Establishing the Greater Manchester Association of Clinical Commissioning groups. Summary slides

Transcription

1 Establishing the Greater Manchester Association of Clinical Commissioning groups Summary slides

2 Why do we need an Association? To build on the legacy of the GM Association of PCTs, where we have been stronger together than apart, and where common policy has delivered system wide benefit The need for continuing collaborative effort on some key issues e.g. Collaborative commissioning of cancer services, stroke services, contract terms Desire to represent GM CCGs collectively and positively to other organisations e.g. the NCB and AGMA

3 To support CCGs in sharing information and good practice and offering mutual support. To provide a focus for the development and reporting of joint work across the CCGs and reducing unnecessary duplication of effort To provide a properly constituted forum for issues where CCGs consider it beneficial to their own objectives to have a collective decision of the GM CCGs in the spirit of mutuality, or to address issues necessitating formal agreement by the GM CCGs. To provide a basis for Collaborative Commissioning between CCGs in Greater Manchester consistent with the intentions of the Health and Social Care Act 2012.

4 Important issues to bear in mind The legal framework for working together has been changed significantly by the 2012 NHS Act Each CCG is a membership organisation with local sovereignty and its own identity, within its statutory framework from April The Association is NOT an organisation in its own right and is not a legal entity

5 Governance Arrangements There will be an Association Governance Group and an Association Governance Committee Membership of clinical and managerial leads from each CCG ( 24 members) Voting regime agreed as per document re. quoracy, majority, etc

6 Decision-making In accordance with previously established practice across the Greater Manchester PCTs it is proposed that there are 2 categories of joint decision making :- level A collaborative (electing to work together and implementing through individual CCG actions) and level B collegiate (formal collaboration and implementing as if one CCG ).

7 Level A decisions The vast majority of decisions will be at level A Level A decisions to be made by the Association Group meeting, and will be implemented by actions of the individual CCGs Example: 111 implementation;tb specification, CQUIN

8 Level B decisions The need for a level B decision is likely to be infrequent Only 3 in last 10 years as PCT association (Pathology, Upper GI, GM stroke pathway) All CCGs have to agree at the outset that a Level B decision is required, and is binding on all CCGs Level B decisions will be made by the Association Governance Committee meeting, and will be implemented as if by one GM CCG. To achieve legality, the Association Committee has to be equivalent to a joint committee of PCTs

9 Level B processes A lead CCG will identified for a particular issue The lead CCG will delegate to a sub-committee made up of representatives from the other 11 CCGs, which becomes the GM CCG Association Governing Committee Each of the CCGs mandates an individual to represent them on this sub-committee Example: might be used for Healthier Together programme when agreement is reached over transition arrangements and timescales.

10 Local Consultation and Delegation Members will be consulted via their Locality GB leads on Association business to ensure HMR CCG member views shape any decisions taken forward. HMR CCG members will be kept up to date and involved in the Association via their delegated representatives and locality GB leads

11 Next steps Draft CCG Association document being considered by CCG members and GB s Governing Body will discuss and ratify the document at January meeting, informed by your comments and views Any amendments required to CCG constitutions are due from legal advisers, and will be shared with CCGs to ensure consistency of wording Association Chair recently recruited: Dr. Hamish Stedman Salford CCG Vice chairs ( 1 clinical and 1 managerial)to be recruited Administrative support will be recruited Schedule of scope of what we will work together on as an Association is in progress and will be finalised during January