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Agenda Item 12 Enclosure CKWCB/11/23

NHS Calderdale, Kirklees and Wakefield District Cluster Board Report To:

Cluster Board

Title:

Revised Clinical Commissioning Executive Terms of Reference

FOI Exemption Category

Open

Lead Director and contact details:

Sue Cannon, Executive Director of Quality and Governance (Nursing) Tel: 01484 464240 email: sue.cannon@calderdale.nhs.uk

Author Name and contact details:

Vicky Pickles, Head of Corporate Affairs, NHS Calderdale Tel: 01422 281418 email: victoria.pickles@calderdale.nhs.uk

Key Points to Note:

The paper provides the updated terms of reference following the Board meeting in October. It also asks the Board to approve the establishment of the South Elmsall and Rycroft Clinical Commissioning Executive.

Recommendation:

It is recommended that the Board: i. ii.

iii.

Approves the establishment of two Clinical Commissioning Executives in Wakefield. Approves the appointment of Roger Grasby as Non Executive Director and Heather O’Donnell and Rhod Mitchell as the Non Executive Associates on the South Elmsall and Rycroft CCE. Receives the amended CCE terms of reference

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1.

2.

Purpose of Report 1.1.

The report presents the amended terms of reference for the Clinical Commissioning Executives (CCEs) across Calderdale, Kirklees and Wakefield District. The amendments were made following comments from the last Board meeting in October.

1.2.

The paper also asks the Board to approve the establishment of a CCE for South Elmsall and Rycroft with appropriate Non Executive Membership.

Current Position 2.1.

At its meeting on 4 October 2011, the Board approved the establishment of four Clinical Commissioning Executives: Calderdale, Greater Huddersfield, North Kirklees and Wakefield. This required Wakefield Clinical CCGs to work on a federated model and come together under one CCE. The amended terms of reference are attached at Appendix 1. All terms of reference follow this model. The only difference is in the number of GP members which in Calderdale is 10.

2.2.

The comments on the sub group arrangements to support the CCEs made at the last Board meeting have been incorporated into the terms of reference which are in the process of going through the CCEs for approval. It is anticipated that at least one meeting of each of the sub groups will take place before the end of the year.

3. Establishment of an additional Clinical Commissioning Executive 3.1.

As part of the new governance arrangements the Board approved a subcommittee arrangement with the local CCGs. This provides a mechanism for having executives and non executives working alongside CCG members and a route for future delegation of responsibilities.

3.2.

It is now proposed that the two pathfinder CCGs in Wakefield each have a CCE. This will require the appointment of a Non Executive Director and two Non Executive Associates to support the additional CCE.

3.3.

The Board are therefore asked to approve the establishment of a fifth CCE and to appoint Roger Grasby as the Non Executive Director representative,

3.4.

If approved, the two Wakefield CCEs – Wakefield Alliance and South Elmsall and Rycroft – would be supported by a single sub group governance structure, as has been set up in Kirklees. It is therefore recommended that the two CCEs could share a single set of Non Executive Associates and the Board are asked to appoint Heather O’Donnell and Rhod Mitchell to the CCE,

4. Recommendations It is recommended that the Board: i. ii. iii. iv.

Notes the amended terms of reference for the CCEs. Approves the establishment of a second CCE in Wakefield. Approves the appointment of Roger Grasby as the Non Executive Directors to the new CCE. Approves the appointment of Heather O’Donnell and Rhod Mitchell as the Non Executive Associates to the new CCE.

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