Transcript Slide 1

Our Constitution
Health Education North
Central and East London
(V.14)
Contents
Our Geography
Introduction
Our Mission
Our Vision
Operating Model and Governance Structure
Business Management and Governance
Financial Management and Governance
Quality Management and Governance
Standards of Conducts and Conflicts of Interest
Freedom of Information
A commitment to Equality and Diversity and the NHS Constitution
Appendix 1 – Terms of Reference HE NCEL Board
Appendix 2 – Terms of Reference Members and Stakeholder Council
Appendix 3 – Terms of Reference Quality Committee
Glossary
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Our Geography
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Introduction
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Health Education North Central and East London (HE NCEL), the Local Education and
Training Board have responsibility for training the next generation of doctors, dentists, nurses
and all health professionals who work in the 13 boroughs that make up our area of London
(Barking and Dagenham, Barnet, Camden, City of London, Enfield, Hackney, Haringey,
Havering, Islington, Newham, Redbridge, Tower Hamlets, Waltham Forest).
We are part of a national organisation – Health Education England (HEE) – that has oversight
of training and educating the healthcare workforce.
Our objective is to ensure that we have compassionate, knowledgeable and highly skilled
people who have the education and training they need to keep our population of 3.1 million
people well and deliver the best possible clinical outcomes for patients.
In practice, this means that we hold the healthcare education budget for this part of London
and will commission places on training programmes and courses as well as placements for
students and trainees within hospitals, GP practices, health centres and other healthcare
settings.
This paper and supporting documents set out the current Constitution for HE NCEL. It sets out
the role, purpose and governance of the LETB as a committee of HEE.
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Our Mission
To deliver excellence in multi-disciplinary education, training and
workforce development in response to current and future needs in
order to provide the best possible outcomes and experiences for
patients and people.
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Our Vision
Put our
members at the
heart of
decision-making
Be open and
transparent
Our vision is to:
•Work in partnership with the local health
community to identify and agree local
priorities for education and training.
•Ensure the supply of compassionate,
knowledgeable and highly skilled people to
provide health and public health services
which connect to social care provision.
•Plan and commission excellence in
education and training on behalf of the local
health community to ensure sustainable,
high quality service provision and health
improvement.
•Be a forum for developing excellence across
the whole health and public health
Be lean and
efficient
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Focus on what
really matters
and minimise
bureaucracy
Seek consensus
wherever
possible
Operating Model and
Governance Structure
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HE NCEL Board: is small and skills-based and represents our different constituencies. This includes
patient, public health and student representatives Terms of Reference can be found at Appendix 1.
Members and Stakeholder Council: meets every six months and is open to stakeholders across the
area. The meetings enable engagement and feedback from our stakeholders in relation to workforce
commissioning and business plan. Terms of Reference can be found at Appendix 2.
The Quality Committee, which reports directly to the Board, assures the Board that all education
commissioned demonstrates continuous improvement in educational outcomes and compliance with
the standards as defined by professional regulators. HE NCEL seeks to improve the outcomes year on
year, chaired by a member of our Board. Terms of reference can be found at Appendices 3 and 4.
A number of Advisory Groups set up to lead decision making and strategic direction in key areas
such as primary care. These groups are multi-professional (where appropriate) and representative of
a full range or organisations, sectors and members to ensure a system-wide approach to decisionmaking.
We manage London-wide services (facilities, quality, libraries, and leadership) for other London
LETBs and vice versa with relevant SLAs in place to support this.
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Operating Model and
Governance Structure
This is made up of the following components:
HEE
Pan London Activities
Accountable
HE NCEL Board
Standing Committees
Independent Chair
Quality Committee
Non-Executive Group
Professional and Expert
Advisory Groups
Professional Focus
System-wide focus
Executive Group
Managing Director
Director of Education
And Quality
Student/
Trainee Fellow
Director
DirectorofofFinance/
Finance/
Deputy
DeputyMD
MD
Consulted on annual plan
Members and Stakeholders Council
Public
Students/trainees
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Members
Education
Institutes/Service
Providers
Commissioners
ASHN’s/AHSC’s
Accountable
15 Seats
Pan London LETB Governance
Pan London LETB Governance
Business Management and
Governance
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A Performance Report is taken to the Board on a bi-monthly basis and published on our website.
The report provides and update and reassurance to the Board (some areas are reported to HEE) and
includes:
• Strategic risks
• Progress against annual business plan (including mandate priorities)
• Finance (forecast over/underspend against allocation)
• Engagement
• Governance (FOIs, media enquires)
• Valuing people (attendance rates, retention rates)
• Quality (student feedback, attrition rates)
Risks and Issues are reported to the Board (as above) via the performance report. A monthly
process is in place with updates and assurance given by HE NCEL Senior Management Team, with
key risks escalated to HEE as per their policy.
Annually HE NCEL will publish on the website an updated version of the 5-Year Workforce Skills and
Development Strategy; Annual Business Plan and Annual Report, which would have been to the
Members and Stakeholder Council and the Board for their input.
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Financial Management and
Governance
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The HE NCEL Board has formally adopted HEE Standing Orders; HEE Standing Financial
Instructions and the HEE Scheme of Delegation.
Finance follows all Health Education England financial procedures.
Staff are clear on how to report Fraud with key individuals attending relevant training.
All staff complete the mandatory Information Governance training with any data breaches
escalated to IT (awaiting policy from HEE).
Business Continuity aligned to the University of London’s policy and localised into business
as usual for the LETB, with one scenario day per year to ensure robustness of plan.
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Quality Management and
Governance
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The Quality Strategy is in place to enhance
professional education through robust,
developmental and multi-professional
education systems (see diagram A for included
areas).
Our Board made a commitment to support the
Education Outcomes Framework which
directly links to our strategy around education
and learning improvements in patients’
outcomes, with further details that can be found
here: From Design to Delivery
The Quality Committee assures the Board of
appropriate quality of commissioning and
education outcomes are being monitored,
maintained and improved by HE NCEL. (See
Appendix 4 for Terms for Reference)
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Diagram A: HE NCEL is focusing on delivering the
Quality Strategy until 2015. This includes:
Developing multi-professional
education and training mechanism
Increasing the learner voice within
education and training
Improving the quality enhancement
capabilities of learners
Being smarter in our use of training
and development intelligence
Understanding how ‘fit for practice’
our learners are upon completion of
their training
Standards of Conducts and
Conflicts of Interest
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The HE NCEL Board has formally adopted the HEE Code of Conducts for NHS Boards (including the
Code of Accountability for NHS Boards). These put Accountability, Probity and Openness at the heart
of the LETB. In addition, we have formally endorsed the Nolan Principles of Public Life.
The HE NCEL Board has also formally adopted the HEE Conflicts of Interest Policy, owing to the
importance of managing such conflicts in light of the fact that members of the LETB include providers
of NHS commissioned services and Higher Education Institutes, both of whom receive HEE (via the
LETB) funding.
HE NCEL maintain a register of interests which is open to public inspection and published in the
NCEL website annually. The register contains any interests that may produce a real or perceived
conflict of interest for any member of the Board and will be updated on a rolling basis. Any members
of the Board are asked to declare a conflict:
• On appointment
• At each Board meeting
• As changes occur
Actions will be taken depending on the conflict in question: conflict declared but participant continues
to partake in the discussion; participant declares conflict and abstains from discussion; in an extreme
case the participant resigns from the Board.
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Freedom of Information
Diagram B: How we proactively share information with
our stakeholders:
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HE NCEL fully complies with the
approach of HEE in making information
freely available to the public about the
business that the LETB undertakes and
ensures compliance with the Freedom
of Information Act.
We are fully committed to operating as
an open and transparent organisation.
See Diagram B on how we’ll proactively
share with our members.
We have and maintain a Stakeholder
Engagement and Communications
Strategy that sets our various means
through which we will proactively seek to
share information about its business.
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Who we are and what we do: organisational
information, locations, contacts, constitutional and
legal governance
What funding we receive and how we spend it: our
Annual Business Plan and financial information
relating to our income and expenditure
What are priorities are and how we are doing: Our
5-Year Workforce Skills and Development Strategy, our
Business Objectives and our in-year performance
How we make decisions: Decision making processes,
internal criteria and procedures and consultation; to
include publication of minutes if our Board
Our policies and procedures: current written
protocols for delivering our functions and responsibilities
Lists and Registers: information held in registers
required by law and/or standards or public organisations
Our work: information on our functions and
activities
A commitment to Equality and Diversity
and the NHS Constitution
The NHS Constitution
• The NHS Constitution was published and
adopted by the Government in 2009,
following extensive consultation. The NHS
constitution establishes the principles and
values of the NHS in England. It sets out the
rights to which staff and patients are entitled
and pledges what the NHS is committed to
achieve, together with the responsibilities,
which public, patients and staff owe to one
another to ensure that the NHS operates
fairly and effectively.
• The HE NCEL Board made a commitment to
upholding the NHS Constitution in
undertaking its business.
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Equality and Diversity
HE NCEL will embed equality and diversity into business
as usual through:
Equality Impact Assessments –
programme of this across NCEL for all
projects
Work streams – to demonstrate how
equality and diversity is considered
Mandatory training – in equality and
diversity complete for all staff
Appendix 1 – Terms of Reference
HE NCEL Board
Overall aim and purpose: To deliver excellence in multi-disciplinary education, training and workforce
development in response to current and future needs in order to provide the best possible outcomes
and experiences for patients and people. Ensure effective and efficient investment of education funds,
to ensure security of supply of the workforce for North Central and East London, acting within the NHS
Constitution at all times.
Key responsibilities and scope
To develop,
scrutinise and
approve
annual
investment,
budget plans
and strategies
To scrutinise
and approve
annual
commissioning
and education
plans
To ensure the
LETB delivers
within the HEE
governance
framework
and is
compliant with
all relevant
rules and
regulations.
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To ensure
inclusion of
local
stakeholders’
interests
through the
Board’s SubCommittees
and Advisory
Groups
To ensure local
input and that
all investment
plans are
locally driven
To ensure
good
governance
and
compliance
with relevant,
guidelines,
rules and
regulations
To scrutinise
and approve
quality and
performance
of education
and placement
outcomes
including the
Education
Outcomes
Framework
To scrutinise
and approve
the annual
reports and
accounts
Appendix 1 – Terms of Reference
HE NCEL Board (cont.)
Chair and
nomination
Independent Chair – nationally appointed
Members
and
nomination:
The Board Membership will consist of the Independent Chair and the mandated executive members. Board Membership will collectively form the Board responsible for discharging LETB duties.
Local Healthcare providers must be in the majority and the recommendation is that they make up to two-thirds of members. Local healthcare provider representatives should be drawn from
primary, secondary and community care to represent the full range of local health services. Board membership should include representatives from the education sector..
Attendees:
The Board meetings will be in public. There may, however, be items on the agenda which may be deemed by the Chair to be necessary to be held in private. Other attendees may be invited to
attend as and when required.
Responsible
to:
The Board will be directly accountable to HEE and is bound to HEE’s Standing Financial Instructions, Standing Orders, Schedules of Delegation and all other policies as appropriate.
Supported
by:
Frequency of
meetings:
Agenda,
papers,
minutes:
Quorum:
Declaration
of interests:
Lifespan:
Advisory Groups, Committees, Members and Stakeholders Council
A minimum of one meeting per quarter to include meetings held in January and September in line with the annual business cycle..
Agendas will, wherever possible, be circulated five working days before each meeting. Other items deemed to be urgent will need to be approved by the Chair to be included in the agenda.
Agenda, Minutes and all papers are subject to the Freedom of Information Act and will be made public on the HE NCEL Website..
A 2:1 Provider to Others split will apply.
The standing HE NCEL policy and process as agreed by the Board shall apply
The purpose, responsibilities and membership of this Committee shall be reviewed at least annually to ensure that the Terms of Reference reflect changing demands and strategy
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Appendix 2 – Terms of Reference
Members and Stakeholder Council
Overall aim and purpose: To ensure a transparent process to engagement and representation from
across the area, with the council inputting into the workforce plans and annual business plan.
Key responsibilities and scope
Reviewing, endorsing
and making
recommendations
regarding the annual
and five year plan
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Reviewing and making
recommendations
around the annual
workforce plan
Collating views and
feedback from
nominating
constituencies on all
matters relating to
healthcare education
and training and
workforce issues.
Feedback and endorsing
LETB annual report
Appendix 2 – Terms of Reference
Members and Stakeholder Council (cont.)
Chair and
nomination
The Chair of the Board shall Chair the Members and Stakeholder Council
Membership
Membership is open to all interested stakeholders within the local geography. Although these stakeholders should be able to
demonstrate leadership, operational expertise and system knowledge.
Attendees:
Open to all interested parties with invites extended to the AHSN
Frequency of
meetings:
To meet no less than twice a year. Meeting shall be in line with the annual commissioning and business planning cycles and may be
called more often as required
Agenda,
papers,
minutes:
Agendas will, wherever possible, be circulated five working days before each Council meeting. Agenda, minutes and all papers are
subject to the Freedom of Information Act and will be made public on the HE NCEL website.
Lifespan:
The purpose membership of this Council shall be reviewed at least annually to ensure that the Terms of Reference reflect changing
business demands
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Appendix 3 – Terms of Reference
Quality Committee
Overall aim and purpose: To assure the Board of appropriate quality of education commissioning and
education outcomes are being monitored, maintained and improved by HE NCEL and that findings are
fed into future strategy and planning as appropriate.
Key responsibilities and scope
To recommend to
the Board the
approval of LETB
strategies on
monitoring and
evaluating quality
and education
outcomes and
contract
performance
To scrutinise
performance of
the LETB executive
team in ensuring
the quality of
education
To seek and
provide assurance
to the Board that
its responsibilities
in relation to the
quality
performance
standards including
the Education
Quality Framework
are met
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To ensure that
education and
placement
providers have met
requirements of
regulatory bodies
To review
outcomes and
recommend any
necessary actions
to the Board in
light of these
outcomes
To monitor the
quality of the
relationship
between lead
providers and local
providers or
equivalent to
ensure overall
quality outcomes
are achieved
To support the
Board in meeting
its requirements
on matters of
education and
training and
statutory
requirements are
met
To ensure that the
LETB Shared
Services are
carrying out their
requirements in
relation to Quality
Assurance.
Appendix 3 – Terms of Reference
Quality Committee (cont.)
Chair and
nomination
The Chair of the Board shall nominate a Committee chair from among the members of the Board.
Members
and
nomination:
Membership shall include as a minimum representation of the following agents; HE NCEL, higher education, undergraduate medical education, postgraduate medical
education, service provider organisations. Appointments to this Committee shall be for a period of up to 3 years which may be extended by one further term
Attendees:
Other members of the HE NCEL team shall be invited to attend as required.
Responsible
to:
The Committee is accountable to and will provide assurance to the Board
Reports to:
To report regularly, ensuring transparency, to HE NCEL Board and Assurance Committee, as appropriate, including an Annual Report on its work and findings
Frequency of
meetings:
To meet no less than three times per year. Meeting shall be in line with the annual commissioning and reporting cycles and may be called more often as required
Agenda,
papers,
minutes:
The agenda will be drafted by the secretary and approved by the Committee chair prior to circulation. Agenda and papers will be forwarded to 5 days before the meeting.
The committee will be minuted.
Quorum:
70% of the named members
Declaration
of interests:
Lifespan:
The standing HE NCEL policy and process as agreed by the Board shall apply
The purpose, responsibilities and membership of this Committee shall be reviewed at least annually to ensure that the Terms of Reference reflect changing demands and
strategy
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Glossary
CCGs
Clinical Commissioning Groups are NHS organisations set up by the Health and Social
care Act to organise the delivery of NHS services in England
HEE
Heath Education England
LETB
Local Education and Training Board
Mandate
A mandate from the government setting out plans for the education and training of
NHS staff
SLA
Service Level Agreement
HE NCEL
Health Education North Central and East London
FOI
Freedom of Information
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