health and Care Services FINAL 1 Background and Scope Salford is a forward thinking health and social care economy and as such has established

More information

Reservation of Powers to the Board & Delegation of Powers

Reservation of Powers to the Board & Delegation of Powers Reservation of Powers to the Board & Delegation of Powers Status: Draft Next Review Date: March 2014 Page 1 of 102 Reservation of Powers to the Board & Delegation of Powers Issue Date: 5 April 2013 Document

More information

Review of Terms of Reference of Quality Assurance Committee

Review of Terms of Reference of Quality Assurance Committee Review of Terms of Reference of Quality Assurance Committee Governing Body meeting 3 May 2018 H Author(s) Sponsor Director Purpose of Paper Sue Laing, Corporate Services Risk and Governance Manager Mandy

More information

Enhanced service specification. Avoiding unplanned admissions: proactive case finding and patient review for vulnerable people 2016/17

Enhanced service specification. Avoiding unplanned admissions: proactive case finding and patient review for vulnerable people 2016/17 Enhanced service specification Avoiding unplanned admissions: proactive case finding and patient review for vulnerable people 2016/17 NHS England INFORMATION READER BOX Directorate Medical Commissioning

More information

Joint framework: Commissioning and regulating together

Joint framework: Commissioning and regulating together With support from NHS Clinical Commissioners Regulation of General Practice Programme Board Joint framework: Commissioning and regulating together A practical guide for staff January 2018 Publications

More information

Adults and Safeguarding Committee 19 March Implementing the Care Act 2014: Carers; Prevention; Information, Advice and Advocacy.

Adults and Safeguarding Committee 19 March Implementing the Care Act 2014: Carers; Prevention; Information, Advice and Advocacy. Adults and Safeguarding Committee 19 March 2015 Title Report of Wards Implementing the Care Act 2014: Carers; Prevention; Information, Advice and Advocacy Dawn Wakeling (Adult and Health Commissioning

More information

General Practice Commissioning Strategy Development

General Practice Commissioning Strategy Development General Practice Commissioning Strategy Development Katharine Denton (Wandsworth CCG) 3 December 2014 Version 5. 03.12.2014 1 1. Introduction Strong General Practice is at the heart of any high quality

More information

Westminster Health and Wellbeing Board

Westminster Health and Wellbeing Board Westminster Health and Wellbeing Board Date: 13 July 2017 Classification: Title: Report of: Cabinet Member Portfolio: Wards Involved: Policy Context: Report Author and Contact Details: General Release

More information

DRAFT - NHS CHC and Complex Care Commissioning Policy.

DRAFT - NHS CHC and Complex Care Commissioning Policy. DRAFT - NHS CHC and Complex Care Commissioning Policy. 1. Introduction 1.1 This policy describes the way the following Clinical Commissioning Groups (CCGs) NHS Wirral Clinical Commissioning Group, NHS

More information

QUALITY COMMITTEE. Terms of Reference

QUALITY COMMITTEE. Terms of Reference QUALITY COMMITTEE Terms of Reference CONSTITUTION 1. The Board of Directors approved the establishment of the Quality Committee (known as the Committee in these terms of reference) for the purpose of:

More information

Ordinary Residence and Continuity of Care Policy

Ordinary Residence and Continuity of Care Policy COMMUNITY WELLBEING AND SOCIAL CARE DIRECTORATE Director of Adult Social Services Isle of Wight Council Adult Social Care Ordinary Residence and Continuity of Care Policy August 2016 1 Document Information

More information

Birmingham CrossCity Clinical Commissioning Group Deprivation of Liberty Safeguards (DoLS) Policy: Supervisory body Functions

Birmingham CrossCity Clinical Commissioning Group Deprivation of Liberty Safeguards (DoLS) Policy: Supervisory body Functions Birmingham CrossCity Clinical Commissioning Group Deprivation of Liberty Safeguards (DoLS) Policy: Supervisory body Functions Policy Number Purpose of document To ensure that that the rights of patients

More information

INTEGRATION TRANSFORMATION FUND

INTEGRATION TRANSFORMATION FUND MEETING DATE: 12 December 2013 AGENDA ITEM NUMBER: Item 6.6 AUTHOR: JOB TITLE: DEPARTMENT: Caroline Briggs Director of Commissioning NHS North Lincolnshire Clinical Commissioning Group REPORT TO THE CLINICAL

More information

PRIMARY CARE CO-COMMISSIONING COMMITTEE - PUBLIC MEETING A G E N D A

PRIMARY CARE CO-COMMISSIONING COMMITTEE - PUBLIC MEETING A G E N D A PRIMARY CARE CO-COMMISSIONING COMMITTEE - PUBLIC MEETING Meeting of the Public Primary Care Co-Commissioning Committee to be held on Thursday, 11 January 2018 at 11.30 am 12.30 pm in Room F14, Venture

More information

Any Qualified Provider: your questions answered

Any Qualified Provider: your questions answered Any Qualified Provider: your questions answered September 8, 2011 These answers cover a range of questions about the detail of Any Qualified Provider on integrated care, competition and procurement, liability

More information

A meeting of NHS Bromley CCG Governing Body 25 May 2017

A meeting of NHS Bromley CCG Governing Body 25 May 2017 South East London Sector A meeting of NHS Bromley CCG Governing Body 25 May 2017 ENCLOSURE 4 SOUTH EAST LONDON 111 AND GP OUT OF HOURS MEMORANDUM OF UNDERSTANDING SUMMARY: The NHS England Commissioning

More information

SUPPORT FOR VULNERABLE GP PRACTICES: PILOT PROGRAMME

SUPPORT FOR VULNERABLE GP PRACTICES: PILOT PROGRAMME Publications Gateway Reference 04476 For the attention of: NHS England Directors of Commissioning Operations Clinical Leaders and Accountable Officers, NHS Clinical Commissioning Groups Copy: NHS England

More information

Appendix 1: Integrated Urgent Care Service Update. 1. Purpose

Appendix 1: Integrated Urgent Care Service Update. 1. Purpose Appendix 1: Integrated Urgent Care Service Update 1. Purpose The purpose of this paper is to provide Governing Body members across the collaborative CCGs with an update on the progress of the Integrated

More information

Review of Local Enhanced Services

Review of Local Enhanced Services Review of Local Enhanced Services 1. Background and context 1.1 CCGs are required to prepare for the phasing out of LESs by April 2014 by reviewing the existing LES portfolio and developing commissioning

More information

Integration Scheme. Between. Glasgow City Council. and. NHS Greater Glasgow and Clyde

Integration Scheme. Between. Glasgow City Council. and. NHS Greater Glasgow and Clyde Integration Scheme Between Glasgow City Council and NHS Greater Glasgow and Clyde December 2015 Page 1 of 60 1. Introduction 1.1 The Public Bodies (Joint Working) (Scotland) Act 2014 (the Act) requires

More information

Surrey Downs Clinical Commissioning Group Governing Body Part 1 Paper Acute Sustainability at Epsom & St Helier University Hospitals NHS Trust

Surrey Downs Clinical Commissioning Group Governing Body Part 1 Paper Acute Sustainability at Epsom & St Helier University Hospitals NHS Trust Surrey Downs Clinical Commissioning Group Governing Body Part 1 Paper Acute Sustainability at Epsom & St Helier University Hospitals NHS Trust 1. Strategic Context 1.1. It has long been recognised that

More information

Papers for the. West Kent Primary Care Commissioning Committee (Improving Access) Tuesday 21 st August at 4 4:30 pm

Papers for the. West Kent Primary Care Commissioning Committee (Improving Access) Tuesday 21 st August at 4 4:30 pm Papers for the West Kent Primary Care Commissioning Committee (Improving Access) on Tuesday 21 st August at 4 4:30 pm at Hadlow Suite, Hadlow Manor Hotel Hadlow, TN11 0JH 1 of 23 Primary Care Commissioning

More information

Clinical Advisory Forum DRAFT Terms of Reference

Clinical Advisory Forum DRAFT Terms of Reference Clinical Advisory Forum DRAFT Terms of Reference 1. Constitution 1.1. The Trust Executive Committee (TEC) hereby resolves to establish a Forum to be known as the Clinical Advisory Forum (the Forum). The

More information

WELSH RENAL CLINICAL NETWORK TERMS OF REFERENCE

WELSH RENAL CLINICAL NETWORK TERMS OF REFERENCE INTRODUCTION WELSH RENAL CLINICAL NETWORK TERMS OF REFERENCE In accordance with WHSSC Standing Order 3, the Joint Committee may and, where directed by the LHBs jointly or the Welsh Government must, appoint

More information

This document is uncontrolled once printed. Please check on the CCG s Intranet site for the most up to date version

This document is uncontrolled once printed. Please check on the CCG s Intranet site for the most up to date version This document is uncontrolled once printed. Please check on the CCG s Intranet site for the most up to date version NHS Continuing Healthcare Policy for the provision of NHS Continuing Healthcare: Choice,

More information

GUIDANCE NOTES FOR THE EMPLOYMENT OF SENIOR ACADEMIC GPs (ENGLAND) August 2005

GUIDANCE NOTES FOR THE EMPLOYMENT OF SENIOR ACADEMIC GPs (ENGLAND) August 2005 GUIDANCE NOTES FOR THE EMPLOYMENT OF SENIOR ACADEMIC GPs (ENGLAND) August 2005 Guidance Notes for the Employment of Senior Academic GPs (England) Preamble i) A senior academic GP is defined as a clinical

More information

MERTON CLINICAL COMMISSIONING GROUP GOVERNING BODY

MERTON CLINICAL COMMISSIONING GROUP GOVERNING BODY MERTON CLINICAL COMMISSIONING GROUP GOVERNING BODY Date of Meeting: 25 th January 2018 Agenda No: 7.2 Attachment: 7 Title of Document: Acute Sustainability at Epsom & St Helier University Hospitals NHS

More information

NHS East and North Hertfordshire Clinical Commissioning Group. Quality Committee. Terms of Reference Version 4.0

NHS East and North Hertfordshire Clinical Commissioning Group. Quality Committee. Terms of Reference Version 4.0 NHS East and North Hertfordshire Clinical Commissioning Group Quality Committee Terms of Reference Version 4.0 1. Introduction 1.1 The Quality Committee (the committee) is established in accordance with

More information

NHS North West London

NHS North West London NHS North West London Shaping a Healthier Future Pre-Consultation Business Case Volume 6 Appendices A1 & A2 Edition: 1 20 June 2012 Page 1 of 29 APPENDIX A1 Programme Governance A.1.1 Key governance principles

More information

Investment Committee: Extended Hours Business Case (Revised)

Investment Committee: Extended Hours Business Case (Revised) PAPER 06 Investment Committee: Extended Hours Business Case (Revised) OVERALL STRATEGY 1. SaHF Care Closer to Home This Extended Hours Business Case is developed within the context of Shaping a Healthier

More information

INCENTIVE SCHEMES & SERVICE LEVEL AGREEMENTS

INCENTIVE SCHEMES & SERVICE LEVEL AGREEMENTS MAY 2007 INCENTIVE SCHEMES & SERVICE LEVEL AGREEMENTS Practice Based Commissioning North and South Essex Local Medical Committees CLARIFYING THE RELATIONSHIP BETWEEN PBC GROUPS AND PCTS AIMS The aim of

More information

Implementing the Mental Health (Wales) Measure 2010

Implementing the Mental Health (Wales) Measure 2010 Implementing the Mental Health (Wales) Measure 2010 Guidance for Local Health Boards and Local Authorities on the Establishment of Joint Schemes for the Delivery of Local Primary Mental Health Support

More information

Oxfordshire Primary Care Commissioning Committee

Oxfordshire Primary Care Commissioning Committee Oxfordshire Clinical Commissioning Group Oxfordshire Primary Care Commissioning Committee Date of Meeting: 2 May 2017 Paper No: 15 Title of Paper: Memorandum of Understanding (MOU) for Primary Medical

More information

NHS ENGLAND BOARD PAPER

NHS ENGLAND BOARD PAPER NHS ENGLAND BOARD PAPER Paper: PB.04.07.2018/05 Title: Developing the NHS long term plan: primary care reform Lead National Director: Ian Dodge, National Director, Strategy and Innovation Purpose of Paper:

More information

England. Questions and Answers. Draft Integrated Care Provider (ICP) Contract - consultation package

England. Questions and Answers. Draft Integrated Care Provider (ICP) Contract - consultation package England Questions and Answers Draft Integrated Care Provider (ICP) Contract - consultation package August 2018 Questions and Answers Draft Integrated Care Provider (ICP) Contract - consultation package

More information

Developing Plans for the Better Care Fund

Developing Plans for the Better Care Fund Annex to the NHS England Planning Guidance Developing Plans for the Better Care Fund (formerly the Integration Transformation Fund) What is the Better Care Fund? 1. The Better Care Fund (previously referred

More information

A Case Review Process for NHS Trusts and Foundation Trusts

A Case Review Process for NHS Trusts and Foundation Trusts A Case Review Process for NHS Trusts and Foundation Trusts 1 1. Introduction The Francis Freedom to Speak Up review summarised the need for an independent case review system as a mechanism for external

More information

The use of lay visitors in the approval and monitoring of education and training programmes

The use of lay visitors in the approval and monitoring of education and training programmes Education and Training Committee, 12 September 2013 The use of lay visitors in the approval and monitoring of education and training programmes Executive summary and recommendations Introduction This paper

More information

NHS DORSET CLINICAL COMMISSIONING GROUP GOVERNING BODY MEETING ADULT AND CHILDREN CONTINUING HEALTHCARE ANNUAL REPORT

NHS DORSET CLINICAL COMMISSIONING GROUP GOVERNING BODY MEETING ADULT AND CHILDREN CONTINUING HEALTHCARE ANNUAL REPORT 9.6 NHS DORSET CLINICAL COMMISSIONING GROUP GOVERNING BODY MEETING ADULT AND CHILDREN CONTINUING HEALTHCARE ANNUAL REPORT Date of the meeting 18/07/2018 Author Sponsoring Board member Purpose of Report

More information

GOVERNING BODY REPORT

GOVERNING BODY REPORT GOVERNING BODY REPORT 1. Date of Governing Body Meeting: 2. Title of Report: Primary Care Comissioning Committee Report. 3. Key Messages: The Clinical Commissioning Group is required to invest 3 per head

More information

NATIONAL INSTITUTE FOR HEALTH AND CARE EXCELLENCE. Interim Process and Methods of the Highly Specialised Technologies Programme

NATIONAL INSTITUTE FOR HEALTH AND CARE EXCELLENCE. Interim Process and Methods of the Highly Specialised Technologies Programme NATIONAL INSTITUTE FOR HEALTH AND CARE EXCELLENCE Principles Interim Process and Methods of the Highly Specialised Technologies Programme 1. Our guidance production processes are based on key principles,

More information

13. CLINICAL ACADEMIC CONSULTANTS (Note: To be read with the guidance associated with Section 13 issued as Annex C to NHS Circular PCS(DD)2004/2)

13. CLINICAL ACADEMIC CONSULTANTS (Note: To be read with the guidance associated with Section 13 issued as Annex C to NHS Circular PCS(DD)2004/2) 13. CLINICAL ACADEMIC CONSULTANTS (Note: To be read with the guidance associated with Section 13 issued as Annex C to NHS Circular PCS(DD)2004/2) INTRODUCTION The terms and conditions set out in this Section

More information

Specialised Commissioning Oversight Group. Terms of Reference

Specialised Commissioning Oversight Group. Terms of Reference Specialised Commissioning Oversight Group Terms of Reference Specialised commissioning oversight group terms of reference 1 1.1 Purpose NHS England is responsible for commissioning specialised services

More information

Cambridgeshire and Peterborough Sustainability and Transformation Partnership

Cambridgeshire and Peterborough Sustainability and Transformation Partnership Cambridgeshire and Peterborough Sustainability and Transformation Partnership Governance Framework November 2017 Page 1 of 28 Contents 1. Introduction 2. Sustainability and Transformation Partnership 3.

More information

CLINICAL GOVERNANCE AND QUALITY COMMITTEE Terms of Reference

CLINICAL GOVERNANCE AND QUALITY COMMITTEE Terms of Reference CLINICAL GOVERNANCE AND QUALITY COMMITTEE Terms of Reference CONSTITUTION 1. The Board of Directors approved the establishment of the Clinical Governance and Quality Committee (known as the Committee in

More information

Performance and Quality Committee

Performance and Quality Committee Title: NHS Continuing Health Care Choice Policy (addendum to Cornwall Wide Patient Choice, Equity and Fair Access Policy) Developed by: Document type: Policy library: NHS Kernow Policy Policies Sub Section:

More information

PRIMARY CARE COMMISSIONING COMMITTEE

PRIMARY CARE COMMISSIONING COMMITTEE PRIMARY CARE COMMISSIONING COMMITTEE Date of Meeting 21 March 2018 Agenda Item No 3 Title Minutes of Previous Meeting Purpose of Paper To agree the minutes of the Primary Care Commissioning Committee meeting

More information

NHS England (Wessex) Clinical Senate and Strategic Networks. Accountability and Governance Arrangements

NHS England (Wessex) Clinical Senate and Strategic Networks. Accountability and Governance Arrangements NHS England (Wessex) Clinical Senate and Strategic Networks Accountability and Governance Arrangements Version 6.0 Document Location: This document is only valid on the day it was printed. Location/Path

More information

Mental Health (Wales) Measure Implementing the Mental Health (Wales) Measure Guidance for Local Health Boards and Local Authorities

Mental Health (Wales) Measure Implementing the Mental Health (Wales) Measure Guidance for Local Health Boards and Local Authorities Mental Health (Wales) Measure 2010 Implementing the Mental Health (Wales) Measure 2010 Guidance for Local Health Boards and Local Authorities Januar y 2011 Crown copyright 2011 WAG 10-11316 F6651011 Implementing

More information

Developing. National Service Frameworks

Developing. National Service Frameworks Developing National Service Frameworks A guide for policy colleagues developing National Service Frameworks for Healthcare services in Wales 1 Background 1. National Service Frameworks (NSF) were originally

More information

1. Title of Paper: NHS Vale of York CCG Local Enhanced Services (LES) Review

1. Title of Paper: NHS Vale of York CCG Local Enhanced Services (LES) Review Item Number: 6 NHS VALE OF YORK CLINICAL COMMISSIONING GROUP GOVERNING BODY MEETING Meeting Date: 5 September 2013 Report Sponsor: Rachel Potts Chief Operating Officer Report Author: Melanie Cooper and

More information

AGENDA ITEM NO: 046/17

AGENDA ITEM NO: 046/17 AGENDA ITEM NO: 046/17 GOVERNING BODY MEETING: Governing Body Meeting DATE OF MEETING: 13 th September 2017 REPORT AUTHOR AND JOB TITLE: Rebecca Knight Head of Assurance & Risk REPORT TITLE: STRATEGIC

More information

Mental Health Crisis Care Programme Update: Clinical Senate Council 24 th May 2016

Mental Health Crisis Care Programme Update: Clinical Senate Council 24 th May 2016 Mental Health Crisis Care Programme Update: Clinical Senate Council 24 th May 2016 1 Mental Health Crisis Care Programme: Summary The state of mental health crisis care needs to improve across London.

More information

Northumbria Healthcare NHS Foundation Trust. Charitable Funds. Staff Lottery Scheme Procedure

Northumbria Healthcare NHS Foundation Trust. Charitable Funds. Staff Lottery Scheme Procedure Northumbria Healthcare NHS Foundation Trust Charitable Funds Staff Lottery Scheme Procedure Version 1 Name of Policy Author Alison Nell Date Issued 1 st March 2017 Review Date 1 st March 2018 Target Audience

More information

CCG Policy for Working with the Pharmaceutical Industry

CCG Policy for Working with the Pharmaceutical Industry CCG Policy for Working with the Pharmaceutical Industry 1. Introduction Medicines are the most frequently and widely used NHS treatment and account for over 12% of NHS expenditure. The Pharmaceutical Industry

More information

Ensuring our safeguarding arrangements act to help and protect adults TERMS OF REFERENCE AND GOVERNANCE ARRANGEMENTS

Ensuring our safeguarding arrangements act to help and protect adults TERMS OF REFERENCE AND GOVERNANCE ARRANGEMENTS Ensuring our safeguarding arrangements act to help and protect adults TERMS OF REFERENCE AND GOVERNANCE ARRANGEMENTS April 2017 Contents Page 1. Purpose 2 2. Key Functions 2 3. Governance and Administrative

More information

GPs apply for inclusion in the NI PMPL and applications are reviewed against criteria specified in regulation.

GPs apply for inclusion in the NI PMPL and applications are reviewed against criteria specified in regulation. Policy for the Removal of Doctors from the NI Primary Medical Performers List (NIPMPL) where they have not provided primary medical services in the HSCB area in the Preceding 24 Months Context GPs cannot

More information

DRAFT BUSINESS PLAN AND CORPORATE OBJECTIVES 2017/8

DRAFT BUSINESS PLAN AND CORPORATE OBJECTIVES 2017/8 DRAFT BUSINESS PLAN AND CORPORATE OBJECTIVES 2017/8 West London Clinical Commissioning Group This document sets out a clear set of plans and priorities for 2017/18 reflecting West London CCGs ambition

More information

Chief Accountable Officer Director Transformation and Quality. Director Transformation and Quality Chief Accountable Officer

Chief Accountable Officer Director Transformation and Quality. Director Transformation and Quality Chief Accountable Officer Governing Body Assurance Framework (July/August 2016) Introduction The Governing Body Assurance Framework identifies the CCG s principal, strategic objectives and the principal risks to their delivery.

More information

Mills & Reeve Response to the White Paper Equity and Excellence: Liberating the NHS

Mills & Reeve Response to the White Paper Equity and Excellence: Liberating the NHS Mills & Reeve Response to the White Paper Equity and Excellence: Liberating the NHS Mills & Reeve Response to the Health White Paper 1 Introduction 1.1 This response contains our general comments on the

More information

Innovating for Improvement

Innovating for Improvement Call for applications June 2018 Call for applications Innovating for Improvement Round 7: Supporting the workforce Contents The Health Foundation 3 1 The programme an introduction to Innovating for Improvement

More information

Date 4 th September 2015 Dr Ruth Charlton, Joint Medical Director / Jill Down, Associate Director of Quality Laura Rowe, Compliance Manager

Date 4 th September 2015 Dr Ruth Charlton, Joint Medical Director / Jill Down, Associate Director of Quality Laura Rowe, Compliance Manager TB 099/15 Meeting title Report title Trust Board Risk Management Strategy Date 4 th September 2015 Lead director Report author FOI status Dr Ruth Charlton, Joint Medical Director / Jill Down, Associate

More information

Internal Audit. Healthcare Governance. October 2015

Internal Audit. Healthcare Governance. October 2015 October 2015 Report Assessment G A G G G This report has been prepared solely for internal use as part of NHS Lothian s internal audit service. No part of this report should be made available, quoted or

More information

Commissioning Strategy for General Practice

Commissioning Strategy for General Practice Commissioning Strategy for General Practice 2016-2021 Section Contents Page Foreword 3 1 Executive Summary 4 2 Introduction 7 3 Setting the scene 10 4 The case for change 23 5 Developing our strategy 25

More information

Educational Partnerships Policy

Educational Partnerships Policy Educational Partnerships Policy Purpose 1. The purpose of this policy is to set out the principles and processes which apply to the development, approval, monitoring and review of educational partnerships

More information