NHS Lambeth Clinical Commissioning Group Constitution

Transcription

1 NHS Lambeth Clinical Commissioning Group Constitution Our mission is to improve the health and reduce health inequalities of Lambeth people and to commission the highest quality health services on their behalf April 2017

2 Contents Part One 3 Introduction 3 Part Two 11 Good Governance and Accountability 11 Part Three 13 Functions and General Duties of the CCG 13 Part Four 19 Decision Making the Governing Structure 19 Part Five 32 Appointments to Governing Body, Roles and Responsibilities 32 Part Six 36 Standards of Business Conduct and Managing Conflicts of Interest 36 Part Seven 39 Transparency, Ways of Working and Standing Orders 39 Part Eight 40 The CCG as an Employer 40 Appendices 41 Appendix 1: Register of Member Practices 42 Appendix 2: Geographical Area Covered by NHS Lambeth CCG 44 Appendix 3: Standing Orders 45 Appendix 4: Scheme of Reservation and Delegation 58 Appendix 5: Prime Financial Policies 70 Appendix 6: Nolan Principles 82 Appendix 7: NHS Constitution 83 Appendix 8: Governing Body and Collaborative Forum Terms of Reference Glossary of Terms

3 Part One: Introduction 1.1 Name Overview of the Constitution The name of this Clinical Commissioning Group is NHS Lambeth Clinical Commissioning Group (the CCG) The CCG is a statutory public body established by NHS England in accordance with the 2006 Act (as amended by the 2012 Act). 1.2 NHS Lambeth Clinical Commissioning Group (CCG) The CCG is a statutory public body established by NHS England in accordance with the 2006 Act (as amended by the 2012 Act) The principal purpose of the CCG is the commissioning of services for the purposes of the health service in England The CCG s mission is to improve the health and reduce health inequalities of Lambeth people and to commission the highest quality health services on their behalf. We are clear about our aims as a CCG in support of our mission and our strategic vision is focused on six key commitments: People Centred we will work to co produce services, built around individuals and population needs, enabling people to stay healthy and manage their own care Prevention Focussed we will prioritise prevention of ill health and the factors that create it, enabling people to live longer and healthier lives Integrated we will commission services in a way that brings service provision together around the needs of people and reduce boundaries and barriers to care Consistent we will promote high quality, accessible, equitable and safe services and reduce variation and variability in provision Innovative we will use 21 st century technologies to provide better services, better information and to promote choices Deliver best value we will ensure we live within our means and use our resources well 3

4 1.2.4 In realising our vision we are grounded in a core set of values that we hold as an organisation: We always tell the truth We are fair We are open We recognise our responsibilities to service users and the wider public We act responsibly as a public sector organisation 1.3 Status of this Constitution This Constitution is made between the Member Practices of the NHS Lambeth CCG and has been adopted by the CCG Governing Body. The Constitution took effect from the 18 January 2013, following full Authorisation the date of CCG establishment by NHS England. The Constitution was updated in October 2013 and enacted January This version is for enactment for April The Constitution is published on the Lambeth CCG website The National Health Service Act 2006 (the Act ), as amended by the Health and Social Care Act 2012 requires that a Clinical Commissioning Group adopts a Constitution. This Constitution shall be deemed to incorporate all the provisions of the Act to the extent that such provisions apply to Clinical Commissioning Groups This Constitution sets out the terms on which NHS Lambeth Clinical Commissioning Group (the CCG ) shall exercise its statutory function of commissioning services for the purposes of the health service in England On becoming a Member of the CCG and on its signature of this Constitution, each Member Practice confirms it will carry out its duties and responsibilities in respect of the CCG in accordance with the principles of this Constitution This Constitution reflects the values and rights for citizens as set out in the NHS Constitution This Constitution is supplemented by a number of important supporting documents which set out how the CCG will operate, set out as Appendices to this paper. 1.4 Amendment and variation of this constitution This constitution can only be varied in the following circumstances: 4

5 The Lambeth Collaborative Forum recommends proposed changes to this constitution and where the CCG applied to NHS England and that application is granted. Where in the circumstances set out in legislation NHS England varies the CCG s constitution other than on application by the CCG For the purposes of this paragraph 1.4, Constitution shall include Parts 1-8 and Appendices 1-7, but shall not include, for the avoidance of doubt Appendix 8. 5

6 CCG Composition and Membership 1.5 Overview of Membership of NHS Lambeth Clinical Commissioning Group The CCG is a statutory body constituted by the Member Practices in the Borough of Lambeth. Subject to the requirements set out in this Constitution: All practices in the area of the Borough of Lambeth shall be eligible to become Member Practices of the CCG in accordance with Part 4. The members shall form an unincorporated association known as the Lambeth Collaborative Forum; Each member shall be represented on the Lambeth Collaborative Forum by a member representative nominated by each Member Practice; The Member Representatives shall be entitled to attend and vote at meetings of the Lambeth Collaborative Forum; The executive functions of the CCG shall be exercised by the Governing Body, which is composed of appointed, elected and nominated members Eligibility for Membership of Lambeth CCG Eligibility for member practices of the CCG is set out in Part 4 of this Constitution Area covered The geographical area covered by the CCG is the Borough of Lambeth as shown in Appendix Register of Member Practices The CCG shall establish and maintain a register of its Members (the Register of Members ). The published Register of Member Practices will be amended at least annually by the Governing Body and be appended to this Constitution at Appendix Member Practice Representatives Each Member Practice shall nominate an individual Healthcare Professional to represent the Member Practice on the Lambeth Collaborative Forum. The Terms of Reference of the Lambeth Collaborative Forum can be found in Appendix 8. A Member Practice may replace its Member Representative by giving notice in writing to the Governing Body. 6

7 The CCG shall be entitled to consider that the Member Representative has the authority to act on behalf of a Member Practice until it receives notification of the replacement of that Member Representative. Member Practices should nominate a representative committed to working collaboratively with others members in the interest of improving the health and healthcare of the population. To do this well they will have established effective communication within their own Practice to ensure a good understanding and engagement in the business of the CCG. Each Member Practice shall authorise its Member Representatives to act on behalf of the Member Practice as follows: - To recommend/vote on Governing Body membership; - To attend and receive notice of any meetings of the Lambeth Collaborative Forum; - To vote at meetings of the Lambeth Collaborative Forum on behalf of the Member Practice in accordance with this Constitution; - To sign any written resolution on behalf of the Member Practice; - To receive any notices from the CCG on behalf of the Member Practice and any notice delivered by the CCG to the Practice Representative shall be deemed to have been made or served on the Member Practice; - To appoint a proxy; and - To approve or provide any consent required of the Member Practice by the CCG in respect of the powers and duties of the Member Practice described in this Constitution Member Practice Eligibility CCG membership will be composed of providers of primary medical services to a registered list and not individual GPs. To become a member of the CCG, a provider must be situated within the Area and hold a contract for the provision of primary medical services (such as a GMS, PMS or APMS contract) with the CCG post April Applications for Membership to Lambeth CCG New applications for membership of the CCG should be made in writing to the Chair of the Governing Body. A practice shall become a member practice of the CCG if the Practice: Meets the eligibility criteria outlined in Part 4; Has, to the satisfaction of the Governing Body completed the membership application process determined by the Governing Body, including the submission to the Governing Body of a declaration, signed on behalf of the Practice, that the Practice shall comply with the principles of this Constitution for the period of its Membership; Has had its application approved by the Governing Body; and 7

8 Has had its name entered on the Register of Members by the Governing Body Member Practice Responsibilities Member Practices will be responsible for : Nominating a Member Practice Representative as outlined in above Engaging with the CCG, through localities and the collaborative forum as outlined in and below Taking reasonable steps to support the delivery of the CCG vision and mission to improve health outcomes, reduce inequalities, improve quality and make effective use of resources Automatic Termination of Membership A Member Practice automatically ceases to be a Member Practice of the CCG if: that Member Practice is a sole practitioner and he/she dies or is declared dead ceases to be registered as a medical practitioner or ceases to be a provider of primary medical services pursuant to Section 14A(3) of the o 2006 Act, as inserted by Section 25 of the 2012 Act to a list of registered patients in the Borough of Lambeth; or enters into partnership with any other medical practitioner, except where that medical practitioner or the partnership is an existing Member Practice that Member Practice is two or more individuals practising in partnership and the conditions in Section 86(2) of the 2006 Act are no longer satisfied or the Member Practice ceases to be a provider of primary medical services pursuant to Section 14A(3) of the 2006 Act, as inserted by o Section 25 of the 2012 Act to a list of registered patients in the o Borough of Lambeth. that Member Practice is a company limited by share and the conditions in Section 86(3) of the Act are no longer satisfied; Or In respect of that company any one of the following occurs: i. the Member Practice ceases to be a provider of primary medical services pursuant to Section 14A(3) of the 2006 Act, as inserted by Section 25 of the 2012 Act to a list of registered patients in the Borough of Lambeth; 8

9 ii. the Member Practice merges with any other provider of primary medical services, unless that other provider of primary medical services is an existing Member Practice Dispute Resolution Procedure The CCG is committed to full engagement with all Member Practices. Where a Member Practice finds it has a dispute or grievance with the wider CCG as a whole, or with the Governing Body, with regards to: (a) (b) (c) (d) matters of eligibility and disqualification; or the interpretation and application of their respective powers and obligations under this Constitution; or a decision which the CCG has made on behalf of its members; or any other relevant matter that the CCG considers fair and equitable to be the subject of a complaint or grievance, then the Member Practice should follow the following dispute process: (a) In the first instance, the member may raise such an issue through the elected locality representative on the governing body, in writing within 60 days of the issue arising, for resolution; (b) The locality representative on the governing body will respond to the member in writing within 30 working days, unless the locality representative is on leave or otherwise away, in which case the Chair of the Governing Body can direct any other elected board member to receive and resolve the issue; (c) If the locality representative is unable to resolve the issue, the member may write formally to the Chair of the Governing Body or, if the Chair is unavailable, to the statutory vice Chair (lay member), clearly outlining the issue(s) and contact details. The Chair, in conjunction with the Chief Officer where appropriate, will contact the member within 30 working days through the member representative to resolve the dispute; (d) Where the dispute is unable to be resolved as above in (c), parties may decide, at their own cost, to refer to mediation, the independent third party mediator being appointed by the Centre for Effective Dispute Resolution Localities The CCG is comprised of three separate Localities for the following geographical areas as shown on the map at Appendix 2: North Lambeth, South East Lambeth and South West Lambeth. The primary purpose of the Localities is to act as a conduit for engagement with Member Practices, clinical teams and with stakeholders. The Governing Body may delegate decision making to committees, groups (including localities) or individuals over time, within principles of good governance and the scheme of delegation Engagement with Members 9

10 Engagement of members will primarily be through the Collaborative Forum, as set out in Section This will meet at least twice per year. In addition, the CCG has agreed a strategy for engaging with its Member Practices as part of Involving People the CCG Communications and Engagement Strategy, available on In discharging its functions, the Clinical Commissioning Group through its Governing Board and committees shall consult the Local Medical Committee on decisions that impact on practices in their delivery of Primary Care Services, and individual general practitioners in their professional role, this will include regular attendance at meetings, by agreement. 10

11 Part Two Good Governance and Accountability 1.6 Governance Values The CCG has agreed a set of values to determine the manner in which it will deliver upon its responsibilities,as described in section Principles of Good Governance In accordance with section 14L(2)(b) of the 2006 Act, the CCG will at all times observe such generally accepted principles of good governance in the way it conducts its business. These include: a) The highest standards of propriety involving impartiality, integrity and objectivity in relation to the stewardship of public funds, the management of the organisation and the conduct of its business; b) The standards of behaviour published by the Committee on Standards in Public Life (1995) known as the Nolan Principles at Appendix 6; c) The Good Governance Standard for Public Services d) The seven key principles of the NHS Constitution at Appendix 7; e) The Equality Act Accountability The Lambeth Collaborative Forum and Governing Body of the CCG have an ongoing role in reviewing the CCG s arrangements to ensure that the CCG continues to reflect the principles of good governance and the standards of business conduct as set out in Part 6 of this document Lambeth CCG will demonstrate its accountability to its members, local people, NHS England and all other stakeholders in a number of ways, including by: a) Publishing its constitution including the register of Member Practices b) Appointing independent lay members and non GP clinicians to its Governing Body; c) Holding meetings of the Governing Body in public (except where the CCG considers that it would not be in the public interest in relation to all or part of a meeting). Further provisions describing the practice and procedure of the Governing Body are set out in the Governing Body s Terms of Reference appended to this Constitution at Appendix 8. d) Holding meetings of its Lambeth Collaborative Forum at least twice per annum; e) Publishing a commissioning plan annually; f) Complying with Local Authority Health Overview and Scrutiny requirements; g) Meeting annually in public to publish and present its Annual Report; 11

12 h) Producing Annual Accounts in respect of each financial year, which must be externally audited; i) Having a published and clear complaints process; j) Complying with the Freedom of Information Act 2000, including development of a Publication Scheme k) Publishing an annual report on stakeholder engagement and consultation l) Providing information to NHS England as required Declaring and Registering Interests The CCG will maintain and publish one or more registers of the interests of: a) Members of its Governing Body; b) The members of the committees of its Governing Body; Management Team d) Member Practice Partners e) all CCG staff Employees and practice members will be expected to declare perceived conflicts of interest pertinent to their work or ability to influence others. For more information see Part 6 Standards of Business Conduct and Managing Conflicts of Interest In addition to these statutory requirements, the CCG will demonstrate its accountability through the Governing Body s Engagement, Equalities and Communications Committee, working with Localities to engage with patients and the public and support the development of Public and Patient Engagement Groups in each Locality ( Patient Participation Groups ) The CCG s Governing Body will be a full member of the Lambeth Health and Wellbeing Board established by the London Borough of Lambeth and other Lambeth Partnership arrangements 12

13 Part Three Functions and General Duties of the CCG 1.8 The functions that the CCG is responsible for exercising are set out in the 2006 Act, as amended by the 2012 Act. They relate to: a) Commissioning certain health services (where NHS England is not under a duty to do so) that meet the reasonable needs of: i) All people registered with Member Practices within the CCG s geographical area, and ii) People who are usually resident within the CCG s geographical area and are not registered with a member of any clinical commissioning group; b) Commissioning emergency care for anyone present in the CCG s geographical area c) Paying its employees remuneration, fees and allowances in accordance with the determinations made by its Governing Body (via the Employment and Remuneration Committee) and determining any other terms and conditions of service of the CCG s employees; d) Determining the remuneration and other allowances of members of its Governing Body (via the Employment and Remuneration Committee); In discharging its functions the CCG will: a) Act, when exercising its functions to commission health services, consistently with the discharge by the Secretary of State and NHS England of their duty to promote a comprehensive health service and with the objectives and requirements placed on NHS England through the Mandate published by the Secretary of State before the start of each financial year by: i) Reserving certain matters to the Member Practices and delegating responsibility for other matters to the Governing Body (in accordance with the Scheme of Reservation and Delegation as set out in Appendix 4). The Governing Body shall discharge its functions either directly or by delegation to its committees or to others; ii) The Member Practices, acting through the Lambeth Collaborative Forum, agreeing the CCG s mission, vision and values as incorporated in this Constitution; iii) The Governing Body approving the CCG s commissioning plans following engagement with Lambeth Collaborative Forum. iv) The Governing Body preparing strategic commissioning plans and implementing its commissioning plan through operational plans and operational budgets; v) Facilitating two way communications between the Governing Body and the Member Practices including through Collaborative Forum and the three Lambeth Localities. 13

14 b) Act, when exercising its functions to commission consistently with the provisions of the Section 75 Agreement. c) Meet the public sector equality duty by: i) Working with the Governing Body and its committees to implement the NHS Equality Delivery System and Lambeth CCG Equality Strategy, contribute to the Joint Strategic Needs Assessment (JSNA), the development and delivery of the Health and Well Being Strategy, and its equality objectives working through the Health and Wellbeing Board. ii) Publishing information annually to demonstrate compliance with this duty. d) Promote integration of both health services with other health services and health services with health related and social care services, where the CCG considers that this would improve the quality of services or reduce inequalities, and work in partnership with the London Borough of Lambeth to develop joint strategic needs assessments and joint health and wellbeing strategies by: i) Requiring the Chief Officer, Chair of the Governing Body and a further Governing Body representative to be full and active members of the Lambeth Health and Wellbeing Board; ii) Inviting representation from the London Borough of Lambeth to participate on the CCG s Governing Body; requiring the Governing Body to provide assurance to the Lambeth Collaborative Forum that the CCG s commissioning plans 1) take into account the joint strategic needs assessments and joint health and wellbeing strategies and 2) promote integration by working with partners., iii) Require the Governing Body to work within localities to implement plans iv) Entering into the partnership arrangements between the Local Authority and the CCG as set out in a Section 75 agreement General Duties - in discharging its functions the CCG will make arrangements to secure patient and public engagement in the planning, development and consideration of proposals for changes and decisions affecting the operation of commissioning arrangements, promote the engagement of patients, their carers and representatives in decisions about their healthcare and enable patients to make choices by: a) The Governing Body delegating responsibility to an Engagement, Equalities and Communications Committee and holding the Committee to account for delivery of Involving People, the CCGs Communications and Engagement Strategy, implementation plan and annual refresh. b) Delivery of the principles agreed with our partners in the Lambeth Health and Wellbeing Board to guide our work in this area: Working together for change (co-production) 14

15 Leadership and engaging people at the right level Involvement will be purposeful Involvement will be accessible and fun Involvement will be well planned and appropriately resourced Involvement will be accountable and transparent c) Working within the three Localities to develop Locality Patient Participation Groups; d) Inviting up to two representatives from patient groups, one of which being Lambeth Healthwatch to become a non-voting members of the Governing Body. Lambeth Healthwatch representative to also become a member of the Engagement, Equalities and Communications Committee; e) Ensuring all Quality, Innovation, Productivity and Prevention ( QIPP ) plans include detailed engagement plans; f) Ensuring best practice in engagement activities to meet the needs of a wide range of communities; g) Publishing information about health services on the CCG s website and through other media; h) Encouraging and acting on feedback received from patients and the public; Promote awareness of, and act with a view to securing that health services are provided in a way that promotes awareness of, and have regard to the NHS Constitution by: a) The Member Practices, acting through the Lambeth Collaborative Forum, agreeing the CCG s mission, vision and values so that it reflects the NHS Constitution; b) The Governing Body approving the CCG s commissioning plans following engagement with Lambeth Collaborative Forum, ensuring it reflects the NHS Constitution; c) The Governing Body implementing the CCG s commissioning plans; d) Use of appropriate processes to ensure all providers operate within the NHS Constitution e) Ensuring that any agreement entered into pursuant to section 75 of the NHS Act reflects the NHS constitution Secure continuous improvement to the quality and value for money of services and act effectively, efficiently and economically by: a) Holding the Integrated Governance Committee to account to ensure local plans are in place to deliver continuous improvement to the quality of local services through delivery of the strategic transformation plans, commissioning plans, operating plans, QIPP plans and available benchmark and monitoring information. b) Facilitating two way communications between the Governing Body and the Member Practices through Localities. c) Appointing internal and external auditors. 15

16 1.8.5 Commissioning of Primary Care Services in relation to the Governing Body duty to improve the quality of primary medical services by: a) The Governing Body ensuring that the CCG s commissioning plans improves the quality of primary medical services through delivery of the commissioning strategy plans, operating plans and our local health and Health and Well-being programmes. This includes taking account of need and unexpressed demand. b) Facilitating two way communications between the Governing Body and the Member Practices through Localities. c) The Primary Care Commissioning Committee will work collaboratively with CCGs in SE London to carry out functions relating to the commissioning of primary medical services under section 83 of the NHS Act as set out in the terms of reference Have regard to the need to reduce inequalities by: a) The Governing Body ensuring that the CCG s commissioning plans supports NHS England in its duty to reduce inequalities. b) Working with the Governing Body and its committees to implement the Lambeth CCG Equality Delivery System and Lambeth CCG Equality Strategy; c) Publishing information annually to demonstrate compliance with this duty. d) Facilitating two way communications between the Governing Body and the Member Practices through Localities Obtain appropriate advice from persons who, taken together, have a broad range of professional expertise in healthcare and public health by: a) Assisting the Governing Body to develop strategy and implementation plans and working with the Governing Body and its committees to implement plans; b) Working with the Lambeth public health team, expertise of Governing Body members, Lambeth Clinical Network Members, Designated officers include Caldicott Guardian, Senior Information Risk Owner and Safeguarding Leads, with independent advisors where appropriate Promote innovation and promote research and the use of research and by: a) The committees of the Governing Body are tasked in their terms of reference with the promotion of innovation, research and the use of research; Have regard to the need to promote education and training for persons who are employed, or who are considering becoming employed, in an activity which involves or is connected with the provision of services as part of the health service in England so as to assist the Secretary of State for Health in the discharge of his related duty by: a) The Governing Body ensuring that the CCG s commissioning plans 16

17 supports NHS England and promotes education and training; b) Active engagement with Health Education England c) Facilitating two way communications between the Governing Body and the Member Practices through Localities General Financial Duties the CCG will perform its functions so as to: a) Ensure its expenditure does not exceed the aggregate of its allotments for the financial year; b) Ensure its use of resources (both its capital resource use and revenue resource use) does not exceed the amount specified by NHS England for the financial year; c) Take account of any directions issued by NHS England, in respect of specified types of resource use in a financial year, to ensure the CCG does not exceed an amount specified by NHS England, and; d) With reference to our prime financial policies including budgets, financial monitoring and risk management processes. e) Publish an explanation of how the CCG spent any payment in respect of quality made to it by NHS England By: i) Appointing appropriately qualified Chief Officer and Chief Financial Officer; ii) Reserving certain matters to the Member Practices and delegating responsibility for other matters to the Governing Body and to the Chief Officer and Chief Financial Officer (in accordance with the Scheme of Reservation and Delegation as set out at Appendix 4); iii) The Chief Financial Officer and the Chief Officer preparing the CCG s Scheme of delegation; iv) The Chief Financial Officer preparing the detailed financial policies and the Governing Body considering and approving them; v) Publishing an annual report which will include annual accounts, governance and a remuneration report; vi) External Audit review. vii) production of an Annual Governance Statement f) Manage and account for the pooled fund resources which are set up pursuant to any agreement entered into pursuant to section 75 of the NHS Act, namely the CCG appointing an Integrated Personal Support Alliance (IPSA) pooled fund manager for the purposes of the Partnership Regulations 2000, who shall be responsible for; i) managing the IPSA Pooled Fund on behalf of the parties to the agreement; ii) managing expenditure from the IPSA Pooled Fund within the budgets set by the parties and in accordance with the CCG Operational Plan, the Better Care Fund (BCF) Plan, Council s Budget Plan and the joint health and wellbeing strategy. iii) submitting quarterly reports and an annual return to the parties and/or the joint committees 17

18 to enable them to monitor the success of the Partnership Arrangements. iv) keeping full and proper records in relation to accounting and financial matters and information will be supplied between the parties on an open book basis. v) complying with the HM Revenue and Customs directions and to have due regard to all guidance issued by HM Revenue and Customs regarding the VAT aspects of the partnership arrangements. vi) The parties agreeing that the pooled fund and any other non-financial contributions that they make in accordance with this agreement shall only be used for the procurement and commissioning of the services and in accordance with this constitution Other Relevant Regulations, Directions and Documents: the CCG will: a) Comply with all relevant regulations; b) Comply with directions issued by the Secretary of State for Health or NHS England, and; c) Take account, as appropriate, of documents issued by NHS England. The CCG will develop and implement the necessary systems and processes to comply with these regulations and directions, documenting them as necessary in this constitution, its scheme of reservation and delegation (as set out at Appendix 4) and other relevant CCG policies and procedures 18

19 Part Four Decision Making the Governing Structure 1.9 Authority to act Overview The CCG is accountable for exercising the statutory functions of the group and remains accountable for functions it has delegated to others to act on its behalf, as described in the Scheme of Reservation and Delegation found at Appendix 4. It may grant authority to act on its behalf to: a) any of its members; b) its Governing Body; c) employees; d) A committee or sub-committee of the Governing Body The CCG's governance structure is set out below: 19

20 1.9.3 The Governing Body has delegated authority to establish committees to support delivery of the CCGs responsibilities from time to time Scheme of Reservation and Delegation The Scheme of Reservation and Delegation sets out the key functions of the CCG and to whom the CCG has delegated responsibility for fulfilling these. The extent of the authority to act of the various bodies set out above depends upon the powers delegated to them by the CCG as expressed through: a) The Scheme of Reservation and Delegation (as set out at Appendix 4). b) The committees must operate in accordance with their approved terms of reference (included at Appendix 8) as approved by the Governing Body. c) The terms of any agreement entered into pursuant to section 75 of the NHS Act General In discharging functions of the CCG, as set out in 3.1.1, Committees and individuals must: a) Comply with the CCG s principles of good governance; b) Operate in accordance with the CCG s scheme of reservation and delegation; c) Comply with the CCG s standing orders; d) Comply with the CCG s arrangements for discharging its statutory duties; e) Ensure that Member Practices have had the opportunity to contribute to the CCG s decision making process through consultation and engagement on the CCGs commissioning plans through the Lambeth Collaborative Forum and the work of our Localities The CCG may be a member of committees and groups that are comprised of members from a number of NHS or local authority organisations where it is beneficial to address shared interests. This may involve working with, NHS England, CCGs and local authorities in Lambeth and Southwark, across South East London, and pan- London. The functions and Terms of Reference for these committees will be approved by the Governing Body in accordance with the scheme of reservation and delegation. Where delegated responsibilities are being discharge collaboratively, a joint committee or committee in common, may be established. This may include a committee in common with Local Authorities. Any joint (Collaborative) arrangements must: 20

21 Identify the roles and responsibilities of those CCGs who are working together; Identify any pooled budgets and how these will be managed and reported in annual accounts: Specify under which CCG s scheme of reservation and delegation and supporting policies the collaborative working operates: Specify how the risks associated with the collaborative working arrangement will be managed between the respective parties; Identify how disputes will be resolved and the steps required to terminate the working arrangements Specifiy how decisions are communicated to the collaborating partners Joint commissioning arrangements with other Clinical Commissioning Groups The clinical commissioning group (CCG) may wish to work together with other CCGs in the exercise of its commissioning functions The CCG may make arrangements with one or more CCG in respect of: delegating any of the CCG s commissioning functions to another CCG; exercising any of the commissioning functions of another CCG; or exercising jointly the commissioning functions of the CCG and another CCG For the purposes of the arrangements described at paragraph [ ], the CCG may: make payments to another CCG; receive payments from another CCG; make the services of its employees or any other resources available to another CCG; or receive the services of the employees or the resources available to another CCG Where the CCG makes arrangements which involve all the CCGs exercising any of their commissioning functions jointly, a joint committee, or committee in common, may be established to exercise those functions. This may include a committee in common with Local Authorities For the purposes of the arrangements described at paragraph [ ] above, the CCG may establish and maintain a pooled fund made up of contributions by any of 21

22 the CCGs working together pursuant to paragraph above. Any such pooled fund may be used to make payments towards expenditure incurred in the discharge of any of the commissioning functions in respect of which the arrangements are made Where the CCG makes arrangements with another CCG as described at paragraph [ ] above, the CCG shall develop and agree with that CCG an agreement setting out the arrangements for joint working, including details of: How the parties will work together to carry out their commissioning functions; The duties and responsibilities of the parties; How risk will be managed and apportioned between the parties; Financial arrangements, including, if applicable, payments towards a pooled fund and management of that fund; Contributions from the parties, including details around assets, employees and equipment to be used under the joint working arrangements The liability of the CCG to carry out its functions will not be affected where the CCG enters into arrangements pursuant to paragraph [ ] above The CCG will act in accordance with any further guidance issued by NHS England on co-commissioning Only arrangements that are safe and in the interests of patients registered with member practices will be approved by the governing body The Governing Body of the CCG shall require, in all joint commissioning arrangements, that the lead clinician and lead manager of the lead CCG make a quarterly written report to the governing body and hold at least annual engagement events to review aims, objectives, strategy and progress and publish an annual report on progress made against objectives Should a joint commissioning arrangement prove to be unsatisfactory the Governing Body of the CCG can decide to withdraw from the arrangement, but has to give six months notice to partners, with new arrangements starting from the beginning of the next new financial year. 22

23 Joint commissioning arrangements with NHS England for the exercise of CCG functions The CCG may wish to work together with NHS England in the exercise of its commissioning functions The CCG and NHS England may make arrangements to exercise any of the CCG s commissioning functions jointly The arrangements referred to in paragraph above may include other CCGs Where joint commissioning arrangements pursuant to above are entered into, the parties may establish a joint committee, or committee in common, to exercise the commissioning functions in question. This may include a committee in common with Local Authorities Arrangements made pursuant to above may be on such terms and conditions (including terms as to payment) as may be agreed between NHS England and the CCG Where the CCG makes arrangements with NHS England (and another CCG if relevant) as described at paragraph above, the CCG shall develop and agree with NHS England a framework setting out the arrangements for joint working, including details of: How the parties will work together to carry out their commissioning functions; The duties and responsibilities of the parties; How risk will be managed and apportioned between the parties; Financial arrangements, including, if applicable, payments towards a pooled fund and management of that fund; Contributions from the parties, including details around assets, employees and equipment to be used under the joint working arrangements; and The liability of the CCG to carry out its functions will not be affected where the CCG enters into arrangements pursuant to paragraph above The CCG will act in accordance with any further guidance issued by NHS England on co-commissioning. 23

24 Only arrangements that are safe and in the interests of patients registered with member practices will be approved by the governing body The governing body of the CCG shall require, in all joint commissioning arrangements that the Chief Officer of the CCG make a quarterly written report to the governing body and hold at least annual engagement events to review aims, objectives, strategy and progress and publish an annual report on progress made against objectives Should a joint commissioning arrangement prove to be unsatisfactory the governing body of the CCG can decide to withdraw from the arrangement, but has to give six months notice to partners, with new arrangements starting from the beginning of the next new financial year after the expiration of the six months notice period. 24

25 Joint commissioning arrangements with NHS England for the exercise of NHS England s functions The CCG may wish to work with NHS England and, where applicable, other CCGs, to exercise specified NHS England functions The CCG may enter into arrangements with NHS England and, where applicable, other CCGs to: Exercise such functions as specified by NHS England under delegated arrangements; Jointly exercise such functions as specified with NHS England Where arrangements are made for the CCG and, where applicable, other CCGs to exercise functions jointly with NHS England a joint committee, or committee in common, may be established to exercise the functions in question. This may include a committee in common with Local Authorities Arrangements made between NHS England and the CCG may be on such terms and conditions (including terms as to payment) as may be agreed between the parties For the purposes of the arrangements described at paragraph above, NHS England and the CCG may establish and maintain a pooled fund made up of contributions by the parties working together. Any such pooled fund may be used to make payments towards expenditure incurred in the discharge of any of the commissioning functions in respect of which the arrangements are made Where the CCG enters into arrangements with NHS England as described at paragraph above, the parties will develop and agree a framework setting out the arrangements for joint working, including details of: How the parties will work together to carry out their commissioning functions; The duties and responsibilities of the parties; How risk will be managed and apportioned between the parties; Financial arrangements, including payments towards a pooled fund and management of that fund; Contributions from the parties, including details around assets, employees and equipment to be used under the joint working arrangements. 25

26 The liability of NHS England to carry out its functions will not be affected where it and the CCG enter into arrangements pursuant to paragraph above The CCG will act in accordance with any further guidance issued by NHS England on co-commissioning Only arrangements that are safe and in the interests of patients registered with member practices will be approved by the governing body The governing body of the CCG shall require, in all joint commissioning arrangements that the Chief Officer of the CCG make a quarterly written report to the governing body and hold at least annual engagement events to review aims, objectives, strategy and progress and publish an annual report on progress made against objectives Should a joint commissioning arrangement prove to be unsatisfactory the governing body of the CCG can decide to withdraw from the arrangement, but has to give six months notice to partners, with new arrangements starting from the beginning of the next new financial year after the expiration of the six months notice period. 26

27 The Lambeth Collaborative Forum 1.10 The Collaborative Forum The Lambeth Collaborative Forum shall be composed of all Member Representatives nominated by each Member Practice. The Lambeth Collaborative Forum shall meet at least twice every 12 months. The practice and procedure of the forum is set out in the Terms of Reference found at Appendix 8. The Collaborative Forum is the representative forum through which the CCG acts to fulfill its duties to: (a) Decide those matters reserved to the Member Practices under the Scheme of Reservation and Delegation, and (b) Through which the Member Practices hold the Governing Body and its committees to account; The Collaborative Forum responsibilities include: Agree the timing and process for the election and selection of Clinical Members to the Governing Body To inform and formally agree changes to the Lambeth CCG Constitution, subject to approval from the National Commissioning Board. Taking reasonable steps to support the delivery of the CCG mission and vision to improve health outcomes, reduce inequalities, improve quality and make effective use of resources. Ensuring two-way communication between the Governing Body and the Member Practices All other decisions are delegated to the Governing Body. 27

28 The Governing Body 1.11 The Governing Body The Governing Body has the following functions conferred on it by sections 14L(2) and (3) of the 2006 Act, inserted by section 25 the 2012 Act, together with any other functions connected with its main functions as may be specified in regulations or in this constitution. The Governing Body has responsibility for: All functions of the CCG, excluding those functions reserved to the Member Practices, as set out in paragraph of this Constitution and in the Scheme of Reservation and Delegation. Ensuring that the CCG has appropriate arrangements in place to exercise its functions effectively, efficiently and economically and in accordance with the CCG s principles of good governance (its main function); Determining the remuneration, fees and other allowances payable to employees or other persons providing services to the CCG and the allowances payable under any pension scheme it may establish under paragraph 11(4) of Schedule 1A of the 2006 Act, inserted by Schedule 2 of the 2012 Act as advised by the Employment and Remuneration Committee; Approving any functions of the CCG that are specified in regulations; Approving any agreement entered into pursuant to section 75 of the NHS Act and any decisions that are referred to it by the parties to any such agreement Exercise of Functions The functions of the Governing Body may be exercised by any of the following on behalf of the Governing Body: any committee, sub-committee, or Joint Committee of the Governing Body; a Member of the Governing Body; a nominated Member of the CCG who is an individual (but is not a member of the Governing Body); e.g. a member of the Lambeth Clinical Commissioning Network In discharging its functions the Governing Body (and its committees and individuals must: comply with the principles of good governance described in this Constitution; operate in accordance with the CCG s Scheme of Reservation and Delegation as set out at Appendix 3 and 5; comply with the CCG s Standing Orders and Financial policies, copies of which are as set out in Appendix 5; and comply with the CCG s arrangements for discharging its statutory duties. 28

29 Comply with any agreement entered into pursuant to section 75 of the NHS Act, where appropriate Each member of the Governing Body will share responsibility as part of a corporate team to ensure that the CCG exercises its functions effectively, efficiently and economically, with good governance and in accordance with the terms of this constitution. Each brings their unique perspective, informed by their expertise and experience Composition The Governing Body shall be clinically led and include no fewer than 7 locally elected clinical members. It shall comprise: a) 7 Representatives of Member Practices (all voting), one of whom shall be the Chair of the Governing Body (who shall have a casting vote); b) Three lay members (voting); c) A registered nurse (voting); d) A secondary care specialist doctor (voting); e) The Chief Officer (voting); f) The Chief Financial Officer (voting); g) Two Local Authority representatives; one nominee (an Executive Director for commissioning) + Director of Public Health (one vote allocation to be agreed) h) A representative from Kings Health Partners (non voting) i) Up to two representatives from patient groups, one of which being Lambeth Healthwatch. (non voting) j) LMC (in attendance) If there is an inability to fill all clinical positions due to insufficient suitable applicants following selection or election, then the Governing Body runs with a vacancy and consults the Collaborative Forum regarding recruitment arrangements and how the vacancy will be covered in the interim. There will always be a majority of clinical professionals on the Governing Body. 29

30 Committees of the Governing Body 1.12 Committees of the Governing Body The Governing Body has appointed the following core committees, each with delegated authority to form sub-committees to assist them in the discharge of their duties: Audit Committee The NHS Lambeth CCG Audit Committee will be responsible for providing assurance to the CCG Governing Body that an effective system of internal control for all risks is maintained within the organisation. The Committee may review the results of audit work completed on the Lambeth risk management system and performance. The Committee will also agree an annual audit plan with reference to CCG Risk Register. The Audit Committee also has a specific remit around reviewing and providing verification on the systems in place for risk management as part of its assurance for the Annual Governance Employment and Remuneration Committee Support the Governing Body meeting their responsibilities to ensure appropriate remuneration, allowances and terms of service for the staff and those who provide services to the CCG, having proper regard to the organisation's circumstances and performance and to the provisions of any national arrangements where appropriate Integrated Governance Committee The Integrated Governance Committee is responsible for the development and implementation of the risk management strategy, maintaining the CCG s Assurance and Risk Management Frameworks to support the delivery of the CCG objectives, reviewing quality and safety of services commissioned, including serious failures in quality and ensuring remedial action is taken, ensuring compliance with relevant statutory, legal and code of conduct requirements including Safeguarding, Serious Incidents, Information Governance and Health and Safety, approving CCG policies for handling complaints, business continuity and emergency planning and handling Freedom of Information requests, and assurance on delivery of quality standards, finance and QIPP as well as data quality assurance. 30

31 Engagement, Equalities and Communications Committee is established to monitor develop and drive forward Equality and Diversity and a Communications and Engagement Strategy ensuring appropriate on-going patient and public engagement in CCG decision-making and monitor implementation of that strategy ensuring that engagement happens in a timely way Medicines Management - A Lambeth Borough Prescribing Committee which will be responsible for the effective management of the prescribing budget, approval of medicines related clinical guidelines, medicines optimisation schemes, medicines rebate schemes, any Lambeth specific initiatives and for advising on appropriate resource allocation Primary Care Commissioning Committee The committee has been established in accordance with statutory provisions to enable the membership of the committee to make collective decisions on the review, planning and procurement of primary care services in Lambeth, under delegated authority from NHS England All of the committees set out above are accountable to the Governing Body and the Governing Body has approved and keeps under review the terms of reference for the committees, which includes information on the membership of the committees In addition, to the above Lambeth specific committees, there are a number of joint committees/committees in common working with other Pan London Committees as required The Governing Body will establish other relevant committees as required Terms of reference to all committees to the Governing Body, including current joint committees are in the NHS Lambeth Governance Arrangements Framework document. 31

32 Part Five Appointments to Governing Body, Roles and Responsibilities 1.13 Appointment of members to the Governing Body Appointed Members NHS England Authority on the recommendation of the Governing Body Members, shall appoint individuals to the following positions, referred to as the Appointed Members on the Governing Body: Chief Officer; Chief Financial Officer; Clinical Members A Clinical Chair and two Clinical Members from each of the three localities shall be selected and elected by Member Practices. The recruitment process will include an election and a selection process as follows: There will be a selection process to secure clinical leaders with appropriate skills and experience based on an agreed job description, person specification and competencies. Individuals will be eligible to apply for the role of Chair and/or Clinical Member of the Governing Body simultaneously if vacancies for both roles arise at the same time. When this occurs, member practices in the relevant locality/ies vote for both scenarios (one that includes the chair candidate and one that excludes the chair). The results of the election for the Chair will be collated first and, depending on that outcome, the relevant locality scenario will be used. Individuals who meet the minimum standard agreed within the selection process will then be eligible to stand for election. Clinical led commissioning is derived from a practice list. Eligible candidates will therefore need to have a connection with and have the written support of at least one Lambeth GP practice and signed by the Practice Representative. Eligible candidates will include GP principals, salaried GPs, Practice Nurses, Practice Managers and other staff or clinicians. Recruitment will be staggered, recruiting up to 50% of elected Clinical Members at any one time, to ensure continuity and consistency on the Governing Body The selection process will be based on the sum of votes from Member Practices based on registered population size. Member Practices will be able to apply their votes across a number of candidates. The method and process for voting will be agreed by the Collaborative Forum Chair (e.g. whether electronic or paper votes). 32

33 Practices will be asked to engage the full practice team, including salaried and locum staff in the election process. The CCG will separately raise awareness when the recruitment process is underway using the website and available professional forums. If the number of eligible candidates is less than or equal to the number of vacant posts a Mandate of Support will be sought from member practices Register of Interests for each candidate to be made available within election information pack to member practices Applicants for the Chair of the Governing Body will be required to complete the selection process through the National Development Centre, if available, or alternatively through a local selection process. Panel to be composed of: o Collaborative Forum Chair (interview Panel Chair) o Chief Officer (Accountable Officer) o And CCG Lay Member The Chair will then be required to stand for election, before formal ratification by the Governing Body Lay members At least three lay members will be appointed. Appointment will be through advertisement, application, selection against agreed job description, person specification and competencies. Further detail is described in Appendix 3. These individuals will be responsible for: one to lead on audit, remuneration and conflict of interest matters including the position of Conflict Of Interest Guardian, ii)one to lead on patient and public participation matters; iii) one to support the above Secondary Care Doctor and Nurse roles These roles are primarily to bring a broader view on health and care issues, informed by their expertise and experience. Appointment will be through advertisement, application, and selection against agreed job description, person specification and competencies. Further detail on appointment to these roles is described in Appendix Nominated Members The following roles shall be nominated by the relevant partner organisation A representative from Lambeth Council The Director of Public Health for Lambeth, nominated by Lambeth Council; A representative from Kings Health Partners; Up to two representatives from patient groups, one of which being Lambeth HealthWatch. The Lambeth LMC will have observer status at the Governing Body. 33

34 The Chair of the Governing Body The role of Chair of the Governing Body is summarised as: a) Leading the Governing Body, ensuring it remains continuously able to discharge its duties and responsibilities as set out in this Constitution b) Building and developing the CCG s Governing Body and its individual members c) Ensuring that the CCG has proper constitutional and governance arrangements in place; d) Ensuring that, through the appropriate support, information and evidence, the Governing Body is able to discharge its duties; e) Supporting the Chief Officer in discharging the responsibilities of the organisation; f) Contributing to building a shared vision of the aims, values and culture of the organisation; g) Leading and influencing to achieve clinical and organisational change to enable the CCG to deliver its commissioning responsibilities; h) Overseeing governance and particularly ensuring that the Governing Body and the wider CCG behaves with the utmost transparency and responsiveness at all times; i) Ensuring that public and patients views are heard and their expectations understood and, where appropriate, these views and expectations are met as far as is possible; j) Ensuring that the organisation is able to account to its local patients, stakeholders and NHS England; k) Ensuring that the CCG builds and maintains effective relationships, particularly with the individuals involved in overview and scrutiny from the relevant local authority(ies); l) Being the senior clinical voice of the CCG and taking the lead in interactions with stakeholders, including NHS England. A job description is available on the Lambeth CCG website The Vice Chair of the Governing Body The Vice Chair of the Governing Body will be the lay member with the lead on audit and will deputise for the Chair of the Governing Body where he/she has a conflict of interest or is otherwise unable to act Role of the Chief Officer The Chief Officer of the CCG is a member of the Governing Body. The role of Chief Officer is summarised as: a) Being responsible for ensuring that the CCG fulfills its duties to exercise its functions effectively, efficiently and economically thus ensuring improvement in the quality of services and the health of the local population whilst maintaining value for money; b) At all times ensuring that the regularity and propriety of expenditure is discharged, and that arrangements are put in place to ensure that good practice (as identified through such agencies as the Audit Commission and the National Audit Office) is embodied and that safeguarding of funds is ensured through effective financial and management systems. 34

35 c) Working closely with the chair of the Governing Body, the Chief Officer will ensure that proper constitutional, governance and development arrangements are put in place to assure the Member Practices (throughthe Governing Body) of the CCG s ongoing capability and capacity to meet its duties and responsibilities. This will include arrangements for the ongoing developments of its members and staff. d) Being responsible for ensuring Conflicts of Interest are managed in accordance with the CCG Standards of Business Conduct. A job description is available on the Lambeth CCG website Role of the Chief Financial Officer The Chief Financial Officer is a member of the Governing Body and is responsible for providing financial advice to the CCG and for supervising financial control and accounting systems. The role of Chief Financial Officer is summarised as: a) Being the Governing Body s professional expert on finance and ensuring, through robust systems and processes, the regularity and propriety of expenditure is fully discharged; b) Making appropriate arrangements to support, monitor on the CCG s finances; c) Overseeing robust audit and governance arrangements leading to propriety in the use of the CCG s resources; d) Being able to advise the Governing Body on the effective, efficient and economic use of the CCG s allocation to remain within that allocation and deliver required financial targets and duties; and e) Producing the financial statements for audit and publication in accordance with the statutory requirements to demonstrate effective stewardship of public money and accountability to NHS England. A job description is available on the Lambeth CCG website. 35

36 Part Six Standards of Business Conduct and Managing Conflicts of Interest 1.14 Standards of Business Conduct Member Practices, members of the Governing Body (and its committees and sub-committees) and employees will at all times comply with this Constitution and be aware of their responsibilities as outlined in it. They should act in good faith and in the interests of the CCG and should follow the Seven Principles of Public Life, set out by the Committee on Standards in Public Life (the Nolan Principles). They should seek to ensure the CCG upholds the principles of the NHS constitution and statutory guidance for CCGs. The Nolan Principles are incorporated into this Constitution and set out at Appendix Employees, members, committee and sub-committee members of the CCG and members of the Governing Body (and its committees) must comply with the CCG s Policy on Standards for Business Conduct and for managing conflicts of interest. This policy is part of the CCG Governance Arrangements Framework and is available on the CCG s website Individuals contracted to work on behalf of the CCG or otherwise providing services or facilities to the CCG will be made aware of their obligation with regard to the Standards for Business Conduct Policy including declaration of conflicts or potential conflicts of interest. This requirement will be written into their contract for services Conflicts of Interest The CCG will make arrangements to manage conflicts and potential conflicts of interests to ensure that decisions made by the CCG will be taken and seen to be taken without any possibility of the influence of external or private interest. The Lambeth CCG Standards of Business Conduct Policy including conflicts of interest is set out in the CCG Governance Arrangements Framework Where an individual CCG employee, Member Practice, member of the Governing Body, member of a committee or a sub-committee has an interest, or becomes aware of an interest which could lead to a conflict of interests, that must be considered a potential conflict of interests, and is subject to the provisions of this constitution and governed by the CCG Business Conduct Policy on conflicts of interest A conflict of interest will include: a) A direct pecuniary interest: where an individual may financially benefit from the consequences of a commissioning decision (for example, as a provider of services); 36

37 b) An indirect pecuniary interest: for example, where an individual is a partner, member or shareholder in an organisation that will benefit financially from the consequences of a commissioning decision; c) A non-pecuniary interest: where an individual holds a non-remunerative or not-for profit interest in an organisation, that will benefit from the consequences of a commissioning decision (for example, where an individual is a trustee of a voluntary provider that is bidding for a contract); d) A non-pecuniary personal benefit: where an individual may enjoy a qualitative benefit from the consequence of a commissioning decision which cannot be given a monetary value (for example, a reconfiguration of hospital services which might result in the closure of a busy clinic next door to an individual s house); e) Where an individual is closely related to, or in a relationship, including friendship, with an individual in the above categories. If in doubt, the individual concerned should assume that a potential conflict of interest exists A Register of Interests will be published on the CCG s website at Individuals will declare any interest that they have, in relation to a decision to be made in the exercise of the commissioning functions of the CCG, in writing to the Governing Body, as soon as they are aware of it and in any event no later than 28 days after becoming aware Where an individual is unable to provide a declaration in writing, for example, if a conflict becomes apparent in the course of a meeting, they will make an oral declaration before witnesses, and provide a written declaration as soon as possible thereafter The Audit Committee and Conflict of Interests Panel along with Programme Boards will regularly review Registers of Interest to ensure this is reviewed and updated as necessary Managing Conflicts of Interest: general The CCG s policy shall apply and conflicts shall be managed accordingly. This includes holding a panel to consider issues of conflict for members, chaired by the lay member of the Governing Body with responsibility for audit, remuneration and conflict of interest matters (who is also Deputy Chair of the Governing Body and Conflict of Interests Guardian). The results of any such panel will be reported in the CCG meetings, and ratified there Managing Conflicts of Interest: contractors and people who provide services to the CCG Anyone seeking information in relation to procurement, or participating in procurement, or otherwise engaging with the CCG in relation to the potential 37

38 provision of services or facilities to the CCG, will be required to make a declaration of any relevant conflict / potential conflict of interest Transparency in Procuring Services The CCG recognises the importance in making decisions about the services it procures in a way that does not call into question the motives behind the procurement decision that has been made. The CCG will procure services in a manner that is open, transparent, non-discriminatory and fair to all potential providers. The CCG will publicly publish a Procurement Policy on its website and a Procurement Register approved by its Governing Body which will ensure that: a) all relevant clinicians (not just members of the CCG) and potential providers, together with local members of the public, are engaged in the decision-making processes used to procure services, and; b) service redesign and procurement processes are conducted in an open, transparent, non-discriminatory and fair way Copies of this Procurement Policy will be available on the CCG s website at 38

39 Part Seven Transparency, Ways of Working and Standing Orders 1.16 General The CCG will publish annually a commissioning plan and Annual Report, and will present the Annual Report to a meeting in public Key communications issued by the CCG, including the notices of procurements, public consultations, Governing Body future meeting dates, venues, forward plan and papers will be published on the CCG s website. The CCG may use other means of communication, including circulating information by post, or making information available in venues or services accessible to the public A complete list of all Governing Body members is available on Standing Orders This Constitution is also informed by a number of documents which provide further details on how the CCG will operate. They are the CCG s: a) Standing orders Appendix 3 which sets out the arrangements for meetings and the appointment processes to elect the CCG s representatives and appoint to the CCG s committees (including the Governing Body) and the terms of reference for the Governing Body s committees; b) Scheme of reservation and delegation Appendix 4 which sets out those decisions that are reserved for Member Practices as a whole and those decisions that are the responsibilities of the CCG s Governing Body, the Governing Body s committees and sub-committees, the CCG s committees and subcommittees, individual members and employees; c) Prime financial policies Appendix 5 which sets out the arrangements for managing the CCG s financial affairs; d) Standards of Business Conduct including the Management of Conflicts of Interests described in the CCGs Governance Arrangements Framework which sets out the CCG s Policy by which the CCG will deal with Conflicts of Interests. e) Section 75 Agreement 39

40 Part Eight The CCG as an Employer 1.18 The CCG recognises that its most valuable asset is its people. It will seek to enhance their skills and experience and is committed to their development in all ways relevant to the work of the CCG, whatever their role or status in the CCG The CCG will seek to set an example of best practice as an employer and is committed to offering all staff opportunity. It will ensure that its employment practices are designed to promote equality and diversity The CCG will ensure that it employs suitably qualified and experienced staff who will discharge their responsibilities in accordance with the high standards expected of staff employed by the CCG. All staff will be made aware of this Constitution, commissioning plans and the relevant internal management and control systems which relate to their field of work The CCG will maintain and publish policies and procedures (as appropriate) on the recruitment and remuneration of staff to ensure it can recruit, retain and develop staff of an appropriate calibre. The CCG will also maintain and publish policies on all aspects of human resources management, including grievance and disciplinary matters The CCG will ensure that its rules for recruitment and management of staff provide for the appointment and advancement on merit on the basis of equal opportunity for all applicants and staff The CCG will ensure that employees' behaviour reflects the agreed values of the CCG The CCG will ensure that it complies with all aspects of employment law The CCG will ensure that its employees have access to such expert advice and training opportunities as they may require in order to exercise their responsibilities effectively The CCG will adopt a code of conduct for staff and will maintain and promote effective 'whistleblowing' procedures to ensure that concerned staff have the means through which their concerns can be voiced. This code will be developed with staff side representatives. Copies of the code, together with other relevant policies and procedures will be available on the CCG website, 40

41 Appendices Appendix 1 Register of Member Practices Appendix 2 Geographical Area Covered by NHS Lambeth CCG Appendix 3 Standing Orders Appendix 4 Scheme of Reservation and Delegation Appendix 5 Prime Financial Policies Appendix 6 Nolan Principles Appendix 7 NHS Constitution Appendix 8 Governing Body and Collaborative Forum Terms of Reference 41

42 Appendix 1 Register of Member Practices Locality Practice Name SW Streatham High Practice Gracefield Gardens Health & Social Care Centre SW16 2ST SW Santamaria (Dr. Sheila ) 86 Clapham Manor Street SW4 6EB SW Clapham Family Practice 89 Clapham High Street SW4 7DB St Andrew's Hall SW Streatham Common Group Practice Guildersfield Road SW16 5LS SE Herne Hill Group Practice 74 Herne Hill SE24 9QP SW Masterton's Surgery (Dr.) 2 Prentis Rd SW16 1XU SE Crown Dale Medical Centre 61 Crown Dale SE19 3NY SW Brixton Hill Group Practice 22 Raileigh Gardens SW2 1AE N Stockwell Group Practice 107 Stockwell Rd SW9 9TJ SE Paxton Green Group Practice 1 Alleyn Park SE21 8AU SW Palace Road Surgery 3 Palace Rd SW2 3DY SW Valley Road Surgery 139 Valley Rd SW16 2XT SW Hetherington Group Practice 18 Hetherington Rd SW4 7NU SE Knights Hill Surgery 130 Knights Hill SE27 0SR N Hurley Clinic Ebenezer House SE11 4HJ N Lambeth Walk Group Practice 5 Lambeth Walk SE11 6SP Vassell Medical Centre (Drs Patel & SE Cresswell) 89 Vassall Road SW9 6NA SW Sandmere Road Practice 10 Sandmere Rd SW4 7QJ N South Lambeth Rd Practice 1 Selway House SW8 1UL SE Brixton Water Lane Practice 48 Brixton Water Lane SW21QE SW Vale Surgery 106 Greyhound Lane SW16 5SE N Beckett House Practice Beckett House SW9 9DL N Vauxhall Surgery 8 Jonathan Street SE11 5NH SW Clapham Park Group Practice 72 Clarence Avenue SW4 8JP SE Norwood Surgery 483 Norwood Rd SE27 9DU 42

43 SW Streatham Place Surgery 28 Streatham Place SW2 4QY N Binfield Road Surgery 1 Binfield Rd SW4 6TB SE Corner Surgery 99 Coldharbour Lane SE5 9NS SE Deerbrook Surgery 216 Norwood Road SE27 9AW Mawbey Brough Health N Mawbey Group Practice Centre SW8 2UD SE Tulse Hill Practice 4 Hardel Rise SW2 3DX SE Minet Green Health Practice* 60 Patmos Road SW9 6AF N Waterloo Health Centre 5 Lower Marsh SE1 7RJ SE Brockwell Park Surgery 117 Norwood Rd SE24 9AE SW Exchange Surgery Gracefield Gardens Health & Social Care Centre SW16 2ST SW Streatham Hill Group Practice 6 Leigham Court Road SW16 2PG N Springfield Medical Centre 110 Union Road SW8 2SH SW Grafton Square (Dr Ala) 8B Grafton Square SW4 0DE SE Herne Hill Road Medical Practice 1-3 Herne Hill Rd SE24 0AU SE Akerman Medical Practice 60 Patmos Road SW9 6AF SE Rosendale Surgery 103a Rosendale Rd SE21 8EZ SW Curran & Partners (Dr.) 86 Clapham Manor St SW4 6EB SW Edith Cavell Practice 41a-c Streatham Hill SW2 4TP N Wickremesinghe Ssg (Dr.) Beckett House SW9 9DL N Riverside Medical Flagstaff House SW8 2JW SW Pavillion Practice (Hetherington) 9 Brighton Terrace SW9 8DJ Total 46 as of April 2017 * Myatts Field and Iveagh House merged April 2015 *Dr Gunasuntharam merged with The Vale September

44 Appendix 2 Geographical area covered by NHS Lambeth CCG 44