A structure diagram is provided under 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 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
- Dr Parm Panesar – GP, Assistant Clinical Chair of Governing Body
- Samantha Walters – Chief Officer
- Jonathan Bemrose – Chief Finance Officer
- Dr James Hopkinson – Clinical Lead (Chair)
- Dr Ben Teasdale – Secondary Care Consultant
- Sharon Pickett – Deputy Chief Officer
- Mike Wilkins – Lay Member – Primary Care
- Paul McKay – Local Authority Representative
- Mandy Moth – Practice Manager
The People’s Council
The People’s Council meets monthly and is accountable to the Governing Body as a Committee with delegated responsibility, has been established to provide assurance to the NNE CCG Governing Body that all decisions made by the CCG have been informed by the appropriate level of input from patients, carers’ and communities.
The People’s Council is responsible to the patients and communities within NNE by supporting the CCG to deliver against its duties as listed below.
The duties that the NNE CCG Governing Body that have partly delegated to the People’s Council include:
- To make arrangements to secure public involvement in the planning, development and consideration of proposals for changes and decisions affecting the operation of commissioning arrangements
- To promote the involvement of individual patients and their carers about their healthcare
- To promote the involvement of the public and local communities in decisions relating to the prevention or diagnosis of illness, service delivery and care pathways
- To support arrangement to promote patient and public involvement having regard for the need to reduce inequalities, promote innovation, improve access and promote and protect patient choice.
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:
- Lay Member – Audit:
- Lay Member – Patient and Public Involvement:
- Two GP Representative:
- Chief Finance Officer:
- Director of Nursing and Quality:
- Deputy Chief Officer:
- Secondary Care Consultant:
The NNE Governing Body meetings and the Primary Care Commissioning Committee are open to the public and are held bi-monthly. The Clinical Cabinet and the People’s Council meet monthly, the main focus of both committees are the commissioning decisions of the CCG.