The Audit Committee provides the Governing Body with an independent and objective view of the effectiveness and accuracy of the CCG’s overall systems of internal control, the financial systems, its financial information and compliance with laws, regulations and directions governing the group.
Clinical Commissioning Committee
The Clinical Commissioning Committee is accountable to the Governing Body and is responsible for the delivery of strategic and clinical commissioning priorities of the CCG, as defined by the Governing Body. This includes ensuring the optimal use of resources to improve health and health services and the requirement to make interim recommendations and seek ratification of investment decisions made from the Governing Body.
Quality Assurance Committee
The Quality Committee, which is accountable to the Governing Body will support a focus on innovation and integration and ensure that the CCG is achieving its core aim of improving health and reducing health inequalities. The Committee also provides oversight of decision making processes for the various groups that monitor safety and quality. It also oversees the development of a quality improvement programme which spans all health services including primary care (currently commissioned by NHS England) and seeks assurances that the CCG is discharging its responsibilities appropriately relating to statutory functions including Safeguarding Children, Deprivation of Liberty Safeguards (including Adult Safeguarding) and the Duty to Consult.
The Governance Committee, working on behalf of the Governing Body, has been responsible for receiving assurances that corporate performance issues and associated risks, including financial performance are being effectively managed and for ensuring that organisational objectives and targets are achieved. It also provides a forum for challenge, verification and validation of detailed action plans and an opportunity to shape future actions to mitigate and manage risk.
The group has established four Locality Committees. Each Member Practice is a member of a Locality Committee. The four Locality Committees are:
Each Locality Committee is responsible for the following functions:
- to understand and champion the health and social care needs of the local population within its Locality;
- to support and encourage its Member Practices to deliver the best possible healthcare within the available resources;
- to be the link between Member Practices and (i) the Governing Body and (ii) the other Committees established by the group;
- to ensure patient and public engagement at a local level;
- to assist its Member Practices and, where necessary, the Governing Body in the management of the Member Practices’ performance;
- to nominate a representative from the Locality Committee to be a member of the Governing Body.
The Locality Committee are constituted to meet at least 10 times per year.
Building on the experiences gained in the first year of operation the roles of the localities are to be reviewed to ensure there is effective communication and engagement with member GP practices.
The Remuneration Committee, which is accountable to the Governing Body, makes recommendations on behalf of the Governing Body in respect of determinations about the remuneration, fees and other allowances for employees and for people who provide services to the group.
4 + 4 Committee
The purpose of the 4+4 meeting is:
- to enable the four CCGs in Derbyshire (NHS Southern Derbyshire Clinical Commissioning Group, North Derbyshire Clinical Commissioning Group, Hardwick Clinical Commissioning Group and Erewash Clinical Commissioning Group) to develop health service commissioning and improvement programmes, and functions that are of common interest to all four CCGs, and agree where a collective approach is necessary and beneficial;
- to enable the four CCGs to pursue common interests quickly and effectively;
- to ensure that clinicians are directly involved and lead the clinical design of community wide health service improvements;
- The agenda for the Joint Working Group can be proposed by any one of the constituent CCGs and is likely to reflect the fast moving environment within which the CCGs are operating.
The notes of the meetings are received by the Governing Body meeting in public. Terms of Reference can be found in Appendix O of the CCG’s Constitution.