Common use of Membership, Attendance and Quorum Membership Clause in Contracts

Membership, Attendance and Quorum Membership. The Board will comprise the following core members: Voting Members – Name Organisation City Mayor Salford City Council Statutory Deputy City Mayor Salford City Council Deputy City Mayor Salford City Council Lead Member for Adult Services, Health and Wellbeing Salford City Council Lead Member for Children’s and Young People Services Salford City Council Lead Member for Finance and Support Services Salford City Council Chair NHS Salford CCG Chief Accountable Officer NHS Salford CCG Medical Director NHS Salford CCG Chief Finance Officer NHS Salford CCG Deputy Chair/Senior Lay Person NHS Salford CCG Clinical Director for Transformation NHS Salford CCG Clinical Director of Partnerships/Neighbourhood Lead NHS Salford CCG Neighbourhood Lead NHS Salford CCG Director of Commissioning NHS Salford CCG Director of Quality and Innovation NHS Salford CCG Non-Voting Members – Name Organisation Chief Executive Salford City Council Strategic Director for People Salford City Council Director of Public Health Salford City Council Chief Finance Officer Salford City Council Other individuals will be co-opted onto the Board as necessary on an ad-hoc or longer term basis to inform discussions. Such individuals will be non-voting. The Board may also invite other people to address it, deliver a report to it and/or answer questions. The Board will be co-chaired by the Mayor on behalf of SCC and the SCCG Chair on behalf of SCCG with chairing responsibility rotated between meetings. Agendas will be jointly agreed in terms of content and forward planning. Agendas will be structured to clearly distinguish between decisions to be taken in respect of the Integrated Health and Care Fund (Pooled Budget) by the Board sitting as a joint committee under the 2000 Regulations, decisions taken in respect of the CCG Aligned Budget element of the Integrated Health and Care Fund by the Board sitting as a committee of SCCG and Retained Decisions taken by the relevant SCC or SCCG Officer in the venue of the Board. Democratic services support will be provided by SCC. The main contact at SCCG will be nominated by the Head of Governance and Policy. The main contact at SCC will be nominated by the SCC Monitoring Officer. Defined duties will specifically include the circulation of agendas and papers five clear working days in advance of each scheduled meeting. In addition, officer support will assist the chair(s) in the management of all associated business. Attendance It will be important that members of the Board commit to attend meetings of the Board. The appointment of substitute members is not permitted. Quorum, Decision Making, Voting and Urgent Decisions The Board will be quorate providing one-third of the voting membership is in attendance, with at least three members present from each of SCCG and SCC. The Board will aim to achieve a consensus for all decisions. Where the Board is making a decision as a joint committee of SCCG and SCC a decision reached is a joint decision of the partners binding on both partners. Where the Board is making a decision as a committee of the Governing Body of SCCG that decision is a decision of SCCG and is binding on SCCG only. In those circumstances where consensus cannot be reached and a decision must be taken, the issue may be put to a vote. If a decision of the Board acting as a joint committee is put to a vote, then all SCCG members will be entitled to vote on behalf of SCCG. SCC voting members will be entitled to vote on behalf of SCC. This is subject to the decision-making safeguards set out below. If a decision of the Board acting as a committee of the Governing Body of SCCG is put to a vote, then all voting members entitled to vote (see below) shall do so as individual members of the Board. This is subject to the decision-making safeguards set out below. Should it be agreed that a matter should be taken to a vote (see below for how this is to be decided), there shall be an equal number of votes allocated to SCCG members and to SCC voting members, regardless of the number of members in attendance. The number of votes will be determined by reference to the lower number of voting members in attendance at that meeting from either of the partners. Votes will be given in the order of the voting members listed in the table above, to the number required to meet the determined number of voting members from either organisation. As an illustration, should all voting members from SCCG be present and four voting members from SCC be present, then four votes will be allocated to SCCG members and four votes allocated to SCC members. All four of the SCC members will vote and the four votes available to CCG members would be determined as follows:  Chair;  Chief Accountable Officer;  Medical Director; and  Chief Finance Officer. A vote will be carried by a simple majority. Should a vote be tied, the process will be to take the issue outside of the meeting to obtain further detail/information relevant to the decision in hand. There will be no casting vote to resolve such deadlock. The issue will then be brought back to the next meeting of the Board with a clear recommendation for approval or alternatively the matter will be escalated to the partner organisations. Where the matter under consideration is a decision of the Board acting as a committee of the Governing Body of SCCG, the decision will be escalated to SCCG for decision and to SCC for consideration and comment. However, before a vote can be considered the majority of voting members from both partner organisations who would be entitled to participate in the relevant vote (having applied the balancing mechanism above to ensure equality of votes between the organisations as described above) must have agreed that it is appropriate to determine the issue in this manner. Before choosing to put the issue to a vote, the Board may instead ask for further work to be undertaken on the issue to explore, clarify, mitigate or minimise any concerns. The Board may ask for specific individuals who may or may not be part of the Board to discuss the issue further to try to find a suitable resolution on the issue. The issue would then be brought back to a future Board meeting. Where a decision cannot be made through consensus and it is not acceptable to undertake further work or discussion on the issue outside of the Board meeting or put the issue to a vote, the issue will be referred back to the partner organisations. Where the matter under consideration is a decision of the Board acting as a committee of the Governing Body of SCCG, the decision will be escalated to SCCG for decision and to SCC for consideration and comment. Either Partner may, notwithstanding the provisions of these Terms of Reference, make any Urgent Decision (as defined below) that would otherwise be taken by the Board, themselves. This is provided for in the Partnership Agreement. Where either Partner makes an Urgent Decision it shall report such Urgent Decision to the Health and Care Commissioning Board at its next meeting together with an explanation of:  what the decision was;  why it was deemed an Urgent Decision; and  any implications of such Urgent Decision on the Partnership Arrangements. Where either Partner considers that the other Partner’s justification for making an Urgent Decision is not reasonable or not substantiated and/or if the Partners cannot agree as to the implications of any Urgent Decision on the Partnership Arrangements, then either Partner may refer any such matter to the Disputes Procedure under the Partnership Agreement.

Membership, Attendance and Quorum Membership. The Board Committee will comprise the following core members: Voting Members – Name Organisation City Mayor Salford City Council Statutory Deputy City Mayor Salford City Council Deputy City Mayor Salford City Council Lead Member for Adult Services, Health and Wellbeing Salford City Council Lead Member for Children’s and Young People Services Salford City Council Executive Support for Education and Learning Salford City Council Executive Support for Social Care and Mental Health Salford City Council Lead Member member for Finance and Support Services Salford City Council Chair Clinical Director of Partnerships/Neighbourhood Lead NHS Salford CCG Chief Accountable Officer NHS Salford CCG Medical Clinical Director of Transformation NHS Salford CCG Chief Finance Officer NHS Salford CCG Deputy Chair/Senior Lay Person NHS Salford CCG Clinical Director for Transformation NHS Salford CCG Clinical Director of Partnerships/Neighbourhood Lead NHS Salford CCG Neighbourhood Lead NHS Salford CCG Director of Commissioning NHS Salford CCG Director of Quality and Innovation NHS Salford CCG Non-Voting Members – Name Organisation Chief Executive Salford City Council Strategic Director for People Salford City Council Director of Public Health Salford City Council Chief Finance Officer Salford City Council Other individuals will be co-opted onto the Board Committee as necessary on an ad-hoc or longer term basis to inform discussionsdiscussions and in addition. Such individuals will be non-voting. The Board Committee may also invite other people to address it, deliver a report to it and/or answer questions. The Board Committee will be co-jointly chaired by the Mayor Lead Member for Children’s and Young People Services on behalf of SCC and the SCCG Chair Clinical Director of Partnerships on behalf of SCCG with chairing responsibility rotated between meetings. Agendas will be jointly agreed in terms of content and forward planning. Agendas will be structured to clearly distinguish between decisions to be taken in respect of the Integrated Health and Care Fund (Pooled Budget) by the Board Committee sitting as a joint committee under the 2000 Regulations, decisions taken in respect of the CCG Aligned Budget element of the Integrated Health and Care Fund by the Board Committee sitting as a committee of the Governing Body of SCCG and Retained Decisions taken by the relevant the SCC or SCCG Officer in the venue of the BoardCommittee. Democratic services Committee meeting support will be provided by SCC. The main contact at SCCG will be nominated by the Head of Governance and Policy. The main contact at SCC will be nominated by the SCC Monitoring Officer. Defined duties will specifically include the circulation of agendas and papers five clear working days in advance of each scheduled meeting. In addition, officer support will assist the chair(s) in the management of all associated business. Attendance It will be important that members of the Board Committee commit to attend meetings the Committee. However, where this is not possible a substitute appointed by the relevant organisation may attend. Substitutes must be able to contribute and make decisions on behalf of the Board. The appointment of substitute members is not permittedorganisation they are representing and, if substituting for a voting member, vote. Quorum, Decision Making, Voting and Urgent Decisions The Board Committee will be quorate providing one-third of the voting membership is in attendance, with at least three members present from each of SCCG and SCC. The Board Committee will aim to achieve a consensus for all decisions. Where the Board Committee is making a decision as a joint committee of SCCG and SCC a decision reached is a joint decision of the partners binding on both partners. Where the Board Committee is making a decision as a committee of the Governing Body of SCCG that decision is a decision of SCCG and is binding on SCCG only. In those circumstances where consensus cannot be reached and a decision must be taken, the issue may be put to a vote. If a decision of the Board Committee acting as a joint committee is put to a vote, then all SCCG members will be entitled to vote on behalf of SCCG. SCC voting members will be entitled to vote on behalf of SCC. This is subject to the decision-making safeguards set out below. If a decision of the Board Committee acting as a committee of the Governing Body of SCCG is put to a vote, then all voting members entitled to vote (see below) shall do so as individual members of the BoardCommittee. This is subject to the decision-making safeguards set out below. Should it be agreed that a matter should be taken to a vote (see below for how this is to be decided), there shall be an equal number of votes allocated to SCCG members and to SCC voting members, members regardless of the number of members in attendance. The number of votes will be determined by reference to the lower number of voting members in attendance at that meeting from either of the partners. Votes will be given in the order of the voting members listed in the table above, to the number required to meet the determined number of voting members from either organisation. As an illustration, should all voting members from SCCG be present and four voting members from form SCC be present, then four votes will be allocated to SCCG members and four votes allocated to SCC members. All four of the SCC members will vote and the four votes available ascribed to CCG members would be determined as follows:  ChairClinical Director of Partnerships/Neighbourhood Lead;  Chief Accountable Officer;  Medical DirectorClinical Director for Transformation; and  Chief Finance Officer. A vote will be carried by a simple majority. Should a vote be tied, the process will be to take the issue outside of the meeting to obtain further detail/information relevant to the decision in hand. There will be no casting vote to resolve such deadlock. The issue will then be brought back to the next meeting of the Board committee with a clear recommendation for approval or alternatively the matter will be escalated to the partner organisationsHealth and Care Commissioning Board. Where the matter under consideration is a decision of the Board Committee acting as a committee of the Governing Body of SCCG, the decision will be escalated to SCCG for decision the Health and to SCC Care Commissioning Board for consideration of the Health and commentCare Commissioning Board acting as a committee of the Governing Body of SCCG. However, before a vote can be considered the majority of voting members from both partner organisations who would be entitled to participate in the relevant vote (having applied the balancing mechanism above to ensure equality of votes between the organisations as described above) must have agreed that it is appropriate to determine the issue in this manner. Before choosing to put the issue to a vote, the Board Committee may instead ask for further work to be undertaken on the issue to explore, clarify, mitigate or minimise any concerns. The Board Committee may ask for specific individuals who may or may not be part of the Board this Committee to discuss the issue further to try to find a suitable resolution on the issue. The issue would then be brought back to a future Board Committee meeting. Where a decision cannot be made through consensus and it is not acceptable to undertake further work or discussion on the issue outside of the Board Committee meeting or put the issue to a vote, the issue will be referred back to the partner organisationsHealth and Care Commissioning Board. Where the matter under consideration is a decision of the Board Committee acting as a committee of the Governing Body of SCCG, the decision will be escalated to SCCG for decision the Health and to SCC Care Commissioning Board for consideration of the Health and commentCare Commissioning Board acting as a committee of the Governing Body of SCCG. Either Partner may, notwithstanding the provisions of these Terms of Reference, make any Urgent Decision (as defined below) that would otherwise be taken by the BoardCommittee, themselves. This is provided for in the Partnership Agreement. Where either Partner makes an Urgent Decision it shall report such Urgent Decision to the Health and Care Commissioning Board Committee at its next meeting together with an explanation of:  what the decision was;  why it was deemed an Urgent Decision; and  any implications of such Urgent Decision on the Partnership Arrangements. Where either Partner considers that the other Partner’s justification for making an Urgent Decision is not reasonable or not substantiated and/or if the Partners cannot agree as to the implications of any Urgent Decision on the Partnership Arrangements, then either Partner may refer any such matter to the Disputes Procedure under the Partnership Agreement.

Membership, Attendance and Quorum Membership. The Board Committee will comprise the following core members: Voting Members – Name Organisation City Mayor Salford City Council Statutory Deputy City Mayor Salford City Council Deputy City Mayor Salford City Council Lead Member for Adult Services, Health and Wellbeing Salford City Council Lead Member Executive Support for Children’s Social Care and Young People Services Mental Health Salford City Council Lead Member for Housing and Neighbourhoods Salford City Council Lead member for Finance and Support Services Salford City Council Chair Medical Director NHS Salford CCG Chief Accountable Officer NHS Salford CCG Medical Director NHS Salford CCG Chief Finance Officer NHS Salford CCG Deputy Chair/Senior Lay Person NHS Salford CCG Clinical Director for Transformation NHS Salford CCG Clinical Director of Partnerships/Neighbourhood Lead Chief Finance Officer NHS Salford CCG Neighbourhood Clinical Lead NHS Salford CCG Director of Commissioning NHS Salford CCG Director of Quality and Innovation NHS Salford CCG Non-Voting Members – Name Organisation Chief Executive Salford City Council Strategic Director for People Salford City Council Director of Public Health Salford City Council Chief Finance Officer Salford City Council Other individuals will be co-opted onto the Board Committee as necessary on an ad-hoc or longer term basis to inform discussions. Such individuals will be non-voting. The Board Committee may also invite other people to address it, deliver a report to it and/or answer questions. The Board Committee will be co-chaired by the Mayor Lead Member for Adult Services, Health and Wellbeing on behalf of SCC and the SCCG Chair Medical Director on behalf of SCCG with chairing responsibility rotated between meetings. Agendas will be jointly agreed in terms of content and forward planning. Agendas will be structured to clearly distinguish between decisions to be taken in respect of the Integrated Health and Care Fund (Pooled Budget) by the Board Committee sitting as a joint committee under the 2000 Regulations, decisions taken in respect of the CCG Aligned Budget element of the Integrated Health and Care Fund by the Board Committee sitting as a committee of the Governing Body of SCCG and Retained Decisions taken by the relevant SCC Council or SCCG CCG Officer in the venue of the BoardCommittee. Democratic services Officer support will be provided by SCC. The main contact at SCCG will be nominated by the Head of Governance and Policy. The main contact at SCC will be nominated by the SCC Monitoring Officer. Defined duties will specifically include the circulation of agendas and papers five clear working days in advance of each scheduled meeting. In addition, officer support will assist the chair(s) in the management of all associated business. Attendance It will be important that members of the Board Committee commit to attend meetings of the BoardCommittee. The appointment of substitute members However, where this is not permittedpossible a substitute appointed by the relevant organisation may attend. Substitutes must be able to contribute and make decisions on behalf of the organisation they are representing and, if substituting for a voting member, vote. Quorum, Decision Making, Voting and Urgent Decisions The Board Committee will be quorate providing one-third of the voting membership is in attendance, with at least three members present from each of SCCG and SCC. The Board Committee will aim to achieve a consensus for all decisions. Where the Board Committee is making a decision as a joint committee of SCCG and SCC a decision reached is a joint decision of the partners binding on both partners. Where the Board Committee is making a decision as a committee of the Governing Body of SCCG that decision is a decision of SCCG and is binding on SCCG only. In those circumstances where consensus cannot be reached and a decision must be taken, the issue may be put to a vote. If a decision of the Board Committee acting as a joint committee is put to a vote, then all SCCG members will be entitled to vote on behalf of SCCG. SCC voting members will be entitled to vote on behalf of SCC. This is subject to the decision-making safeguards set out below. If a decision of the Board Committee acting as a committee of the Governing Body of SCCG is put to a vote, then all voting members entitled to vote (see below) shall do so as individual members of the BoardCommittee. This is subject to the decision-making safeguards set out below. Should it be agreed that a matter should be taken to a vote (see below for how this is to be decided), there shall be an equal number of votes allocated to SCCG members and to SCC voting membersmembers regardless of the number of members in attendance. The number of votes will be determined by reference to the lower number of voting members in attendance at that meeting from either of the partners. Votes will be given in the order of the voting members listed in the table above, to the number required to meet the determined number of voting members from either organisation. Should it be agreed that a matter should be taken to a vote (see below for how this is to be decided), there shall be an equal number of votes allocated to SCCG members and to SCC voting members regardless of the number of members in attendance. The number of votes will be determined by reference to the lower number of voting members in attendance at that meeting from either of the partners. Votes will be given in the order of the voting members listed in the table above, to the number required to meet the determined number of voting members from either organisation. As an illustration, should all voting members from SCCG be present and four voting members from SCC be present, then four votes will be allocated to SCCG members and four votes allocated to SCC members. All four of the SCC members will vote and the four votes available ascribed to the CCG members would be determined as follows:  ChairMedical Director;  Chief Accountable Officer;  Medical DirectorClinical Director for Transformation; and  Chief Finance Officer. A vote will be carried by a simple majority. Should a vote be tied, the process will be to take the issue outside of the meeting to obtain further detail/information relevant to the decision in hand. There will be no casting vote to resolve such deadlock. The issue will then be brought back to the next meeting of the Board committee with a clear recommendation for approval or alternatively the matter will be escalated to the partner organisationsHealth and Care Commissioning Board. Where the matter under consideration is a decision of the Board Committee acting as a committee of the Governing Body of SCCG, the decision will be escalated to SCCG for decision the Health and to SCC Care Commissioning Board for consideration of the Health and commentCare Commissioning Board acting as a committee of the Governing Body of SCCG. However, before a vote can be considered the majority of voting members from both partner organisations who would be entitled to participate in the relevant vote (having vote(having applied the balancing mechanism above to ensure equality of votes between the organisations as described above) must have agreed that it is appropriate to determine the issue in this manner. Before choosing to put the issue to a vote, the Board Committee may instead ask for further work to be undertaken on the issue to explore, clarify, mitigate or minimise any concerns. The Board Committee may ask for specific individuals who may or may not be part of the Board this Committee to discuss the issue further to try to find a suitable resolution on the issue. The issue would then be brought back to a future Board Committee meeting. Where a decision cannot be made through consensus and it is not acceptable to undertake further work or discussion on the issue outside of the Board Committee meeting or put the issue to a vote, the issue will be referred back to the partner organisationsHealth and Care Commissioning Board. Where the matter under consideration is a decision of the Board Committee acting as a committee of the Governing Body of SCCG, the decision will be escalated to SCCG for decision the Health and to SCC Care Commissioning Board for consideration of the Health and commentCare Commissioning Board acting as a committee of the Governing Body of SCCG. Either Partner may, notwithstanding the provisions of these Terms of Reference, make any Urgent Decision (as defined below) that would otherwise be taken by the BoardCommittee, themselves. This is provided for in the Partnership Agreement. Where either Partner makes an Urgent Decision it shall report such Urgent Decision to the Health and Care Commissioning Board Committee at its next meeting together with an explanation of:  what the decision was;  why it was deemed an Urgent Decision; and  any implications of such Urgent Decision on the Partnership Arrangements. Where either Partner considers that the other Partner’s justification for making an Urgent Decision is not reasonable or not substantiated and/or if the Partners cannot agree as to the implications of any Urgent Decision on the Partnership Arrangements, then either Partner may refer any such matter to the Disputes Procedure under the Partnership Agreement.

Membership, Attendance and Quorum Membership. The Board Committee will comprise the following core members: Voting Members – Name Organisation City Mayor Salford City Council Statutory Deputy City Mayor Salford City Council Deputy City Mayor Salford City Council Lead Member for Adult Services, Health and Wellbeing Salford City Council Lead Member Executive Support for Children’s Social Care and Young People Services Mental Health Salford City Council Lead Member for Housing and Neighbourhoods Salford City Council Lead member for Finance and Support Services Salford City Council Chair Medical Director NHS Salford CCG Chief Accountable Officer NHS Salford CCG Medical Director NHS Salford CCG Chief Finance Officer NHS Salford CCG Deputy Chair/Senior Lay Person NHS Salford CCG Clinical Director for Transformation NHS Salford CCG Clinical Director of Partnerships/Neighbourhood Lead Chief Finance Officer NHS Salford CCG Neighbourhood Clinical Lead NHS Salford CCG Director of Commissioning NHS Salford CCG Director of Quality and Innovation NHS Salford CCG Non-Voting Members – Name Organisation Chief Executive Salford City Council Strategic Director for People Salford City Council Director of Public Health Salford City Council Chief Finance Officer Salford City Council Other individuals will be co-opted onto the Board Committee as necessary on an ad-hoc or longer term basis to inform discussions. Such individuals will be non-voting. The Board Committee may also invite other people to address it, deliver a report to it and/or answer questions. The Board Committee will be co-chaired by the Mayor Lead Member for Adult Services, Health and Wellbeing on behalf of SCC and the SCCG Chair Medical Director on behalf of SCCG with chairing responsibility rotated between meetings. Agendas Xxxxxxx will be jointly agreed in terms of content and forward planning. Agendas will be structured to clearly distinguish between decisions to be taken in respect of the Integrated Health and Care Fund (Pooled Budget) by the Board Committee sitting as a joint committee under the 2000 Regulations, decisions taken in respect of the CCG Aligned Budget element of the Integrated Health and Care Fund by the Board Committee sitting as a committee of the Governing Body of SCCG and Retained Decisions taken by the relevant SCC Council or SCCG CCG Officer in the venue of the BoardCommittee. Democratic services Officer support will be provided by SCC. The main contact at SCCG will be nominated by the Head of Governance and Policy. The main contact at SCC will be nominated by the SCC Monitoring Officer. Defined duties will specifically include the circulation of agendas and papers five clear working days in advance of each scheduled meeting. In addition, officer support will assist the chair(s) in the management of all associated business. Attendance It will be important that members of the Board Committee commit to attend meetings of the BoardCommittee. The appointment of substitute members However, where this is not permittedpossible a substitute appointed by the relevant organisation may attend. Substitutes must be able to contribute and make decisions on behalf of the organisation they are representing and, if substituting for a voting member, vote. Quorum, Decision Making, Voting and Urgent Decisions The Board Committee will be quorate providing one-third of the voting membership is in attendance, with at least three members present from each of SCCG and SCC. The Board Committee will aim to achieve a consensus for all decisions. Where the Board Committee is making a decision as a joint committee of SCCG and SCC a decision reached is a joint decision of the partners binding on both partners. Where the Board Committee is making a decision as a committee of the Governing Body of SCCG that decision is a decision of SCCG and is binding on SCCG only. In those circumstances where consensus cannot be reached and a decision must be taken, the issue may be put to a vote. If a decision of the Board Committee acting as a joint committee is put to a vote, then all SCCG members will be entitled to vote on behalf of SCCG. SCC voting members will be entitled to vote on behalf of SCC. This is subject to the decision-making safeguards set out below. If a decision of the Board Committee acting as a committee of the Governing Body of SCCG is put to a vote, then all voting members entitled to vote (see below) shall do so as individual members of the BoardCommittee. This is subject to the decision-making safeguards set out below. Should it be agreed that a matter should be taken to a vote (see below for how this is to be decided), there shall be an equal number of votes allocated to SCCG members and to SCC voting membersmembers regardless of the number of members in attendance. The number of votes will be determined by reference to the lower number of voting members in attendance at that meeting from either of the partners. Votes will be given in the order of the voting members listed in the table above, to the number required to meet the determined number of voting members from either organisation. Should it be agreed that a matter should be taken to a vote (see below for how this is to be decided), there shall be an equal number of votes allocated to SCCG members and to SCC voting members regardless of the number of members in attendance. The number of votes will be determined by reference to the lower number of voting members in attendance at that meeting from either of the partners. Votes will be given in the order of the voting members listed in the table above, to the number required to meet the determined number of voting members from either organisation. As an illustration, should all voting members from SCCG be present and four voting members from SCC be present, then four votes will be allocated to SCCG members and four votes allocated to SCC members. All four of the SCC members will vote and the four votes available ascribed to the CCG members would be determined as follows:  Chair• Medical Director;  • Chief Accountable Officer;  Medical Director• Clinical Director for Transformation; and  • Chief Finance Officer. A vote will be carried by a simple majority. Should a vote be tied, the process will be to take the issue outside of the meeting to obtain further detail/information relevant to the decision in hand. There will be no casting vote to resolve such deadlock. The issue will then be brought back to the next meeting of the Board committee with a clear recommendation for approval or alternatively the matter will be escalated to the partner organisationsHealth and Care Commissioning Board. Where the matter under consideration is a decision of the Board Committee acting as a committee of the Governing Body of SCCG, the decision will be escalated to SCCG for decision the Health and to SCC Care Commissioning Board for consideration of the Health and commentCare Commissioning Board acting as a committee of the Governing Body of SCCG. However, before a vote can be considered the majority of voting members from both partner organisations who would be entitled to participate in the relevant vote (having vote(having applied the balancing mechanism above to ensure equality of votes between the organisations as described above) must have agreed that it is appropriate to determine the issue in this manner. Before choosing to put the issue to a vote, the Board Committee may instead ask for further work to be undertaken on the issue to explore, clarify, mitigate or minimise any concerns. The Board Committee may ask for specific individuals who may or may not be part of the Board this Committee to discuss the issue further to try to find a suitable resolution on the issue. The issue would then be brought back to a future Board Committee meeting. Where a decision cannot be made through consensus and it is not acceptable to undertake further work or discussion on the issue outside of the Board Committee meeting or put the issue to a vote, the issue will be referred back to the partner organisationsHealth and Care Commissioning Board. Where the matter under consideration is a decision of the Board Committee acting as a committee of the Governing Body of SCCG, the decision will be escalated to SCCG for decision the Health and to SCC Care Commissioning Board for consideration of the Health and commentCare Commissioning Board acting as a committee of the Governing Body of SCCG. Either Partner may, notwithstanding the provisions of these Terms of Reference, make any Urgent Decision (as defined below) that would otherwise be taken by the BoardCommittee, themselves. This is provided for in the Partnership Agreement. Where either Partner makes an Urgent Decision it shall report such Urgent Decision to the Health and Care Commissioning Board Committee at its next meeting together with an explanation of:  • what the decision was;  • why it was deemed an Urgent Decision; and  • any implications of such Urgent Decision on the Partnership Arrangements. Where either Partner considers that the other Partner’s justification for making an Urgent Decision is not reasonable or not substantiated and/or if the Partners cannot agree as to the implications of any Urgent Decision on the Partnership Arrangements, then either Partner may refer any such matter to the Disputes Procedure under the Partnership Agreement.

Membership, Attendance and Quorum Membership. The Board will comprise the following core members: Role Organisation Voting Members – Name member in relation to Pooled Budget Voting member in relation to Aligned Budget Accountable Officer/Nominee from the ICB Executive Team Salford CCG/GM ICB YES YES 2 representatives Primary Medical Services sector NO YES 1 representative Wider Primary Care sector NO YES Chief Officer & Medical Director, SCO Director of Integration and Consultant Endocrinologist, SCO Chief Finance Officer, NCA Salford Care Organisation/ Northern Care Alliance NHS Foundation Trust YES YES Director of Nursing and Governance Salford division representative Greater Manchester Mental Health NHS Foundation Trust (GMMH) YES YES Role Organisation Voting member in relation to Pooled Budget Voting member in relation to Aligned Budget Chief Executive, Xxxxxxx CVS Representative from VOCAL Representative from VCSE providers Voluntary, Community and Social Enterprise (VCSE) sector NO YES City Mayor Salford City Council Statutory Deputy City Mayor Salford City Council Deputy City Mayor Salford City Council and Lead Member for Adult Services, Health and Wellbeing Salford City Council Executive Support Member for Social Care and Mental Health Lead Member for Children’s and Young People People’s Services Salford City Council Lead Member for Finance and Support Services Salford City Council Chair NHS Salford CCG Chief Accountable Officer NHS Salford CCG Medical Director NHS Salford CCG Chief Finance Officer NHS Salford CCG Deputy Chair/Senior Lay Person NHS Salford CCG Clinical Director for Transformation NHS Salford CCG Clinical Director of Partnerships/Neighbourhood Lead NHS Salford CCG Neighbourhood Lead NHS Salford CCG Director of Commissioning NHS Salford CCG Director of Quality and Innovation NHS Salford CCG Non-Voting Members – Name Organisation Chief Executive Salford City Council and Place Lead Strategic Director for People Salford City Council Director of Public Health Salford City Council Chief Finance Officer SCC YES YES Role Organisation Voting member in relation to Pooled Budget Voting member in relation to Aligned Budget 2 Co Chairs Provider Collaborative TBC dependent on employing organisation YES 3 representatives to cover health, care and children Clinical and Care Professional Forum TBC dependent on employing organisation YES Place Lead (if not already a member through list above) TBC TBC dependent on employing organisation YES The Board will comprise the following participants: Role Organisation Chief Executive Healthwatch Salford City Council Salford Locality ICS Delivery Lead GMICB Members are expected to make significant efforts to ensure they are in a position to be able to clearly reflect the views of their wider organisation or sector and not simply their own personal views. Other individuals will be co-opted onto the Board as necessary on an ad-hoc or longer term basis to inform discussions. Such individuals will be non-voting. The Board may also invite other people to address it, for example experts to inform discussions, deliver a report to it and/or answer questions. The Board will be co-chaired by the Mayor on behalf of a political member nominated by SCC and a clinical lead nominated by the SCCG Chair on behalf of SCCG CCG, with chairing responsibility rotated between meetings. Agendas Xxxxxxx will be jointly agreed in terms of content and forward planning. Agendas will be structured to clearly distinguish between decisions to be taken in respect of the Integrated Health and Care Fund (Pooled Budget) by the Board sitting as a joint committee under the 2000 Regulations, decisions taken in respect of the CCG Aligned Budget element of the Integrated Health and Care Fund by the Board sitting as a committee of SCCG and Retained Decisions taken by the relevant SCC or SCCG Officer in the venue of the Board. Democratic services support will be provided by SCC. Administrative support will be provided by SCCG. The main contact at SCCG will be nominated by the Head of Governance and Policy. The main contact at SCC will be nominated by the SCC Monitoring Officer. Defined duties will specifically include the circulation of agendas and papers five clear working days in advance of each scheduled meeting. In addition, officer support will assist the chair(s) in the management of all associated business. Attendance It will be important that members of the Board commit to attend meetings of the Board. The appointment of substitute members is not permittedpermitted with prior permission of the co chair (scheduled to chair that meeting). Quorum, Decision Making, Voting and Urgent Decisions The Board will be quorate providing one-third of the voting membership is in attendance, with at least three members present from each of SCC, one member present from SCCG and SCCtwo further members present from wider health organisations. The Board will aim to achieve a consensus for all decisions. Where the Board is making a decision as a joint committee of SCCG and SCC a decision reached is a joint decision of the partners binding on both partners. Where the Board is making a decision as a committee of the Governing Body of SCCG that decision is a decision of SCCG and is binding on SCCG only. In those circumstances where consensus cannot be reached and a decision must be taken, the issue may be put to a vote. If a decision of the Board acting as a joint committee is put to a vote, then all SCCG members will be entitled to vote on behalf of SCCG. SCC voting members will be entitled to vote on behalf of SCC. This is subject to the decision-making safeguards set out below. If a decision of the Board acting as a committee of the Governing Body of SCCG is put to a vote, then all voting members entitled to vote (see below) shall do so as individual members of the Board. This is subject to the decision-making safeguards set out below. Should it be agreed that a matter should be taken to a vote (see below for how this is to be decided), there shall be an equal number the following votes are allocated: In relation to pooled fund decisions Local Authority (4 votes) Health (4 votes) System (2 votes) SCC CCG Public Health SCO/NCA CCG (in place of votes allocated VCSE) GMMH CCG (in place of Primary Care) In relation to SCCG aligned fund decisions Local Authority (4 votes) Health (4 votes) System (2 votes) SCC CCG Public Health SCO/NCA VCSE GMMH Primary Care Where voting takes place, all those eligible to vote must fully engage with and truly understand the views of ALL members and to SCC voting members, regardless of the number of members in attendance. The number of votes will be determined by reference to the lower number of Board, whether voting members in attendance at that meeting from either of the partnersor not. Votes will be given in the order of the voting members listed in the members table above, to the number required to meet the determined number of voting members from either organisation. As an illustration, should all voting members from SCCG be present and four voting members from SCC be present, then four votes will be allocated to SCCG members and four votes allocated to SCC members. All four of the SCC members will vote and the four votes available to CCG SCC members would be determined as follows:  Chair• City Mayor;  Chief Accountable Officer• Statutory Deputy City Mayor;  Medical Director• Deputy City Mayor and Lead Member for Adult Services, Health and Wellbeing; and  Chief Finance Officer• Executive Support Member for Social Care and Mental Health. A vote will be carried by a simple majority. Should a vote be tied, the process will be to take the issue outside of the meeting to obtain further detail/information relevant to the decision in hand. There will be no casting vote to resolve such deadlock. The issue will then be brought back to the next meeting of the Board with a clear recommendation for approval or alternatively the matter will be escalated to the partner organisations. Where the matter under consideration is a decision of the Board acting as a committee of the Governing Body of SCCG, the decision will be escalated to SCCG for decision and to SCC for consideration and comment. However, before a vote can be considered the majority of voting members from both partner organisations who would be entitled to participate in the relevant vote (having applied the balancing mechanism above to ensure equality of votes between the organisations as described above) must have agreed that it is appropriate to determine the issue in this manner. Before choosing to put the issue to a vote, the Board may instead ask for further work to be undertaken on the issue to explore, clarify, mitigate or minimise any concerns. The Board may ask for specific individuals who may or may not be part of the Board to discuss the issue further to try to find a suitable resolution on the issue. The issue would then be brought back to a future Board meeting. Where a decision cannot be made through consensus and it is not acceptable to undertake further work or discussion on the issue outside of the Board meeting or put the issue to a vote, the issue will be referred back to the partner organisations. Where the matter under consideration is a decision of the Board acting as a committee of the Governing Body of SCCG, the decision will be escalated to SCCG for decision and to SCC for consideration and comment. Either Partner may, notwithstanding the provisions of these Terms of Reference, make any Urgent Decision (as defined below) that would otherwise be taken by the Board, themselves. This is provided for in the Partnership Agreement. Where either Partner makes an Urgent Decision it shall report such Urgent Decision to the Health and Care Commissioning Board at its next meeting together with an explanation of:  • what the decision was;  • why it was deemed an Urgent Decision; and  • any implications of such Urgent Decision on the Partnership Arrangements. Where either Partner considers that the other Partner’s justification for making an Urgent Decision is not reasonable or not substantiated and/or if the Partners cannot agree as to the implications of any Urgent Decision on the Partnership Arrangements, then either Partner may refer any such matter to the Disputes Procedure under the Partnership Agreement.