NHS Buckinghamshire CCG Constitution
Our Constitution sets out the responsibility for commissioning care for patients. It describes the governing principles, rules and procedures that the group will establish to provide probity and accountability in the day-to-day running of the clinical commissioning group.
It will ensure that decisions are taken in an open and transparent way and that the interests of patients and the public remain central to the goals of the group. It confirms:
- the CCG’s legal position
- the CCG’s purpose, vision and principles
- the CCG’s membership and the decisions reserved to the membership
- how the membership relates to the group’s governing body
- the CCG’s leaders, their roles and how they are selected and expected to behave
- the powers of the governing body, committees and individuals
- the CCG’s meeting arrangements
- the CCG’s prime financial policies
Access the constitution here
Standing Financial Instructions (Scheme of Reservation and Delegation):
Duties of CCGs:
The Constitution is written so as to ensure compliance with Duties and powers of a CCG as published in 2013 by NHS England.
Please note that was previously an interim constitution to reflect a merger of NHS Aylesbury Vale CCG and NHS Chiltern CCG into effect as of 1 April 2018.
It was first endorsed by the governing bodies in common of the two CCGs on 8 February 2018 and agreed with NHS England as part of our merger application and subsequent conditions, taking into account a number of amendments prompted following legal review by external solicitors.
It also reflected proposed amendments that have been made following initial discussions with our Local Medical Committee (LMC), with further LMC engagement essential and planned, which is why this can only be an interim arrangement.
It was supported by governing body members under the old constitution to allow the first meeting of the new governing body to be called, and will be adopted by the governing body for the new CCG on 12 April 2018 as an interim version.
It was also amended in July 2018 as follows:
a. Appendix D – committee structure (page 47)
- Medicines Management Sub-Committee accountable to a Programme Board rather than Executive Committee
- Equality and Diversity Steering Group and Engagement Steering Group both added as accountable to the CCG Executive Committee.
- CHC Exception Panel inserted as accountable to the CCG Executive Committee.
- Mental Health Virtual Panel added as accountable to the Joint Care Delivery (Programme) Board.
- Infection Control amended as Infection, Prevention and Control Sub-Committee
- Staff Partnership Forum added to Appendix D (committees) as accountable to the CCG Executive Committee.
b) Section 2.3.7, appointment of the CCG Clinical Chair (page 54)
The nomination and election process, for the Chair, will be supported by the LMC (Local Medical Committee) irrespective of the number of candidates.
As requested by LMC.
c) Section 3.6; Governing Body quorum (page 63)
Addition of “One other management director” to quorum requirement
d) Removed member practice signature requirements from Appendix C, the list of member practices (as this is no longer a legal requirement)
e) Remove Appendix J which referred to all the sets of terms of reference, as their inclusion is now no longer a legal requirement
It was further amended in September 2018 as follows:
a) Chair election process, including definitions for “majority” and “abstain”, and renewed emphasis that “All votes are cast using the registered list size practice population square root formula as at 1st January of the current calendar year”.
b) Appendix F – F1 updated to reflect revised committee arrangements, F2 and F3 (individual staff delegations) added to the document.
c) Appendices J, K, L – terms of reference for Audit Committee, Remuneration Committee and Primary Care Commissioning Committee
d) Reviewed and revised scheme of reservation and delegation (Appendix F)
It was further amended in November 2018 as follows:
a) Appendix F4 included -scheme of non-financial authority including statutory appointments.
It was superseded by a member approved version from 1 April 2019.
It will be subject to further revision and adoption at a later date on the back of ongoing reviews of both CCG clinical competency and capacity, and future clinical leadership work within an Integrated Care System (ICS) that the CCG expects to become. Both of these reviews involve engagement with our membership including LMC.
The NHS Constitution
The NHS Constitution sets out the rights and responsibilities of, and NHS pledges to all our patients and staff.
See the NHS Constitution.