Appendix A : Stroke Project Governance Arrangements October 2008
1.1 HfL Governance Structure The governance arrangements for all HfL projects within the overall HfL Programme are illustrated below. The London Commissioning Group (LCG) will have overall responsibility for delivery of the HfL programme. It will effectively act as the Programme Board providing the strategic steer for the programme. The LCG will be advised by a Clinical Advisory Group and a Patient and Public Advisory Group. The LCG is accountable to all London PCT Boards and the NHS London Board. Project Boards will be established for individual HfL projects which will be accountable to the LCG for delivery of their projects. The HfL Programme Executive Group (PEG) will co-ordinate the overall management of the programme. The PEG will monitor the progress of the individual projects and act as the forum for identifying, resolving and managing issues, interdependencies and risks. Governance for HfL Consultation Joint Overview Joint Committee and Scrutiny of PCTs Committee All London PCT Boards NHS London Board Patient and Public Advisory Group London Commissioning Group Clinical Advisory Group Accountable Reporting Advising Scrutinising Finance Reference Group HfL Programme Executive Group HfL Public Consultation New Projects commencing for HfL Children s Services Maternity Mental Health Stroke Local Hospital Feasibility Projects Major Trauma Unscheduled care Polyclinics Diabetes (Long term conditions)
1.2 HfL Stroke Project Governance The governance arrangements for the Acute Stroke project within the overall HfL Programme is illustrated below. The project board is chaired by Rachel Tyndall (Senior Responsible Officer for the project and Chief Executive of Islington PCT). Rachel reports to and is a member of the London Commissioning Group (LCG). Chris Streather (Clinical Director for the project and Medical Director for St. Georges Healthcare NHS Trust) is a project board member and reports to and is a member of the Clinical Advisory Group for. Kevin Hunter / Michael Wilson (Project Manager) reports to and is a member of the Programme Executive Group (PEG). The project board, the LCG and the CAG meet monthly, and the PEG meet bi-weekly. The project board also receives expert input from three panels that meet every month: the clinical and social care panel, the commissioning and finance panel, and the patient and carer panel. The clinical and social care panel has representation from across London and across the end-to-end pathway: public health professionals, general practitioners, London Ambulance Service, physicians, nurses, therapies, social care, patients and carers via the Stroke Association and other voluntary sector organisations. LCG CAG Clinical & Social Care PEG Project Board Expert Panel Patient / Carer Project Team Commissioning / Finance
2.1 Stroke Project Board Stroke Project Board Meeting Frequency Location Duration Monthly 1.5 hours The Project Board s role and responsibilities are as follows: Provides overall direction and management of the project Takes major decisions for the project and make recommendations for approval for PEG and PCT CEs Accountable to the PCT CE for the success of the project Identifies and manages risks to project delivery and escalates issues to the Programme Executive Group as necessary Provides progress reports to the Programme Executive Group and PCT CEs
2.2 Stroke Project Board (membership) Name Rachel Tyndall Chris Streather Steve Peacock Tony Rudd Gill Cluckie Kevin Hunter / Michael Wilson Sophie Walmsley Charles Wolfe Gary Dakin (when invited) Chris Clark John Goldup Ann Radmore Cathy Ingram Position Chair Clinical Director, Chair Director of Commissioning Clinical Lead Stroke Specialist Nurse Stroke Project Manager Secretariat Public Health Workforce Dev Manager Director of Operations Corporate Director - Adults Health and Wellbeing Chief Executive Community Rehabilitation Organisation St Georges Healthcare Bexley Guys and St Thomas Guys and St Thomas Kings College NHS London Stroke Association Wandsworth Teaching PCT Lambeth PCT
2.3 Roles and Responsibilities of the Project Board Members Role Senior Responsible Officer Clinical Director Clinical Experts Responsibility Oversees the development of the Project Initiation Document Accountable to LCG for delivery and success of project Maintains communications with wider stakeholder community Provides monthly updates to LCG on progress of the project and escalates issues where necessary Ensures that there is a coherent organisational structure and robust project plan Monitors and controls progress of project including managing issues and risks and escalating to programme level if necessary Accountable to the CAG and LCG for the clinical safety and efficacy of the project Provides clinical leadership and advice for the project Acts as clinical advocate for the project Facilitates identifying other clinical representation within the project as necessary Engages with or develops pan-london professional networks established by the CAG Provides monthly updates to the CAG on the progress of the project Provide day to day clinical advice and support to the Project Manager Act as first point of contact for clinical issues relating to the project Acts as clinical advocate for the project Support the Clinical Director in engaging with pan-london professional networks established by the CAG Support the Project Manager in arranging and facilitating expert panels and multi-disciplinary workshops as necessary Support the Clinical Director in identifying appropriate clinical representation within the project as necessary
3.1 Stroke Clinical Expert Panel Stroke Clinical Expert Panel Meeting Frequency Location Duration Monthly NHS London 1.5 hours The Clinical Expert Panel s role and responsibilities are as follows: Provides clinical input to the project from the wide range of clinical areas involved in Stroke Approves the clinical aspects of the project s deliverables Feeds in views and insights between the project and the CAG Acts as clinical advocates for the project Provide endorsement to deliverables produced by the projects Each member of the Clinical Expert Panel is responsible for representing the opinions and needs of their specialist clinical area to ensure that the project achieves the best clinical outcome for patients.
3.2 Stroke Clinical Expert Panel (membership) Name Chris Streather Maggie Rastall Gill Cluckie Tony Rudd Kevin Hunter / Michael Wilson Sophie Walmsley Charles Wolfe Mark Whitbread Nick Lawrence David Cohen Liz Robb Heather Tarrant Alexander Laidler Martyn Wake Joe Korner Helen Cutting John Goldup Ken Cutting Lesley Johnson Nicholas Losseff Patrick Gompertz Diane Ames Binnie Grant Geoffrey Cloud Position Clinical Director, Chair Social Services Stroke Specialist Nurse Clinical Lead Stroke Project Manager Secretariat Public Health Clinical Practice Manager Head of Policy Consultant Physician Nursing/Rehab Team Manager Head of Disability and Rehabilitation Services General Practitioner Director of Commissioning Physiotherapist Corporate Director - Adults Health and Wellbeing Physiotherapist CAG AMP Lead North Central Stroke Network Clinical Lead North East Stroke Network Clinical Lead North West Stroke Network Clinical Lead North West Stroke Network Clinical Lead South West Stroke Network Clinical Lead Organisation St Georges Healthcare Greenwich Teaching PCT Guys and St Thomas Guys and St Thomas Kings College London Ambulance Service London Ambulance Service North West London North West London RB Kensington and Chelsea Southward PCT St Georges Stroke Association WRT University College London Imperial College Chelsea and Westminster St Georges Healthcare
4.1 Stroke Patient/Carer Panel Stroke Patient/Carer Panel Name Organisation Meeting Frequency Ad hoc Sally McVicker Connect Location NHS London Zia Rehman Crossroads Duration 1 hour Jeffy Wong Different Strokes Moira Richardson Princess Royal Trust for Carers Sue Hampton Stroke Association The stroke patient/clinical panel provide input from a service provider perspective, and also enable consultation through formal engagement with their members, which include: People who have experienced stroke Family/carers of people who have experienced stroke Representatives from organisations who provide support and advice to families/carers and people with stroke Organisations who promote prevention, treatment and care of people affected by stroke Terms of reference of the Patient Panel: Provides London-wide guidance to the Stroke Project from the perspective of the patient or family/carer Provides advice on the quality and provision of services to help support decision making and possible implementation of the project Provides feedback on project papers and materials Wherever appropriate, disseminates the work of the Stroke Project back to the member s organisation and/or the wider community