STRUCTURE: NHS Derby City and NHS Derbyshire County have had their proposed cluster arrangements agreed by NHS East Midlands.

The plans will now be submitted by them to the Department of Health where final authorisation lies.  

It has been agreed that NHS Derby City chair Mark Todd will also become chair of the cluster board and lead on delivery of financial outcomes and the quality, innovation, productivity and prevention (QIPP) programme.

The chair of Derbyshire County will lead on work delivering transition to new models in GP consortia and Health and Wellbeing Boards. He will also have oversight on the development of business models for PCT services for consortia.  

It is intended that the cluster will come into being on 1 April. Arrangements for the production of a single executive team remain under discussion.

Board papers said: “It will be necessary to examine agendas and information tools for the cluster’s board, committees and executive team reflecting the dramatically greater scale of financial responsibility and commissioning obligation the cluster will bear as compared to either PCT.  

“Replication of current information and reports of both PCTs will overwhelm the governance capacity. While the transfer of community services from 1st April 2011 might appear to ease governance much of the core work on this was already complete in the County with the establishment of a separate governance system.”