Diagram showing Clinical Governance Arrangements. Barking and Dagenham Primary Care Trust London Borough of Barking and Dagenham Health and Social Care Integration Steering Committee PCT/Council Joint LD Standing Committee LD Partnership Board operational issues • Clinical Chair • Associate Chair (Team Manager) • Professional Heads • North East London Confederation Lead • Community Practice Teachers • Team Manager Note: Guidance directs that the three clinical governance groups also have a direct reporting responsibility to the PCT. For the Mental Health Clinical Governance Group this is in addition to its reporting responsibility to NELMHT.