Accountability Structure Key NHS England (Authorises CCG, Allocates funding, Sets targets, Delegates Accountability and holds to account monitors performance) Delegates responsibility and performance manages Provides Support Members (62 practices) (meet as AGM, Plenary) Contracts with Organised in 12 patches in 4 localities Governing body • 12 GP Locality leads Management Team • AO & CFO • 2 Lay members Accountable Officer • Independent Nurse and Doctor • Public Health • Observers – Local Gov, elected patient Remuneration and Company Nominations Secretary KMCS Committee Audit Committee Chief Finance Officer Finance and Performance Committee Clinical Strategy Group Chief Operating Practice Officer Engagement Committee Quality Committee Chief Nurse 11/11/2013 Slide 1
Governing Body Members • Role • Individual – Clinical Members • GP Clinical Member (Invicta locality) • Dr Sanjay Singh • GP Clinical Member (Invicta locality) • Dr David Chesover • GP Clinical Member (Invicta locality) • Dr Mark Whistler • GP Clinical Member (Sevenoaks locality) • Dr Meriel Wynter • GP Clinical Member (Sevenoaks locality) • Dr Andrew Roxburgh • GP Clinical Member (Tonbridge, Tunbridge Wells, and the Weald Locality) • Dr Bruno Capone • GP Clinical Member (Tonbridge, Tunbridge Wells, and the Weald Locality) • Dr Nick Cheales • GP Clinical Member (Tonbridge, Tunbridge Wells, and the Weald Locality) • Dr Tim Palmer • GP Clinical Member (Tonbridge, Tunbridge Wells, and the Weald Locality) • Dr Bob Bowes (Chair) • GP Clinical Member (Tonbridge, Tunbridge Wells, and the Weald Locality) • Dr Mark Ironmonger • GP Clinical Member (Maidstone and Malling locality) • Dr Garry Singh • GP Clinical Member (Maidstone and Malling locality) • Dr Tony Jones – Independent Member • Lay member – governance • James Hedges • Lay member – patient and public involvement • Sue Southon • Independent nurse/Chief Nurse • Steve Beaumont • Independent secondary care doctor • Mr Nic Goodger – Employed Staff • • Accountable Officer Ian Ayres • Chief Financial Officer • Reg Middleton – Public Health • • Malti Varshney Public Health Consultant All Governing Body appointments secured in line with national role outlines, attributes and competencies 11/11/2013 Slide 2
Operational Leadership Structure Governing Body Chair – Clinical Governing Body Accountable Chair – Practice Chair – Quality Strategy Group Chair Officer Facing Group Group Dr Sanjay Singh Dr Bob Bowes Ian Ayres Dr Garry Singh Dr Meriel Wynter Chief Operating Chief Financial Chief Nurse Company Secretary Officer Officer Dr Steve Beaumont Richard Segall Jones Gail Arnold/Evelyn White Reg Middleton
Leadership Portfolios (delivered through employed staff or KMCS services) Chief Operating Officer Chief Financial Officer Chief Nurse Company Secretary Commissioning all services (incl. Financial Strategy Quality (incl. primary care) Constitution and Standing Orders primary care) Contracting & Procurement Financial Leadership Safety and Clinical Risk Management Annual report Provider Performance Management Financial management and control Safeguarding HR QIPP Delivery Financial reporting Clinical Governance and Research Governing Body Support Governance Member relationships and performance Financial Governance and Information Individual placements (incl. CHC) and Corporate Governance (incl. conflicts of Governance (SIRO) IFR interest) and Risk Management Reducing inequalities IM&T PALs and Complaints FOI Medicines Management Audit (internal and external) & counter Incident reporting Estates / HSE / Fire / Security fraud Partnership working with Local Schemes of reservation and delegation Health and justice Communications, Press and Public Authorities (incl. integrated Engagement, including working with commissioning) Healthwatch and HOSC Support Governing body chair to work Evaluation of business cases Equality Duty Business continuity and EPRR with Health and Wellbeing Board and Public Health (JSNA) Supporting Clinical Strategy Committee Supporting Audit Committee Supporting Quality and Safety Supporting Remuneration and committee nominations Committee Supporting Practice facing Committee Supporting Performance and Finance Committee Key operational link to KMCS for BI, Key operational link to KMCS for IT Key operational link to KMCS for Quality Key operational link to KMCS for HR, Contracting, Procurement Strategic Support, Financial Services and and Safety, IFR, Continuing Healthcare, Communications and Engagement, and Change Services, Information Governance. Equality and diversity Corporate Governance 11/11/2013 Slide 4
Chief Officer Ambitions Ambition 2013 - 2014 2014 - 2015 2015 - 2016 H1 H2 Quality Insight and no concerns Measurements all at or Significant measurable improvements to Public endorsement of improved quality above median patient experience Performance Off the radar Good winter all greens Top quartile in most measures Top quartile in all measures, top decile in some Finance Balance Run rate balance Run rate balance and recurrent 2% Elimination of all provider subsidies surplus Strategy Establish system Agreed blueprint for Implementation embedded in End state starting to be delivered leadership end state commissioning plan Membership Engaged and Members create the Actively developing each others All members high performing as performance measured annual commissioning performance commissioners and providers as provider and plan commissioner Organisation Team appointed Standard operating Recognised by peers as a high performing Employer of choice and career escalator model developed and team staff inducted Partnerships Agreed S256 with LA Agreed S75 for MH and Integrated Health and Social care Integrated health and social care system children's services commissioning 11/11/2013 Slide 5
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