Accountability Structure Key NHS England (Authorises CCG, Allocates - - PowerPoint PPT Presentation

Accountability Structure

11/11/2013 Slide 1

Governing body

• 12 GP Locality leads
• AO & CFO
• 2 Lay members
• Independent Nurse and Doctor
• Public Health
• Observers – Local Gov, elected patient

Members (62 practices) (meet as AGM, Plenary) Organised in 12 patches in 4 localities

Finance and Performance Committee Remuneration and Nominations Committee Practice Engagement Committee Quality Committee Clinical Strategy Group

Accountable Officer Chief Nurse Chief Operating Officer Chief Finance Officer Company Secretary

Audit Committee

NHS England (Authorises CCG, Allocates funding, Sets targets,

monitors performance)

KMCS

Delegates Accountability and holds to account Delegates responsibility and performance manages Provides Support Contracts with Key Management Team

Governing Body Members

• Role

– Clinical Members

• GP Clinical Member (Invicta locality)
• GP Clinical Member (Invicta locality)
• GP Clinical Member (Invicta locality)
• GP Clinical Member (Sevenoaks locality)
• GP Clinical Member (Sevenoaks locality)
• GP Clinical Member (Tonbridge, Tunbridge Wells, and the Weald Locality)
• GP Clinical Member (Tonbridge, Tunbridge Wells, and the Weald Locality)
• GP Clinical Member (Tonbridge, Tunbridge Wells, and the Weald Locality)
• GP Clinical Member (Tonbridge, Tunbridge Wells, and the Weald Locality)
• GP Clinical Member (Tonbridge, Tunbridge Wells, and the Weald Locality)
• GP Clinical Member (Maidstone and Malling locality)
• GP Clinical Member (Maidstone and Malling locality)

– Independent Member

• Lay member – governance
• Lay member – patient and public involvement
• Independent nurse/Chief Nurse
• Independent secondary care doctor

– Employed Staff

• Accountable Officer
• Chief Financial Officer

– Public Health

• Public Health Consultant
• Individual
• Dr Sanjay Singh
• Dr David Chesover
• Dr Mark Whistler
• Dr Meriel Wynter
• Dr Andrew Roxburgh
• Dr Bruno Capone
• Dr Nick Cheales
• Dr Tim Palmer
• Dr Bob Bowes (Chair)
• Dr Mark Ironmonger
• Dr Garry Singh
• Dr Tony Jones
• James Hedges
• Sue Southon
• Steve Beaumont
• Mr Nic Goodger
• Ian Ayres
• Reg Middleton
• Malti Varshney

11/11/2013 Slide 2

All Governing Body appointments secured in line with national role outlines, attributes and competencies

Operational Leadership Structure

Chief Operating Officer

Gail Arnold/Evelyn White

Company Secretary

Richard Segall Jones

Chief Nurse

Dr Steve Beaumont

Chief Financial Officer

Reg Middleton

Accountable Officer

Ian Ayres

Governing Body Chair

Dr Bob Bowes

Chair – Clinical Strategy Group

Dr Sanjay Singh

Governing Body Chair – Practice Facing Group

Dr Garry Singh

Chair – Quality Group

Dr Meriel Wynter

Leadership Portfolios

(delivered through employed staff or KMCS services)

Chief Operating Officer Chief Financial Officer Chief Nurse Company Secretary Commissioning all services (incl. primary care) Financial Strategy Quality (incl. primary care) Constitution and Standing Orders 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 Governance Governing Body Support Member relationships and performance Financial Governance and Information Governance (SIRO) Individual placements (incl. CHC) and IFR Corporate Governance (incl. conflicts of interest) and Risk Management Reducing inequalities IM&T PALs and Complaints FOI Medicines Management Audit (internal and external) & counter fraud Incident reporting Estates / HSE / Fire / Security Partnership working with Local Authorities (incl. integrated commissioning) Schemes of reservation and delegation Health and justice Communications, Press and Public Engagement, including working with Healthwatch and HOSC Support Governing body chair to work with Health and Wellbeing Board and Public Health (JSNA) Evaluation of business cases Equality Duty Business continuity and EPRR Supporting Clinical Strategy Committee Supporting Audit Committee Supporting Quality and Safety committee Supporting Remuneration and nominations Committee Supporting Practice facing Committee Supporting Performance and Finance Committee Key operational link to KMCS for BI, Contracting, Procurement Strategic Change Services, Key operational link to KMCS for IT Support, Financial Services and Information Governance. Key operational link to KMCS for Quality and Safety, IFR, Continuing Healthcare, Equality and diversity Key operational link to KMCS for HR, Communications and Engagement, and Corporate Governance

11/11/2013 Slide 4

Chief Officer Ambitions

11/11/2013 Slide 5

Ambition 2013 - 2014 2014 - 2015 2015 - 2016 H1 H2 Quality Insight and no concerns Measurements all at or above median Significant measurable improvements to patient experience Public endorsement of improved quality 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% surplus Elimination of all provider subsidies Strategy Establish system leadership Agreed blueprint for end state Implementation embedded in commissioning plan End state starting to be delivered Membership Engaged and performance measured as provider and commissioner Members create the annual commissioning plan Actively developing each others performance All members high performing as commissioners and providers Organisation Team appointed Standard operating model developed and staff inducted Recognised by peers as a high performing team Employer of choice and career escalator Partnerships Agreed S256 with LA Agreed S75 for MH and children's services Integrated Health and Social care commissioning Integrated health and social care system