​​​​​​​​​Governance 

 
We put governance systems in place to assure local people, patients and our stakeholders that NHS Merton Clinical Commissioning Group is being run efficiently, ethically, legally, and transparently. 
 
The membership of the Governing Body comprises 10 voting members, with 1 vote each:
  • Chief Officer (as Accountable Officer)
  • Clinical Chair
  • Chief Financial Officer
  • Two GP Board members
  • At least 2 lay members (including 1 patient and public lead member and 1 governance lead member which will include responsibilities for audit, remuneration and conflicts of interest)
  • Secondary Care Doctor
  • Registered Nurse
  • Director of Public Health for Merton

NHS Merton CCG works within a governance framework which is set out in our Constitution.

We also have policies which define the way we work – they are all available on our policies, strategies and registers page. 

If there is something you would like to know about the way we work that you cannot find on our website you can submit a Freedom of Information request.

Conflict of Interest 

 

A Conflict of Interest can be defined as a situation that arises when a person that has a private or personal interest significant enough to influence the way they make a decision.

Conflicts of Interest can arise in the work of CCGs in a variety of ways. For example, the CCG may wish to commission a service based at a GP surgery. This would be more convenient for patients and cheaper than treatment in hospital. At the same time, the GP practice would have a financial interest in becoming the provider of this service. So if members of the practice became involved in the process of deciding to commission or awarding the service, a conflict would arise. It would not be clear that they favoured the decision because of the convenience of patients rather than their own financial gain.

Our Conflict of Interest policy is designed to ensure that such potential conflicts are identified and managed appropriately. All members of the CCG Governing Body and CCG staff must declare any interests they have that might conceivably conflict with their work in the CCG. These are recorded in our register of interest, which you can see on the publications​ page, along with the register of gifts and hospitality.​


External Audit Arrangements 


Following changes to the local external audit arrangements, detailed in the Local Accountability Act 2014, NHS Trusts and CCGs are required to procure and locally appoint their own auditors for 2017/18 and subsequent years. The CCG has recently awarded a five year contract for the provision of external audit to Grant Thornton LLP, commencing April 1, 2017. It should be noted that Grant Thornton LLP, will be responsible for the audit opinion in relation to the financial period closing March 31, 2017.

The appointment has been made in line with the appropriate procurement requirements after competitive tendering. The appointment was ratified by the Governing Body at its meeting on 23 March 2017on the basis of recommendations from the CCG’s Audit and Governance Committee.

The appointment has been made on the basis of the most economically advantageous tender.

  
  
Merton CCG Constitution Nov 2015.pdf