CODE OF CONDUCT WHERE GP PRACTICES OR CONSORTIA ARE POTENTIAL PROVIDERS OF CCG COMMISISONED SERVICES
|
|
- Baldric Booker
- 5 years ago
- Views:
Transcription
1 CODE OF CONDUCT WHERE GP PRACTICES OR CONSORTIA ARE POTENTIAL 1. Introduction PROVIDERS OF CCG COMMISISONED SERVICES 1.1. Managing potential conflicts of interest appropriately is needed to protect the integrity of the NHS commissioning system and protect clinical commissioning groups (CCGs) and GP Practices from any perception of wrong-doing. This Code of Conduct sets out the safeguards that South Kent Coast CCG has in place to manage any conflicts of interest that may arise when commissioning services where GP practices could be potential providers The Secretary of State for Health will make regulations under section 75 of the Health and Social Care Act 2012 placing requirements on the CCG to ensure that it adheres to good practice in relation to procurement, do not engage in anti-competitive behaviour and promote the rights of patients to make choices about their healthcare The CCG will decide where it is appropriate to commission community-based services through competitive tender or an Any Qualified Provider (AQP) approach where through single tender. In general commissioning through competitive tender or AQP will provide greater transparency and help reduce the scope for conflicts. However, there may be circumstances where the CCG could reasonably commission services from GP practices on a single tender basis. This may occur where the GP practice is the only capable provider of the service or the service is of minimal value. This Code of Conduct is in place to ensure transparency and scrutiny of the CCGs decisions but will ensure the CCG can commission the best service, whether or not this is provided by a GP, an organisation that a Governing Body member has a stake in or from another community, private or acute provider Some worked through examples of how the CCG will manage a range of potential situations is provided in Appendix Provision of Assurance 2.1. Appendix 2: Template Commissioning Services from GP practices, including provider consortia, or organisations in which GPs have a financial interest. This checklist will be used by the CCG when commissioning services that may potentially be provided by GP practices or organisations in which GPs have a financial interest to assure itself, the local community, the Health and Wellbeing Board and others that the highest levels of probity has been maintained and that the decision making is robust and without reasonable challenge The checklist is to be used when commissioning services: Through competitive tender where GP practices are likely to bid; Through Any Qualified Provider approach, where GP practices are likely to be among the qualified providers able to offer the service; Through single tender from GP practices (Only to be carried out exceptionally with the agreement of the Head of Governance and the Accountable Officer).
2 2.3. The CCG will need to be able to clearly answer each of the relevant questions. The first set of questions, most of which are also relevant when commissioning services from non-gps, focus on demonstrating that the service meets local needs and priorities and has been developed in an inclusive fashion, involving other health professionals and patients and public as appropriate The question on pricing applies to AQP and Single Tender Waivers and where national tariffs do not apply the CCG will work with a range of providers to determine the cost base of providing services and collate appropriate cost information upon which to base prices. There is existing guidance for commissioners to determine prices in the Currency and Pricing Options for Community Services guidance issued by Department of Health There are specific questions on AQP to ensure that patients are aware of the range of choices available to them. In relation to single tenders from GP practices assurance needs to be sought and provided to show that there are no other capable providers The Governance and Risk Committee receive all single tender waivers which are reviewed in detail. In addition the Committee will receive any completed Appendix 1 which should provide appropriate assurance that; a robust process has been followed in deciding to commission the service, in selecting the appropriate procurement route and in addressing potential conflicts. In addition it will receive a list of all payments over 25k so that they can cross-reference the information. 3. Decision-making 3.1. Where a member of the Governing Body or Committee has a material interest in the decision, they should declare the interest and agree with the Chair whether they should remain in the meeting to provide background, before removing themselves to allow free discussion or whether they should leave the meeting at the outset of the discussion Where a quorum cannot be convened from the membership of the meeting, owing to the arrangements for managing conflicts of interest or potential conflicts of interests, the Chair of the meeting shall consult with the Head of Governance or Chief Finance Officer on the action to be taken, which may include: requiring another of the Group s committees or sub-committees, the Group s Governing Body or the Governing Body s committees or sub-committees (as appropriate) which can be quorate to progress the item of business, or if this is not possible, inviting on a temporary basis one or more of the following to make up the quorum (where these are permitted members of the Governing Body or committee / subcommittee in question) so that the Group can progress the item of business: i) a member of the Group who is an individual; ii) iii) iv) an individual appointed by a Member to act on his/ her behalf in the dealings between it and the Group; a member of a relevant Health and Wellbeing Board; a member of a Governing Body of another Clinical Commissioning Group.
3 These arrangements will be recorded in the minutes. 4. Transparency 4.1. The CCG will ensure that it conducts its procurement activities openly and in a manner that enables scrutiny so that its stakeholders can have confidence that Governing Body members do not have any advantage in the procurement process. Where possible the CCG will: Publish information on its procurement strategies and intentions; Take steps to ensure that providers are aware of its intentions to procure particular services, including by publishing contract opportunities; When procuring services, provide feedback to any providers that where unsuccessful in their bid; Publish details of the AQP contracts it has awarded in a timely manner; and Maintain suitable records of the key decisions that it takes, including the reasons for those decisions This information will be maintained on a website managed by NHS England.
4 Appendix 1: Examples of Managing Conflicts of Interest Scenario 1 The diabetes lead of a CCG has been working on a community diabetes project for two years and has a plan to reduce diabetes out-patient activity by 50 per cent and to reinvest in education, patient education, more specialist nurses and community consultant sessions. A cornerstone of this new service is a proposal to fund local practices for providing additional services, previously provided in secondary care, to improve prevention, identification and management of diabetes within primary care. Discussion Rather than benefiting a particular organisation, in this scenario all GP practices/primary care providers in the area could potentially benefit from the proposals being developed by the CCG, at the expense of existing secondary care providers. The CCG may have to deal with the perception and challenge that it is favouring its members. However, this may be an appropriate commissioning decision, provided the CCG can demonstrate that: it is possible and appropriate to reduce the number of people being referred to hospital for the management of diabetes and related complications; it is expected to improve overall patient experience and outcomes; the benefits of having the service provided by GP practices and integrating it with the services they already provide for registered patients are so compelling that there are no other capable providers Action In these circumstances the CCG will: Set out and communicate the case for change and the rationale for the proposed service model clearly and transparently using the code of conduct template before taking, or recommending, the final decision to proceed. When developing its diabetes commissioning strategy consult on, and then be absolutely clear about, who will have the opportunity to provide the service model. This will be consistent with its existing commissioning strategy and procurement framework and with the joint health and wellbeing strategy of the relevant Health and Wellbeing Board. Ensure qualified providers are given the opportunity to provide those elements of the new service model not specifically embedded in general practice, for example, specialist nursing and community-based consultant sessions.
5 Scenario 2 Five GPs who are members of the governing body of a CCG have set up a Community Interest Company to provide health care and local services. Company X has recently paid for two local GPs to be trained as GPs with a special interest (GPwSIs) in gynaecology and has agreed to invest in the extension of a local surgery (where a commissioning group lead is a partner) and in purchasing ultrasound equipment so that a new GPwSI service can be set up. The CCG has recently begun developing its strategic commissioning plan, which sets out its intention to see a shift of up to 30 per cent of out-patient gynaecology services from acute hospitals to community-based settings over the next three years. The CCG intends to develop a specification for these community services to be delivered by Any Qualified Provider. Discussion A conflict clearly exists as they could make a personal financial gain as a result of the CCG s commissioning strategy. There is also a possibility that there could be a perception of actual wrongdoing. The CCG will need to consider whether Company X will have a competitive advantage over other providers or if these individuals have put themselves in a position to make a financial gain due to access to insider knowledge about the local commissioning intentions and if it has put sufficient measures in place to avoid or remedy this. The individuals concerned should have declared their interest in Company X and again at any meeting when the CCG began to discuss its commissioning strategy. Action The CCG has a Standards of Business Conduct policy (the Policy) that clearly identifies circumstances under which members of the governing body should not participate in certain activities and considers the material nature of any conflict and whether the individuals could successfully discharge their responsibilities. In this case the following action would be taken: The five GP members would not be included in the discussions and development of the strategy in relation to the gynaecology service specification. The five GP members would not be involved in the subsequent contract monitoring of the service. In order to ensure that the Governing Body was quorate and the strategy was formulated with the appropriate clinical input, the Lay Member for Governance would identify relevant individuals to support the development of the strategy and sit on the Governing Body when the strategy was to be approved. If it was unclear before the development of the gynaecology strategy that Company X would wish to tender to provide the service and then a tender was received, it would be rejected due to the fact that Company X had access to inside information which would give it an unfair advantage.
6 Scenario 3 Dr X is the chair of a CCG. He is married to Dr Y. Dr Y is the clinical director for Health R Us, a company that has developed risk stratification software designed to enable primary care providers to identify vulnerable patients at risk of going into hospital and help them to put measures in place to address this. Health R Us has offered to supply the software to Dr X s CCG free of charge for one year to help develop it. It will then be offered at a discounted price because of the work that the group would have done in developing it and acting as a demonstration site. Discussion There is no immediate financial gain to Drs X and Y from the decision to accept the software free of charge for a year. However, there is potential future gain to Dr Y (and therefore to her husband) as the clinical director of a company that could profit from a product that her husband s CCG has helped to develop, and from a preferential position as an incumbent supplier to that group. Action: The CCGs Standards of Business Conduct applies in this situation supported by its Procurement Strategy and published commissioning intentions Dr X must declare an interest and he should exclude himself from any decision-making about this project. Any decision subsequently taken by the CCG will depend on whether or not the product on offer would help it to achieve an existing, stated commissioning objective, and whether or not the deal being offered was in line with the CCG s existing policies for partnership working, joint ventures and sponsorship.. The CCG has a clear and prioritised commissioning strategy and policies for working with other organisations which will ensure that any decision made is appropriate The CCG will also undertake a review of other companies might be willing or able to offer the same or better before making any decision.
7 Scenario 4 Dr A is a member of a CCG with a longstanding interest in and commitment to improving health and social care services for older people. She has worked closely with local geriatrician, Dr B, for many years, including working as her clinical assistant in the past. They have developed a number of service improvement initiatives together during this time and consider themselves to be good personal friends. Recently, they have been working on a scheme to reduce unscheduled admissions to hospital from nursing homes. It involves Dr B visiting nursing homes and doing regular ward rounds together with community staff. It has been trialled and has had a measure of success which has been independently verified by a service evaluation. They would now like to extend the pilot, and the foundation trust that employs Dr B has suggested that a local tariff should be negotiated with the CCG for this out-reach service. The CCG has decided instead to run a tender for an integrated community support and admission avoidance scheme, with the specification to be informed by the outcomes of the pilot. Discussion Due to her own involvement in the original pilot, association with the incumbent provider and allegiance to her friend and colleague, Dr A has a conflict of interest Action: The CCGs Standards of Business Conduct applies in this situation supported by its Procurement Strategy and published commissioning intentions Dr A will not be involved in developing the tender, designing the criteria for selecting providers or in the final decision making even though she is a local expert. All members have signed up to the CCGs Constitution which contains the Standards of Business Conduct Policy and this outlines how they should declare their interests and how this works in practice. The CCG has a clear commissioning strategy and a procurement framework (setting out what kind of services would be tendered under what circumstances), so it will be clear to the foundation trust and the individuals why the CCG has run a tender. The CCGs will not discourage providers, or their own members, from being innovative and entrepreneurial but this is supported by clear and transparent procurement.
8 Appendix 2: Code of Conduct Template [To be used when commissioning services from GP practices, including provider consortia, or organisations in which GPs have a financial interest] NHS South Kent Coast Clinical Commissioning Group Service: Question Questions for all three procurement routes Comment/Evidence How does the proposal deliver good or improved outcomes and value for money what are the estimated costs and the estimated benefits? How does it reflect the CCG s proposed commissioning priorities? How have you involved the public in the decision to commission this service? What range of health professionals have been involved in designing the proposed service? What range of potential providers have been involved in considering the proposals? How have you involved your Health and Wellbeing Board(s)? How does the proposal support the priorities in the relevant joint health and wellbeing strategy (or strategies)? What are the proposals for monitoring the quality of the service? What systems will there be to monitor and publish data on referral patterns?
9 Have all conflicts and potential conflicts of interests been appropriately declared and entered in registers which are publicly available? Why have you chosen this procurement route? 1 What additional external involvement will there be in scrutinising the proposed decisions? How will the CCG make its final commissioning decision in ways that preserve the integrity of the decision-making process? Additional question for AQP or single tender (for services where national tariffs do not apply) How have you determined a fair price for the service? Additional questions for AQP only (where GP practices are likely to be qualified providers) How will you ensure that patients are aware of the full range of qualified providers from whom they can choose? Additional questions for single tenders from GP providers What steps have been taken to demonstrate that there are no other providers that could deliver this service? In what ways does the proposed service go above and beyond what GP practices should be expected to provide under the GP contract? What assurances will there be that a GP practice is providing high-quality services under the GP contract before it has the opportunity to provide any new services? 1 Taking into account S75 regulations and NHS Commissioning Board guidance that will be published in due course, Monitor guidance, and existing procurement rules.
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 informationQuality 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 informationALLOCATION 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 informationCCG 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 informationNHS RUSHCLIFFE CLINICAL COMMISSIONING GROUP CLINICAL PROCUREMENT STRATEGY AND POLICY
RCCG/GB/13/130 NHS RUSHCLIFFE CLINICAL COMMISSIONING GROUP CLINICAL PROCUREMENT STRATEGY AND POLICY Version 1 1st July 2013 [Page left intentionally blank] 19 September 2013 Page 2 CONTENTS Part Description
More informationSPONSORSHIP 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 informationQUALITY 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 informationCODE OF CONDUCT CODE OF ACCOUNTABILITY IN THE NHS
CODE OF CONDUCT CODE OF ACCOUNTABILITY IN THE NHS CODE OF CONDUCT Public Service Values General Principles Openness and Public Responsibilities Public Service Values in Management Public Business and Private
More informationAdults 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 informationWORKING WITH THE PHARMACEUTICAL INDUSTRY POLICY Version 1.0
WORKING WITH THE PHARMACEUTICAL INDUSTRY POLICY Version 1.0 1 Standard Operating Procedure St Helens CCG Working with The Pharmaceutical Industry Policy Version 1.0 Implementation Date May 2017 Review
More informationCLINICAL GOVERNANCE AND QUALITY COMMITTEE. Final - Terms of Reference - Final
CLINICAL GOVERNANCE AND QUALITY COMMITTEE Final - Terms of Reference - Final CONSTITUTION 1. The Board of Directors approved the establishment of the Clinical Governance and Quality Committee (known as
More informationAppendix 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 informationNHS 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 informationProcuring CCG Commissioned Primary Care Contracts and Local Improvement Schemes (LISs) in 2015/16
Title: Procuring CCG Commissioned Primary Care Contracts and Local Improvement Schemes (LISs) in 2015/16 Date: 12 th January 2015 Author: Helen Delaitre / June Kavanagh Summary CCG commissioned Primary
More informationVersion 1.0. Quality, Performance & Finance. Date Ratified 31 st March 2015 Iain Stewart, Head of Direct Commissioning
Joint working with the pharmaceutical industry Policy (Template based upon DH Best Practice Guidance for Joint Working between the NHS and the Pharmaceutical Industry, February 2008) Version 1.0 Ratified
More informationPerformance 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 informationSupporting material for clinical commissioning groups. Technical appendix 2
Supporting material for clinical commissioning groups Technical appendix 2 Supporting material for clinical commissioning groups Technical appendix 2 First published: 2 February 2012 2 Contents This technical
More informationContract Award Recommendation for NCL Direct Access Diagnostics Service Tim Deeprose/Leo Minnion
Appendix 5.4 MEETING: Haringey Clinical Commissioning Group Governing Body Meeting DATE: Wednesday, 26 March 2014 TITLE: LEAD DIRECTOR/ MANAGER: CLINICAL LEADS AUTHORS: CONTACT DETAILS: Contract Award
More informationClinical 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 informationUpdate on NHS Central London CCG QIPP schemes
Update on NHS Central London CCG QIPP schemes NHS Central London CCG has identified circa 11m for QIPP during 2013/14. Commissioning Intentions approved by the governing body included transformational
More informationREFERRAL TO TREATMENT ACCESS POLICY
Directorate of Strategy & Planning REFERRAL TO TREATMENT ACCESS POLICY Reference: DCP175 Version: 7.0 This version issued: 17/12/15 Result of last review: Major changes Date approved by owner (if applicable):
More informationQUALITY 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 informationNHS 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 informationYour Care, Your Future
Your Care, Your Future Update report for partner Boards April 2016 Introduction The following paper has been prepared for the Board members of all Your Care, Your Future partner organisations: NHS Herts
More informationQuality and Safety Committee Terms of Reference
Approved May 2016 Quality and Safety Committee Terms of Reference 1. Constitution The Quality and Safety Committee is established as a sub-committee of The Hillingdon Hospitals NHS Foundation Trust (THH)
More informationLeeds 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 informationDraft Commissioning Intentions
The future for Luton s primary care services Draft Commissioning Intentions 2013-14 The NHS will have less money to spend over the next three years. Overall, it has to make 20 billion of efficiency savings
More informationVision 3. The Strategy 6. Contracts 12. Governance and Reporting 12. Conclusion 14. BCCG 2020 Strategy 15
Bedfordshire Clinical Commissioning Group Quality Strategy 2014-2016 Contents SECTION 1: Vision 3 1.1 Vision for Quality 3 1.2 What is Quality? 3 1.3 The NHS Outcomes Framework 3 1.4 Other National Drivers
More informationInitial education and training of pharmacy technicians: draft evidence framework
Initial education and training of pharmacy technicians: draft evidence framework October 2017 About this document This document should be read alongside the standards for the initial education and training
More informationThe 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 informationNHS 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 informationNHS WORCESTERSHIRE HEALTHCARE PROCUREMENT STRATEGY ( ) April 2010
NHS WORCESTERSHIRE HEALTHCARE PROCUREMENT STRATEGY (2010-2014) April 2010 Page 1 of 72 Table of Contents Page Executive Summary 3 Section A - Introduction 7 Section B - Overview of NHS Worcestershire and
More informationThis 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 informationPolicy for the Sponsorship of Activities and Joint Working with the Pharmaceutical Industry
Policy for the Sponsorship of Activities and Joint Working with the Pharmaceutical Industry March 2017 NOTE: This policy will be subject to review in 2017/18 as part of the partnership work between North
More informationCCG authorisation: the role of medicines management
May 2012 The NHS medicines bill for 2010 was 12.9 billion, of which secondary care costs accounted for 32%. Prescribing inflation in 2010 ran at 4.8% and it is estimated that around 14% of total CCG budgets
More informationYorkshire 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 informationAPMS Procurement Patient and Public Engagement Report
APMS Procurement Patient and Public Engagement Report Edridge Road Community Health Centre Impact House 2 Edridge Road Croydon CR9 1PJ Alternative Provider Medical Services (APMS) Procurement Patient and
More informationMEDICINES STANDARD B3: WORKING WITH THE PHARMACEUTICAL INDUSTRY
MEDICINES STANDARD B3: WORKING WITH THE PHARMACEUTICAL INDUSTRY NHS employees and contractors link with the pharmaceutical industry in a number of ways, as a source of information, through the receipt
More informationTransforming 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 informationNHS DORSET CLINICAL COMMISSIONING GROUP GOVERNING BODY MEETING FINANCIAL POSITION AS AT 30TH NOVEMBER C Hickson, Head of Management Accounts
NHS DORSET CLINICAL COMMISSIONING GROUP GOVERNING BODY MEETING FINANCIAL POSITION AS AT 30TH NOVEMBER 2013 Date of the meeting 15/01/2014 Author Sponsoring GB member Purpose of report Recommendation Resource
More informationShort Break (Respite ) Care Practice and Procedure Guidance
Short Break (Respite ) Care Practice and Procedure Guidance 1 Contents 1. Introduction 2. Definition 2.1 Definition of a Carer 3. Legislation 3.1 Fair Access to care Services and the Duty to Provide 4.
More informationContinuing Healthcare Policy
Continuing Healthcare Policy 1 SUMMARY This policy describes the way in which Haringey Clinical Commissioning Group (HCCG) will make provision for the care of people who have been assessed as eligible
More informationMinutes of Part 1 of the Merton Clinical Commissioning Group Governing Body Tuesday, 26 th January 2016
Minutes of Part 1 of the Merton Clinical Commissioning Group Governing Body Tuesday, 26 th January 2016 Chair: Dr Andrew Murray Present: CC Cynthia Cardozo Chief Finance Officer CChi Dr Carrie Chill GP
More informationTransparency and doctors with competing interests guidance from the BMA
Transparency and doctors with competing interests British Medical Association bma.org.uk British Medical Association Transparency and doctors with competing interests 1 Introduction The need for transparency
More informationRecommendations of the NH Strategy
Urgent care Newark Hospital should continue to provide sub-acute care1, based on the existing ambulance diversion protocol. Refine the ambulance protocol to include additional sub-acute presentations that
More informationMEETING OF THE GOVERNING BODY IN PUBLIC 7 January 2014
MEETING OF THE GOVERNING BODY IN PUBLIC 7 January 2014 Title: Bedfordshire and Milton Keynes Healthcare Review: The way forward Agenda Item: 4 From: Jane Meggitt, Director of Communications and Engagement
More informationNHS and independent ambulance services
How CQC regulates: NHS and independent ambulance services Provider handbook March 2015 The Care Quality Commission is the independent regulator of health and adult social care in England. Our purpose We
More informationCOMMISSIONING SUPPORT PROGRAMME. Standard operating procedure
NATIONAL INSTITUTE FOR HEALTH AND CARE EXCELLENCE COMMISSIONING SUPPORT PROGRAMME Standard operating procedure April 2018 1. Introduction The Commissioning Support Programme (CSP) at NICE supports the
More informationMERTON CLINICAL COMMISSIONING GROUP GOVERNING BODY
MERTON CLINICAL COMMISSIONING GROUP GOVERNING BODY Date of Meeting: 15 December 2016 Agenda No: 3.3 Attachment: 04 Title of Document: Surgery Readiness Option Report Author: Andrew Moore (Programme Director
More informationCabinet Member for Education, Children and Families
Meeting Cabinet Resources Committee Date 24 September 2013 Subject Provision of therapies to Children with Special Educational Needs and placements to children in care Report of Summary Cabinet Member
More informationQuality Accounts: Corroborative Statements from Commissioning Groups. Nottingham NHS Treatment Centre - Corroborative Statement
Quality Accounts: Corroborative Statements from Commissioning Groups Quality Accounts are annual reports to the public from providers of NHS healthcare about the quality of services they deliver. The primary
More informationPam Jones, Associate Director Safeguarding.
NHS BOLTON CLINICAL COMMISSIONING GROUP Public Board Meeting AGENDA ITEM NO: 16 Date of Meeting: 23 rd September 2016 TITLE OF REPORT: AUTHOR: PRESENTED BY: PURPOSE OF PAPER: (Linking to Strategic Objectives)
More informationDeveloping primary care in Barnet
Developing primary care in Barnet Introduction In January 2012, the Joint Boards of NHS North Central London (NCL) approved a NCL Primary Care Strategy, which describes development of the primary care
More informationNHS 111 Clinical Governance Information Pack
NHS 111 Clinical Governance Information Pack This pack is designed to help you develop your local NHS 111 clinical governance framework and explain how it fits in to the wider context. It takes you through
More informationPRIMARY CARE COMMISSIONING COMMITTEE MEETING
PRIMARY CARE COMMISSIONING COMMITTEE MEETING Date of meeting Title of report 20 th June 2017 Agenda item number Unscheduled Primary Care Services for the Fylde Coast 7 Paper Presented by: Alison Kerfoot,
More informationHow NICE clinical guidelines are developed
Issue date: January 2009 How NICE clinical guidelines are developed: an overview for stakeholders, the public and the NHS Fourth edition : an overview for stakeholders, the public and the NHS Fourth edition
More informationWarrington CCG Operational Safeguarding Children Health Forum. Terms of Reference
Warrington CCG Operational Safeguarding Children Health Forum 1 Introduction Terms of Reference 1.1 The Operational Safeguarding Children Health Forum (the Health Forum) is established within the Safety
More informationGOVERNING BODY REPORT
GOVERNING BODY REPORT 1. Date of Governing Body Meeting: 2. Title of Report: 3. Key Messages: The paper discussed by the Governing Body on 17 th November 2016 was included as an agenda item for discussion
More informationCONTINUING HEALTHCARE POLICY
BEFORE USING THIS POLICY ALWAYS ENSURE YOU ARE USING THE MOST UP TO DATE VERSION CONTINUING HEALTHCARE POLICY 1 SUMMARY This policy describes the way in which the five Primary Care Trusts in NHS North
More informationNHS 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 informationRegistration requirements for GP practices collaborating to provide a greater range of services (federations)
Registration under the Health and Social Care Act 2008 Registration requirements for GP practices collaborating to provide a greater range of services (federations) November 2015 Contents Introduction...
More informationWOLVERHAMPTON CCG. Governing Body Meeting 9 th September 2014
WOLVERHAMPTON CCG Governing Body Meeting 9 th September 2014 ` Agenda item:12 TITLE OF REPORT: REPORT PRESENTED BY: Title of Report: Purpose of Report: Commissioning Committee Summary Kamran Ahmed Update
More informationHead of Joint Commissioning committee/individual: Effective from: 6 th February Review date: April 2017
Continuing Healthcare Policy Approved by: Governing Body Date approved: 06/02/2014 Name of originator/author: Associate Director (Older Adults) Name of responsible Head of Joint Commissioning committee/individual:
More informationNHS Continuing Healthcare Funded Care Report Frequently Asked Questions 2017/18
NHS Continuing Healthcare Funded Care Report Frequently Asked Questions 2017/18 Version: 3.1 NHS Continuing Healthcare Funded Care Report Frequently Asked Questions 2017/18 Version number: 3.1 First released:
More informationDelegated 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 informationNATIONAL 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 informationA 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 informationWORKING WITH THE PHARMACEUTICAL INDUSTRY
WORKING WITH THE PHARMACEUTICAL INDUSTRY Page 1 of 11 WORKING WITH THE PHARMACEUTICAL INDUSTRY CCG Policy Reference: SuttonCCG/SLCSU/GOV/099 THIS POLICY WILL BE APPROVED BY THE CLINICAL COMMISSIONING GROUP
More informationPrimary 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 informationNHS Continuing Healthcare and Joint Packages of Health and Social Care Services Commissioning Policy
NHS Continuing Healthcare and Joint Packages of Health and Social Care Services Commissioning Policy Version History: Version Date Author Reason for change 0.1 3.4.17 Rosa Waddingham based on West Suffolk
More informationSafeguarding Adults Policy
Safeguarding Adults Policy Ratified Status Quality and Patient Safety Committee V2 Issued November 2015 Approved By Consultation Equality Impact Assessment Quality and Patient Safety Committee Safeguarding
More informationWandsworth CCG. Continuing Healthcare Commissioning Policy
Wandsworth CCG Continuing Healthcare Commissioning Policy Document Control Title Originator/author: Approval Body Wandsworth CCG Continuing Healthcare Commissioning Policy Alison Kirby / Munya Nhamo Wandsworth
More informationCode of Conduct. Service: Provision of Paradoc Programme Board: Urgent Care Programme Board. Part A - Developing the service specification
Code of Conduct Service: Provision of Paradoc Programme Board: Urgent Care Programme Board Question Part A - Developing the service specification Please provide a brief description of the service: Outline
More informationBOARD PAPER - NHS ENGLAND
Paper: 011406 BOARD PAPER - NHS ENGLAND Title: Patient safety collaborative proposals Clearance: Jane Cummings, Chief Nursing Officer. Purpose of paper: To inform the Board of the proposals for the Patient
More informationNHS Somerset CCG OFFICIAL. Overview of site and work
NHS Somerset CCG Overview of site and work NHS Somerset CCG comprises 400 GPs (310 whole time equivalents) based in 72 practices and has responsibility for commissioning services for a dispersed rural
More informationPrimary Care Quality Assurance Framework (Medical Services)
PCC/15/021 Primary Care Quality Assurance Framework (Medical Services) 1.0 Introduction: From the 1 April 2015 the responsibility for monitoring quality and responding to concerns arising from General
More informationWelcome to the latest edition of the Accountable Care Network bulletin designed to keep you up to date with integrated care in County Durham.
June 2017 Welcome to the latest edition of the Accountable Care Network bulletin designed to keep you up to date with integrated care in County Durham. In this edition: An update on Teams Around the Patients
More informationPolicy on Sponsorship and Joint Working with the Pharmaceutical Industry and other Commercial Organisations
Policy on Sponsorship and Joint Working with the Pharmaceutical Industry and other Commercial Organisations Author: Melanie Preston, Assistant Director of Medicines Optimisation Blackpool CCG & Louise
More informationBUSINESS CONTINUITY MANAGEMENT POLICY
BUSINESS CONTINUITY MANAGEMENT POLICY UNIQUE REFERENCE NUMBER: AC/XX/068/V1.1 DOCUMENT STATUS: Approved by Audit & Gov Committee - 20 July 2017 DATE ISSUED: August 2017 DATE TO BE REVIEWED: August 2020
More informationNHS Rotherham. Contact Details Lead GP Richard Cullen Lead Officer Dominic Blaydon Head of LTC and Urgent Care Purpose:
NHS Rotherham Clinical Commissioning Group Committee: 3 October 2012 Care Co-ordination Centre Contact Details Lead GP Richard Cullen Lead Officer Dominic Blaydon Title Head of LTC and Urgent Care Purpose:
More informationReservation 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 informationNHS Equality Delivery System for Isle of Wight NHS Trust. Interim baseline assessment against the
Interim baseline assessment against the NHS Equality Delivery System for Isle of Wight NHS Trust The NHS Isle of Wight has adopted the NHS Equality Delivery System as the framework to achieve compliance
More informationBedfordshire and Luton Mental Health Street Triage. Operational Policy
Bedfordshire and Luton Mental Health Street Triage Operational Policy 1 1. Introduction Mental Health Street Triage (MHST) is a collaborative service between mental health professionals (MHPs) paramedics
More informationDeveloping 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 informationCOMMISSIONING FOR QUALITY FRAMEWORK
This document is uncontrolled once printed. Please check on the CCG s Intranet site for the most up to date version COMMISSIONING FOR QUALITY FRAMEWORK Document Title: Commissioning for Quality Framework
More informationSurrey 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 informationNHS 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 informationCommercial Sponsorship and Joint Working with the Pharmaceutical Industry Policy
Commercial Sponsorship and Joint Working with the Pharmaceutical Industry Policy Ratified Status Approved Final Issued November 2017 Approved By Consultation Governance and Risk Committee CCG Head of Governance
More informationSafeguarding Vulnerable People in the Reformed NHS - Accountability and Assurance Framework
Policy Briefing May 2013 88 Safeguarding Vulnerable People in the Reformed NHS - Accountability and Assurance Framework Practice Areas Affected: Safeguarding children, young people and vulnerable adults
More informationWOLVERHAMPTON CCG GOVERNING BODY MEETING 12 JULY 2016
WOLVERHAMPTON CCG GOVERNING BODY MEETING 12 JULY 2016 Agenda item 6 Title of Report: Report of: Contact: Chief Officer Report Dr Helen Hibbs Chief Officer Dr Helen Hibbs Chief Officer Governing Body Action
More informationThe National Programme for IT in the NHS: an update on the delivery of detailed care records systems
Report by the Comptroller and Auditor General HC 888 SesSIon 2010 2012 18 may 2011 Department of Health The National Programme for IT in the NHS: an update on the delivery of detailed care records systems
More informationProcurement of Prevention and Wellbeing Training
ACTION TAKEN UNDER DELEGATED POWERS BY OFFICER 01 March 2016 Title Report of Wards Status Procurement of Prevention and Wellbeing Training Commissioning Lead Health and Wellbeing All Public Enclosures
More informationMusculoskeletal Triage Service
Musculoskeletal Triage Service Frequently Asked Questions Milton Keynes Clinical Commissioning Group (MK CCG) has published its model for musculoskeletal (MSK) care under the title Vision for MSK. The
More informationVale of York Clinical Commissioning Group Governing Body Public Health Services. 2 February Summary
Vale of York Clinical Commissioning Group Governing Body Public Health Services 2 February 2017 Summary 1. The purpose of this report is to provide the Vale of York Clinical Commissioning Group (CCG) with
More information3. The requirements for taking part in the ES are as follows:
Enhanced Service Specification Learning disabilities health check scheme Background and purpose 1. This enhanced service (ES) is designed to encourage practices to identify all patients aged 14 and over
More informationGreater Manchester Police and Crime Commissioner s Youth Aspiration Fund
Greater Manchester Police and Crime Commissioner s Youth Aspiration Fund Prospectus: Framework and Grant Scheme 2017 This document provides an explanation to the Grant process and guidance on how to submit
More informationSafeguarding Adults Framework
Safeguarding Adults Framework SAFEGUARDING ADULTS FRAMEWORK Introduction Prevention and effective responses to neglect, harm and abuse is a basic requirement of modern health care services. Safeguarding
More informationCCG CO21 Continuing Healthcare Policy on the Commissioning of Care
Corporate CCG CO21 Continuing Healthcare Policy on the Commissioning of Care Version Number Date Issued Review Date V1 28 04 15 29 April 2015 April 2016 Prepared By: Head of Quality & Patient Safety Consultation
More informationINTRODUCTION TO THE UK PUBLIC HEALTH REGISTER ROUTE TO REGISTRATION FOR PUBLIC HEALTH PRACTITIONERS
INTRODUCTION TO THE UK PUBLIC HEALTH REGISTER ROUTE TO REGISTRATION FOR PUBLIC HEALTH PRACTITIONERS This introduction consists of: 1. Introduction to the UK Public Health Register 2. Process and Structures
More informationMental Health Crisis Care: Barnsley Summary Report
Mental Health Crisis Care: Barnsley Summary Report Date of local area inspection: 17 & 18 February 2015 Date of publication: June 2015 This inspection was carried out under section 48 of the Health and
More information