NHS HIGHLAND Assurance Flow - PowerPoint Presentation

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NHS HIGHLAND

Assurance Flow

CLINICAL GOVERNANCE COMMITTEE

Operational Unit Quality & Patient Safety

Groups

Argyll & Bute Care & Clinical Governance CommitteeHighland Council Clinical Governance Committee (for commissioned services)Control of Infection Committee Neonatal Maternity Services Strategy and Coordination GroupScreening Programmes Steering GroupInformation Assurance GroupCancer Quality and Improvement GroupCare Experience GroupArea Drugs and Therapeutics CommitteeTransfusion Committee Resuscitation Committee Organ Donation Committee Medical Education Governance CommitteeR&D&I Committee

Clinical Governance Committee provides the

Board

with assurance

that clinical and care governance systems are in place and working throughout the organisation.It provides assurance that decision making about the planning, provision, organisation and management of services which are the responsibility of the Board takes due cognisance of the quality and safety of care and treatment.

Membership: Gaener

Rodger –

Chair, Ann Clark, Deirdre MacKay, Melanie Newdick, and Margaret Moss as ACF Chair

NHS HIGHLAND

ASSURANCE FLOW

To ensure the management of the Board's activities is in accordance with the

regulations governing

the NHS and that a strong corporate governance culture is in operationApprove and monitor the delivery of the internal and external audit

plans To ensure a system of internal control is in existence and maintained to give reasonable assurance that assets are safeguarded; waste or inefficiency is avoided; risk management is in place; reliable financial information is produced and value for money is continuously sought and evidencedTo support the Board and Accountable Officer in their responsibilities through a process of constructive challenge which focuses on both processes and outcomesAUDIT COMMITTEE

Membership: Alasdair

Christie – Chair, Ann Clark, Adam Palmer, Ann Pascoe, Mary Jean Devon

NHS HIGHLAND

ASSURANCE FLOW

STAFF GOVERNANCE COMMITTEE

Remuneration Sub Committee

Highland Partnership Forum

Health and Safety Committee

The role of the Staff Governance Committee

is to

ensure that there are systems in place for the fair and effective management of

all staff, and that performance is monitored and evaluated. In doing so the Committee will

provide assurance

to the Board and as necessary alert the Board to any issues or concerns

that emerge.

Membership: Alasdair Lawton

–

Chair, Robin Creelman, Sarah Compton Bishop, James Brander and Adam Palmer (as Employee Director)

NHS HIGHLAND

ASSURANCE FLOW

ASSET MANAGEMENT GROUP

To support the process of all Asset Management and investment/disinvestment decisions now and in the future on behalf of NHS Highland.

To ensure consistency with all policies and the strategic direction of NHS Highland and taking account of the requirement to remain within the Capital Resource Limit (CRL) and Revenue Resource Limit (RRL). The AMG must take into account all relevant statutory guidance and legislation as well as guidance issued by the Scottish and UK governments.The AMG has responsibility to validate and maintain the Fixed Asset Register for NHS Highlandproduce a draft Five Year Capital Programme for consideration by the Board with the first year based on firm SG allocations and subsequent years on indicative allocations

Monitor the in year programme against budget and allocate contingency funds as necessary.Develop a priority-based, rolling Five Year Asset Management Plan. 

Develop an infrastructure investment matrix to ensure that the appropriate level of limited funds is invested in the areas of highest organisational risk.Oversight and monitoring of all non-profit distributing, hub and PFI type contracts

Membership: Alasdair Lawton, Alistair McNicoll, Deputy Head of

eHealth, Deb Jones, Director of Strategic Commissioning, Planning & Performance, Bob Summers, Head of Health and SafetyJohn Grieve, Public Representative, Carol Marlin, Monitoring Accountant, Duncan Railton, Associate Specialist in Oral Surgery (joint ACF representative), Dr Eileen Anderson, Consultant Radiologist (joint ACF representative), Eric Green, Head of Estates, Steven Brown, Head of Electromedical

Equipment, Michael

Hall, Clinical Director, Argyll &

Bute, Neil

Stewart, Head of

Procurement, David

Garden, Interim Director of Finance (from July 2017)

Elspeth Caithness, Staff Side

Representative, Joanna MacDonald,

Chief

Officer A&B, David

Park,

Chief Officer North Highland, David

Whyte, Chief Clinical

Technologist, Katherine

Sutton, Deputy Director of

Operations, George

Morrison, Head of

Finance A&B, Michelle

Fraser, Capital

Accountant, Sarah

Compton-Bishop

,

Non-Executive

NHS HIGHLAND

ASSURANCE FLOW

FINANCE COMMITTEE

Membership:

Alastair

Lawton – ChairIJB Chair/Vice ChairHHSCC ChairChair Audit CommitteeInterim Director of FinanceThe role of the Committee is to keep under review the financial position of the Board and to ensure that suitable arrangements are in place to secure economy, efficiency and effectiveness in the use of all financial resources and that the arrangements are working effectively. The Committee will oversee the development of a Financial Strategy for approval by the Board that is consistent with the Highland Quality Approach and with national and local priorities.

NHS HIGHLAND

Assurance Flow

PHARMACY PRACTICES COMMITTEE

The Pharmacy Practices Committee is required to consider applications to

provide pharmaceutical

services within the Board area and to determine whether the application will be granted.The Committee considers applications for the provision of general pharmaceutical services within NHS Highland Board area. In considering these applications, the Committee is acting on behalf of the NHS Board.Chair or Vice Chair (if acting as Chair)3 other lay members (or deputy members)3 pharmacist members (or deputy members) nominated by the Area PharmaceuticalCommittee (one of which must be a chemist contractor and one a non contractor chemist)Area Medical Committee Nominee (only required in hearing an application relating to an area

served by a dispensing GP)

HEALTH AND SOCIAL CARE INTEGRATION

PUBLIC

BODIES (JOINT WORKING) (SCOTLAND) ACT 2014

HEALTH AND SOCIAL CARE INTEGRATION

HIGHLAND COUNCIL

NHS HIGHLAND

HIGHLAND HEALTH AND SOCIAL CARE PARTNERSHIP

LEAD AGENCY

THE HIGHLAND PARTNERSHIP Joint

Monitoring Committee(including Strategic Planning Group)Children’s Services Strategic Planning Group

Adult Services Strategic Planning Group

Care, Learning and Housing Committee

Highland Health and Social Care Committee

Assurance from Highland Council CL&H Committee

on performance of commissioned services (Children’s Services)

Assurance

to the Highland Council on delivery of the Adult

Services Commission

NHS HIGHLAND

ASSURANCE FLOW

To co-ordinate for the Highland Health and Social Care area the planning, development and provision of services which it is the function of NHS Highland to provide with a view to improving these

services.

To provide quality, safe and effective care as close to home as possible and to ensure frontline staff have the opportunity and resources to achieve that

objective.To ensure close involvement in community planning with emphasis on Health & Quality ImprovementTo play a key role in the modernisation of healthcare services along with a vital participation in partnerships, integration and re-design.To undertake detailed, high level scrutiny of the performance against the Local Delivery Plan and Quality and Sustainability plans across the Highland Partnership area. To focus on impact and outcomes of actions taken by NHS Highland.To identify areas of good practice and ensure the dissemination of that good practice across NHS Highland

In relation to Children’s Services, NHS Highland remains accountable for the delivery of a number of targets that are now the responsibility of Highland Council as the lead agency for Children’s Services. The Highland Health and Social Care Committee will receive assurance from the Highland Council’s Education Children and Adult Services Committee as to performance of the commissioned services

To notify other Governance Committees of the Board of any concerns or risks raised to or identified at the Health and Social Care Committee. E.g. Staff Governance, Clinical Governance

HIGHLAND HEALTH AND SOCIAL CARE COMMITTEEVoting Committee

members (15 in total): 6 x Non-Executives – one of whom chairs the Committee and includes the Council nominee on the Health BoardChief Officer, Director of Adult Social Care, Finance Lead, Medical Lead and Nurse Lead3 Elected Members Wider stakeholder and advisory membership (non-voting) (

11 in total

): Staff

Side

Representatives (2), Public/Patient

Member

Representatives

(2

), Carer

Representative (1

), 3rd

Sector Representative (1

), Lead

Doctor (GP

), Medical

Practitioner (not a GP

), 2

representatives from the Area Clinical

Forum, and Head

of Financial Planning

The Committee shall have flexibility to call on additional advice as it sees fit to enable it to reach informed decisions.

HIGHLAND HEALTH AND SOCIAL CARE COMMITTEE

Clinical

Governance Sub Committee

Local Partnership Forum

Health and Safety Sub Committee

Finance and Performance Sub Committee

NHS Highland Board

Argyll and Bute Council

Purpose: to plan for and deliver high quality health and social care services

Functions:

All NHS services that the legislation permits for delegation.All Adult social work services.

All Children & Families social work services.All Criminal Justice social work services.ARGYLL AND BUTE INTEGRATION JOINT BOARD

Social Work Services for Adults and Older

PeopleSocial work services for children and young people

Social Work Criminal Justice Services

Hospital inpatient (scheduled and unscheduled) , Rural General Hospitals, Mental Health, Paediatrics, Community Hospitals, Hospital Outpatient Services, NHS Community Services, Community Children's Services, Public Health, GP Services, GP Prescribing, General Dental, Opticians and Community Pharmacy, Support Services, Contracts and SLAs with other NHS boards

covering adults

and children

ARGYLL AND BUTE INTEGRATION JOINT BOARD

Clinical

and Care Committee

Joint Partnership

Forum

Finance and Audit Committee

NHS Highland Board

HHSCC

Receiving assurance and exception reports from Sub Committee

Clinical Governance

Committee

Clinical Governance Sub Committee(Taking assurance on performance)Operational Units Quality and Patient Safety GroupsOperational PerformanceAssurance Reports

Assurance and Exception ReportsProviding Assurance to Board

Quality and Patient Safety Exception Reports

Gives the Board assurance that clinical and care governance systems are in place and working throughout the organisation.Providing Assurance to Board

A&B IJB

Health and Social Care Partnership

Clinical Governance

Quality and Patient Safety Exception Reports

NHS Highland Board

HHSCC

Receiving assurance and exception reports from Sub Committee

Finance Committee

Finance and Performance Sub Committee

(taking assurance on performance)Operational UnitsOperational PerformanceAssurance Reports

Providing Assurance to BoardUpdates on expenditureand savings plans

Keeps under review the financial position of the Board and oversees development of a Financial Strategy for approval by the Board.

Providing Assurance to Board

A&B IJB

Updates on expenditure

and savings plans

Provides

assurance to

HHSCC

that

arrangements

are in place to secure economy, efficiency and effectiveness in the use of all financial

resources, that arrangements

are working effectively throughout the

Partnership area, and alerts

the Committee to any issues or

concerns.

NHS Highland Board

HHSCC

Receiving assurance and exception reports from Sub Committee

Staff Governance

Committee

Local Partnership ForumProviding Assurance to BoardProviding Assurance to Board

A&B IJB

Highland Partnership Forum

Joint Partnership

Forum

NHS Highland Board

HHSCC

Receiving assurance and exception reports from Sub Committee

Staff

Governance Committee

Health and Safety CommitteeHealth and Safety Sub Committee(Taking assurance on performance)

Divisional Health, Safety and Fire GroupsOperational PerformanceAssurance Reports

Assurance and Exception Reports

Providing Assurance to BoardSets Pan-Highland Strategy establishes policy & principles

Exception Reports on performanceReceives assurance from HSCPTaking Assurance on exceptions Providing Assurance to Board

A&B IJB

Health and Social Care Partnership

Clinical Governance

A&B

Health

, Safety &

Fire

Group

Operational Performance Assurance Reports

Exception Reports on performance

Receives assurance from HSCP

NHS HIGHLAND BOARD – Groups involving Non Executive Board Members

Groups with non executive directors which do

not

report directly to the Board

Board Committees

Health and Social Care PartnershipsRemuneration CommitteeControl of Infection CommitteeOrgan Donation CommitteeHighland Council Care, Learning & Housing CommitteeCommunity Planning Board

Local Community Partnerships x9GDPR Programme BoardMedical Education Governance Committee

Audit Committee

Clinical Governance Committee Staff Governance Committee Finance Committee

Highland Health & Social Care Committee Health & Safety Committee Asset Management GroupPharmacy Practices Committee

Argyll and Bute Integration Joint Board

North Highland Health and Social Care Partnership