Annual Report and Accounts 2019/20 1 FAREHAM & GOSPORT ANNUAL REPORT ACCESSIBILITY AND CONTACT INFORMATION This document is available in Braille, large print, other languages or audio format on request. To request an alternative format, please contact us: By email [email protected] Telephone 023 9228 2063 Write to: NHS Fareham and Gosport Clinical Commissioning Group CommCen Building Fort Southwick James Callaghan Drive Fareham Hampshire PO17 6AR Website: https://www.farehamandgosportccg.nhs.uk/ 2 Contents Foreword ............................................................................................................................... 6 SECTION 1 PERFORMANCE REPORT ............................................................................... 9 1.1 Introduction and Overview ............................................................................................... 9 1.2 The Context in Which We Operate ................................................................................ 13 1.3 Performance Overview .................................................................................................. 16 1.4 Performance Analysis ................................................................................................... 22 1.5 How we Manage Contracts ........................................................................................... 35 1.6 Sustainable Development ............................................................................................. 35 1.7 Improving Quality .......................................................................................................... 38 1.8 Engaging People and Communities (Patient and Public Involvement) ........................... 45 1.9 Equality, Diversity and Inclusion .................................................................................... 52 1.10 Health and Wellbeing Strategy .................................................................................... 55 1.11 Social Matters, Human Rights, Anti-Corruption, Anti-Bribery ....................................... 56 1.12 Emergency Preparedness Resilience and Response (EPRR) ..................................... 57 SECTION 2. ACCOUNTABILITY REPORT ......................................................................... 59 2.1 Members Report ........................................................................................................... 59 2.2 Member Profiles ............................................................................................................ 59 2.3 Our Membership Body .................................................................................................. 59 2.4 Our Governing Body ..................................................................................................... 60 2.5 Committees in the Hampshire & Isle of Wight Partnership including the Audit and Risk Committee .......................................................................................................................... 63 2.6 Register of Interests ...................................................................................................... 66 2.7 Personal Data Related Incidents ................................................................................... 66 2.8 Statement of Disclosure to Auditors .............................................................................. 66 2.9 Modern Slavery Act ....................................................................................................... 66 2.10 Statement of Accountable Officer’s Responsibilities .................................................... 67 2.11 Committee Attendance in the Hampshire & Isle of Wight Partnership- Tables ............. 69 Governance Statement ....................................................................................................... 73 2.12 Introduction and Context ............................................................................................. 73 2.13 Scope of Responsibility ............................................................................................... 73 2.15 Attendance at Meetings ............................................................................................... 74 2.16 UK Corporate Governance Code ................................................................................ 74 3 2.17 Discharge of Statutory Functions ................................................................................ 75 2.18 Risk Management Arrangements and Effectiveness ................................................... 75 2.19 Capacity to Handle Risk .............................................................................................. 75 2.20 Risk Assessment ......................................................................................................... 76 2.21 Other Sources of Assurance ....................................................................................... 76 2.22 Control Issues ............................................................................................................. 78 2.23 Review of Economy, Efficiency & Effectiveness of the Use of Resources ................... 79 2.24 Delegation of Functions ............................................................................................... 79 2.25 Counter Fraud Arrangements ...................................................................................... 80 2.26 Head of Internal Audit Opinion .................................................................................... 81 2.27 Review of the effectiveness of governance, risk management and internal control ..... 91 Remuneration Report .......................................................................................................... 92 3.1 Remuneration Committee ............................................................................................. 92 3.2 Policy on the Remuneration of Senior Managers........................................................... 93 3.3 Remuneration of Very Senior Managers ....................................................................... 93 3.4 Senior Manager Remuneration (including salary and pension entitlements).................. 93 3.5 Pension Benefits ......................................................................................................... 101 3.6 Cash Equivalent Transfer Values ................................................................................ 102 3.7 Real Increase in CETV ................................................................................................ 102 3.8 Compensation on Early Retirement or for Loss of Office ............................................. 102 3.9 Payments to Past Members ........................................................................................ 103 3.10 Pay multiples ............................................................................................................. 103 3.11 Number of Senior Managers ..................................................................................... 103 3.12 Staff Numbers and Costs .......................................................................................... 104 3.13 Staff Composition ...................................................................................................... 105 3.14 Sickness Absence Data ............................................................................................ 105 3.15 Staff Policies ............................................................................................................. 105 3.16 Trade Union Facility Time Reporting Requirements .................................................. 105 3.17 Other Employee Matters including employee consultation, forum, training ................ 106 3.18 Expenditure on Consultancy...................................................................................... 108 3.19 Off-payroll Engagements ........................................................................................... 108 3.20 Exit Packages, Including Special (Non-Contractual) Payments ................................. 110 3.21 Parliamentary Accountability and Audit Report .......................................................... 111 SECTION 4. FINANCE REPORT ....................................................................................... 112 4.1 Financial Overview ....................................................................................................... 112 4.2 Review of the Financial Year ........................................................................................ 112 4 4.3 Quality, Innovation, Productivity and Prevention (QIPP) ................................................. 114 4.4 Running Costs ............................................................................................................. 115 4.5 Cash ............................................................................................................................ 115 4.6 Better payment practice code ....................................................................................... 115 4.7 Fees and charges ........................................................................................................ 115 4.8 Financial plan 2020/21 ................................................................................................. 115 SECTION 5. INDEPENDENT AUDITORS REPORT ........................................................... 117 SECTION 6. ANNUAL