Our Meetings

Our Meetings

A structure diagram is provided under NNE Committee Structure

The Clinical Cabinet

In order to ensure there is a senior clinical forum, to strengthen clinical leadership in commissioning decisions, and to promote innovation, a Clinical Cabinet has been established as a Committee of the Governing Body with defined delegated responsibilities.

The Clinical Cabinet meets monthly and is chaired by the Lead Clinician/Chair and membership includes GPs and other clinicians from CCG member practices, the Chief Officer, Chief Finance Officer, Lay Member with responsibility for Patient and Public Involvement and Patient and Public Representative.

Key responsibilities include:

  • reviewing all clinical proposals in order to make recommendations to the Governing Body
  • monitoring the CCG‘s performance against its agreed aims and priorities in year; reporting performance (particularly cases of underperformance) to the Governing Body and proposing aims and for subsequent years relative to the needs of the local population
  • monitoring the CCG‘s performance against the national healthcare agenda; reporting performance (particularly underperformance) to the Governing Body and supporting Nottingham Health Community‘s commissioning intentions
  • supporting the CCG in ensuring that quality is given the highest priority in all commissioned services with a view to securing the best possible outcomes within NNE CCG‘s resource allocation
  • supporting the development of a new culture 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
  • supporting the CCG in delivering its commissioning plan
  • supporting the CCG in developing and implementing intentions with a strong commitment to NNE priorities
  • identifying and supporting innovation across the CCG
  • engaging with and promoting NNE to partners and stakeholders

The current composition of the Clinical Cabinet is:

  • GP Representative from each of the Member Practices
  • Patient and Public Representative 
  • Jonathan Bemrose – Chief Finance Officer
  • Dr James Hopkinson – Clinical Lead (Chair)
  • Practice Nurse Representative 
  • Practice Manager Representative 
  • Paul McKay – Local Authority Representative
  • Dr Parm Panesar – GP, Assistant Clinical Chair of Governing Body
  • Sharon Pickett – Deputy Chief Officer
  • Dr Ben Teasdale – Secondary Care Consultant
  • Dr John Tomlinson – Public Health Representative
  • Samantha Walters – Chief Officer

The Patient and Public Involvement Committee

The PPI Committee meets bi-monthly and membership includes:

  •  The NNE Governing Body Lay Member, Patient and Public Involvement
  • Five patient and public representatives from across the patch
  • The Patient and Public Representative from the Governing Body
  • NNE Representatives
  • NNE Clinical Lead

The PPI Committee will help ensure that we are delivering on our plans. The schedule of meetings immediately follows the NNE CCG Clinical Cabinet so that discussions and debates from this group are fed back into the decision making process in a timely manner.

The PPI Committee is supported by strong patient and public representation and individuals who are committed to ensuring high quality care.

The responsibilities of the PPI Committee include:

  • To work actively with the CCG to ensure meaningful patient and public involvement in commissioning decisions
  • To inform the consultation and engagement plans and processes of the CCG in order to ensure effective public involvement (patients, public, carers, community)
  • To proactively identify and support the implementation of projects and campaigns to support change being driven by patients and public
  • To be involved in the development of the commissioning plan
  • To actively link in with Practice Patient Groups (PPG)
  • To support patient and public locality groups in driving patient and public change
  • To promote patient and public engagement and embed in the CCG
  • To deliver actions which support patient change and patient and public engagement

There are two other patient working groups that support the PPI Committee and local people can get involved:

The Practice Forum

The Practice Forum is composed of member practice GPs as CCG leads and Practice Managers.

The Practice Forum has the following functions:

  • Assist and support NNE in securing continuous improvement in the quality of care in it’s GP practices and the wider primary care services
  • Assist and support the CCG to commission healthcare to the extent the member practices considers necessary to meet the reasonable requirements of patients registered with our GP practices
  • Support the CCG to act with a view to ensuring that health services are provided in a way which promotes the NHS Constitution, and promotes awareness of the NHS Constitution among patients, staff and the public

The Primary Care Commissioning Committee

A formal delegation agreement has been issued form NHS England to allow NHS Nottingham North & East CCG (CCG) to commission primary care services. The Committee has been established in accordance with the CCG’s constitution and standing orders and will function as a corporate decision-making body for the management of the delegated functions and the exercise of the delegated powers.  The Committee will make decisions and will be accountable to the Governing Body of the CCG. 

The members acknowledge that the Committee is subject to any directions made by NHS England or by the Secretary of State.

Meetings of the Committee shall:

  • be held in public
  • the Committee may resolve to exclude the public from a meeting that is open to the public (whether during the whole or part of the proceedings) whenever publicity would be prejudicial to the public interest by reason of the confidential nature of the business to be transacted or for other special reasons stated in the resolution and arising from the nature of that business or of the proceedings or for any other reason permitted by the Public Bodies (Admission to Meetings) Act 1960 as amended or succeeded from time to time.

Key Responsibilities Include:

The Committee shall carry out the functions relating to the commissioning of primary medical services under section 83 of the NHS Act

  • General Medical Services (GMS), Personal Medical Services (PMS), Additional Personal Medical Services (APMS) contracts (including the design of PMS and APMS contracts, monitoring of contracts, taking contractual action such as issuing branch/remedial notices, and removing a contract)
  • Newly designed enhanced services (“Local Enhanced Services” and “Directed Enhanced Services”)
  • Design of local incentive schemes as an alternative to the Quality Outcomes Framework
  • Decision making on whether to establish new GP practices in an area
  • Approving practice mergers
  • Making decisions on ‘discretionary’ payment (e.g. returner/retainer schemes)
  • Making decisions based on Primary Care needs assessment

The Committee will also ensure that the CCG carries out the following activities:

  •  To plan, including needs assessment when required, primary care services in the CCG
  • To co-ordinate a common approach to the commissioning of primary care services generally
  • To manage the budget for commissioning of primary care services in the CCG
  • Oversee delivery against milestones and targets, escalating issues and concerns as appropriate

Membership of the Primary Care Commissioning Committee:

  • Associate Lay Member – Primary Care Chair)
  • Lay Member – Audit
  • Lay Member – Patient and Public Involvement
  • 2 GPs
  • Deputy Chief Finance Officer
  • Head Of Quality, Patient Safety & Experience
  • Deputy Chief Officer

Overview of Our Meetings


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