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Clinical Commissioning Groups are clinically led membership organisations made up of general practices.  The members of the Somerset Clinical Commissioning Group are responsible for determining the governing arrangements of the organisation and these are set out in a Constitution. 

Our Constitution is based on the national framework document that is produced by NHS England and any changes to our Constitution must be agreed with them.


The Constitution sets out the membership and composition of the Governing Body and its key sub-committees where decisions are made – the Clinical Executive Committee (CEC), Primary Care Commissioning Committee (Primary Care Medical Services), Audit Committee, Quality and Safety Committee, Finance and Performance Committee and Remuneration Committee.  The Terms of Reference for each are set out in appendices of the Constitution. These groups provide the structure through which policy and strategy are agreed.

Roles and Responsibilities

There are some key documents that are referenced in the Constitution that set out the roles and responsibilities of officers, delegates and committees:

  • Standing orders – which sets out the arrangements for meetings, and the arrangements and the processes by which the key voting roles are nominated and elected to the Governing Body
  • Scheme of reservation and delegation  – which sets out those decisions that are reserved for the membership as a whole and those decisions that are the responsibilities of our Governing Body, the Governing Body’s committees and sub-committees, the Group’s committees and sub-committees, individual members and employees
  • Prime financial policies – which sets out the arrangements for managing our financial affairs
  • Detailed financial policies – which sets out the standing financial instructions for the organisation.

Underpinning our priorities

In line with national strategy and frameworks our priorities set out in the Constitution include:

  • Supporting local clinicians to work in a way that will enable them to empower patients
  • Shifting where people receive their care, where it is appropriate, from acute care to community care
  • Using the 13 Primary Care Networks and other Clinical Forums to gather information about local communities, in order to develop patient-centred and appropriate health services
  • Working with communities and other organisations to develop an environment that improves health and wellbeing for adults, children and young people
  • Reducing inequalities and supporting people to make healthier lifestyle choices
  • The implementation of a programme to deliver Quality, Innovation, Productivity and Prevention (QIPP) thereby ensuring the resources used to deliver the best possible value for service users, and that waste is minimised within our systems.

Top 10 areas to note about the Constitution

  1. It is required by the Health Act and was published following authorisation
  2. It underpins our strategic priorities
  3. It sets out the delegation of duties to the Governing Body and its committees
  4. It signposts members to key documents and outlines their roles and responsibilities
  5. It outlines how to escalate concerns and raise disputes
  6. It explains what interests need to be declared and how to do it
  7. It incorporates the Nolan principles in use of public resources
  8. It sets out our governance structures 
  9. It illustrates how members influence decision making
  10. It outlines how practices and their delegates are protected from individual liability.

Related Documents