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 PPI QIPP Quality, Innovation, Productivity and Prevention group
- The PPG (Patient Participation Group) group
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
Greater Nottingham Joint Commissioning Committee
The Greater Nottingham Joint Commissioning Committee is a joint committee of NHS Nottingham City CCG, NHS Nottingham North and East CCG, NHS Nottingham West CCG and NHS Rushcliffe CCG.
The Committee operates as a single integrated commissioning body with the purpose of commissioning health services for the populations defined within the Constitutions of the Greater Nottingham CCGs. See more.
Greater Nottingham Quality and Performance Committee
The Quality and Performance Committee is a sub committee of the Greater Nottingham Joint Commisisoning Committee and exists to scrutinise arrangements for ensuring the quality of CCG commissioned services and to oversee the development, implementation and monitoring of performance management arrangements. The Committee also monitors equality performance in relation to health outcomes, patient access and experience, and promotes a culture of continuous improvement and innovation with respect to:
- The safety of the treatment and care provided to patients.
- The clinical effectiveness of the treatment and care provided to patients.
- The experience patients have of the treatment and care they receive.
Clinical Commissioning Executive Group
The Clinical Commissioning Executive Group is a sub-committee of the Greater Nottingham Joint Commissioning Committee. The group makes recommendations to the Greater Nottingham Joint Commissioning Committee on commissioning strategies and plans and is the day-to-day decision-making body regarding quality, performance, risk and financial management, capacity and capability and organisational development in order to provide robust assurance to the Greater Nottingham Joint Commissioning Committee (GNJCC).
The Group will evaluate, scrutinise and quality assure the clinical and cost effectiveness of new investments, recurrent funding allocations and all decommissioning and disinvestment proposals. This will include assessment of any associated equality and quality impacts arising from proposals, along with consideration of feedback from patient and public engagement and consultation activities.
The Group has delegated authority to make decisions in accordance with the Greater Nottingham CCGs’ Schedule of Delegated Authority.
Clinical Reference Group
Clinical Reference Group is a sub group of; and accountable to, the Greater Nottingham Joint Commissioning Committee. The group exists to provide advice in relation to clinical policies, clinical pathways and referral guidelines, with the aim of meeting the health needs of the citizens of Greater Nottingham within limited resources, whilst reducing unwarranted clinical variation and improving consistency of pathways.
Greater Nottingham Finance Committee
The Finance Committee is a sub-committee of the Joint Commissioning Committee and exists to scrutinise arrangements for ensuring the delivery of the Greater Nottingham CCGs’ statutory financial duties, including the achievement of the Greater Nottingham Financial Recovery Programme (FRP).
The Committee will review the monthly financial performance and identify key issues and risks requiring discussion or decision by the Greater Nottingham Joint Commissioning Committee. The Committee will also ensure that procurement responsibilities are appropriately discharged, including oversight of annual procurement plans.