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Governance Structure (Sub Committees)

The Governing Body has appointed five sub-committees and has delegated responsibilities to these committees as set out in the CCG’s Scheme of Delegation (see separate document).

Patient and Public Involvement and Engagement
The CCG is committed to involving patients, the public and wider stakeholders in the commissioning of services, monitoring those services and helping to shape improvements to the way services are organised and delivered. The supplementary document Governance: engagement and involvement activity provides more details and should be read in conjunction with the information on this page.

Governing Body

Our Governing body is accountable for the decision making of Gloucestershire CCG. It makes sure that the organisation is making best use of the money available and buying and developing health services that meet the needs of local people.

It oversees the clinical programmes. These programmes, for things like Dermatology and Cancer, look at specific conditions and how the patient’s journey through care can be improved.

The Governing Body also makes sure that there is transparency and accountability with decision making and supports localities with the development of programmes and projects to support local communities.

The Governing Body includes a Clinical Chair and Deputy Clinical Chair, GP liaison leads who represent the localities (e.g. Stroud, Gloucester) and independent lay members (members of the public who represent the views of local people and communities).

Audit and Risk Committee

The Audit and Risk Committee, accountable to the Governing Body, provides an independent and objective view of the Group’s financial systems, financial information and compliance with laws, regulations and directions governing the CCG as they relate to finance.  The Committee has a range of standing items and reports including Internal Audit and External Audit reports, updates and progress reports from Counter Fraud Services as well as procurement updates. The Committee receives reports on waivers to the standing orders and recommends to the Governing Body approval of the Annual Accounts and Annual Reports.

The Audit and Risk Committee also has a risk assurance role through scrutinising and challenging the risks input into the CCG’s Corporate Risk Register and Governing Body Assurance Framework. The Audit and Risk Committee has an important function in assuring the Governing Body that the CCG has an effective system of risk management. This is through pro-actively identifying risks to the organisation’s objectives, assessing and mitigating those risks and reporting them in a timely way. The Committee also ensures that the CCG has a robust framework for risk management encompassing its strategy including risk appetite, policy and procedures as well as training requirements. The Audit and Risk Committee meets approximately 6-7 times per year. There are two meetings held in May specifically to consider and recommend the Annual Report and Annual Accounts to the Governing Body. The Terms of Reference can be found here.

The Audit and Risk Committee also fulfils the role of ‘Auditor Panel’, as defined in the Local Audit and Accountability Act 2014. The Panel approves the appointment/reappointment of the CCG’s internal and external auditors and Counter Fraud Services, additional work that is to be commissioned from internal/external audit and/or counter fraud. More details can be found in the Auditor’s Panel Terms of Reference (see Audit and Risk Committee ToR above). The Auditor’s Panel is organised on an ad hoc basis as required.

The schedule of meetings for the Audit and Risk Committee are available from the Governance Team.

Renumeration Committee


The Remuneration Committee, which is accountable to the Governing Body, makes recommendations to the Governing Body in relation to the remuneration, fees and other allowances relating to Governing Body members, the Integrated Care System Chair and other specialist posts. The appointment processes and procedures related to Governing Body members are also reviewed by the Remuneration Committee which makes recommendations to the Governing Body. The role and remit of the Remuneration Committee is detailed in the Terms of Reference see here.

Meetings are convened as required. Contact the Governance Team for further details.

Quality and Governance


The aim of the Quality and Governance Committee is to continuously improve the delivery of healthcare services to the people of Gloucestershire, ensuring that those services delivered to Gloucestershire residents are of high quality, clinically safe and effective, within available resources.

This includes elective, urgent care (including out of hours services), rehabilitation, community health services, services for children and young people, maternity services, mental health, learning disability services, patient transport and ambulance services and all services provided to Gloucestershire residents under an NHS contract. The Committee has an important role in ensuring the principles upheld in the NHS Constitution are reflected in the Committee’s work.

The Committee provides assurances and advises the CCG Governing Body on the performance of all commissioned services in relation to all quality indicators and compliance with statutory duties (including child and adult safeguarding and the Equality Act 2010 as well as Public Involvement & Consultation S.14Z2). The Committee also ensures that continuous quality improvement and better outcomes are delivered in accordance with National Guidance and evidence-based practice and it approves and reviews the CCG Patient Engagement Strategy. As one of the key sub-committees to the Governing Body it monitors and scrutinises patient experience and public engagement activities relating to the commissioning and decommissioning of services, quality of commissioned services and service changes. These reports are then submitted to the Governing Body for their consideration.

The Committee receives a number of standing items and reports at each meeting including an overarching quality report on the quality of commissioned services in Gloucestershire. This report also includes a patient and public involvement report, reports from Patient Advice and Liaison Services as well as outcomes from patient experience surveys and focus groups, so that the ‘patient voice’ is heard. The Committee receives standing reports from Safeguarding, Human Resources and Data Security and Protection as well as specialist reports on research.

The Governing Body has delegated to the Quality and Governance Committee the review and approval of CCG policies; with the exception of finance policies which are reviewed and approved by the Audit and Risk Committee. The Terms of Reference for the Quality and Governance Committee can be found here. The Committee meets on a bi-monthly basis; the meetings schedule is available from the Corporate Governance Team.

Priorities Committee


The purpose of the Priorities Committee is to review current and future investments in local health and care services. All new projects and investments to improve current and future services are considered by the Committee. Project leads are required to complete a Business Case which is submitted to the Committee for consideration. The Committee uses an assessment framework to prioritise the project/programme.

The Priorities Committee helps the CCG choose how to allocate its resources to promote the health of the local community, based on the local health needs assessment, for example, Joint Strategic Needs Assessment, and analysis carried out on Population Health Management. See here for Terms of Reference.

Primary Care Commissioning Committee


The purpose of the Committee is to manage the delivery of those elements of the primary care healthcare services, delegated by NHS England to the GCCG, working within the context of the overall CCG strategy and plan. This includes delegated responsibility for the award of General Medical Services (GMS), and Personal Medical Services (PMS) contracts etc. as well as the monitoring of those contracts, locally defined and designed enhanced primary care services, approving practice mergers and premises improvement grants, and capital developments. The Committee reviews and recommends the Primary Care Strategy to the Governing Body. A full list of delegated functions can be found in the Terms of Reference here

The Committee has an assurance role for the quality of primary care services and receives a report at each Committee meeting on the quality of primary care services and level of engagement with patients and the public through its Patient Participation Group meetings.

The membership of the Committee includes a HealthWatch representative to ensure that there is scrutiny and challenge of the quality of primary care services by patients and the public. The Committee meets on a bi-monthly basis in public. Meeting dates are published on the CCG’s website here.

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