1. Policy Update Cath Randall Corporate Parenting Board September 2011 NHS Future Forum and Government response Development of the cluster PCT PCT support arrangements

2. Expected changes to the Bill Clinical Commissioning Groups not GPCC ie NHS Ribblesdale CCG Responsibility for population health as well as registered patients NICE guarantee Role of Health & Well-being Boards Greater focus on integration and partnership

3. CCG Membership Appointment of 2 lay members one of whom will be chair or vice-chair Hospital clinician and registered nurse, but not from a local Provider Trust More detail expected

4. Authorisation All CCGs expected to be authorised by the National Commissioning Board and to take on their responsibilities from April 2013 But three levels of authorisation : –Full –Part –Shadow Process will “weed out” non-sustainable CCGs Importance of coterminosity

5. Cluster PCT Directors and Chief Executive appointed Scheme of delegation approved at PCT Board on 23/6 and new arrangements come into force from 1/7/11 Meeting between GP Chairs and Chief Executive on 29/6/11

6. Managing the Transition Scheme of delegation from PCT to CCGs discussed on 23/6 Proposal is for EL CCG Joint Board – monthly decision making meetings GP Chairs will in addition meet fortnightly with EL Senior Management Team

7. Alignment of staff Definitive guidance expected Interim arrangement – staff aligned to CCGs Lead arrangements for contracts – different than for commissioning Better budget and activity information

9. Next Steps Prepare for authorisation – demonstrate competencies Clinical leadership and added value Engagement with public, patients and key stakeholders QIPP plans – reductions in elective and non-elective spend Collaborative commissioning arrangements Capacity and capability to deliver all responsibilities Leadership capacity and capability Recognise current Executive will need to be refreshed

10. Full Speed Ahead