Constitution and governance handbook

Constitution introduction

Clinical Commissioning Groups (CCGs) are established under the Health and Social Care Act 2012. They are statutory bodies that have the function of commissioning services for the purposes of the health service in England.

All CCGs across England likes ourselves are clinically-led membership organisations made up of general practices. CCGs’ members are responsible for determining the governance arrangements of their CCG, which they are required to set out in a constitution.

Our constitution

The NHS Manchester CCG Constitution sets out our responsibilities for commissioning health services for the local population

Governance Handbook


This handbook is designed to give easy access to key governance information to support the executive team, senior managers and all staff to apply the CCG’s governance arrangements in practice and to give insight to patients and the public on our arrangements. This handbook will provide detail on committee governance, standing orders and financial policies, standards of business conduct, as well as other areas of corporate governance.


Governance structure

Manchester Health and Care Commissioning has in place a governance structure made up of our core committees, as well as groups that formally report to these committees, including external boards and programmes.

Committee dates

Our committee dates are set well in advance and as a rule, papers are due and published seven working days before the meeting.

Please note that whilst not expected, dates are subject to change.

Committee Terms of Reference

Each committee has set Terms of Reference (ToR). These contain detail relating to the committee under a number of different headings including the remit and responsibilities of the committee, the membership, and attendance, voting arrangements, administration and reporting arrangements.

These files include: 

Risk Management Framework

This framework describes the arrangements that the MHCC has in place to manage risk. The framework provides a structure for the systematic identification, assessment, treatment, and monitoring of risks.

Standards of business conduct

It is an established principle that all public sector organisations must be impartial and honest in their business and that their staff members should act with integrity. As a publicly funded organisation, we have a duty to set and maintain the highest standards of conduct and integrity. All Manchester Health and Care Commissioning (MHCC) staff, regardless of their role are expected to act in the spirit set out in the seven principles of public life: the ‘Nolan Principles’.

Standards of business conduct (Conflicts of Interest Policy and Gifts and Hospitality Policy)

To ensure MHCC and the people we work with act with integrity and spend public money effectively and wisely, we have in place policies for the management of conflicts of interest and gifts and hospitality.

As set out in the Conflicts of Interest Policy, all staff are required to make a declaration of interest and this includes a nil declaration. Declarations must be completed at the start of employment and annually as requested by the organisation. Declarations should be made at the earliest opportunity and in any case within 28 days.

All Gifts over the value of £50 should only be accepted on behalf of Manchester Health and Care Commissioning and not in a personal capacity. Where a gift does arise, these must be declared to the Corporate Governance Team as described in the policy. Multiple gifts from the same source over a 12 month period should be treated in the same way as gifts over £50 where the cumulative value exceeds £50.

Hospitality should be declared as per the guidance set out in the policy. When accepting or providing hospitality, staff should be able to demonstrate that the acceptance or provision of hospitality would benefit the NHS or MHCC. Hospitality must only be accepted when there is a legitimate business reason and it is proportionate to the nature and purpose of the event.

Annual Report

Each year all CCGs are required to produce an annual report which describes their commissioning activities each financial year. The report should show our achievements, challenges, commissioning intentions and plans for the future and how we have met the priorities set for the previous year. The report also contains information on our governance processes, assurance and accountability mechanisms.

You can also view a summary of the above report in our year in video below.

Our year in video 2019/2020