CCG Minutes - NHS Cumbria

Interim CCG Executive21 June 2012that we use the NCB template: but we have to demonstrate that we haveaddressed all of the issues set out in the template. Similarly, it is notmandatory to have all practices signed up to the constitution when wesubmit evidence on the 2nd July: however, we must show the journey weare on and sign up from practices as evidence of engagement andagreement before the panel visit in September is still important. This helpsto ensure we have appropriate time to engage with member practices andthe LMC to develop an effective document with local ownership.It is suggested that we use the digestible version (or future iterations) forengagement and sign up, with practices and the LMC. We should still aimto have the full template document as part of the governance suite ofdocuments; but only to the extent that it reflects the digestible version.At the informal session in June, there was recognition that for some, it ishard to feel entirely comfortable with the constitution without some of thetechnical detail which will come later through the detailed standing orders,financial regulations and other supporting documents (eg delegated budgetsplit corporate/localities). To help with this, some worked examples will beconstructed which can show how decision making scenarios would play outthrough the arrangements specified in the constitution.Some issues will need clarifying in due course ie voting system, role andresponsibilities and members rights to make amendments. A system tofacilitate such issues will be introduced. Liaison will be required via thegoverning body and ‘council of members’.Localities are the driving force of the organisation and we need to promote,educate and engage both practices and the public.Additional narrative around the role of the National Commissioning Boardwill be added and inter-practice agreements need to be formalised.The CCG approved the document for use, with some minor narrativeupdates. The definite version will be issued at the end of June. Localitieswill then be asked to share the document via locality executive meetings,member groups and practice visits. It was also noted that the document willbe updated over the coming months with a view to gaining formalagreement by the ‘council of members’ in the autumn. Anthony Gardner tocollate any comments for future consideration.- 5 -