The Federated Model Myth busting The 4 CCGs

The Federated Model

Myth busting • The 4 CCGs have chosen to work together in a federated model • The Federation does not exist as a separate body • The CCGs remain the statutory bodies responsible for all the functions and duties of CCGs • They formally delegate function to federated committees

Why work in a federated model • Help each CCG to fulfil its statutory duties in an economic, efficient and effective way e. g. FOIs, IFRs • Achieve best use of the £ 25 per head running costs with economies of scale • Maximise influence with large providers such as RBFT and BHCT • Share risk – annual risk sharing arrangement

• Access to skills and capacity it would be difficult to access as single CCGs • Achieve consistency and integration where a pan CCG approach is required • Still scope for CCG level initiatives to address local needs

Berkshire West CCGs Governance Structure Member Practices Member Practices Council of Member Practice South Reading CCG Wokingham CCG Member Practices Council of Member Practice North & West Reading CCG Newbury & District CCG Delegation to shared Committees Audit Committee Quarterly Long Term Conditions Remuneration Committee CCG Commissioning Committee PRN Urgent Care Network Planned Care Commissioned Service Quality Committee QIPP and Performance Committee Monthly Joint Commissioning (NB in partnership with UAs)

2 key strands • Governance • Planning and service redesign

Governance • • • Audit committee Remuneration working group Quality committee QIPP and finance committee Commissioning committee

Planning and Service Redesign Planned Care Long Term Conditions Urgent Care Partnership Board – now developing a mental health and children’s group • Maternity task and finish group - new • •

Programme Boards • Agree and manage joint programmes of work across all 4 CCGs where all 4 need to be aligned • Contribute to the development of the QIPP – investments and savings • Manage delivery of the QIPP at programme level but each CCG still has statutory duty

Challenges • Programme Boards cause most concern • Make the link between member practices, CCG Boards and programme boards work • Ensure the process doesn’t stifle valid CCG based initiatives • Retain the ability to make rapid decisions across the 4 CCGs.