Hi Mike

This is the constitution for the NW Bristol Locality Commissioning Pilot -
1st April 1998

It may be useful?

GP COMMISSIONING PILOT GROUP


CONSTITUTION


Mission Statement


We aim to achieve the best health outcomes for our Locality and to ensure
equity of access and value for money.


Guiding Principles


We have agreed the following guiding principles:



The aims and objectives of the Locality will be followed by every Practice
in the Group.

Each Practice is responsible for assuring their compliance with these aims
and objectives.

Peer review will be used to encourage and support Practices.

Each Practice will be represented on the Locality Core Group.

The Locality will work in partnership with the Health Authority, to achieve
practical changes in agreed areas.



1. Objectives

1.1 The objectives of the Group are:

To offer the best possible health care sensitive to the needs of the local
population.

To recognise and make best use of the complementary strengths of the GP
Commissioning Group and the Health Authority in commissioning health
services.

To foster good relations and work together with other providers of health
and social services (including neighbouring General Practitioners, NHS
Trusts, Voluntary Organisations and Social Services), to improve services to
patients covered by the Group.

To enhance the influence of the Group in determining the provision of health
care for patients in the North West Bristol area.

To secure maximum benefits from resources available for the commissioning of
health services, in partnership with the Health Authority.

To improve the morale of staff and GPs, working within the Locality.

To obtain and be guided by the views of our patients wherever possible.



2. Members

2.1 Membership of the Group shall be practice based.

2.2 Membership shall be within the geographical area of North West Bristol
as defined by the Group.



3. Officers

3.1 The officers of the Group shall be elected by scored ballot by the
Locality Core Group for the two year period of the pilot.

3.2 The elected Officers of the Group are:

Medical Director

Clinical Lead for Community Services

Clinical Lead for Clinical Services

Clinical Lead for Prescribing

One of the Clinical Leads will also be nominated as Deputy Medical Director

These individuals must be members of Practices within the Group.



4. The Executive Group

4.1 The Executive Group shall be made up of the

Officers

Avon Health Authority Link

Locality Information Manager

Locality Manager



4.2 The Executive Group will be in office for the two years of the Pilot.
The Executive Group will be responsible for the operational day-to-day
implementation of the Locality Core Group Policy.

5. The Locality Core Group

5.1 This will be the key decision making group of the organisation.

5.2 Meetings will be minuted and formally agreed. This will be the
responsibility of the Locality Manager.

5.3 The Locality Core Group will consist of one member from each Practice
represented on the Group. Each practice will nominate one of their partners
to sit on the Locality Core Group. Each practice representative will be a
full voting member.

5.4 The Locality Manager and the Information Manager will be members of the
core group, but will not have voting rights.

5.5 The Locality Core Group will also include a Practice Manager
representative, Community Nursing representative, the Health Authority
Locality Link and Trust representative. Representatives of other bodies may
also be invited to attend and other GP’s within the Locality are free to
attend these meetings. The Practice Manager representative and the Community
Nursing representative will each have a vote.

5.6 The Officers will be elected by the Locality Core Group from its
membership.

5.7 It is the responsibility of the Practice to ensure continuity of
representation and that the named representative is know to the Locality
Core Group.

5.8 In extraordinary circumstances, including sickness and annual leave, a
Practice may put forward a temporary Locality Core Group Member to deputise
for the absence of the representative. In these circumstances the deputy
will have full voting rights.

5.9 Practices will be represented at 50% of the Locality Core Group Meetings
in order to qualify for their Practice Representative payment.

5.10 More than two thirds of the membership of the Locality Core Group shall
represent a quorum. The total number of practices who are members of the
Locality Core Group, whether present or not, shall be included in the sum to
calculate whether a quorum is present.

5.11 The Locality Core Group shall manage all the affairs of the Group.

5.12 The Locality Core Group will determine the frequency of meetings which
will be not less than once every two months.

5.13 Over the pilot period there will be a move towards holding Core Group
Meetings in public, in line with national guidance.

5.14 The Locality Core Group will have responsibility for convening a
conference of other Stakeholders (the Health Improvement Group) once a year.
Delegates at this conference will include the Local Authority, Nursing
representatives, Trust representatives, the CHC, CVS, the Locality Manager,
the Health Authority, the Locality Link and Patient representatives.



6. Annual General Meeting

6.1 An Annual General Meeting of the Group shall be held each year.

6.2 The business of the Annual General Meeting will be to receive the
Medical Director’s Report of the activities of the Association during the
preceding year, and to approve the Group’s Business Plan for the next year.



7. Extraordinary General Meetings

7.1 Members of the Group may call an Extraordinary General Meeting to
discuss issues of an exceptional nature, in between the normal programme of
meetings. To do this requires the agreement of one third of the membership
of the Group.



8. Proceedings At Annual And General Meetings

8.1 At least fourteen days notice in writing setting out the resolutions to
be proposed at the Annual General Meeting will be sent out to every member.

8.2 Resolutions at both the Annual General Meetings and the General Meetings
shall be passed by a clear two thirds majority of the Group.

8.3 Each member shall have one vote on every resolution. No proxy votes will
be allowed.

8.4 Nominations for election to any office of the Locality Core Group must
be made in writing to the Medical Director not less than seven days in
advance of the meetings at which elections for the office are to be
proposed.

8.5 The omission to give notice of a meeting to, or the non-receipt of
notice of a meeting by any person entitled to receive notice, shall not
invalidate the proceedings of the meeting.

8.6 No business shall be transacted at any General Meeting unless a quorum
of members if present at the time when the meeting commences.

8.7 If within half an hour from the time appointed for the meeting, a quorum
is not present, the meeting shall be rearranged. If at the adjourned meeting
a quorum is not present within half an hour from the time appointed for the
meeting, the members present shall constitute a quorum.



9. Peer Review

9.1 The potential benefits to practices and their patients are such that it
is likely that all practices will work towards and meet the agreed
objectives.

9.2 In the unlikely event of difficulty in meeting these objectives, the
Locality will offer support and advice to the practice.

9.3 If there is no resolution after this process, then consideration will be
given to what part the practice continues to play in Locality activities,
including benefiting from financial incentives.



10. Indemnity

10.1 The members of the Locality Core Group shall not be liable (other than
as members) for any loss suffered by the Group as a result of the discharge
of their respective duties on its behalf, except such loss as arises from
their respective wilful default, they shall be entitled to an indemnity out
of the assets of the Group for all expenses and other liabilities incurred
by them in the discharge of their respective duties.

10.2 Any members of the Group who have acted honestly, reasonably, in good
faith and without negligence will not have to meet out of his or her own
resources any personal civil liability which is incurred in furtherance, or
purported furtherance, of the execution of the NHS Acts.



1st April 1998

-----Original Message-----
From: [log in to unmask]
[mailto:[log in to unmask]]On Behalf Of
[log in to unmask]
Sent: 28 November 1998 08:09
To: GP-UK
Subject: PCG Constitutions


I have been given the responsibility of writing a constitution for our PCG -
not absolutely necessary but eminently desirable- I am using the guidelines
produced by NAPC but is there anybody else with a constitution who might
share their drafts with me, I don't feel like reinventing the wheel! all
contributions gratefully recieved, Thanks

Mike Corfield
[log in to unmask]
http://vzone.virgin.net/mike.corfield/Index.htm




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