Orkney Health and Care Constitution - Orkney Islands Council

ORKNEY HEALTH AND CARE
COMMITTEE CONSTITUTION
1 BACKGROUND
Section 2 of the National Health Reform (Scotland) Act 2004 (the Act of
2004) provided for the establishment of Community Health Partnerships
(CHPs) by Health Boards. Orkney CHP was previously established in
accordance with a Scheme of Establishment approved by the Scottish
Ministers. The scheme of establishment has now been revised and was
approved by the Scottish Government in January 2010. This will allow
Orkey Health and Care to move to a substantive CHSCP from 1 st April
2010. The next steps will be to set up an Orkney Health and Care
Committee. Orkney Health and Care Committee will secure the
involvement of staff, service users and carers in governance and
decision making for Orkney Health and Care. Orkney Health and Care
will also have a wide range of planning and working groups which will
fully involve professional staff, across the range of its activities
2 ROLE OF ORKNEY HEALTH AND CARE
The Act of 2004 set out the role of CHPs which includes:-
(a)
to co-ordinate for its area, the planning, development and
provision of:-
(i)
(ii)
such of the services which it is the function of its Health
Board to provide, or secure the provision of as may be
prescribed by regulations, and
such other of these services as its Health Board may
specify, with a view to improving these services.
(b)
(c)
to provide, or secure the provision of – such of the services which
it is the function of its Health Board to provide, or secure the
provision of, as may be prescribed by regulations or specified in
the approved scheme, and
to exercise such other functions of its Health Board as:-
(i)
(ii)
(iii)
may be prescribed by regulations,
may be specified in the approved scheme, and
the Health Board may delegate to it
It is intended that Orkney Health and Care will make a measurable
improvement in local population health and provide higher quality,
accessible, joined up services to local communities.
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It will provide a focus for integration within health and social care.
A major part of its role will be to contribute to the shift in the balance of
care from specialist to primary care and to achieve an increased
emphasis on improving the health and wellbeing of its population.
To achieve this, Orkney Health and Care will link with the third sector
and others to support the improvement of the health of local
communities and most importantly involve the public, patients and carers
in decisions concerning the delivery of health and social care for their
communities.
NHS Orkney Board and OIC will involve Orkney Health and Care in
areas of planning, developing and making decisions that will affect the
operation of services for which the Board and OIC are responsible.
The role of Orkney Health and Care will be to drive service improvement
locally and to ensure the effective delivery of the functions devolved to
Orkney Health and Care as described in the revised Scheme of
Establishment.
The duty placed on NHS Boards to involve and consult the public will
apply to Orkney Health and Care.
3 ORGANISATIONAL ARRANGEMENTS
To fulfil the respective statutory responsibilities of both organisations,
NHS Orkney will establish Orkney Health and Care as a formal
Committee of the NHS Board and Orkney Islands Council will establish
Orkney Health and Care as a formal sub committee of the Council with
agreed delegated authority from each statutory partner. The
committees/sub committees will meet together in the same place at the
same time as Orkney Health and Care Board with an agreed common
agenda; this model, known as the Concurrent Partnership Body, has
been used in other parts of Scotland as a way dealing with the statutory
limitations identified in the revised scheme of establishment.
The governance and other organisational arrangements for Orkney
Health and Care are set out in figure 1 on the next page
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Figure 1 – ‘Orkney Health and Care’ Governance Arrangements
(1) NHS Orkney and Orkney Islands Council Committees (such as Audit,
Finance and Performance, Remuneration, Quality Improvement, Policy
& Resources and Social Services) will have a role in the governance of
Orkney Health and Care. This is the framework of governance through
which NHS Orkney’s Controls Assurance Framework is delivered.
4 REMIT OF ORKNEY HEALTH AND CARE COMMITTEE
Orkney Health and Care Committee will:
Secure the involvement of staff, service users and carers in
governance and decision making for Orkney Health and Care.
Have clear responsibilities to advise on areas such as service
redesign, planning, prioritisation and performance. Its members will
include all of the professions covered by Orkney Health and Care,
clinical input from acute services, child health and mental health, a
carer representative and representative(s) from the public
partnership forum to ensure that its advice is grounded in practice.
Encourage local innovation and commitment to develop approaches
that may be worthy of adoption elsewhere.
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Work with partners to contribute to a ‘whole system’ approach to
service redesign.
Make recommendations to Orkney Health and Care Board on the
planning of jointly managed and jointly resourced services
Identify local health need and plan to meet those needs, to the
extent possible within available resource.
Contribute to the development of Orkney Health and Care Annual
Plan
Play an important role in monitoring the delivery of targets and
actions set in Orkney Health and Care Annual Plan and
Performance Management Framework i.e HEAT Targets,
Community Care Outcomes, Local Authority Performance Indicators
and Budgets.
Orkney Health and Care Committee will be accountable through the
Director and clinical / professional leads for clinical governance
Particular emphasis will be focussed on Orkney Health and Care work
around the extended planning cycle. This involves identifying the health
need within Orkney and being responsible for developing integrated
services across traditional boundaries of primary and secondary health
services and local authority services.
5 MEMBERSHIP OF ORKNEY HEALTH AND CARE COMMITTEE
Orkney Health and Care Committee will include the statutory
membership (the minimum membership required) of a CHP or CHSCP
Committee as set out in the Scottish Executive Health Department
Community Health Partnerships Statutory Guidance published in
October 2004. Membership of ‘Orkney Health and Care’ Committee will
fulfil the requirement of the CHP Regulations. The proposed
membership of the committee is shown overleaf, with additional
members as may from time to time be required
Chair : Chair or Vice Chair of Orkney Health and Care Joint Board
Lead Clinician
Chief Social Work Officer
Public Health representative
Primary Care Manager
General Medical Practitioner
Medical practitioner who does not provide primary medical services
Nurse Lead
Staff representatives nominated by the NHS Partnership Forum and
Social Services Liaison Group
Public Partnership Forum representative
Community Pharmacist
Allied Health Professional
Dentist
Optometrist
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Social Work and social care representatives of each main discipline
Third Sector Representative
Carer Representative
6 APPOINTMENT AND TERM OF OFFICE
(i)
(ii)
(iii)
(iv)
Clinical members of Orkney Health and Care Committee will be
appointed by the NHS Boards. Local authority professional
members of Orkney Health and Care Committee will be
nominated by Orkney Islands Council
The terms of office of a member shall be for a period of
xxxxxxxxxx and shall be for no longer than xxxxxxx years
After the expiration of a term of office a member shall be eligible
for reappointment
The acts, meetings or proceedings of Orkney Health and Care
shall not be invalidated by any vacancy in its membership or by
any defect in the appointment of any member
7 Schedule of Meetings
Group
CHSCP Board
CHSCP Committee
Forums and Partnerships
OH&C Management Team
Workstreams
Frequency
4-6 per year, or as required
4-6 per year, or as required
As constituted
Monthly
As required
8 CHAIRPERSON
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Orkney Health and Care Committee will be chaired by the chair or
vice chair of Orkney Health and Care Board although this is
subject to review by Orkney Health and Care Board.
Orkney Health and Care Board shall appoint a member to be the
Chairperson of the Committee
The Orkney Health and Care Director:-
(a) shall, in accordance with the Director’s terms of
employment with the Board or OIC and any directions
made by Orkney Health and Care, manage the business of
Orkney Health and Care; and
(b) may, in accordance with the Director’s terms of
employment, make arrangements with such persons as the
Director considers fit in connection with the discharge of
the Director’s functions
The Chair of the Committee may at any time resign from such
office by giving notice in writing to the Board.
9 RESIGNATION AND REMOVAL OF MEMBERS
(i)
(ii)
(iii)
A person may resign their membership at any time during their
term of office by giving notice in writing to the Chair of Orkney
Health and Care Committee and that person shall thereupon
cease to be a member
If the Orkney Health and Care Committee or Orkney Health and
Care Board, having consulted with Orkney Health and Care
(where it is practicable to do so) considers that it is not in the
interests of Orkney Health and Care or NHS Orkney or OIC that a
person should continue to hold office as a member, it shall by
giving notice in writing to the person, remove that person from
office
If a member has not attended three consecutive meetings of
Orkney Health and Care Committee, the Committee shall, by
giving notice in writing to the person, remove that person from
office unless the Committee is satisfied that:-
(a)
(b)
the absence was due to illness or other reasonable cause;
and
the member will be able to attend future meetings within
such period as the Committee considers reasonable
10 PROCEEDINGS
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(i)
Orkney Health and Care Board shall make standing orders for the
regulation of the procedure and business of Orkney Health and
Care Committee and all meetings and proceedings of the
Committee shall be conducted in accordance with them.
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