Nhs East Lancashire Clinical Commissioning Group Constitution
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NHS EAST LANCASHIRE CLINICAL COMMISSIONING GROUP CONSTITUTION Version 9 Working with People and Communities to live happier and healthier lives Version 9_approved by NHS England 2nd October 2020 TABLE OF CONTENTS 1. INTRODUCTION AND COMMENCEMENT ................................................................................... 4 1.1 Name ................................................................................................................................... 4 1.2 Statutory Framework ............................................................................................................ 4 1.3 Status of this Constitution .................................................................................................... 4 1.4 Amendment and Variation of this Constitution ..................................................................... 5 2. AREA COVERED ........................................................................................................................... 5 3. MEMBERSHIP ................................................................................................................................ 6 3.1 Membership of the Clinical Commissioning Group .............................................................. 6 3.2 Eligibility ............................................................................................................................... 6 4. MISSION, VALUES AND AIMS ...................................................................................................... 7 4.1 Mission, Values and Aims .................................................................................................... 7 4.2 Principles of Good Governance ........................................................................................... 7 4.3 Accountability ....................................................................................................................... 7 4.4 Protected Disclosure ............................................................................................................ 8 5. FUNCTIONS AND GENERAL DUTIES .......................................................................................... 9 5.1 Functions ............................................................................................................................. 9 5.2 General Duties - The Group will: .......................................................................................... 9 5.3 Public Involvement ............................................................................................................. 10 5.4 General Financial Duties – The Group will ........................................................................ 10 5.5 Arrangements by the Group to comply with its functions – The Group shall exercise the functions set out in Part 5 of this Constitution by: ....................................................................... 11 5.6 Other Relevant Regulations, Directions and Documents ................................................... 11 6. DECISION MAKING: THE GOVERNING STRUCTURE .............................................................. 12 6.1 Authority to act ................................................................................................................... 12 6.2 Scheme of Reservation and Delegation ............................................................................ 12 6.3 General .............................................................................................................................. 12 6.4 The Council of Members .................................................................................................... 13 6.5 Joint Arrangements ............................................................................................................ 14 6.6 Joint Commissioning Arrangements .................................................................................. 14 6.6.1 Joint commissioning arrangements with other Clinical Commissioning Groups ................ 14 6.6.2 Joint commissioning arrangements with NHS England for the exercise of CCG functions 15 6.6.3 Joint commissioning arrangements with NHS England for the exercise of NHS England’s functions ..................................................................................................................................... 16 6.7 The Governing Body and Sub Committees ....................................................................... 17 6.7.1 Functions ........................................................................................................................... 17 6.7.2 Composition of the Governing Body .................................................................................. 18 6.7.3 Committees of the Governing Body ................................................................................... 18 (A) Audit Committee .................................................................................................................... 18 (B) Remuneration Committee ...................................................................................................... 19 (C) Pennine Lancashire Quality Committee ................................................................................ 19 (D) Primary Care Committee ....................................................................................................... 19 (E) Patient Partners Board .......................................................................................................... 19 (F) Sustainability Committee ....................................................................................................... 20 7. ROLES AND RESPONSIBILITIES ............................................................................................... 21 7.1 Member Representatives ................................................................................................... 21 7.2 Other GP and Primary Care Health Professionals ............................................................. 21 7.3 All Members of the Group’s Governing Body ..................................................................... 21 7.4 The Chair of the Governing Body ...................................................................................... 22 7.5 The Deputy Chair of the Governing Body .......................................................................... 22 7.6 Lay Member with a Lead role in Overseeing Key elements of Governance ...................... 22 7.7 Lay Member with a Lead in Championing Patient and Public Involvement ....................... 23 7.8 Lay Member with a Lead in Championing Equality & Inclusion (non-voting) ..................... 23 7.9 GP Locality Clinical Lead (5 posts – one for each locality) ................................................ 24 1 7.10 Role of the Accountable Officer ......................................................................................... 24 7.11 Role of the Chief Finance Officer ....................................................................................... 25 7.12 Role of Director of Quality and Chief Nurse ....................................................................... 26 7.13 Director of Performance and Delivery ................................................................................ 26 7.14 Secondary Care Doctor ..................................................................................................... 27 7.15 Joint Appointments with other Organisations ..................................................................... 27 7.16 Indemnity ........................................................................................................................... 27 8. STANDARDS OF BUSINESS CONDUCT AND MANAGING CONFLICTS OF INTEREST ........ 29 8.5 Transparency in Procuring Services .................................................................................. 31 9. THE GROUP AS EMPLOYER ...................................................................................................... 32 10. TRANSPARENCY, WAYS OF WORKING AND STANDING ORDERS ...................................... 33 10.1 General .............................................................................................................................. 33 10.2 Standing Orders ................................................................................................................. 33 APPENDIX ........................................................................................................................................... 34 A: DEFINITIONS OF KEY DESCRIPTIONS USED IN THIS CONSTITUTION .......................... 34 B: LIST OF MEMBER PRACTICES ........................................................................................... 36 C: NOLAN PRINCIPLES ............................................................................................................ 39 D: THE SEVEN KEY PRINCIPLES OF THE NHS CONSTITUTION ......................................... 40 E: STANDING ORDERS ............................................................................................................ 41 F: (a) SCHEME OF RESERVATION & DELEGATION .............................................................. 53 F: (b) RESERVATION AND DELEGATION SCHEDULE ........................................................... 54 F: (c) DELEGATED FINANCIAL LIMITS .................................................................................... 64 G: PRIME FINANCIAL POLICIES .............................................................................................