1. Update on Merger of Herefordshire and Worcestershire CCGs
Appendix 1 – Merger update for member practices
Update on Merger of Herefordshire and Worcestershire CCGs
16 August 2019
On behalf of: NHS Herefordshire CCG, NHS Redditch and Bromsgrove CCG, NHS South Worcestershire CCG and NHS Wyre Forest CCG

2. Member practice vote
In June and July the CCGs sought member practice support of CCG merger in April We are pleased to announce an overwhelming support of the proposal as follows:
CCG
In favour
Against
Herefordshire CCG 19 1
Redditch & Bromsgrove CCG 21
South Worcestershire CCG 26 5
Wyre Forest CCG 11

3. NHSE/I process
Having secured support from member practices, we are now going through NHSE/I formal approval process.
NHSE/I will decide whether to approve our application by the end of October 2020.
At a recent checkpoint meeting, NHSE/I were very positive about our progress and encouraged the CCGs to keep moving at pace, including the recruitment to Herefordshire & Worcestershire CCG’s Governing Body positions.

4. HWCCG Governing Body The proposed structure is shown below:
Clinical Chair & County Clinical Lead
1 Lay Member to be appointed as Vice Chair
Secondary Care Doctor*
Lead GP (Herefordshire)
Accountable Officer*
Lay Member PPI & Quality *
Lead GP (Redditch & Bromsgrove)
Chief Finance Officer*
Lay Member Audit & Governance*
Lead GP (South Worcestershire)
Director of Nursing*
Lay Member Primary Care
Lead GP (Wyre Forest)
Medical Director x2
Lay Member Finance
Managing Director x2 ** Herefordshire/ Worcestershire
1 Lead GP to be appointed as a County Clinical Lead
* Statutory roles * * One MD will be a clinician

5. Governing Body structure - key principles
Clinical majority will be maintained at all times (9 clinicians, 7 non-clinicians)
4 Elected GPs (+ Clinical Chair, + Medical Director)
2 Governing Body GPs appointed as Clinical County Leads
Consistent with other CCGs nationally
Structure supported by all current GB members

6. Elected GP Leads
One GP per locality (current CCG) elected on HWCCG Governing Body
Elected by member practices (one vote per practice, weighted in relation to registered population)
Elected GP Leads will appoint CCG Chair
They will provide a key link between CCG Governing Body and GP Members
Elections due to start in September

7. CCG Chair Appointed by elected GP Leads Must be a clinician
Sound knowledge of local population
Strong leadership skills

8. Next steps & timescales
Milestone
Timescale
Merger application submitted to NHSE/I
23 August 2019
Regional merger application panel meets
13 September 2019
Election of GP Leads
September/ October 2019
Appointment of CCG Chair
October/ November 2019
New CCG Constitution drafted and shared with member practices
Outcome of merger application announced
Recruitment of Lay Members
November/ December 2019