Agenda Item 12 Enclosure CKWCB/11/23
NHS Calderdale, Kirklees and Wakefield District Cluster Board Report To:
Revised Clinical Commissioning Executive Terms of Reference
FOI Exemption Category
Lead Director and contact details:
Sue Cannon, Executive Director of Quality and Governance (Nursing) Tel: 01484 464240 email: firstname.lastname@example.org
Author Name and contact details:
Vicky Pickles, Head of Corporate Affairs, NHS Calderdale Tel: 01422 281418 email: email@example.com
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.
It is recommended that the Board: i.
Notes the current position regarding the configuration of CCGs across the cluster. ii. Notes the amended terms of reference for the CCEs. iii. Approves the establishment of a second CCE in Wakefield for the South Elmsall and Havercroft CCG. iv. Approves the appointment of Roger Grasby as the Non Executive Director to the new CCE. v. Approves the appointment of Heather Oâ€™Donnell and Rhod Mitchell as the Non Executive Associates to the new CCE. vi. Continue to support the Grange in reaching a satisfactory conclusion to its future CCG configuration. vii. Defers a decision to establish a further CCE to support The Grange until after the outcome the SHA risk assessment on CCG configuration across Wakefield District is known. Page 1 of 6 31/10/2011
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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.
The paper also asks the Board to approve the establishment of a CCE for South Elmsall and Rycroft with appropriate Non Executive Membership.
The paper also provides an update on discussions with The Grange about their future intentions in relation to CCG configuration.
Current Position 2.1.
At its meeting on 4 October 2011, the Board approved the establishment of four Clinical Commissioning Executiveâ€™s: Calderdale, Greater Huddersfield, North Kirklees and Wakefield. This required the 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. The copy attached is for South Elmsall and Rycroft but all terms of reference follow this model. The only difference is in the number of GP members which in Calderdale is 10.
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.
Since the original discussion South Elmsall and Rycroft (already a pathfinder CCG) have indicated their intention to seek authorisation in their own right. In addition discussions to incorporate The Grange (non pathfinder CCG) into a federal model with the Wakefield Alliance have failed to reach a satisfactory conclusion and therefore notification has been received from The Grange (copy letter attached Appendix 2)indicating their intention to seek authorisation as a separate CCG.
This means that the CKW Cluster have 6 aspiring CCGs - 5 having pathfinder status and 1 not.
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.
It is now proposed that the two pathfinder CCGs in Wakefield (Wakefield Alliance and South Elmsall and Rycroft) each have a CCE. This will require the appointment of a Non Executive Director and two Non Executive Associates to support the additional CCE.
The Board are therefore asked to approve the establishment of a fifth CCE and to appoint Roger Grasby as the Non Executive Director representative, Page 3 of 6
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.
A single governance structure will make it possible, if required, for the Wakefield CCEs to share a single set of Non Executive Associates. The Board are asked to consider the appointment of Heather O’Donnell and Rhod Mitchell to the South Elmsall and Rycroft CCE.
4. The Grange – proposed way forward 4.1.
The Grange is not currently a pathfinder CCG and it has not been the intention to date to establish it as a standalone CCG rather to pursue the option of it working in a federated way with the Wakefield Alliance. As detailed above discussions so far have failed to reach a satisfactory conclusion that would enable this to be a realistic way forward.
As part of the first stage of the journey to authorisation (as detailed in the recently published DH Guidance Developing Clinical Commissioning Groups, Towards Authorisation) NHS North of England will be undertaking a risk assessment on the proposed configuration of all CCGs across the North. This assessment and the risk rating attached to it will form a significant part of the overall authorisation process.
This initial assessment will be conducted during November/early December.
It is therefore proposed that the cluster continue to support the Grange in concluding proposals about their future configuration but that the Board defers a decision to establish another CCE until the outcome of the SHA assessment of the configuration of CCGs across Wakefield District is known.
5. Recommendations It is recommended that the Board: i. ii. iii. iv. v. vi. vii.
Notes the current position regarding the configuration of CCGs across the cluster. Notes the amended terms of reference for the CCEs. Approves the establishment of a second CCE in Wakefield for the South Elmsall and Havercroft CCG. Approves the appointment of Roger Grasby as the Non Executive Director to the new CCE. Approves the appointment of Heather O’Donnell and Rhod Mitchell as the Non Executive Associates to the new CCE. Continue to support the Grange in reaching a satisfactory conclusion to its future CCG configuration. Defers a decision to establish a further CCE to support The Grange until after the outcome the SHA risk assessment on CCG configuration across Wakefield District is known.
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