Governing Body. 24 August Details Part 1 X Part 2 Agenda Item No. Executive Summary. Strategic themes

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1 Governing Body 24 August 2016 Details Part 1 X Part 2 Agenda Item No. Title of Paper: Declarations of Interest Board Member: Mike Woodhead, Chief Finance Officer Author: Michelle McCusker, Interim Governance Manager Presenter: Dr Kiran Patel, Clinical Lead and CCG Chair AI 2 Please indicate: For Decision For Information X For Discussion Executive Summary Summary The Clinical Commissioning Group (CCG) has a statutory requirement to keep, maintain and make publicly available Registers of Declarations of Interest under section 14O of the National Health Service Act 2006 Act (as inserted by section 25 of the Health and Social Care Act 2012). This paper sets out a flow chart for declaring and managing conflicts of interest, as outlined within the CCG s Conflicts of Interest Policy and also reflects those declarations made by all members and colleagues in attendance at the Governing Body meeting. There is also a requirement on the CCG to ensure for each conflict declared, appropriate management arrangements are in place and for these to be appropriately communicated. This aspect of the declarations and registers will be progressed and updates provided accordingly. Until all arrangements are confirmed, all conflicts should be declared with any specific management arrangements required during the course of the meeting being determined by the Chair of the Governing Body, with an accurate record of action taken recorded in the minutes. Risk High Medium X Low The main risk associated with this paper relate to Conflicts of Interests, both in terms of process, implementation and assurance. There are policies in place, however further implementation is required. The process of seeking declarations at each meeting acts as a safeguard, however the CCG could be challenged on the robustness of its arrangements and registers as they are not in keeping with the CCG s Constitution, Conflicts of Interest Policy or other statutory guidance. Recommendations Strategic themes The Governing body is asked to: note the Register of Conflicts declared in respect of the members of the Governing Body and the associated business of the meeting; and ensure appropriate action is taken as necessary in respect of any conflicts declared. Page 1 of 8

2 Deliver improvement in outcomes for patients Deliver service improvement through system redesign in priority areas Develop NHS Bury CCG and Primary Care capability as commissioners and leaders Deliver through the Health and Wellbeing Board improved population health and reduction in inequalities Deliver the CCG element of QUIPP through effective system management and working with partners and stakeholders and ensuring a culture with focus on quality, fostering innovation, improving health outcomes and reducing inequalities. Equality Impact Assessed? Supports NHS Bury CCG Governance arrangements X Page 2 of 8

3 Declaration of Interest Flowchart Annual Declaration In Year Changes In a Meeting You should complete a Declaration of Interest Pro- Forma annually I have a new interest I need to change my declaration I have just been appointed I have an interest in an agenda item Are you aware of the potential conflict before the meeting? N You need to declare in the meeting Do you know what to include? Y N You must provide details in writing, as soon as you become aware and no later than 28 days after becoming aware to the Governing Body Secretary You should complete a Declaration of interest Pro- Forma Y Is this on the Register of Interests? Y N You need to update your Declaration of Interest form Refer to Pro- Forma You should declare at the start of the meeting and any arrangements for managing the conflict should be implemented and noted before the start of specific item What type of Interest do you have? Declarations are collated and the register of Interests updated: - Membership - Governing Body - Statutory Committees and Sub Committees - Employees Could YOU (or a close relation, partner or friend) financially benefit? Are YOU (or a close relation, partner or friend) a partner / member/ shareholder in an organisation that would financially benefit? Are YOU (or a close relation, partner or friend) a salaried employee in and organisation that would financially benefit? Do YOU (or a close relation, partner or friend) hold a non-remunerative or not for profit interest in an organisation that would benefit? Direct pecuniary Interest Indirect pecuniary Interest Indirect pecuniary Interest Non-pecuniary Interest Review by Chief Finance Officer to determine arrangements for managing conflicts Review by Chief Finance Officer to determine arrangements for managing conflicts Could YOU (or a close relation, partner or friend) enjoy a qualitative benefit, which cannot be given a monetary value? Non pecuniary personal benefit The Chair of the meeting will determine if there is a conflict of interest and the course of action to take (YOU should advise of the arrangements already agreed for managing the conflict) Reported to Audit Committee The Register will be amended and the change reflected in the next quarterly refresh Y Are more than 50% of Committee members affected? N PUBLISH REGISTERS Chair to refer to CCG Constitution (P39 Clause ) to determine the next steps The type and details of the interest and course of action taken to be recorded in the minutes Written notification of declarations made and course of action taken to be submitted to Governing Body Date: 24 August2016 Page 3 of 8

4 Dr. Kiran Patel Register of Declarations of Conflicts of Interest Governing Body Name Role Declaration Management Arrangements Governing Body Chair CCG Chair and Clinical Director Principle GP Greenmount Medical Centre. Medical Director - Laserase Bolton: Private and NHS Provider of a range of cosmetic laser treatments. GP Practice membership of Bury GP Federation Spouse is shareholder - Laserase Bolton: Private and NHS Provider of a range of cosmetic laser treatments. Spouse is shareholder - ABL Health: Provider of specialist weight management services for several NHS organisations in Greater Manchester and elsewhere. Stuart North Chief Officer and Accountable Officer Mike Woodhead Chief Finance Officer Director of Pennine Consulting Ltd a limited company which has previously contracted with Bury CCG but is unlikely to in the future Ask EPM close friend is a Director of Ask EPM which is a performance management company which may seek to do business with GMSS in the future No specific management arrangements required.. Page 4 of 8

5 Margaret O'Dwyer Director of Commissioning Sister is a research nurse at Christie s Catherine Jackson Executive Governing Body Nurse Dr. Cathy Fines Clinical Director GP - The Uplands Medical Practice. GP Practice membership of Bury GP Federation. Spouse is a Consultant at Central Manchester Health Trust (CMHT) Howard Hughes Clinical Director Director and Shareholder of Prestwich Pharmacy Director of St peter s Pharmacy Director of Keily s healthcare Director of Hughes McCaul (dormant) Spouse is also a Director and Shareholder for both Pharmacies. Dr. Victoria Moyle Clinical Director GP Principal, Spring Lane Surgery, Radcliffe. Director of Seamless Health Care (dormant company). GP Practice membership of Bury GP Federation Husband is Director of GP Federation, Director HFR6. Father-in-law is co-owner of Oak Lodge Nursing Home. Page 5 of 8

6 Dr. Jeffrey Schryer Clinical Director GP Partner at Whittaker Lane Medical Centre. GP Practice Membership of Bury GP Federation. Trustee for Hersel Weis Sure Start Centre, Salford GP Trainer Undergraduate Tutor University Manchester Dr. William Simmonds South Sector Chair GP Partner, Elms Medical Centre, Whitefield Director, WCL Medical Aesthetics Ltd Member of local GP Federation Dr. Fazel Butt, East Sector Chair GP Huntley Mount Medical Centre, Bury. GP Practice Membership of Bury GP Federation. Page 6 of 8

7 Dr. Ajay Kotegaonkar, West Sector Chair Senior GP Spring Lane Surgery, Radcliffe. Director of Healthier Radcliffe (HFR6) GP Federation Clinical Link GP Federation shareholder LMC representative for Radcliffe Director of 2 dormant companies HFR6 and Seamless Healthcare Spouse is:- - Principle GP at Spring Lane Surgery, Radcliffe - Clinical Director Bury CCG - Bury CCG Clinical Lead for urgent care Father is: - Owner Oak Lodge / Holybank Nursing Homes - Chair of Governers at Bardoc - Shareholder in Rock Healthcare Dr. Wissam El-Jouzi, North Sector Chair GP Principal, Tottington Medical Practice. Member of the Bury GP Federation. Minor surgery lead in the practice. North Sector Chair. Spouse is also GP at Tottington Medical Practice. Andrew Clough Governing Body Vice Chair Lay Member for Quality & Risk Director AECUS Management & Training Services Ltd. No specific management arrangements required. Page 7 of 8

8 David McCann Lay Member for Patient and Public Participation Senior Partner Woodcocks Solicitors, Bury. Non-Executive Director Rock Healthcare Limited, Bury. Non-Executive Director Praxis Real Estate Management Limited, Manchester conflicts arising from the Non-Executive Director of Rock Healthcare Limited to be given further consideration. Karen Richardson Lay Member for Primary Care Quality Stockport CCG Lay Nurse Governing Body Member. Member of the Royal College of Nursing (RCN). Member of the Nursing and Midwifery Council (NMC). No specific management arrangements required. Chris Wild Lay Member for Audit, Remuneration and Conflicts of Interest Directorships in Energy, Finance and Horticulture companies none of which contract with NHS. Lesley Jones Director of Public Health In Attendance Paul Horrocks, NED Bury Hospice Page 8 of 8