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Constitution NHS SANDWELL & WEST BIRMINGHAM CLINICAL COMMISSIONING GROUP CONSTITUTION ‘HEALTHCARE WITHOUT BOUNDARIES’ June 2016 Version: [2.0] Effective Date: [1 April 2014] Revised: June 2015 Revised: June 2016 CONTENTS FOREWORD ........................................................................................................................ 3 1 INTRODUCTION AND COMMENCEMENT .................................................................. 5 1.1 Name .................................................................................................................................. 5 1.2 Statutory Framework .......................................................................................................... 5 1.3 Status of this Constitution ................................................................................................... 6 1.4 Amendment and Variation of this Constitution .................................................................... 6 2 AREA COVERED .......................................................................................................... 7 3 MEMBERSHIP ............................................................................................................... 8 3.1 Membership of the Clinical Commissioning Group .............................................................. 8 3.2 Eligibility ........................................................................................................................... 12 4 MISSION, VALUES AND AIMS ....................................................................................12 4.1 Mission ............................................................................................................................. 12 4.2 Values .............................................................................................................................. 13 4.3 Aims ................................................................................................................................. 13 4.4 Principles of Good Governance ........................................................................................ 13 4.5 Accountability ................................................................................................................... 14 5 FUNCTIONS AND GENERAL DUTIES ........................................................................16 5.1 Functions .......................................................................................................................... 16 5.2 General Duties - in discharging its functions the group will: .............................................. 18 5.3 General Financial Duties .................................................................................................. 26 5.4 Other Relevant Regulations, Directions and Documents .................................................. 28 6 DECISION MAKING: THE GOVERNING STRUCTURE ..............................................28 6.1 Authority to Act ................................................................................................................. 28 6.2 Scheme of Reservation and Delegation ............................................................................ 29 6.3 General ............................................................................................................................. 29 6.4 Committees of the group .................................................................................................. 30 6.5 The Governing Body ......................................................................................................... 34 6.6 Joint Arrangements........................................................................................................... 37 7 ROLES AND RESPONSIBILITIES ...............................................................................42 7.1 Practice Representatives .................................................................................................. 42 7.2 Other GP and Primary Care Health Professionals ............................................................ 42 7.3 All Members of the Group’s Governing Body .................................................................... 44 7.4 The Chair of the Governing Body ...................................................................................... 44 7.5 The Deputy Chair of the Governing Body ......................................................................... 45 NHS Sandwell & West Birmingham Clinical Commissioning Group’s Constitution 1 7.6 Role of the Accountable Officer ........................................................................................ 45 7.7 Role of the Chief Finance Officer ...................................................................................... 46 7.8 Joint Appointments with other Organisations .................................................................... 47 8 STANDARDS OF BUSINESS CONDUCT AND MANAGING CONFLICTS OF INTEREST ...........................................................................................................................47 8.1 Standards of Business Conduct ........................................................................................ 47 8.2 Conflicts of Interest ........................................................................................................... 48 8.3 Declaring and Registering Interests .................................................................................. 49 8.4 Managing Conflicts of Interest: general ............................................................................. 49 8.5 Managing Conflicts of Interest: contractors and people who provide services to the group 52 8.6 Transparency in Procuring Services ................................................................................. 53 9 THE GROUP AS EMPLOYER ......................................................................................53 10 TRANSPARENCY, WAYS OF WORKING AND STANDING ORDERS ......................55 10.1 General ............................................................................................................................. 55 10.2 Dispute Resolution............................................................................................................ 56 10.3 Standing Orders ............................................................................................................... 56 APPENDIX A - LSOA AREA COVERED ..................................................................................... 58 APPENDIX B - LIST OF MEMBER PRACTICES ........................................................................ 65 APPENDIX C – STANDING ORDERS ........................................................................................ 74 APPENDIX D – SCHEME OF RESERVATION & DELEGATION ................................................ 97 APPENDIX E – PRIME FINANCIAL POLICIES ......................................................................... 120 APPENDIX F - NOLAN PRINCIPLES ....................................................................................... 136 APPENDIX G – NHS CONSTITUTION ..................................................................................... 137 APPENDIX H - DEFINITIONS OF KEY DESCRIPTIONS USED IN THIS CONSTITUTION ...... 139 APPENDIX I – CHECKLIST FOR A CLINICAL COMMISSIONING GROUP’S CONSTITUTION 142 NHS Sandwell & West Birmingham Clinical Commissioning Group’s Constitution 2 FOREWORD Healthcare without Boundaries Sandwell and West Birmingham Clinical Commissioning Group represents the bringing together of minds to improve healthcare and services for the people in this area. For those who don’t live in our area, this might seem an odd geographical combination. For those of us who have lived and worked for many years, it is an obvious union and partnership. We will also engage with the Local Medical Committees as local statutory representatives of the profession. Our vision is to achieve healthcare without boundaries for our population – setting aside the barriers that often prevent our people accessing the right health services and improving their health. For nearly ten years now we have worked across this local health economy through a partnership approach with an agreed shared vision and some excellent achievements that we will build upon. Our Clinical Commissioning Group builds on the Right Care, Right Here partnership legacy with clinicians taking the driving seat to ensure that we deliver the best care for the people we serve. We think the reforms present an exciting challenge for clinical commissioners – to start a once in a lifetime opportunity to bring about healthcare that is truly delivered from the grassroots, breaking through traditional ways that services have been delivered. Improving quality of care and patient experience We will be relentless at listening to the feedback and concerns of how people experience services to ensure that this is central to commissioning decision making. Our area has arguably one of the strongest public engagement models in the country and we will wish to use that strength to best advantage. Patients are remarkably resilient when armed with the right facts and choices available to them – we will work together to deliver informed patient care for the best results for all. An integrated approach – empowering primary care and using hospitals in the right way Together as a partnership with clinicians, patients and managers across primary and secondary care, we have already
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