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Scrutiny and Accountability: the value of the lay or non-executive member
1. Scrutiny and Accountability:
Maximising the Value of Lay Members
Wednesday, 7 September 2016
Susanne Hasselmann - Chair, NHSCC Lay Member Network and Lay Member/
Deputy Chair, South Eastern Hampshire CCG
Jason Stamp - Lay Member, NHS Hull CCG
2. 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
3. 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
4. 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
5. 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
6. 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
7. 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
8. 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
9. 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
10. 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
12. 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?
13. (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?
14. For more information:
• Email office@nhscc.org
• www.nhscc.org – Maximising the Lay member Role in
CCGs