Delegated Limits. The CCGs have certain limitations placed on them in relation to the delegated functions, which need to be kept in mind when decisions are being made. Essentially, any decisions that fall into three specific categories can only be taken following the receipt of prior approval from NHS England. These categories, along with the individuals that need to be involved in the decision-making process, are set out in the table below. As such, the Committees’ Terms of Reference set out that the Accountable Officer or Operational Director of Finance (on behalf of the Chief Finance Officer) must be in attendance for the meetings in common to be quorate. Decision NHS England Approval CCG Approval Taking any step or action in relation to the settlement of a claim, where the value of the settlement exceeds £100,000 NHS England Head of Legal Services and Local NHS England Team Director or Director of Finance Accountable Officer or Chief Finance Officer Any matter in relation to the delegated functions which is novel, contentious or repercussive Local NHS England Team Director or Director of Finance or NHS England Region Director or Director of Finance or NHS England Chief Executive or Chief Financial Officer Accountable Officer or Chief Finance Officer The entering into any Primary Medical Services Contract, which has, or is capable of having, a term which exceeds five years Local NHS England Team Director or Director of Finance Accountable Officer or Chief Finance Officer
Delegated Limits. The CCG has certain limitations placed on it in relation to its delegated functions, which need to be kept in mind when decisions are being made. Essentially, any decisions that fall into three specific categories can only be taken following the receipt of prior approval from NHS England. These categories, along with the individuals that need to be involved in the decision-making process are set out in the table below. On the basis of this information, it is recommended that consideration be given to amending the quoracy requirements of the Primary Care Commissioning Panel to ensure that either the Chief Officer or Chief Finance Officer are required to be in attendance. The Panel’s quoracy requirements are currently, as follows: ‘The Primary Care Commissioning Panel will be quorate with a minimum of four members, to include one independent member, one clinical member and one management representative.’ Decision NHS England Approval CCG Approval Taking any step or action in relation to the settlement of a claim, where the value of the settlement exceeds £100,000 NHS England Head of Legal Services and Local NHS England Team Director or Director of Finance Accountable Officer or Chief Finance Officer or Chair Any matter in relation to the delegated functions which is novel, contentious or repercussive* Local NHS England Team Director or Director of Finance or NHS England Region Director or Director of Finance or NHS England Chief Executive or Chief Financial Officer Accountable Officer or Chief Finance Officer or Chair The entering into any Primary Medical Services Contract, which has, or is capable of having, a term which exceeds five years Local NHS England Team Director or Director of Finance Accountable Officer or Chief Finance Officer or Chair * Further clarity on the definition of what could be considered novel, contentious or repercussive is currently being sought.
