NHS Nottingham North and East Clinical Commissioning Group Governing Body Lay Member Patient and Public Involvement Closing date: 17:00 06 October 2015 Interview date: 14 October 2015
Contents Page Roles and responsibilities 4 Attributes and Competencies 6 On appointment 7 Disqualification for appointment 8 Applying for the post 10 Appendix 1 NNE Governance Structure 11 Appendix 2 NNE Vision, Values and Aims 12 Appendix 3 Map of NNE CCG Boundaries 13 Appendix 4 NHS Constitution 14 Appendix 5 Seven Principles of Public Life 15 Expression of Interest Form 16
Dear Applicant Thank you for showing an interest in this post taking the time to read this information pack. Nottingham North and East Clinical Commissioning Group (NNE CCG) is a strong member organisation of 21 GP practices that are committed to being at the forefront of the changes within the NHS. NNE became a statutory organisation on the 1 st April 2013 and prior to this, worked in shadow form for a full year resulting in an established track record of delivery within the existing governance structures. The Commissioning Group serves a population of c. 149,000 across a wide region in the south of Nottinghamshire County with a budget of approximately 169m. NNE covers a diverse population in the areas of Calverton, Burton Joyce, Lowdham, Carlton, Mapperley, Arnold, Daybrook, Hucknall and Greasley. The position of Lay Member Patient and Public Involvement holds a lead role on the Governing Body and works alongside patients and the general public to influence local health services, central to the patient. The position provides an exciting opportunity to be directly involved in supporting the CCG to deliver improved local healthcare within a tough financial environment and within a continually evolving NHS landscape. We hope you find this an exciting opportunity to work in a dynamic environment influencing the future of the NHS during challenging times, locally, regionally and nationally. We look forward to receiving your application and meeting you in due course. Yours faithfully Dr Paul Oliver NNE Chair and Lead Clinician Sam Walters NNE Chief Officer
Introduction NNE Putting Good Health Into Practice Nottingham North & East Clinical Commissioning Group (NNE CCG) is composed of GP practices working in the areas to the north and east of Nottingham. The Group serves 21 GP practices who previously worked together in the Practice Based Commissioning scheme. NNE covers a total registered patient population of c 149,000 which is approximately 23% of the registered population for Nottinghamshire. As a Clinical Commissioning Group the organisation is also responsible for the unregistered population within the geographic boundaries. See Appendix 2 for the NNE vision, values and aims. The area covered by NNE CCG is suburban/rural with pockets of deprivation (see Appendix 3 for a map of the NNE area). NNE s health needs and health profile reflect the NHS Nottinghamshire County average. A few of the NNE GP practices serve noticeably older or noticeably more deprived patient lists with particular pockets of deprivation around Arnold, Carlton and Hucknall. The CCG works closely with neighbouring CCGs to deliver strong health services for the local community and health economy. This is in relation to system resilience as well as transformation for the future. NNE CCG also has shared services with other CCGs in order to efficiently manage resources. NNE receives the majority of its secondary care from Nottingham University Hospitals NHS Trust (NUH) but also commissions a significant amount of activity from the Sherwood Forest Hospitals NHS Foundation Trust (SFHFT). NNE commissions the majority of its mental health services from Nottinghamshire Healthcare NHS Foundation Trust (NHFT). Community services are commissioned from County Health Partnerships. Other areas of significant spend include the medicines management/prescribing budget and Continuing Health Care. Role and Responsibilities Overall Purpose: As well as sharing responsibility with the other members of the NNE Governing Body for all aspects of the CCG business, as a lay member this position will bring specific expertise and experience, as well as their knowledge as a member of the local community, to the work of the Governing Body. The focus of the position will be strategic and impartial, providing an independent view of the work of NNE that is external to the day to day running of the organisation. See Appendix 1 for a diagram of the governance structure. The position may be asked to fulfill the role of Deputy Chair, in relation to current guidance from the NHS Commissioning Board. Our Chair is currently the NNE lead clinician and therefore a GP and as a result, the Deputy Chair should be a lay member who would take the Chair s role for discussions and decisions involving conflicts of interest for the Chair. As a Lay Member of the Governing Body you will: Be an integral member of the NNE Governing Body, demonstrating a commitment to clinical commissioning, to NNE and the wider interests of the health services. 4
Demonstrate a commitment to continuously improving outcomes, tackling health inequalities and delivering best value for money for the taxpayer. Bring a sound understanding of the NHS principles and values as set out in the NHS Constitution (see Appendix 4). Demonstrate a commitment to upholding The Nolan Principles of Public Life along with an ability to reflect them in your leadership role and the culture of the CCG. (see Appendix 5) Contribute to the building of a shared culture of the vision, values and aims of NNE. Be committed to ensuring that the organisation values diversity and promotes equality in all aspects of its business. Contribute to the development of strategic plans to enable NNE to fulfil its leadership responsibilities for healthcare to both registered and unregistered individuals within the boundaries of the CCG. Ensure that the CCG commissions the highest quality services with a view to securing the best possible outcomes for NNE patients within the NNE resource allocation and maintains a consistent focus on quality, integration and innovation. Ensure that, in all aspects of NNE s business the public voice of the local population is heard and that opportunities are created and protected for patient and public empowerment in the work of NNE. Provide an independent view on possible internal conflicts of interest. Take on responsibilities as relevant to the strategic priorities and statutory duties of an NHS organisation. Ensure that NNE builds and maintains effective relationships, particularly with Local Authority partners, patients and public, Healthwatch, local patient and public groups, NHS Commissioning Board and other relevant stakeholders Chair the Primary Care Commissioning Committee. As the lead role in championing patient and public involvement you will: Support the continuation of a culture within NNE that ensures the voice of the member practices is heard and the interests of patients and the community remain at the heart of discussions and decisions. Build and maintain an effective relationship with Local Healthwatch and draw on existing patient and public engagement and involvement expertise. Ensure that appropriate arrangements are in place to secure public and patient involvement, that public and patients views are heard and that feedback is used as intelligence by the Governing Body. 5
Ess enti al (role Essential (core governing body): Support the NNE Patient and Public Reference Group and play an active role in networking with practice patient groups. Chair the NNE People s Council and act as a key contact for representatives from the GP Practice Patient Groups Attributes and Competencies: You will need to demonstrate that you have: Experience of being a member of a Board, preferrably within a public sector organisation. A commitment to continuously improving outcomes, tackling health inequalities and delivering best value for money for the taxpayer. A commitment to clinical commissioning and to the wider interests of health services. Experience of building alliances and working relationships with a range of stakeholders. A commitment to valuing diversity and promoting equality and inclusivity in all aspects of NNE business. Have an understanding of effective involvement and engagement techniques and its application in practice. Be competent to chair meetings. Live within the local community or be able to demonstrate how you will otherwise be able to bring the local community perspective to the NNE Governing Body. If you are shortlisted for interview, you will also need to show that you have the competencies required to be effective in this demanding role. These are: Senior or Board level experience, gained in the private, public or voluntary sector High level of commitment to patients, carers and the community, and to delivering the best value for money for the taxpayer Committed to valuing diversity and promoting equality and inclusivity Motivated to improve NHS performance Ability to think clearly and creatively, balancing needs and constraints Ability to accept accountability and probe and challenge constructively Ability to give an independent view on possible internal conflicts of interest Ability to chair complex meetings effectively Committed to working as a team member Excellent communication skills and the ability to gain support and influence others. Demonstrable understanding of the local arrangements for listening and responding to the voices of patients, carers and patient organisations 6
Desirable: Track record of successfully involving patients, carers and the public in the work of a public sector organisation Understanding of effective involvement and engagement techniques, and how these can be applied in practice Understanding of the requirements of the public sector equality duty (Equality Act 2010) Knowledge of corporate and clinical governance, including risk management Experience of strategy development and implementation On appointment Time Commitment 2 days per month, including some possible evening engagements (subject to agreement in advance). This is subject to review following authorisation as an NHS body. Fee The fee for the post is 5,000 per annum Remuneration is taxable under Schedule E and subject to Class 1 NI contributions. Pay is not pensionable except where an individual is in the GP Practitioner Pension. Members are also eligible to claim allowances, at rates set centrally for travel and subsistence costs incurred necessarily on NHS business. Holiday pay is not included and therefore, pay is based on 48 weeks per annum. Period of appointment The appointments will be for a period of three years This post is an appointment and not a job. It is therefore not subject to the provisions of employment law except where discrimination is alleged. Standards in public life You will be expected to demonstrate high standards of corporate and personal conduct. All successful candidates will be asked to subscribe to the Nolan Principles of Public Life (Appendix 5). You should note particularly the requirement to declare any conflict of interest that arises in the course of Governing Body business and the need to declare any relevant business interests, positions of authority or other connections with commercial, public or voluntary 7
bodies. These will be published on the CCG website. Governing Body members fees will be published in the CCG Annual Report. Pre-appointment checks All appointments will be subject to satisfactory pre-appointment checks in line with NHS Employment Check Standards (verification of identity checks, right to work checks, professional registration and qualification checks, employment history and reference checks, criminal record checks, occupational health checks). Disqualification for appointment Regulations will provide that some individuals will not be eligible to be appointed to CCG Governing Bodies. Those not eligible to work in the UK. A person who is subject to a bankruptcy restrictions order or an interim bankruptcy restrictions order. A person who has in the last five years been dismissed from employment by a health service body otherwise than because of redundancy. A person who has received a prison sentence or suspended sentence of three months or more in the last five years. A person who has been dismissed by a former employer (within or outside the NHS) on the grounds of misconduct within the last 5 years. A health care professional whose registration is subject to conditions, or who is subject to proceedings before a fitness to practise committee of the relevant regulatory body, or who is the subject of an allegation or investigation which could lead to such proceedings. A person who is under a disqualification order under the Company Directors Disqualification Act 1986 or the Company Directors Disqualification (Northern Ireland) Order 2002, or an order made under section 429(2) of the Insolvency Act 1986 (disabilities on revocation of administration order against an individual). A person who has at any time been removed from the management or control of a charity. It is also likely that the regulations will require that only one partner or spouse can be on the governing body. As per the Constitution, individuals can be removed from position If a receiving order is made against him or her makes any arrangement with his or her creditors. If in the opinion of the Governing Body (having taken appropriate professional advice in cases where it is deemed necessary) he/she becomes or is deemed to be of unsound mind. If he/she ceases to be a provider of primary medical services, or engaged in or employed to deliver primary medical services. If he/she is suspended from providing primary medical services in which case the removal or suspension from the Governing Body shall be at the discretion of the Governing Body. If he/she shall for a period of 5 consecutive meetings of the Governing Body have been absent and shall at the discretion of the Governing Body be vacated from his office. 8
If he/she shall be convicted of a criminal offence whereby the sentence imposed shall be for a minimum of 6 months imprisonment (whether such sentence is held to be suspended or conditional). If he/she shall have behaved in a manner or exhibited conduct which has or is likely to be detrimental to the honour and interest of the Governing Body or the Clinical Commissioning Group and is likely to bring the Governing Body and/or Clinical Commissioning Group into disrepute. This includes but is not limited to dishonesty, misrepresentation (either knowingly or fraudulently), defamation of any Member of the Governing Body being slander or libel), abuse of position, non declaration of a known conflict of interest seeking to lead or manipulate a decision of the Governing Body in a manner that would ultimately be in favour of that Member whether financially or otherwise. Where he/she has become ineligible to stand for a position as a result of the declaration of any Conflict of Interest under part 8 of the Group s constitution. They are disqualified from membership pursuant to Schedule 5 of the National Health Service (Clinical Commissioning Groups) Regulations 2012. Following the passing of a vote of no confidence by member practices within the Group through a postal ballot in accordance with standing order 3 below (Meetings of the Clinical Commissioning Group) 9
Applying for the Post To apply for the post, please complete an expression of interest form which is at the end of this pack. After the closing date for applications: We will acknowledge receipt of your application form by email. Your application will first be checked for completeness and eligibility. We will assess your completed form to see the extent to which you have the qualities and expertise specified for the post before it is passed to the panel for consideration. You should be aware that quite often the panel only receives the strongest group of applications and usually one or two of the panel members receive the full set of applications in order that they can satisfy themselves regarding the assessment. It is anticipated that shortlisting will be completed on 7 October 2015. Shortlisted candidates will be informed as soon as possible after this by telephone if they have been selected for interview and the interview details will be confirmed by email or letter. At the time of the formal interviews, as a source of external validation as part of their due diligence checks on candidates, the Selection Panel will require 2 references for all shortlisted candidates. The interviews will take place on 14 October 2015. You will be asked questions by a panel from the Governing Body and a panel of patient representatives to assess whether you can demonstrate the qualities and expertise specified. The Selection Panels will make the final appointment. The successful candidate will be contacted by the NNE Lead Clinician or Chief Officer. All unsuccessful candidates will be advised of the outcome of the selection process by 16 October 2015. To apply for this post please complete an expression of interest form included in this pack, and return it along with a copy of your CV by the closing date of 6 October 2015. Large print and tape versions of this information pack and the application form are available from Sam Marlow on 0115 883 1712. If you experience any difficulties completing your application form, please contact Sam Marlow for assistance before the closing date. 10
Appendix 1 Nottingham North and East Governance Structure 11
Appendix 2 Nottingham North and Vision, Values and Aims Please also see our Annual Report, Commissioning Strategy and Primary Care Strategy available on our website. Our Vision We will implement this vision by: Improving the health of the community Securing the provision of safe, high quality services Achieving financial balance and value for money Our Values Honesty, openness and integrity are central to everything we do Empowering and communicating with our patient community Appropriate use of our resources to deliver best value Leadership that is strong and visible Together with our partners, strive to improve the health of our community High quality is our standard Our Aims for 2015/16 For 2015/16 our key aims are to: Reduce health inequalities in the local population by targeting those people with the greatest health needs Drive up the quality of care in order to improve health outcomes and reduce unwarranted clinical variation Direct available resources to where they will deliver the greatest benefit to the local population Commission appropriate models of care for older and vulnerable people with complex needs, ensuring all patients are treated with dignity and respect Ensure that patients are able to make choices about the care they receive and are seen in the right place at the right time by the right person. 12
Appendix 3 Map of NNE CCG Boundaries 13
Appendix 4 NHS Constitution The NHS Constitution establishes the principles and values of the NHS in England. It sets out rights to which patients, public and staff are entitled, and pledges which the NHS is committed to achieve, together with responsibilities which the public, patients and staff owe to one another to ensure that the NHS operates fairly and effectively. All NHS bodies and private and third sector providers supplying NHS services are required by law to take account of the Constitution in their decisions and actions. There are seven key principles that guide the NHS in all it does: 1. The NHS provides a comprehensive service, available to all irrespective of gender, race, disability, age, sexual orientation, religion or belief. It has a duty to each and every individual that it serves and must respect their human rights. At the same time, it has a wider social duty to promote equality through the services it provides and to pay particular attention to groups or sections of society where improvements in health and life expectancy are not keeping pace with the rest of the population. 2. Access to NHS services is based on clinical need, not an individual s ability to pay. NHS services are free of charge, except in limited circumstances sanctioned by Parliament. 3. The NHS aspires to the highest standards of excellence and professionalism in the provision of high-quality care that is safe, effective and focused on patient experience; in the planning and delivery of the clinical and other services it provides; in the people it employs and the education, training and development they receive; in the leadership and management of its organisations; and through its commitment to innovation and to the promotion and conduct of research to improve the current and future health and care of the population. 4. NHS services must reflect the needs and preferences of patients, their families and their carers. Patients, with their families and carers, where appropriate, will be involved in and consulted on all decisions about their care and treatment. 5. The NHS works across organisational boundaries and in partnership with other organisations in the interest of patients, local communities and the wider population. The NHS is an integrated system of organisations and services bound together by the principles and values now reflected in the Constitution. The NHS is committed to working jointly with local authorities and a wide range of other private, public and third sector organisations at national and local level to provide and deliver improvements in health and well-being. 6. The NHS is committed to providing best value for taxpayers money and the most effective, fair and sustainable use of finite resources. Public funds for healthcare will be devoted solely to the benefit of the people that the NHS serves. 7. The NHS is accountable to the public, communities and patients that it serves. The NHS is a national service funded through national taxation, and it is the Government which sets the framework for the NHS and which is accountable to Parliament for its operation. However, most decisions in the NHS, especially those about the treatment of individuals and the detailed organisation of services, are rightly taken by the local NHS and by patients with their clinicians. The system of responsibility and accountability for taking decisions in the NHS should be transparent and clear to the public, patients and staff. The Government will ensure that there is always a clear and up-to-date statement of NHS accountability for this purpose. Further information about the NHS Constitution can be found on the NHS Choices website (http://www.nhs.uk/choiceinthenhs/rightsandpledges/nhsconstitution). 14
Appendix 5 - The seven principles of public life All applicants for public appointments are expected to demonstrate a commitment to, and an understanding of, the value and importance of the principles of public service. The seven principles of public life are: Selflessness Holders of public office should act solely in terms of the public interest. They should not do so in order to gain financial or other benefits for themselves, their family or their friends. Integrity Holders of public office should not place themselves under any financial or other obligation to outside individuals or organisations that might seek to influence them in the performance of their official duties. Objectivity In carrying out public business, including making public appointments, awarding contracts, or recommending individuals for rewards and benefits, holders of public office should make choices on merit. Accountability Holders of public office are accountable for their decisions and actions to the public and must submit themselves to whatever scrutiny is appropriate to their office. Openness Holders of public office should be open as possible about all the decisions and actions that they take. They should give reasons for their decisions and restrict information only when the wider public interest clearly demands it. Honesty Holders of public office have a duty to declare any private interests relating to their public duties and to take steps to resolve any conflicts arising in a way that protects the public interest. Leadership Holders of public office should promote and support these principles by leadership and example. Given the significant public profile and responsibility they hold, it is important that those appointed as members of NHS boards maintain the confidence of the public, patients and NHS staff at all times. Therefore, if there are any issues in your personal or professional history that could be misconstrued or cause that confidence to be jeopardised, it is important that you bring them to the attention of the panel. 15
Expression of Interest Lay Member Application Form and CV Please do not feel restricted by the size of the boxes. 1. Personal Details Name: Address: Phone: Home: Mobile: Email: Qualifications: Are there any criteria that may disqualify you for the position? (see pg 5) Yes/No If yes please provide further detail 16
Declaration of Interest: Do you have any business or personal interests that might be relevant to the CCG and which could lead to real or perceived conflict of interests were you to be appointed? (failure to disclose such information could result in termination of appointment) Yes/No If yes please provide relevant details References: Please provide the details of two references who will support your application. If you are invited to interview we may contact them at this stage. An appointment will not be offered until we receive satisfactory references. Referee 1 Name: Title and Organisation: Referee 2 Name: Title and Organisation: Contact details (including phone number and email address): Contact details (including phone number and email address): How do you know him/her? How do you know him/her? 17
2. Experience Specific Expertise: Please provide evidence against the essential and desirable criteria. You should highlight key areas and achievements in your career history, details of your level of responsibility and decision making and the size and complexity of the organisation/s where you developed and used these skills. 18
Specific Expertise continued Please attach a brief up to date CV (no more than 2 sides of A4) outlining your employment history, any relevant voluntary work, public service or other experience, together with any relevant professional, academic or vocational qualification. Your CV will be used to assist the assessment of your expertise. Please return the form to Sam Marlow by post or email, sam.marlow@nottinghamnortheastccg.nhs.uk NHS Nottingham North and East CCG, Gedling Civic Centre, Arnot Hill Park, Arnold, NG5 6LU Closing Date is the 6 th October. 19
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