The NCA has a large governance structure that spans four Care Organisations (COs), diagnostics and pharmacy, and corporate functions. Not all committees/groups have the authorisation to approve controlled documents in their terms of reference, so this resource aims to provide clarification on which committees/groups have the authority to approve.
‘Controlled document’ is the terminology used for all documents published on the Policy Hub.
- Before submitting your document for approval, ensure appropriate consultation has taken place. All colleague groups included in the scope of your document should be included in the consultation. Please be clear if the listed colleague groups cover more than one Care Organisation.
- You must make sure all sections of the template are fully completed and you have run an accessibility check before submission for approval. See the help resources or contact document.control@nca.nhs.uk for further support and guidance.
- There may be more than one choice of committee/group to approve your document, and this often depends on where it applies to. One Care Organisation committee/group can approve your document on behalf of the other Care Organisations, providing all other Care Organisations have been consulted with beforehand.
In the first instance please discuss your document approval requirements locally. Your CO Associate Director of Governance will be able to advise.
- Bury: Julie.Taylor6@nca.nhs.uk
- Oldham: yvonne.tunstall2@nca.nhs.uk
- Rochdale: Alan.Whittaker@nca.nhs.uk
- Salford: Paula.beech@nca.nhs.uk
- Diagnostics and Pharmacy: christopher.hoare@nca.nhs.uk
Alternatively, please contact the Document Control Team at document.control@nca.nhs.uk
Approval Committees/Groups
If any updates to this help resource are required, please contact document.control@nca.nhs.uk
Committee Name |
Comments |
Contact(s) |
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Audit Committee |
Corporate governance policies re regulatory, legal and code of conduct requirements. |
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Board of Directors |
Bimonthly. NCA Board level policies. |
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Capital, Estates and Facilities Senior Management Team Meeting |
Approves a range of policies applicable to estates and facilities. |
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Chief Nurse Portfolio Group |
Approves documents within the Chief Nurse governance portfolio. Chaired by the Chief Nursing Officer. |
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Finance Committee |
NCA wide finance documents. |
|
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Genetic Modification Safety Committee (GMSC) |
Bi-monthly. The purpose of the Committee is to provide advice to the Trust on the contained use of Genetically Modified Organisms [GMOs] within the clinical and research facilities provided under the auspices of the Trust. |
Co-ordinator: Helen.Moffitt@nca.nhs.uk |
|
Group Joint Local Negotiating Committee |
Approves NCA wide and if required those specific to COs. Focuses on medical related workforce policies impacting on medical employees. Meets every 2 months. |
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Health & Safety Strategy Committee, NCA |
Quarterly. NCA wide committee approving H&S related policies |
jill.stott3@nca.nhs.uk (Chair) |
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Imaging Quality and Clinical Effectiveness Group |
Documents related specifically to imaging services. Monthly. |
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Imaging Safety Group (ISG) |
Quarterly - Documents in relation to Ionising Radiation Regulations (IRR) |
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Infection Prevention & Control Committee (IPCC) |
Each CO has a monthly IPCC and there is a strategic NCA-wide IPCC. |
BCO: vicki.howarth@nca.nhs.uk Avista.Saeed-Tod@nca.nhs.uk RCO: Kim.Neill@nca.nhs.uk SCO: Tracey.Astbury@nca.nhs.uk (and for Group IPCC) |
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Informatics & Digital SLT Meeting |
2nd Tuesday of each month. |
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Information Data Quality Assurance Group (iDQAG) |
Specific to the topic type- data quality. Due to be re-established and report to the Planning and Performance Committee. Meets 3rd Wednesday of each month. |
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Maternity Divisional Assurance Board |
Approves documents relating to maternity services. |
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Medical Device Assurance Committee, NCA |
Medical device policies relating to equipment management, user competence, device industry. |
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Medical Exposure Group (MEG) |
Quarterly - Documents in relation to Ionising Radiation (Medical Exposure) Regulations (IR(ME)R). All documents regarding radiation procedures must be submitted to Medical Exposure Group for approval. |
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Medicines Optimisation Group (MOG) |
Policies in relation to medicines and PGDs. All documents containing medicines must be submitted to Medicines Optimisation Group for approval. |
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NCA Information Governance Steering Group (IGSG) |
Meets 2nd Friday every month. Approves information governance related policies.
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Negotiation Consultative Committee, Group |
Approves NCA wide and if required those specific to COs. Focuses on approval of workforce policies which impact on colleagues. |
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People & Education Committee |
NCA wide. Policies relating to people/workforce and education. |
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People (previously Workforce) Policy Subgroup |
Approves NCA wide and if required those specific to COs. Reports to the People Committee. Approves people/workforce related policies. |
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Performance Group/Ops, Finance, Estates & IT Group |
Monthly. |
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Quality & Performance Committee |
Monthly - NCA wide. Approves policies aligned to quality and performance. |
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Quality & Clinical Effectiveness Committee |
Monthly. Range of medical, surgical, community: both clinical and non-clinical. |
OCO: Lisa.killeen@nca.nhs.uk SCO: Paula.beech@nca.nhs.uk; BCO: Julie.taylor6@nca.nhs.uk; Sarah.Flaherty@nca.nhs.uk RCO: Alan.Whittaker@nca.nhs.uk Diagnostics and Pharmacy: christopher.hoare@nca.nhs.uk |
|
Quality Management & Effectiveness Group |
Subgroup of Quality & Performance Committee. Co-chaired by Chief Medical Officer and Chief Nursing Officer. |
|
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Radiation Protection Committee (RPC) |
Annual - Documents in relation to radiation procedures not approved at Imaging Safety Group or Medical Exposure Group e.g., Terms of Reference. |
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Research & Innovation Committee |
R&I Strategy and policies (NCA Wide). |
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Resilience Forum, Group |
Approves Major Incident Plans and emergency preparedness related documents |
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Safeguarding Committee, NCA |
Quarterly. Safeguarding and policies linked to cognitive impairment occur via the CO Safeguarding Steering Groups held bi-monthly. |
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Salford CO Clinical Standards and Policies Meeting |
Subgroup to SCO Quality Committee to approve Salford CO-only and Salford CO-led policies and consultation forum for NCA-wide documents led by another CO. |
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Senior Management Team |
Monthly. Unlikely to sign off any policies as they will have been dealt with in the committees underneath and most non-clinical ones being signed off at NCA level. |
SCO: Paula.Beech@nca.nhs.uk; Julie.bateson@nca.nhs.uk Jane.campbell@nca.nhs.uk |
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Sustainability Assurance Group |
Approves environmental related documents. Meets Quarterly. |
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Transfusion Committee |
Related to the transfusion service. Quarterly. |
BCO, RCO, OCO: Henrietta.Drake@nca.nhs.uk (Chair) SCO: Martin.Thomas@nca.nhs.uk (Chair) |
|
Water Safety Group |
NCA wide related policies. Monthly. |