Scrutiny and Accountability: Maximising the Value of Lay MembersWednesday, 7 September 2016

Susanne Hasselmann - Chair, NHSCC Lay Member Network and Lay Member/ Deputy Chair, South Eastern Hampshire CCGJason Stamp - Lay Member, NHS Hull CCG

Aims of Sessions:

• The role of lay members and the value they bring to board decision making

• How do we best support our lay members?

• How can lay members most constructively contribute?

• Discussions

Introductions: Susanne Hasselmann• 10 years as NHS non-exec• PCT Non-exec in 2006• Non-exec in PCT cluster• Lay Member/ Deputy Chair/ SILM/ Audit

Chair of CCG• Chaired/ co-chaired Board, Clinical

Governance, Audit, RemCom, Charitable Funds Committees

• Working in commercial sector outside health and care

• Chair, NHSCC Lay Member Network and NHSCC Board member

Introductions: Jason Stamp

• CCG Lay Member with responsibility for Patient and Public Involvement since 2012

• Former Chair of a Local Involvement Network and member of the NHS Future Forum

• Independent Chair of NHS England’s Patient and Public Voice Assurance Group for Specialised Commissioning

• Chief Executive of a voluntary and community sector organisation

• NHSCC Lay Member Network Steering Group representative

The role of Lay Members in CCGs:

• Impact of Lansley reforms and the challenge for lay members

• Providing experience, assurance and challenge at Board/ Committee level

• Chair/ Deputy Chair• Audit Chair and Conflicts of Interest

Guardian – statutory requirement• Lay Member for Patient and Public

Involvement (PPI) – statutory requirement• Third Lay Member - often chair of Primary

Care Commissioning Committee under delegated commissioning arrangements

The role of Lay Members/ Non-execs in the NHS:

• Bringing independence to the table• Experience from other industries or within

NHS• Support/ guidance, not doing• Previous board experience• Challenging and scrutinising plans and

decisions• Holding executive to account – public

accountability• Guardians of Governance/ Organisational

Conscience

The role of Lay Members in public and patient involvement:

• Promote the active participation of patients and members of the public• Transparency and openness• Assurance around compliance with statutory duties:

- 14P – NHS Constitution- 14U – Patient and Public Involvement- 14Z2 – Consultation and engagement with the public

• Additional responsibilities can include Equalities, working with the VCS, Complaints and patient experience

• Wider governance role within the Board and organisation

Maximising the value of your lay members/ non-executives - the role of and relationship with:

• Clinical Chair• Executive Directors• Governance Lead• Clinicians• Other Lay Members/ Non-Execs

Responsibility of Lay Members in maximising their value:

• Challenge constructively• Support other lay members• Seek a wider local network• Become a mentor or mentee• Request one-to-ones and annual reviews

with chair/ AO

Developing the Role of Lay Members

• Induction, training and support• Clarity about roles and responsibilities• Access to networks and peer mentoring• Succession planning and what next?• Working on a bigger footprint – STP

challenge

Discussion

Potential questions for audience discussion: (For CCG/Trust leaders and other governing body members):• How can lay members work with you

to best support their progression and development?

• How have lay members/NEDs helped your CCG or trust to make more effective decisions?

(For NHS England and other ALBs):• How do you see the lay member and

NED role evolving following the implementation of STPs and shift towards place-based systems of care?

(For fellow lay members/NEDs)• What training/development

opportunities are needed to further support you in your role?

• If there is one thing that you would change to improve the experience of your successor, what would it be?

• How have you developed effective working relationships with your board members?

 

For more information:

• Email office@nhscc.org• www.nhscc.org – Maximising the

Lay member Role in CCGs