DIGITAL HEALTH INSTITUTE GOVERNANCE MANUAL 8.12 Appleton Tower 11 Crichton Street Edinburgh EH8 9LE T: 0131 650 2702 W: www.dhi-scotland.com Table of contents PART 1: INTRODUCTION........................................................................................................................... 1 SECTION 1: BACKGROUND ................................................................................................................... 1 SECTION 2: THE SCOTTISH FUNDING COUNCIL’S VISION, AIMS AND OBJECTIVES .................................. 1 Paragraph 1: SFC Vision for the Innovation Centres .......................................................................... 1 Paragraph 2: SFC Aims and Objectives .............................................................................................. 2 Paragraph 3: SFC High level principles .............................................................................................. 2 SECTION 3: THE DHI’S MISSION STATEMENT ........................................................................................ 3 SECTION 4: STANDING ORDERS ............................................................................................................ 3 SECTION 5: RESERVATIONS OF POWERS TO THE BOARD ...................................................................... 3 SECTION 6: SCHEME OF DELEGATION ................................................................................................... 3 Paragraph 1: Delegation to the Committees (as per Standing Orders and Governance Framework).. 3 Paragraph 2: Delegation to Officers .................................................................................................. 4 Paragraph 3: Responsibility .............................................................................................................. 4 SECTION 7: ADVISORY BOARDS TERMS OF REFERENCE ......................................................................... 4 SECTION 8: GLOSSARY OF TERMS ......................................................................................................... 4 PART 2: STANDING ORDERS ..................................................................................................................... 6 SECTION 1: INTRODUCTION ................................................................................................................. 6 SECTION 2: MEMBERSHIP REGULATIONS ............................................................................................. 6 Paragraph 1: Composition of the Board ............................................................................................ 6 Paragraph 2: Appointment of Chairman ........................................................................................... 7 Paragraph 3: Appointment of Chief Executive Officer and Non-Executive Board Members ............... 7 Paragraph 4: Resignation and Removal of Members......................................................................... 7 Paragraph 5: Suspension and Disqualification................................................................................... 8 Paragraph 6: Time commitment ....................................................................................................... 8 Paragraph 7: Fees and expenses ....................................................................................................... 8 Paragraph 8: Review Process ............................................................................................................ 9 SECTION 3: ROLES, RESPONSIBLITIES AND LIABILITIES .......................................................................... 9 Paragraph 1: Board Members........................................................................................................... 9 Paragraph 2: Chairman..................................................................................................................... 9 Paragraph 3: Vice Chairman ........................................................................................................... 10 Paragraph 4: Chief Executive Officer............................................................................................... 10 Paragraph 5: Finance Controller ..................................................................................................... 11 Paragraph 6: Chief Operating Officer .............................................................................................. 12 Paragraph 7: Liabilities ................................................................................................................... 12 SECTION 4: ORGANISATIONAL STRUCTURE & KEY RESPONSIBILITIES .................................................. 12 SECTION 5: NOTICE OF BOARD MEETINGS AND THE AGENDA ............................................................ 12 Paragraph 1: Notice of Board Meetings .......................................................................................... 12 Paragraph 2: Agenda and Papers .................................................................................................... 12 SECTION 6: SPECIAL MEETINGS OF THE BOARD .................................................................................. 13 SECTION 7: CONDUCT OF MEETINGS .................................................................................................. 13 Paragraph 1: Quorum ..................................................................................................................... 13 Paragraph 2: Video and Tele-Conference Meetings ........................................................................ 14 Paragraph 3: Business transaction and voting................................................................................. 14 Paragraph 4: Order of Debate ........................................................................................................ 14 Paragraph 5: Closure of Debate or Adjournment ............................................................................ 15 Paragraph 6: Ruling ........................................................................................................................ 15 Paragraph 7: Minutes ..................................................................................................................... 15 SECTION 8: CONFLICTS OF INTERESTS AND DISABILITY OF BOARD MEMBERS ..................................... 15 SECTION 9: APPLICATION AND SUSPENSION OF STANDING ORDERS .................................................. 16 SECTION 10: COMMITTEES AND ADVISORY BOARDS TO THE BOARD .................................................. 16 SECTION 11: SANCTIONS AVAILABLE FOR BOARD MEMBERS .............................................................. 17 SECTION 12: REVIEW OF STANDING ORDERS ...................................................................................... 17 SECTION 13: FINANCIAL, HUMAN RESOURCES AND HEALTH AND SAFETY APPRAISALS ....................... 18 ANNEX A – DHI ORGANISATIONAL STRUCTURE TO DATE ........................................................................ 19 ANNEX B - DHI BOARD MEMBERS CODE OF CONDUCT ........................................................................... 20 SECTION 1: INTRODUCTION TO THE CODE OF CONDUCT .................................................................... 20 SECTION 2: GUIDANCE ON THE CODE OF CONDUCT ........................................................................... 20 SECTION 3: KEY PRINCIPLES OF THE CODE OF CONDUCT .................................................................... 20 SECTION 4: GENERAL CONDUCT ......................................................................................................... 21 Paragraph 1: Relationship with staff members of the DHI............................................................... 21 Paragraph 2: Allowances ................................................................................................................ 21 Paragraph 3: Gifts and Hospitality .................................................................................................. 21 Paragraph 4: Confidentiality Requirements .................................................................................... 22 Paragraph 5: Appointment to Partner Organisations ...................................................................... 22 Paragraph 6: Procurement compliance........................................................................................... 23 SECTION 5: REGISTRATION OF INTERESTS .......................................................................................... 23 Category One: Remuneration ......................................................................................................... 23 Category Two: Related Undertakings.............................................................................................. 24 Category Three: Contracts .............................................................................................................. 24 Category Four: Houses, Land and Buildings .................................................................................... 24 Category Five: Shares and Securities .............................................................................................. 25 Category Six: Non–Financial Interests ............................................................................................. 25 SECTION 6: DECLARATION OF INTERESTS ........................................................................................... 25 Paragraph 1: Introduction .............................................................................................................. 25 Paragraph 2: Interests which Require Declaration .......................................................................... 26 Paragraph 3: Making a Declaration ................................................................................................. 27 Paragraph 4: Effect of Declaration .................................................................................................. 27 Paragraph 5: Dispensations ............................................................................................................ 28 SECTION 7: LOBBYING AND ACCESS TO MEMBERS OF PUBLIC BODIES ................................................ 28 Paragraph 1: Introduction .............................................................................................................. 28 Paragraph 2: Rules and Guidance ................................................................................................... 28 SECTION 8: DEFINITIONS .................................................................................................................... 29 ANNEX C– DHI MANAGEMENT STATEMENT ........................................................................................... 31 SECTION 1: INTRODUCTION ............................................................................................................... 31 SECTION 2: MANAGEMENT STATEMENT ............................................................................................ 31 Paragraph 1: Functions, Duties and Powers .................................................................................... 31 Paragraph 2: Aim(s), Objectives and Targets................................................................................... 32 Paragraph 3: Responsibilities and Accountability ............................................................................ 33 Paragraph 4: Staff management ..................................................................................................... 34 Paragraph 5: Reviewing the role of the DHI .................................................................................... 35 SECTION 3: RESERVATIONS OF POWERS TO THE BOARD – SCHEDULE OF RETAINED DECISIONS ........ 36 SECTION 4: SCHEME OF DELEGATION ................................................................................................. 36 SECTION 5: BOARD INDUCTION PROCESS ........................................................................................... 37 SECTION 6: MANAGEMENT GROUPS’ TERMS OF REFERENCE (to be supplied by individual groups) .... 37 ANNEX D– THE DHI SENIOR MANAGEMENT TEAM ................................................................................. 39 SECTION 1: PURPOSE OF THE SENIOR MANAGEMENT TEAM .............................................................. 39 SECTION 2: COMPOSITION OF THE DHI SENIOR MANAGEMENT TEAM ............................................... 39 Paragraph 1: Membership .............................................................................................................. 39 Paragraph 2: Attendance ................................................................................................................ 39 Paragraph 3: Meetings of the Senior Management Team ............................................................... 39 ANNEX E - DHI ADVISORY GROUP STRUCTURE PROPOSAL ...................................................................... 43 ANNEX F - TEMPLATE DHI REGISTER OF INTERESTS ................................................................................ 47 DIGITAL HEALTH INSTITUTE GOVERNANCE MANUAL PART 1 PART 1: INTRODUCTION The Digital Health Institute (DHI) is an Innovation Centre funded by the Scottish Funding Council (SFC) in partnership with Scottish Enterprise (SE) and Highlands and Islands Enterprise (HIE) and established and led by the University of Edinburgh in partnership with The Glasgow School of Art and NHS 24. SECTION 1: BACKGROUND During 2012 SFC announced an update to Funding Allocations to Universities for Academic Year 2012-13 which stated the clear intention to move towards more strategic use of Knowledge Exchange (KE) support, investing in larger-scale initiatives that have the capacity to stimulate sustainable structural changes in linkages between academia and industry, rather than funding, small-scale KE projects. It was specifically noted that the intention of the change to research and knowledge exchange funding hopes to build on the success of the experience of SFC in driving improved knowledge exchange and the development of the Technology Innovation Centre (TIC) in Energy. The SFC in partnership with SE and HIE stated that over the following three years of the current spending review period it would seek to establish Innovation Centres (ICs) relevant to the other key sectors and other areas of strategic importance to Scotland’s economy and society. A Memorandum of Understanding has been agreed between SFC, SE and HIE regarding how the agencies will work together to develop and support ICs and this is now active. It is imperative to note that the Scottish Government Economic Strategy (GES) and associated Frameworks for Innovation and Science for Scotland articulate the need to translate both innovation and knowledge into successful innovation that drives business competitiveness and hence economic growth. ICs provide an important opportunity for HEIs to define and strengthen their role as partners with industry in delivering business demand. Scottish Government sponsors ‘centres of excellence’ in particular research areas. We use the term Innovation Centre (IC) to describe such collaborations among universities, businesses and others to enhance innovation in and across Scotland’s key economic sectors. ICs must provide direct industryacademia links, foster entrepreneurship and serve as a focus for skills training at all levels. The aim of this Governance Manual is to ensure understanding of the intention set by the Scottish Funding Council and the delivery of the vision, aims and objectives that all innovation centres must deliver. SECTION 2: THE SCOTTISH FUNDING COUNCIL’S VISION, AIMS AND OBJECTIVES Paragraph 1: SFC Vision for the Innovation Centres Using the Scottish university infrastructure, human resources and research excellence as a platform for collaborations across the whole of Scotland, Innovation Centres will create sustainable and internationally ambitious open-communities of university staff, research institutes, businesses and others to deliver economic growth and wider benefits for Scotland. DHI / GOVERNANCE MANUAL / VERSION 2 - JANUARY 2014 1 DIGITAL HEALTH INSTITUTE GOVERNANCE MANUAL PART 1 We recognise that the precise format and delivery model for ICs may vary based on specific demand-side requirements for particular industry sectors, or communities, and hence the criteria and funding remit of the initial call remained broad. Paragraph 2: SFC Aims and Objectives · Offer collaborative knowledge exchange and research activities to help solve industry defined problems and co-create innovative opportunities for growth · Enhance two way knowledge exchange between universities, industry and others towards realising tangible benefits for businesses while also stimulating and challenging the Scottish research base · Provide an environment that supports the development of the next generation of business innovators, academics and entrepreneurs in Scotland and a culture change towards greater and more effective university/industry collaboration · Simplify the innovation landscape in Scotland through creating conduits to the university knowledge and expertise for all businesses in Scotland and being complementary to and exploiting existing initiatives such as Interface and Innovation Scotland (the ‘single knowledge exchange organisation’). Paragraph 3: SFC High level principles We expect ICs to be bespoke to their industry sector/area. Whilst recognising the need for flexibility, and in order to create sustainable innovation communities, proposals must demonstrate clear benefits both for business and university partners. All Innovation Centres must be guided by the following broad principles: · · · · · · Impact for the Scottish economy and society – ICs must deliver benefits to businesses, universities and other partners to deliver sustainable economic growth and wider impacts such as on public policy Plan for strong leadership and governance – to ensure that ICs are managed effectively and the priorities of businesses and other end-user stakeholders will guide the Centres’ research, applied research, technology/product development and other programmes Strong commitment from industry – evidenced by a core membership of, and investment by, key businesses at the outset and robust plans for fast expansion The ICs must address strategic opportunities to develop the innovation landscape in Scotland – and complement existing capabilities The Centre and its associated project activities must be accessible to any relevant business interests, including SMEs, in any sector in Scotland and internationally where such participation will bring benefits to the IC and Scotland Transition to a low carbon economy – ICs (directly or indirectly in their operations) should contribute to Scotland’s transition to a low carbon economy These stated intentions are a fundamental shift in the expectations of HEIs in the activity of Knowledge Exchange and research funding and as such requires a deep rooted understanding of the underlying ethos and capability required to deliver economic impact to Scotland through turning credible research based theory into tangible outputs which will benefit our country through wealth generation and economic stimulation. DHI / GOVERNANCE MANUAL / VERSION 2 - JANUARY 2014 2 DIGITAL HEALTH INSTITUTE GOVERNANCE MANUAL PART 1 This governance manual is designed to acknowledge and respect the above and ensures the implementation of these principles in the DHI operating model. The principles of the innovation centres as noted above and within the condition of grant (see annex C) will be achieved through robust operational management, cultural understanding and acceptance in addition to high standards of engagement within and out with the core DHI team. The following sections detail the DHI Board: · · · · · Standing Orders Reservation of Powers Scheme of Delegation Advisory Board terms of reference Glossary of terms These documents are issued for the advice of the conduct of the DHI Board, its Non-Executive Board Members, its Chief Executive Officer and Senior Management Team and shall have effect as if incorporated in the DHI Standing Orders. Failure to comply with the Standing Orders, Reservations of Powers to the Board and the Scheme of Delegation is a matter which could result in the board asking for your resignation. A brief summary of each of these documents is provided below. SECTION 3: THE DHI’S MISSION STATEMENT The DHI will co-create sustainable economic growth through new products, services and systems developed together with businesses, academics, healthcare specialists and citizens. Our aim is to generate high value health and social care solutions to the benefit of the people of Scotland and wider. SECTION 4: STANDING ORDERS The Standing Orders set out the regulations which govern the conduct of the DHI and its committees and define the responsibilities of the Non-Executive Board Members, Chief Executive Officer, Senior Management Team and employees of the DHI partner institutions who are employed on DHI activities. SECTION 5: RESERVATIONS OF POWERS TO THE BOARD The code of accountability adopted by the DHI at its inception requires the Board to determine those matters on which decisions are reserved for the Board. SECTION 6: SCHEME OF DELEGATION Paragraph 1: Delegation to the Committees (as per Standing Orders and Governance Framework) The committees established by the Board are: · · Special appointments Ethics DHI / GOVERNANCE MANUAL / VERSION 2 - JANUARY 2014 3 DIGITAL HEALTH INSTITUTE GOVERNANCE MANUAL PART 1 Paragraph 2: Delegation to Officers The Chief Executive Officer is accountable to the Board and is accountable to the University of Edinburgh for ensuring that the Board meets it obligation to perform its functions within available financial resources. The Chief Executive Officer shall have overall executive responsibility for the Board’s delegations and shall be responsible to the Board for ensuring that its obligations and targets are met and shall have overall responsibility for the Board’s system of internal financial control in line with the University of Edinburgh requirements. All powers delegated by the Chief Executive Officer can be re-assumed by him/her should the need arise. Paragraph 3: Responsibility All staff are individually and collectively responsible for the security of their employer’s property, for avoiding loss, for economy and efficiency in the use of resources and for complying with the requirements of the Standing Orders and other operating procedures the Board adopts. SECTION 7: ADVISORY BOARDS TERMS OF REFERENCE In order to support the Chief Executive Officer and other Executive Directors in the discharge of their responsibilities and as part of the overall systems of internal control, a range of advisory boards has been established. The Terms of Reference for the following have been included in this Governance Manual: · · · · · Design Technology Industry Health and Care Academic An Ethics Advisory Board may also be established in the future. SECTION 8: GLOSSARY OF TERMS ACCOUNTING OFFICER means the Finance Controller. ADVISORY BOARD means an advisory board appointed by the Board. ADVISORY BOARD MEMBER means persons formally appointed by the Board to sit on or to Chair specific advisory boards. BOARD includes the Chairman, Non-Executive Board Members and Executive Directors. BOARD MEMBER means a person who has been appointed to sit in the Board to oversee the activities of the DHI. Board Member includes the Chairman, Non-Executive Board members and the Chief Executive Officer. DHI / GOVERNANCE MANUAL / VERSION 2 - JANUARY 2014 4 DIGITAL HEALTH INSTITUTE GOVERNANCE MANUAL PART 1 BUDGET means a resource, expressed in financial terms, proposed by the Board for the purpose of carrying out, for a specific period, any or all of the functions of the Board. BUDGET HOLDER means for the Director or Officer with delegated authority to manage finances (income and expenditure) for a specific area of the organisation and in accordance with the organisations policies and processes. CHAIRMAN means the Chairman of the Board and shall be deemed to include the Vice Chairman of the Board if once is nominated if the Chairman is absent from the meeting or otherwise unavailable. CHIEF EXECUTIVE OFFICER means the Chief Executive of the DHI as appointed by the Board. CHIEF OPERATING OFFICER means a person appointed by the Chief Executive Officer to undertake a primary responsibility within the DHI. COMMITTEE means a Committee appointed by the Board. COMMITTEE MEMBER means persons formally appointed by the Board to sit on or to Chair specific Committees. EXECUTIVE DIRECTORS means any appointed Director working within the DHI. EXECUTIVE BOARD MEMBER means the Chief Executive Officer. LEGAL ADVISOR means a properly qualified person referred to by the Board to provide legal advice. MOTION means a formal proposition to be discussed and voted on during the course of a meeting. NON EXECUTIVE BOARD MEMBER means a person appointed as a Non-Executive Board Member. ORGANISATION means host organisation or partner organisation depending on the context. SOs means Standing Orders, reference throughout this document to a particular SO paragraph will be indicated as, for example, SO 7. SENIOR MANAGEMENT TEAM means the group established by the Chief Executive Officer to ensure delivery of the DHI’s strategic/corporate objectives. It comprises the Chief Executive Officer, the Chief Operating Officer, the Industry, Health and Care Engagement Manager, the Network Integrator, the Director of Research and Knowledge Exchange, the Finance Controller and the Design Director(s). STAFF means any person whose employment is in conjunction with the DHI, whether contracted to employment by The University of Edinburgh, The Glasgow School of Art or NHS 24 in the delivery of DHI activity. Staff shall be deemed to include employees of third parties seconded to an organisation to work on DHI activities, when acting on behalf of the DHI as well as all Members of the Board. VICE CHAIRMAN means the Vice Chairman of the Board appointed by the Chairman. DHI / GOVERNANCE MANUAL / VERSION 2 - JANUARY 2014 5 DIGITAL HEALTH INSTITUTE GOVERNANCE MANUAL PART 2 PART 2: STANDING ORDERS SECTION 1: INTRODUCTION The Digital Health Institute (DHI) is an Innovation Centre funded by the Scottish Funding Council and established and led by the University of Edinburgh in partnership with The Glasgow School of Art and NHS 24. The purpose of these Standing Orders is to ensure that the highest standards of governance are achieved in the DHI. The Board of the DHI shall conduct its activity in compliance with this and all other applicable legislation. The Standing Orders set out the regulations which govern the conduct of the DHI Board and its committees and defines the responsibilities of Board Members, Directors and employees subject to statutory restrictions and conditions. DHI Board Members are appointed due to their experience and expertise gained from the position they hold outside the DHI and do not represent a particular organisation unless stated in their appointment letter. The Board Members are required to be familiar with the contents of the Standing Orders and any of its amendments and supplementary guidance. The Regulations provide that the Board shall establish, and may vary and revoke, a series of Standing Orders for the regulation of the procedures and business of the Board and of any Committees. Those Standing Orders shall include the authorisation of persons to sign or subscribe documents on behalf of the Board. Provision may be made in such Standing Orders for the suspension of the Standing Orders where circumstances dictate. The Meetings and the proceedings of the Board shall be carried out in accordance with the following Standing Orders. The Chairman of the Board shall be the final authority in the interpretation of any part of the Standing Orders (SOs) on which he/she shall be advised by the Chief Executive Officer, or, in the case of Standing Financial Instructions (SFIs), by the CEO or Finance Controller and by the Director or Head of Finance and Administration of the School of Informatics within the University of Edinburgh. SECTION 2: MEMBERSHIP REGULATIONS Paragraph 1: Composition of the Board The DHI Board is comprised of the following Members: Chairman: Vice Chairman /University of Edinburgh: Glasgow School of Art: Medical School Academic: Business School Academic: Health Service: George Crooks David Robertson Irene McAra McWilliam Sandra MacRury Donald MacLean Allan Watson DHI / GOVERNANCE MANUAL / VERSION 2 - JANUARY 2014 6 DIGITAL HEALTH INSTITUTE GOVERNANCE MANUAL PART 2 Social Care: Scottish Funding Council: Highlands and Islands Enterprise: Scottish Enterprise: Digital Health & Care Improvement Partners: Industry Representatives: Digital Health Institute Chief Executive Officer: Peter MacLeod Keith McDonald Donna Chisholm William Templeman Moira McKenzie Charles Sweeney (SME) Petra Wilson (Corporate) Brian O’Connor (European Connected Health Alliance) Justene Ewing Paragraph 2: Appointment of Chairman The Chairman and Non-Executive Board Members are typically expected to serve a three-year term but may be invited by the Board to serve for an additional period. Any term renewal is subject to The DHI Board’s approval and where it is in reference to the Chairman at the discretion of The University of Edinburgh’s Principal. Where during his/her period as a Non-Executive Board Member he/she is appointed Chairman of the Board, his/her tenure of office as Non-Executive Board Member shall terminate when his/her appointment as Chairman takes effect. Paragraph 3: Appointment of Chief Executive Officer and Non-Executive Board Members The appointment of a Chief Executive Officer shall be undertaken by the host organisation and approved by a special appointments committee, consisting of the Chairman and Non-Executive Board Members. A similar Committee, but to include the Chief Executive Officer, shall also approve the appointment of all other appropriate Senior Management Team Members. Where one person is appointed jointly with one or more others to a post in the Board, the holder of which qualifies as such to be a board member, those persons shall become or be appointed jointly as board Member and shall count for the purposes of these Standing Orders as one person. A member of the Board who holds such office by virtue of being the Chief Executive Officer shall hold such office for as long as he/she is the post holder and shall cease to hold such office without notice upon ceasing to be the Chief Executive Officer. Any member of the Board being at the same time a DHI staff member, and who is suspended from his/her post as a staff member of the DHI shall be suspended automatically and without notice from performing his/her functions as a board member during the period of his/her suspension as such staff member. Paragraph 4: Resignation and Removal of Members The Chairman or a Non-Executive Board Member may resign office at any time during the period for which he/she was appointed by giving notice in writing to the Chairman, in the case of Non-Executive members and to Professor Jonathan Seckl of the University of Edinburgh in the case of the Chairman. If the Chairman or a Non-Executive Board Member has not attended a meeting of the Board for a period of six months, the DHI Board may terminate his/her appointment unless he/she is satisfied that: · The absence was due to a reasonable cause; and DHI / GOVERNANCE MANUAL / VERSION 2 - JANUARY 2014 7 DIGITAL HEALTH INSTITUTE GOVERNANCE MANUAL PART 2 · The Chairman or Non-Executive Board Member will be able to attend meetings of the Board within such a period as the DHI Board considers reasonable A Board Member is free to resign as a Member of the DHI Board by providing one month’s prior notice to the Chairman. Paragraph 5: Suspension and Disqualification Any Member of the Board may, on reasonable cause shown, be suspended from the Board under the authority of the Chairman or disqualified from taking part in any activity of the DHI. Any Member who disregards the authority of the Chairman, obstructs the proceedings of a meeting, or conducts themselves offensively, shall be suspended for the remainder of the meeting, if a motion (which shall be determined by the Chairman without discussion) for their suspension is carried. Any person so suspended shall leave the meeting immediately and shall not return without the consent of the meeting. If a person so suspended refuses to leave the meeting when required to do so by the Chairman, the Chairman may authorise any person to assist in seeking their immediate removal. Paragraph 6: Time commitment A Board Member will be expected to devote such time as is necessary for the proper performance of his responsibilities as a member of the DHI Board. Overall it is anticipated that he will spend a minimum of [two] days per [month] on DHI activities. This will include attendance at monthly DHI Board meetings during 2013, and bi-monthly thereafter unless notified otherwise. In addition, he will be expected to consider all relevant papers before each meeting. Unless urgent and unavoidable circumstances prevent him from doing so, it is expected that he will attend the meetings. The nature of the role makes it impossible to be specific about the maximum time commitment. He may be asked to devote additional time to the DHI in respect of preparation time and ad hoc matters which may arise and particularly when the DHI is undergoing a period of increased activity. At certain times it may be necessary to convene additional DHI Board or committee meetings. The overall time commitment stated above will increase if a Board Member becomes a committee member or chair, or if he is asked to take on additional responsibilities. Details of the expected increase in time commitment will be covered in any relevant communication confirming the additional responsibility. By accepting his appointment as a Member of the DHI Board, he confirms that, taking into account all of his other commitments, he is able to allocate sufficient time to the DHI to carry out his responsibilities effectively. Paragraph 7: Fees and expenses A Board Member agrees to volunteer on a free of charge basis as a member of the DHI Board and as such no remuneration payment shall be made to him in this respect. A Board Member shall however be reimbursed for all reasonable and properly documented expenses that he has incurred in performing his responsibilities as a member of the DHI Board. Any expense claim shall follow the University of Edinburgh procedure and guidance in this respect. DHI / GOVERNANCE MANUAL / VERSION 2 - JANUARY 2014 8 DIGITAL HEALTH INSTITUTE GOVERNANCE MANUAL PART 2 Paragraph 8: Review Process The performance of members of the DHI Board will be evaluated annually by the Chairman. SECTION 3: ROLES, RESPONSIBLITIES AND LIABILITIES Paragraph 1: Board Members It is expected that individual Board Members should contribute fully to Board deliberations and exercise a healthy challenge function. This expectation extends to Executive Directors who are Board Members. It is important that no individual Board Member (or Chairman) dominates the debates or has an excessive influence on Board decision-making. The Chairman has an important role to play in ensuring that all Board Members have an opportunity to contribute to Board discussions. Paragraph 2: Chairman The Chairman is responsible for leadership of the Board (particularly in agreeing DHI’S strategy), ensuring its effectiveness on all aspects of the Board’s role and setting its agenda. The Chairman, whom failing the Vice Chairman, is responsible for ensuring the Board discharges its responsibilities. Specifically, the Chairman is responsible for: · · · · · · Taking lead responsibility in representing the DHI in links with the University of Edinburgh, Scottish Enterprise, Scottish Ministers, the Scottish Parliament and throughout the European Commission (other Board Members may also be involved from time to time), and in ensuring that DHI’S policies and actions support the wider strategic policies within Scotland and the EU Advising about Board appointments and the annual performance assessment of individual members Taking the lead in building links, at Board level, with partner organisations, other countries and stakeholders and in representing the views of the Board to the general public where required to do so Ensuring that all Board Members have a proper knowledge and understanding of their roles and responsibilities and that Board members receive accurate, timely and clear information Ensuring that the Board carries out its essential functions effectively so that: o All planned business is dealt with, a conclusion is reached in respect of each item and each Member of the Board understands the conclusions o The Board takes proper account of appropriate guidance in reaching decisions o All Board members act with high standards of propriety and regularity, and in accordance with the DHI’S Board Members Code of Conduct (Annex B) and when applicable the University of Edinburgh internal policies o All decisions by the Board are clearly and accurately minuted o The Board delegates sufficient authority to its Committees and to the Chief Executive Officer o All Board Members are given the opportunity to express their views and to contribute to debates, and that there exist constructive and productive relations between all Board members o The Board receives professional advice when needed Developing an effective working relationship with the Chief Executive Officer: o Overseeing the way the Chief Executive Officer, together with any other Executive Directors implement Board decisions DHI / GOVERNANCE MANUAL / VERSION 2 - JANUARY 2014 9 DIGITAL HEALTH INSTITUTE GOVERNANCE MANUAL PART 2 o Agreeing the Chief Executive Officer’s annual performance targets and undertaking the assessment of their performance in partnership with the Head of School of Informatics at the University of Edinburgh Paragraph 3: Vice Chairman For the purposes of enabling the proceedings of the Board to be conducted in the absence of the Chairman, the Chairman has appointed a Vice Chairman from amongst the Non-Executive Board Members, for a period to be specified on appointment but not exceeding their term of appointment as a Non-Executive Board Member. Any Non-Executive Board Member so appointed may at any time resign from the office of Vice Chairman by giving notice in writing to the Chairman, and the Board may thereupon appoint another Non-Executive Board Member as Vice Chairman in accordance with SO 3. Where the Chairman has ceased to hold office or where he/she has been unable to perform his/her duties as Chairman owing to illness, absence or any other cause, references to the Chairman in these SOs shall, so long as there is no Chairman able to perform his/her duties, be taken to include references to the Vice Chairman. Paragraph 4: Chief Executive Officer The Chief Executive Officer has accountability to the Board for the overall organisation, performance management and staffing of the DHI. The Chief Executive Officer is required to devise and implement appropriate strategies, management structures and processes and must ensure that the DHI has the necessary resources for it to achieve its objectives. The key roles of the Chief Executive Officer are: · · · · · · · · To assist the Board in developing the strategy for the DHI. This will involve devising alternative strategies by which the DHI might achieve its purpose and assessing the strengths and weaknesses of each for the Board To devise and recommend an operational plan which will allow for the full implementation of the Board’s adopted strategies within the resources available To devise and implement management structures and processes which will allow the organisation to implement agreed corporate plans To ensure that the DHI has managers and staff with the necessary skills, knowledge, qualifications and experience to be able to implement agreed corporate plans To lead and inspire the DHI to fully implement agreed corporate plans on time and within budget to achieve agreed objectives To monitor carefully the implementation of plans, adjusting them as appropriate To ensure that the Board is kept adequately informed so as to be able to discharge its duty to monitor performance To develop and maintain an effective relationship with the Chairman and to ensure an effective link between senior managers and the non-executive Board Members The Chief Executive Officer is also designated as the organisation’s Accountable Officer and responsibilities include: DHI / GOVERNANCE MANUAL / VERSION 2 - JANUARY 2014 10 DIGITAL HEALTH INSTITUTE GOVERNANCE MANUAL PART 2 · · · · · · Maintaining a sound system of internal control that supports the achievement of the organisation’s policies, aims and objectives, whilst safeguarding the funds and assets for which he/she is personally responsible, in accordance with the responsibilities assigned Ensuring that public funds are properly managed and safeguarded Ensuring that assets are properly controlled and safeguarded Ensuring that proper financial systems are in place and applied Ensuring that arrangements have been made to secure Best Value Alerting the School of Informatics Accountable Officer to circumstances where the Board is proposing to go against the Accountable Officer’s advice on matters of financial propriety, regularity and/or value for money Paragraph 5: Finance Controller The DHI board requires the Finance Controller, as the Chief Finance Officer, to: · · · · · · · provide financial advice to the Board and its Officers supervise the implementation of the Board’s financial policies in accordance with the University of Edinburgh’s requirements design, implement and supervise systems of financial control prepare and maintain such accounts, certificates, estimates and reports as the Board or the University of Edinburgh may require gain approval of the financial systems from the Accountable Officer within the School of Informatics at the University of Edinburgh approve the duties of the Officers operating those systems maintain a written description of such approved financial systems, including a long list of specific duties The Board will expect the Finance Controller to lead and develop the finance function so that it provides the Board and the management with the advice, information and expertise to enable the provision of the best possible standards within available resources. Key responsibilities include: · · · · · · · · · contributing to the DHI’s management and strategic direction in financial management – responsible to the Chief Executive Officer and the Board for formulating, monitoring and reviewing financial strategy in accordance with the University of Edinburgh’s financial policies designing, implementing and supervising systems of financial control and accounting preparing and maintaining such accounts, estimates, records and reports as the Board, the University of Edinburgh, the Chief Executive Officer or the Directors may require providing financial and corporate governance advice to the Board, the Chief Executive Officer and the Directors as required managing the financial resources flexibly within professional standards in support of the operational plan executive responsibility for risk management in the DHI public accountability and stewardship – particular responsibility for preparing the annual financial reporting; ensuring that the highest standards of conduct are maintained and that probity in the use of public money is demonstrated. The DHI Board will in no circumstances act against advice from the University of Edinburgh or other partner organisations of the DHI in matters of financial property and/or regulatory matters. DHI / GOVERNANCE MANUAL / VERSION 2 - JANUARY 2014 11 DIGITAL HEALTH INSTITUTE GOVERNANCE MANUAL PART 2 Paragraph 6: Chief Operating Officer The Chief Operating Officer supports the Chief Executive Officer in the implementation of strategy and day to day operations within the DHI. This is a senior role with primary responsibility for all direct reports and the delivery of all relevant KPI and SLA required of the DHI. Largely an inward facing role however is required to network within health and care in Scotland and the digital health arena throughout Europe. Key responsibilities include: · · · · · · · provide leadership and vision to the DHI by assisting the Chief Executive Officer and staff with the development of long range and annual plans, and with the evaluation and reporting of progress on plans oversee preparation of an Annual Report summarising progress on short and long-range plans. research and write discussion papers, analysis documents and proposals as needed to assist the DHI in determining and meeting its long and short term goals validate the recruitment and as appropriate train all institute and project staff ensure accurate documentation of production and quality control data and records oversee and ensure high safety standards at all times Coordinate with Design Director(s) of production activities to ensure safety and compliance with quality control standards, regulatory compliance, and lease agreements Paragraph 7: Liabilities Each Board Member will be liable for any losses arising from his/her own negligent acts or omissions in undertaking their role as a Member of the DHI Board. SECTION 4: ORGANISATIONAL STRUCTURE & KEY RESPONSIBILITIES The current DHI organisational structure is attached as Annex A of this Governance Manual. Part 2 – Standing Orders - Section 3 above, and Annex C – DHI Management Statement - section 2 – Paragraph 3 describe key roles and responsibilities for each senior post. SECTION 5: NOTICE OF BOARD MEETINGS AND THE AGENDA Paragraph 1: Notice of Board Meetings The Chief Executive Officer shall notify the Board of the date, place and time of each Board Meeting, in accordance with the schedule agreed by the Board during the previous Board meeting. The Board shall meet in such place and at such time as it may determine. The location for Meetings may be anywhere in Scotland as determined by the Board. Paragraph 2: Agenda and Papers The Chairman, with the support of the Chief Executive Officer and Chief Operating Officer, shall be responsible for arranging the Agenda for each Meeting. Any Board Member desiring a matter to be included on an Agenda shall make their request in writing to the Chairman at least ten days before the meeting. Requests received less than ten days before a meeting may be included on the Agenda of the Meeting at the discretion of the Chairman. DHI / GOVERNANCE MANUAL / VERSION 2 - JANUARY 2014 12 DIGITAL HEALTH INSTITUTE GOVERNANCE MANUAL PART 2 The Chief Executive Officer, through the Board Secretary, shall ensure that all papers associated with items listed on the Agenda for discussion, will be delivered via email and to reach each Member at least five clear days before the date of the Meeting to which they refer. Except with the consent of a majority of the Members present, no business shall be conducted at any Meeting of the Board, other than that specified in the Agenda. Failure by any Member, for any reason, to receive the Notice of a Meeting, or the Agenda and relevant papers for that Meeting, shall not affect the validity of a Meeting. Papers presented to the Board should be appropriately marked to indicate the purpose of the paper (with the categories currently employed being For Approval, For Noting and For Assurance) Any papers placed before the Board will require to have been fully considered and approved by the DHI Senior Management Team prior to distribution to the Board. SECTION 6: SPECIAL MEETINGS OF THE BOARD The Chief Executive Officer shall arrange a Special Meeting of the Board to be called, if: · · the Chairman of the Board orders such a Meeting; or the Chief Executive Officer receives a written request proposing such a Meeting, which has been signed by at least one third of Board Members. At least three clear days’ notice shall be given of any Special Meeting called and of the Agenda proposed for that Meeting. Special Meetings of the Board shall be held within fourteen days of the receipt of the request. No other business shall be conducted beyond that specified in the request which called for the Special Meeting. The proceedings of the Special Meeting must be recorded in writing, as if in a normal Board Meeting. (See also SO 7.7 – Minutes.) SECTION 7: CONDUCT OF MEETINGS Paragraph 1: Quorum For any business to be conducted at any Meeting of the Board, or any Committee or Sub-Committee established by the Board, there must be a Quorum. The Quorum for each Meeting of the Board shall be at least seven Members (of that number, there must be in attendance the University of Edinburgh, the Glasgow School of Art and NHS 24 members unless approved otherwise by the Chairman in advance of the meeting). The quorum for each of the Committees is determined within the individual Terms of Reference for each of the Committees. For the purposes of determining whether a meeting is quorate, Members attending by either video or teleconference link will be determined to be in attendance. DHI / GOVERNANCE MANUAL / VERSION 2 - JANUARY 2014 13 DIGITAL HEALTH INSTITUTE GOVERNANCE MANUAL PART 2 Paragraph 2: Video and Tele-Conference Meetings The Board, or any Committee or Sub-Committee established by the Board, may meet by way of a video or tele-conference which enables Board Members to participate in the Meeting. Participation in this way shall be treated as being present at the Meeting. A meeting held by video or teleconference shall be regarded as taking place at the location where the largest number of Board Members is present or, if there is no such group, where the Chairman is located. Paragraph 3: Business transaction and voting No business shall be transacted at any meeting of the Board other than that specified in the Agenda/Notice of the meeting except on the grounds of urgency and with the consent of the majority of the Members present. At every meeting of the Board, the Chairman, if present, shall preside. If the Chairman is absent from any meeting, the Vice Chairman, if present, shall preside and if both absent, the members present at the meeting shall elect from among themselves a person, who is not an Executive Director. All acts of the Board and all matters coming or arising before the Board shall be done and decided by a majority of the Members present and voting at that Meeting of the Board. Majority agreement shall normally be reached by a consensus without a formal vote. In the event of a vote being necessary, this shall be undertaken formally by the Chairman. In the case of an equality of votes, the person presiding as Chairman of the Meeting shall, in addition to a deliberative vote, have a casting vote. Individual Board Members may expect to have the nature of their concerns reflected in the Board minutes. All Board Members are permitted to vote with the exception of the representative of the Scottish Funding Council, who is in attendance as participating observer in the administration of the DHI Board. Paragraph 4: Order of Debate Any motion to be considered by the Board must be submitted to the Chairman in writing prior to the usual day for issuing the notice of the meeting. After it has been proposed and seconded, the motion cannot be withdrawn other than with the agreement of the proposer and the seconder. No motion or amendment shall be spoken upon, except by the proposer, until it has been seconded. When more than one amendment is proposed, the Chairman shall decide the order in which amendments are put to the vote. All amendments carried shall be incorporated in the original motion which shall be put to the meeting as a substantive motion. A motion which contradicts a previous decision of the Board shall not be competent within six months of the date of such decision, unless submitted in the Minutes of a Committee, or notice of the proposed variation is provided in the notice of the Board meeting. When a decision is rescinded it shall not affect or prejudice any action, proceeding or liability which may have been competently done or undertaken before such decision was rescinded. DHI / GOVERNANCE MANUAL / VERSION 2 - JANUARY 2014 14 DIGITAL HEALTH INSTITUTE GOVERNANCE MANUAL PART 2 Paragraph 5: Closure of Debate or Adjournment A Meeting of the Board or of a Committee of the Board may be adjourned to any other hour, day or place as that Board or Committee of the Board may decide. A motion of adjournment at any Meeting, or adjournment of any debate or any question of the closure of the debate, may, with the consent of the Chairman, be put to the Meeting without discussion. Unless the time and place are specified in the motion for adjournment, the adjournment shall be until the next scheduled Meeting. A motion to adjourn any debate on any question or for the closure of a debate shall be moved and seconded and put to the meeting without discussion. Unless otherwise specified in the motion, an adjournment of any debate shall be put to the next meeting. Paragraph 6: Ruling The ruling of the Chairman on the conduct of Meetings and the application of the Standing Orders shall be final and shall not be open to question or discussion. Paragraph 7: Minutes The names of those present at any Meeting of the Board (and of a Committee of the Board) shall be recorded in the Minutes. Each Meeting of the Board shall have a person appointed as recording secretary to take the Minutes of the Meeting. That appointed person will usually be the Personal Assistant to the Chief Executive Officer. Minutes of the proceedings of each Meeting of the Board (and of a Committee of the Board) shall be drafted promptly after that Meeting and distributed to the Chairman of the Meeting within five working days of the Meeting. It is understood that the Minutes shall not be a verbatim record of proceedings, but the Minutes must briefly record the general discussion on the Agenda item, any actions requested and any decisions of the Board. Board Minutes shall be submitted by the Chairman to the next Meeting of the Board for approval. When approved, the Minutes of each Board Meeting shall be signed by the person chairing that Meeting and kept thereafter in a secure place by the Personal Assistant to the Chief Executive Officer. Once approved by Committee Members, draft Committee Minutes shall be presented at the next available Board Meeting by the Committee Chairman. In the event of amendments being made to the Minutes at the next Committee meeting, the revised approved Minutes shall be presented to the Board unless, in the judgement of the Committee Chairman, the changes are of an immaterial nature. SECTION 8: CONFLICTS OF INTERESTS AND DISABILITY OF BOARD MEMBERS The Chairman and all other Members of the Board shall be obliged to register and declare any interests, which are relevant and material, to the Board, as determined within the DHI Code of Conduct. If any Member or Director has any doubts about the relevance or materiality of any interests, these doubts should be brought to the attention of the Chairman and discussed. The application of the Code of Conduct DHI / GOVERNANCE MANUAL / VERSION 2 - JANUARY 2014 15 DIGITAL HEALTH INSTITUTE GOVERNANCE MANUAL PART 2 at Meetings shall be agreed by the Board/Committee, e.g. inclusion of Members in discussions or decision making. The Code of Conduct is attached as Annex B to this Governance Manual. A Register of Interests shall be maintained by the Personal Assistant to the Chief Executive Officer to record any interests which any Member may have. The Register must be up-dated as required and reviewed formally on an annual basis by the Chief Executive Officer. A comment on the interests of Board Members is required in the Board’s Annual Report. The DHI Board may, subject to such conditions as they may think fit to impose, remove in whole or in part any disability imposed by this conflict of interest, in any case in which it appears to them to be in the interests of the DHI that the disability should be removed. Any reimbursement for claimed expenses, compensation or allowances payable to a Member in his/her capacity as a Board Member of the DHI shall not be treated as a financial interest for the purpose of this Standing Order. A Member shall not be treated as having an interest in any contract, proposed contract or other matter, by reason only that he/she, or an associate, has an interest in any company, body or person which is so remote or insignificant that he/she cannot reasonably be regarded as likely to effect any influence in the consideration or discussion of, or in voting on, any question with respect to that contract or matter. For the purpose of this Standing Order, the word “associate” has the meaning indicated by Section 74 of the Bankruptcy (Scotland) Act 1985. SECTION 9: APPLICATION AND SUSPENSION OF STANDING ORDERS No Standing Order shall be suspended, or dispensed with by the Board, unless with the consent of a twothirds majority of the Members present and voting. Any of these Standing Orders (including the rules governing committees) may be rescinded or altered by a resolution supported by two-thirds of Board Members. Formal minutes should reflect the circumstances surrounding each and every incidence of rescinding, alternation or suspension of the Standing Orders. SECTION 10: COMMITTEES AND ADVISORY BOARDS TO THE BOARD The Board shall appoint such Committees, Sub-Committees and Advisory Boards as it thinks fit. Committees, Sub-Committees and Advisory Boards shall operate in accordance with formal terms of reference which will be approved by the Board. The terms of reference for the Committees, SubCommittees and Advisory Boards shall be reviewed annually by the Board. The Committee Chairman shall be appointed by the Board at a properly constituted meeting. The Chairman of a Committee may call a meeting of that Committee any time and shall call a meeting when requested to do so by the Board. DHI / GOVERNANCE MANUAL / VERSION 2 - JANUARY 2014 16 DIGITAL HEALTH INSTITUTE GOVERNANCE MANUAL PART 2 Committees of the Board and the membership thereof shall be appointed annually by the Board or on such timeframe agreed by the Board. Casual vacancies in the membership of Committees shall be filled by the Board at the earliest opportunity. Board Committees may co-opt persons as Members of the Committees and Sub-Committees as and when required. The Chairman and the Chief Executive Officer shall be Members of all Committees and Sub-Committees where no specific membership regulations exist. These Standing Orders, so far as applicable, shall be the rules and regulations for the proceedings of formally constituted Committees, Sub-Committees and Advisory Boards, subject to the following additional provisions: · · · · · Board Members have the right to receive all papers for, and attend meetings of, all Committees/Sub Committees except where the Committee resolves otherwise and in accordance with each Committee’s terms of reference. Meetings of Committees and Sub-Committees shall not be open to the public and press unless the Board decides otherwise in respect to a particular Committee or a particular meeting of the Committee. Committees of the Board may appoint Sub-Committees and Members thereof as may be considered necessary ensuring compliance with regulations and Standing Orders. Minutes of Committee Meetings shall be presented to the Board for information in accordance with the provisions of SO 7.7 and each Committee’s terms of reference. In addition, in the event of the Minutes not being available at the next Board Meeting, a verbal update on the business of the Committee shall be provided. This ensures that the Board is kept up to date on the business of its Committees and that any questions Members may have in respect of a particular governance area can be addressed promptly or other matters highlighted. The same process shall apply in respect of Sub-Committees to the parent Committee. A Committee, , Sub-Committees and Advisory Boards may, notwithstanding that a matter is delegated to it, consider that a decision shall be submitted by way of a recommendation to the Board, or parent Committee, for approval. The terms of reference for Committees of the Board form part of these Standing Orders will be made available upon request. Any recommended changes will be placed before the Board for approval. SECTION 11: SANCTIONS AVAILABLE FOR BOARD MEMBERS Part 2 - Section 2 of this Governance Manual outlines sanctions available to the DHI (through the Standards Commission) for any breach of the DHI Board members’ code of conduct and associated processes, including these Standing Orders. SECTION 12: REVIEW OF STANDING ORDERS The Standing Orders shall be reviewed annually by the Chief Executive Officer. Any recommended changes resulting from the review will be placed before the Board for approval. DHI / GOVERNANCE MANUAL / VERSION 2 - JANUARY 2014 17 DIGITAL HEALTH INSTITUTE GOVERNANCE MANUAL PART 2 SECTION 13: FINANCIAL, HUMAN RESOURCES AND HEALTH AND SAFETY APPRAISALS Financial, Human Resources and Health and Safety appraisals will be carried out by the DHI following the University of Edinburgh procedures for the UoE staff, following the Glasgow School of Art procedures for the GSA staff. The appraisal shall be conducted on a yearly basis and recorded in the Board meeting minutes by the Board secretary. Incident management shall be managed and recorded in accordance with the host organisations policies. DHI / GOVERNANCE MANUAL / VERSION 2 - JANUARY 2014 18 DIGITAL HEALTH INSTITUTE GOVERNANCE MANUAL Annex A – DHI Organisational Structure ANNEX A – DHI ORGANISATIONAL STRUCTURE TO DATE This organisational structure may vary if we have a new experience Lab. DHI / GOVERNANCE MANUAL / VERSION 2 - JANUARY 2014 19 DIGITAL HEALTH INSTITUTE GOVERNANCE MANUAL Annex B – DHI Board Members Code of Conduct ANNEX B - DHI BOARD MEMBERS CODE OF CONDUCT SECTION 1: INTRODUCTION TO THE CODE OF CONDUCT The DHI has a high expectation of those who serve on the DHI Board and the way in which they should conduct themselves in undertaking their duties for the DHI. You must meet those expectations by ensuring that your conduct is above reproach. This Code of Conduct applies to members of the DHI Board. A separate DHI Code of Conduct for Staff is also in place and sets out similar principles in relation to the standards of behaviour expected of all staff. This Code is based on the Model Code of Conduct approved by the Scottish Ministers. As a member of the Board of the DHI, it is your responsibility to make sure that you are familiar with, and that your actions comply with, the provisions of this Code of Conduct. SECTION 2: GUIDANCE ON THE CODE OF CONDUCT You must observe the rules of conduct contained in this Code. It is your personal responsibility to comply with these and review regularly, and at least annually, your personal circumstances with this in mind, particularly when your circumstances change. You must not at any time advocate or encourage any action contrary to the Code of Conduct. The Code of Conduct has been developed in line with the key principles listed in Section 3 below and provides additional information on how the principles should be interpreted and applied in practice. The Scottish Government Standards Commission also issues guidance and has established a website, which is intended to be an important source of information about the ethical framework in Scotland in general and the work and activities of the Commission and the Chief Investigating Officer. Contact details: http://www.standardscommissionscotland.org.uk/content/contact-us No Code can provide for all circumstances and if you are uncertain about how the rules apply, you should seek advice from the Board. You may also choose to consult your own legal advisers and, on detailed financial and commercial matters, seek advice from other relevant professionals. SECTION 3: KEY PRINCIPLES OF THE CODE OF CONDUCT The general principles upon which this Code of Conduct is based are: Public Service You have a duty to act in accordance with the core tasks and in the interests of the Board of the DHI of which you are a member. Selflessness You have a duty to take decisions solely in terms of public interest (We are established by public sector monies). You must not act in order to gain financial or other material benefit for yourself, family or friends. Integrity You must not place yourself under any financial, or other, obligation to any individual or organisation that might reasonably be thought to influence you in the performance of your duties. DHI / GOVERNANCE MANUAL / VERSION 2 - JANUARY 2014 20 DIGITAL HEALTH INSTITUTE GOVERNANCE MANUAL Annex B – DHI Board Members Code of Conduct Objectivity You must make decisions solely on merit when carrying out public business. Accountability and Stewardship You are accountable for your decisions and actions to the board. You have a duty to consider issues on their merits, taking account of the views of others and must ensure that the DHI uses its resources prudently and in accordance with the law. Openness You have a duty to be as open as possible about your decisions and actions, giving reasons for your decisions and restricting information only when the wider public interest clearly demands. Honesty You have a duty to act honestly. You must declare any private interests relating to your public duties and take steps to resolve any conflicts arising in a way that protects the public interest. Leadership You have a duty to promote and support these principles by leadership and example, to maintain and strengthen trust and confidence in the integrity of the DHI and its members in conducting business. Respect You must respect fellow members and employees of the DHI and the role they play, treating them with courtesy at all times. You should apply the principles of this code to your dealings with fellow members of the DHI. SECTION 4: GENERAL CONDUCT Paragraph 1: Relationship with staff members of the DHI You will treat any staff working within the DHI with courtesy and respect. It is expected that DHI staff will show the same consideration in return. Paragraph 2: Allowances You must comply with any rules of the DHI and the host organisation of your employment regarding remuneration, allowances and expenses. Paragraph 3: Gifts and Hospitality You must never canvass or seek gifts or hospitality. You are responsible for your decisions connected with the offer or acceptance of gifts or hospitality and for avoiding the risk of damage to public confidence in the DHI. As a general guide, it is usually appropriate to refuse offers except: · · · isolated gifts of a trivial character or inexpensive seasonal gifts such as a calendar or diary, or other simple items of office equipment of modest value normal hospitality associated with your duties and which would reasonably be regarded as appropriate gifts received on behalf of the DHI DHI / GOVERNANCE MANUAL / VERSION 2 - JANUARY 2014 21 DIGITAL HEALTH INSTITUTE GOVERNANCE MANUAL Annex B – DHI Board Members Code of Conduct You must not accept gifts or hospitality where this would amount to real or substantive personal gain. In addition, you must not accept any offer by way of gift or hospitality which could give rise to a reasonable suspicion of influence on your part to show favour, or disadvantage, to any individual or organisation. You should also consider whether there may be any reasonable perception that any gift received by your spouse or cohabitee or by any company in which you have a controlling interest, or by a partnership of which you are a partner, can or would influence your judgement. The term “gift” includes benefits such as relief from indebtedness, loan concessions, or provision of services at a cost below that generally charged to members of the public. You must not accept repeated hospitality from the same source. You must record details of any gifts and hospitality received and the record must be made available for inspection by the Board. You must not accept any offer of a gift or hospitality from any individual or organisation which stands to gain or benefit from a decision the DHI may be involved in determining, or who is seeking to do business with the DHI, and which a person might reasonably consider could have a bearing on your judgement. If you are making a visit to inspect equipment, vehicles, land or property, then as a general rule you should ensure that the DHI pays for the costs of these visits. Paragraph 4: Confidentiality Requirements There may be times when you will be required to treat discussions, documents or other information relating to the work of the DHI in a confidential manner. You will often receive information of a private nature which is not yet public, or which perhaps would not be intended to be public. There are provisions in legislation on the categories of confidential and exempt information and you must always respect and comply with the requirement to keep such information private. It is unacceptable to disclose any information to which you have privileged access, for example derived from a confidential document, either orally or in writing. In the case of other documents and information, you are requested to exercise your judgement as to what should or should not be made available to outside bodies or individuals. In any event, such information should never be used for the purpose of personal or financial gain, or used in such a way as to bring the DHI into disrepute. Paragraph 5: Appointment to Partner Organisations You may be appointed, or nominated by the DHI or the University of Edinburgh, the Glasgow School of Art or NHS 24 as a member of another body or organisation. If so, you are bound by the code of conduct of these organisations and should observe the rules of this Code of conduct in carrying out the duties of the DHI. Members who become directors of companies as nominees of the DHI will assume personal responsibilities under the Companies Acts. It is possible that conflicts of interest can arise for such members between the company and the DHI. It is your responsibility to take advice on your responsibilities to the DHI and to the company. This will include questions of declarations of interest. Board Members shall respect the regulations regarding Health and Safety that apply to the DHI Hosting organisation they are in. DHI / GOVERNANCE MANUAL / VERSION 2 - JANUARY 2014 22 DIGITAL HEALTH INSTITUTE GOVERNANCE MANUAL Annex B – DHI Board Members Code of Conduct The University of Edinburgh policies will apply when Board Members will be in the University of Edinburgh premises. Glasgow School of Art policies will apply when Board Members will be in the Glasgow School of Art premises. NHS 24 policies will apply when Board Members will be in the NHS24 premises. Paragraph 6: Procurement compliance Requirements in terms of procurement will be communicated to the Board later on. SECTION 5: REGISTRATION OF INTERESTS The following paragraphs set out the categories of interests, financial and otherwise which you have to register. These are called “Registerable Interests”. You must, at all times, ensure that these interests are registered, when you are appointed and whenever your circumstances change in such a way as to require change or an addition to your entry in the Register of Interests. You are invited to use the template of DHI REGISTER OF INTEREST available in annex F. The CEO shall on a yearly basis, remind the Board Members of the interests they have registered and remind them to register any new interests that need to be registered. This annual review shall be made using the template of DHI REGISTER OF INTEREST provided in annex F. Section 8 contains key definitions to help you decide what is required when registering your interests under any particular category. These categories are listed below with explanatory notes designed to help you decide what is required when registering your interests under any particular category. Category One: Remuneration You have a Registerable Interest where you receive remuneration by virtue of being: · · · · · · employed; self-employed; the holder of an office; a director of an undertaking; a partner in a firm; or undertaking a trade, profession or vocation or any other work. The amount of remuneration does not require to be registered and remuneration received as a Member does not have to be registered. If a position is not remunerated it does not need to be registered under this category. However, unremunerated directorships may need to be registered under category two, “Related Undertakings”. If you receive any allowances in relation to membership of any organisation, the fact that you receive such an allowance must be registered. When registering employment, you must give the name of the employer, the nature of its business, and the nature of the post held in the organisation. DHI / GOVERNANCE MANUAL / VERSION 2 - JANUARY 2014 23 DIGITAL HEALTH INSTITUTE GOVERNANCE MANUAL Annex B – DHI Board Members Code of Conduct When registering self-employment, you must provide the name and give details of the nature of the business. When registering an interest in a partnership, you must give the name of the partnership and the nature of its business. Where you undertake a trade, profession or vocation, or any other work, the detail to be given is the nature of the work and its regularity. For example, if you write for a newspaper, you must give the name of the publication, and the frequency of articles for which you are paid. When registering a directorship, it is necessary to provide the registered name of the undertaking in which the directorship is held and the nature of its business. Registration of a pension is not required as this falls outside the scope of the category. Category Two: Related Undertakings You must register any directorships held which are themselves not remunerated but where the company (or other undertaking) in question is a subsidiary of, or a parent of, a company (or other undertaking) in which you hold a remunerated directorship. You must register the name of the subsidiary or parent company or other undertaking and the nature of its business, and its relationship to the company or other undertaking in which you are a director and from which you receive remuneration. The situations to which the above paragraphs apply are as follows: · · you are a director of a board of an undertaking and receive remuneration – declared under category one – and you are a director of a parent or subsidiary undertaking but do not receive remuneration in that capacity. Category Three: Contracts You have a registerable interest where you (or a firm in which you are a partner), or an undertaking in which you are a director or in which you have shares of a value as described in category 5 below have made a contract with any of the DHI partner institutions in relation to the DHI activities: · · under which goods or services are to be provided, or works are to be executed; and which has not been fully discharged. You must register a description of the contract, including its duration, but excluding the consideration. Category Four: Houses, Land and Buildings You have a registerable interest where you own or have any other right or interest in houses, land and buildings, which may be significant to, of relevance to, or bear upon, the work and operation of the DHI. The test to be applied when considering appropriateness of registration is to ask whether someone acting reasonably might consider any interests in houses, land and buildings could potentially affect your responsibilities to the DHI, or could influence your actions, speeches or decision-making. If in doubt, you may consult with the Chairman. DHI / GOVERNANCE MANUAL / VERSION 2 - JANUARY 2014 24 DIGITAL HEALTH INSTITUTE GOVERNANCE MANUAL Annex B – DHI Board Members Code of Conduct Category Five: Shares and Securities You have a registerable interest where you have an interest in shares which constitute a holding in a company or organisation which may be significant to, of relevance to, or bear upon, the work and operation of the DHI. You are not required to register the value of such interests. The test to be applied when considering appropriateness of registration is to ask whether someone acting reasonably might consider any interests in shares and securities could potentially affect your responsibilities to the DHI, or could influence your actions, speeches or decision-making. If in doubt, you may consult with the Chairman. Category Six: Non–Financial Interests You may also have a registerable interest if you have non-financial interests which may be significant to, of relevance to, or bear upon, the work and operation of the DHI. It is important that relevant interests such as membership or holding office in other public bodies, clubs, societies and organisations such as trades unions and voluntary organisations, are registered and described. The test to be applied when considering appropriateness of registration is to ask whether someone acting reasonably might consider any non-financial interest could potentially affect your responsibilities to the organisation to which you are appointed, or could influence your actions, speeches or decision-making. If in doubt, you may consult with the Chairman. SECTION 6: DECLARATION OF INTERESTS Paragraph 1: Introduction There may be interests that you have not registered but you may need to declare during a Board meeting. In considering whether to make a declaration in any proceedings, you must consider not only whether you will be influenced but whether anybody else would think that you might be influenced by the interest. You must keep in mind that the test is whether a member of the public, acting reasonably, might think that a particular interest could influence you. If you feel that, in the context of the matter being considered, your involvement is neither capable of being viewed as more significant than that of an ordinary member of the public, nor likely to be perceived by someone acting reasonably as wrong, you may continue to attend the meeting and participate in both discussion and voting. The relevant interest must however be declared. It is your responsibility to judge whether an interest is sufficiently relevant to particular proceedings to require a declaration and you are advised to err on the side of caution. You may also seek advice from the Chairman. The key principles of the Code of conduct, especially those in relation to integrity, honesty and openness, are given further practical effect by the requirement for you to declare certain interests in proceedings of the DHI. Together with the rules on registration of interests, this ensures transparency of your interests which might influence, or be thought to influence, your actions. DHI / GOVERNANCE MANUAL / VERSION 2 - JANUARY 2014 25 DIGITAL HEALTH INSTITUTE GOVERNANCE MANUAL Annex B – DHI Board Members Code of Conduct Paragraph 2: Interests which Require Declaration Interests which require to be declared may be financial or non-financial. They may or may not be interests which are registerable under this Code of conduct. Most of the interests to be declared will be your personal interests but, on occasion, you will have to consider whether the interests of other persons require you to make a declaration. Financial Interests Any financial interest which is registerable must be declared. If, under category one of section 5 of this Code of conduct, or category six in respect of non-financial interests, you have registered an interest: · · as a Member of the Board; or as a Councillor or a Member of another Devolved Public Body where the Council or other Devolved Public Body, as the case may be, has nominated or appointed you as a Member of the Board; you do not, for that reason alone, have to declare that interest. Shares and Securities You may have to declare interests in shares and securities, over and above those registerable under category five of Section 5 of this Code of conduct. You may, for example, in the course of employment or self-employment, be engaged in providing professional advice to a person whose interests are a component of a matter to be dealt with by a board. You have a declarable interest where an interest becomes of direct relevance to a matter before the DHI and you have shares comprised in the share capital of a company or other body and the nominal value of the shares is: · · greater than 1% of the issued share capital of the company or other body; or greater than £25,000. You are required to declare the name of the company only, not the size or nature of the holding. Houses, Land and Buildings Any interest in houses, land and buildings which is registerable under category four of Section 5 of this Code of conduct must be declared, as well as any similar interests which arise as a result of specific discussions or operations of the DHI. Non-Financial Interests If you have a registered non-financial interest under category six of Section 5 of this Code of conduct you have recognised that it is significant. There is therefore a very strong presumption that this interest will be declared where there is any link between a matter which requires your attention as a member of the DHI Board and the registered interest. Non-financial interests include membership or holding office in other public bodies, clubs, societies, trade unions and organisations including voluntary organisations. They become declarable if and when someone acting reasonably may think they could influence your actions, speeches or votes in the decisions of the DHI. You may serve on other bodies as a result of express nomination or appointment by the DHI or otherwise by virtue of being a member of the DHI Board. You must always remember interest points towards DHI / GOVERNANCE MANUAL / VERSION 2 - JANUARY 2014 26 DIGITAL HEALTH INSTITUTE GOVERNANCE MANUAL Annex B – DHI Board Members Code of Conduct transparency particularly where there is a possible divergence of interest between different public authorities. You will also have other private and personal interests and may serve, or be associated with, bodies, societies and organisations as a result of your private and personal interests and not because of your role as a member of the DHI Board. In the context of any particular matter you will have to decide whether to declare a non-financial interest. You should declare an interest unless you believe that, in the particular circumstances, the interest is irrelevant or without significance. In reaching a view you should consider whether the interest (whether taking the form of association or the holding of office) would be seen by someone acting reasonably in a different light because it is the interest of a person who is a DHI Board member as opposed to the interest of an ordinary member of the public. Interests of Other Persons The Code requires only your interests to be registered. You may, however, have to consider whether you should declare an interest in regard to the financial interests of your spouse or cohabitee or civil partner which are known to you. You may have to give similar consideration to any known non-financial interest of a spouse or cohabitee. You have to ask yourself whether a member of the public acting reasonably would regard these interests as effectively the same as your interests in the sense of potential effect on your responsibilities as a Board member of the DHI. The interests known to you, both financial and non-financial, of relatives and close friends may have to be declared. This Code of conduct does not attempt the task of defining “relative” or “friend”. The key principle is the need for transparency in regard to any interest which might (regardless of the precise description of relationship) be objectively regarded by someone acting reasonably, as potentially affecting your responsibilities as a member of the DHI Board. Paragraph 3: Making a Declaration You must consider at the earliest stage possible whether you have an interest to declare in relation to any matter which is to be considered. You should consider whether agendas for meetings raise any issue of declaration of interest. Your declaration of interest must be made as soon as practicable at a meeting where that interest arises. If you do identify the need for a declaration of interest only when a particular matter is being discussed you must declare the interest as soon as you realise it is necessary. The oral statement of declaration of interest should identify the item or items of business to which it relates. The statement should begin with the words “I declare an interest”. The statement must be sufficiently informative to enable those at the meeting, including the public, to understand the nature of your interest but need not give a detailed description of the interest. Paragraph 4: Effect of Declaration Declaring a financial interest has the effect of prohibiting any participation in discussion and voting. A declaration of a non-financial interest involves a further exercise of judgement on your part. You must consider the relationship between the interests which have been declared and the particular matter to be considered and relevant individual circumstances surrounding the particular matter. DHI / GOVERNANCE MANUAL / VERSION 2 - JANUARY 2014 27 DIGITAL HEALTH INSTITUTE GOVERNANCE MANUAL Annex B – DHI Board Members Code of Conduct In the final analysis the conclusive test is whether, in the particular circumstances of the item of business, and knowing all the relevant facts, someone acting reasonably would consider that you might be influenced by the interest in your role as a member of the DHI Board and that it would therefore be wrong to take part in any discussion or decision-making. If you, in conscience, believe that your continued presence would not fall foul of this objective test, then declaring an interest will not preclude your involvement in discussion or voting. If you are not confident about the application of this objective yardstick, you must play no part in discussion and must leave the meeting room until discussion of the particular item is concluded. Paragraph 5: Dispensations In very limited circumstances dispensations can be granted by the Board in relation to the existence of financial and non-financial interests which would otherwise prohibit you from taking part and voting on matters coming before the DHI Board and its committees. Applications for dispensations will be considered and should be made as soon as possible in order to allow proper consideration of the application in advance of meetings where dispensation is sought. You should not take part in the consideration of the matter in question until the application has been granted. SECTION 7: LOBBYING AND ACCESS TO MEMBERS OF PUBLIC BODIES Paragraph 1: Introduction In order for the DHI to fulfil its commitment to being open and accessible, it needs to encourage participation by organisations and stakeholders in relevant decision-making processes. Clearly however, the desire to involve the stakeholders and other interest groups in the decision-making process must take account of the need to ensure transparency and probity in the way in which the DHI conducts its business. You will need to be able to consider evidence and arguments advanced by a wide range of organisations and individuals in order to perform your duties effectively. Some of these organisations and individuals will make their views known directly to individual members. The rules in this Code of conduct set out how you should conduct yourself in your contacts with those who would seek to influence you. They are designed to encourage proper interaction between members of public bodies, those they represent and interest groups. Paragraph 2: Rules and Guidance You must not, in relation to contact with any person or organisation who lobbies, do anything which contravenes this Code of Conduct or any other relevant rule of the DHI or any statutory provision. You must not, in relation to contact with any person or organisation who lobbies, act in any way which could bring discredit upon the DHI. The founding members of DHI must be assured that no person or organisation will gain better access to, or treatment by, you as a result of employing a company or individual to lobby on a fee basis on their behalf. You must not, therefore, offer or accord any preferential access or treatment to those lobbying on a fee basis on behalf of clients compared with that which you accord any other person or organisation who lobbies or approaches you. Nor should those lobbying on a fee basis on behalf of clients be given to DHI / GOVERNANCE MANUAL / VERSION 2 - JANUARY 2014 28 DIGITAL HEALTH INSTITUTE GOVERNANCE MANUAL Annex B – DHI Board Members Code of Conduct understand that preferential access or treatment, compared to that accorded to any other person or organisation, might be forthcoming from another member of the DHI. Before taking any action as a result of being lobbied, you should seek to satisfy yourself about the identity of the person or organisation who is lobbying and the motive for lobbying. You may choose to act in response to a person or organisation lobbying on a fee basis on behalf of clients but it is important that you know the basis on which you are being lobbied in order to ensure that any action taken in connection with the lobbyist complies with the standards set out in this Code. You should not accept any paid work: · · which would involve you lobbying on behalf of any person or organisation or any clients of a person or organisation to provide services as a strategist, adviser or consultant, for example, advising on how to influence the DHI and its members. This does not prohibit you from being remunerated for activity which may arise because of, or relate to, membership of the DHI, such as journalism or broadcasting, or involvement in representative or presentational work, such as participation in delegations, conferences or other events If you have concerns about the approach or methods used by any person or organisation in their contacts with you, you must seek the guidance of the DHI Board. SECTION 8: DEFINITIONS Remuneration includes any salary, wage, share of profits, fee, expenses, other monetary benefit or benefit in kind. This would include, for example, the provision of a company car or travelling expenses by an employer. Undertaking means: · · a body corporate or partnership; or an unincorporated association carrying on a trade or business, with or without a view to a profit. Related Undertaking is a parent or subsidiary company of a principal undertaking of which you are also a director. You will receive remuneration for the principal undertaking though you will not receive remuneration as director of the related undertaking. Parent Undertaking is an undertaking in relation to another undertaking, a subsidiary undertaking, if a) it holds a majority of the voting rights in the undertaking; or b) it is a member of the undertaking and has the right to appoint or remove a majority of its board of directors; or c) it has the right to exercise a dominant influence over the undertaking (i) by virtue of provisions contained in the undertaking’s memorandum or articles or (ii) by virtue of a control contract; or d) it is a councillor of the undertaking and controls alone, pursuant to an agreement with other shareholders or councillors, a majority of the voting rights in the undertaking. Group of companies has the same meaning as “group” in section 262(1) of the Companies Act 1985. A “group”, within section 262(1) of the Companies Act 1985, means a parent undertaking and its subsidiary undertakings. DHI / GOVERNANCE MANUAL / VERSION 2 - JANUARY 2014 29 DIGITAL HEALTH INSTITUTE GOVERNANCE MANUAL Annex B – DHI Board Members Code of Conduct Public body means a devolved public body listed in Schedule 3 of the Ethical Standards in Public Life etc. (Scotland) Act 2000. A person means a single individual or legal person and includes a group of companies. Any person includes individuals, incorporated and unincorporated bodies, trade unions, charities and voluntary organisations. Spouse does not include a former spouse or a spouse who is living separately and apart from you. Cohabitee includes a person, whether of the opposite sex or not, who is living with you in a relationship similar to that of husband and wife. DHI / GOVERNANCE MANUAL / VERSION 2 - JANUARY 2014 30 DIGITAL HEALTH INSTITUTE GOVERNANCE MANUAL Annex C – DHI Management Statement ANNEX C– DHI MANAGEMENT STATEMENT SECTION 1: INTRODUCTION The Management Statement (MS) sets out the broad framework within which the DHI will operate. The MS does not convey any legal powers or responsibilities. This document supersedes all previous versions. The Management Statement shall be reviewed and updated periodically by the DHI Board, ensuring versions are appropriately agreed and dated. The DHI Board may propose amendments to the MS at any time. Any such proposals shall be considered by the DHI Board taking account of policy aims, operational factors and the track record of the organisation itself. The guiding principle shall be that the extent of flexibility and freedom given to the DHI shall reflect both the quality of its internal controls and its operational needs. The DHI Board shall determine what changes, if any, are to be incorporated in the MS. Legislative provisions shall take precedence over any part of the MS. The DHI shall satisfy the conditions and requirements set out in the MS, together with all relevant requirements in the Scottish Public Finance Manual (SPFM) or such other conditions as the host organisation may from time to time impose. Any question regarding the interpretation of the MS shall be resolved by the sponsor Directorate after consultation with the DHI Board. Copies of the MS shall also be made available on the DHI website and on request. SECTION 2: MANAGEMENT STATEMENT Paragraph 1: Functions, Duties and Powers Founding legislation; status The Digital Health Institute (DHI) is an Innovation Centre funded by the Scottish Funding Council and established and led by the University of Edinburgh in partnership with The Glasgow School of Art and NHS 24 hosted by the School of Informatics of the University of Edinburgh. The functions, duties and powers of the DHI. The DHI was established through the award of funding by the Scottish Funding Council to the University of Edinburgh, to establish a new generation of innovation centre which tackles the challenges by addressing the unsustainable demands being placed on the health and social care provisions in Scotland through identifying pioneering solutions through collaborations with health and social care, academia and industry generating economic impact as a result. Classification For policy/administrative purposes the DHI is operated and governed by the University of Edinburgh in partnership with The Glasgow School of Art and NHS24. DHI / GOVERNANCE MANUAL / VERSION 2 - JANUARY 2014 31 DIGITAL HEALTH INSTITUTE GOVERNANCE MANUAL Annex C – DHI Management Statement References to the DHI include, where appropriate, all or any of its joint ventures that are classified to the public sector for national accounts purposes. If such a subsidiary or joint venture is created, there shall be a document setting out the arrangements between it and the DHI. Paragraph 2: Aim(s), Objectives and Targets Mission The DHI will use Scotland’s unique capabilities, knowledge and global network to transform healthcare provision and make a tangible difference to the quality of peoples’ lives. The DHI will co-create sustainable economic growth through new products, services and systems developed together with businesses, academics, healthcare specialists and citizens. Our aim is to generate high value health and social care solutions to the benefit of the people of Scotland and wider. The DHI will achieve this by stimulating the development and testing of commercial and public healthcare solutions that position Scotland as a leader in a global arena. Through design innovation methods together with agile development, we propose to deliver tangible, business, social and academic benefits from the first year of operation. Overall aim[s] The overall aims and functions of the DHI are defined as follows: DHI: addressing the global challenge and opportunity · · · Tackling the challenges of health and care for ageing populations faced not just in Scotland, but also internationally Addressing the need for a more sustainable health and social care delivery system. Identifying pioneering solutions through creative collaborations with health and social care professionals, academia and industry. DHI: focusing innovation on quality of life solutions · Encouraging the development of products, services and systems that allow health and social care provision to be rebalanced away from hospitals to enable people to live independently for longer. DHI: delivering economic benefit for Scotland · Stimulating the growth of digital health economy in Scotland by supporting SMEs and academia to co-create new markets and products. DHI: positioning Scotland as a leader in Digital Health · · Engaging a wide range of experts and encouraging collaboration positioning Scotland as an attractive research location in a global market DHI / GOVERNANCE MANUAL / VERSION 2 - JANUARY 2014 32 DIGITAL HEALTH INSTITUTE GOVERNANCE MANUAL Annex C – DHI Management Statement · · attracting large corporate organisations and bringing inward investment and high value jobs creating a leading position for Scotland in the digital health arena. Objectives and key targets DHI shall prepare annually for the DHI Board an operational delivery plan to determine the process of allocation of resources against the Board’s priorities and targets; this should include performance indicators, have regard to the need for efficiency and effectiveness, and the achievement of value for money and quality in the delivery of service. Paragraph 3: Responsibilities and Accountability The Chairman of the DHI The Chairman has a particular leadership responsibility on the following matters: · · · · formulating the DHI Board's strategy promoting the efficient and effective use of staff and other resources encouraging high standards of propriety and regularity representing the views of the Board externally The Chairman shall also: · · · ensure that all members of the Board, when taking up office, are fully briefed on the terms of their appointment and on their duties, rights and responsibilities, and if appropriate receive induction training, including on the financial management and reporting requirements of the DHI and on any differences which may exist between private and public sector practice consider the needs of the DHI Board when Board vacancies arise, with a view to ensuring a proper balance of professional and commercial expertise assess the performance of individual Board members on an annual basis The Board The Board has responsibility for ensuring that the DHI fulfils the aim[s] and objectives and for promoting the efficient and effective use of staff and other resources by the DHI in accordance with the principles of Best Value. To this end, and in pursuit of its wider corporate responsibilities, the Board shall: · · · · · establish the overall strategic direction of the DHI within the policy, planning and resources framework ensure that any statutory or administrative requirements for the use of funds (i.e. all funds falling within the stewardship of the DHI) are complied with; that the Board operates within the limits of its statutory authority and any agreed delegated authority ensure that the Board receives and reviews regular financial information concerning the management of the DHI ; is informed in a timely manner about any concerns about the activities of the DHI demonstrate high standards of governance at all times. The Board is expected to assure itself on the effectiveness of the internal control and risk management systems provide commitment and leadership in the development and promotion of Best Value principles throughout the DHI DHI / GOVERNANCE MANUAL / VERSION 2 - JANUARY 2014 33 DIGITAL HEALTH INSTITUTE GOVERNANCE MANUAL Annex C – DHI Management Statement Individual Board members shall act in accordance with their wider responsibility as Members of the Board - namely to: · · · · comply at all times with the DHI Code of Conduct and with the rules relating to the use of public funds, conflicts of interest and confidentiality not misuse information gained in the course of their service for personal gain or for political profit, nor seek to use the opportunity of public service to promote their private interests or those of connected persons or organisations comply with the Code of Conduct or for those bodies not covered by the provisions of the Ethical Standards framework, the Board's rules on the acceptance of gifts and hospitality, and of business appointments act in good faith and in the best interests of the DHI The Chief Executive Officer The Chief Executive Officer of the DHI is designated responsible to the Accountable Officer of the School of Informatics for the financial performance of the DHI. The Chief Executive Officer of the DHI is responsible for safeguarding the public funds (i.e. all funds falling within the stewardship of the DHI for which he/she has charge); for ensuring propriety and regularity in the handling of those public funds; and for the day-to-day operations and management of the DHI. This requires the University of Edinburgh and The Glasgow School of Art to operate with full transparency and integrity in relation to the Scottish Funding Council funding for the DHI activities. Annual reporting from both organisations on the use of the funds will be required to be submitted to the Chief Executive Officer and the Finance Controller for the purposes of the DHI Annual Report. He/she should act in accordance with the terms of the MS. The Accountable Officer has a duty to secure Best Value, which includes the concepts of good corporate governance, performance management and continuous improvement. As Accountable Officer the Chief Executive Officer shall exercise specific responsibilities as outlined in the role profile for the post. Paragraph 4: Staff management Within the arrangements approved by the DHI Board, the DHI (through its hosting organisations) shall have responsibility for the recruitment, retention and motivation of its staff. To this end it shall be ensured that: · · · · · · · the recruitment of its staff is based on fair and open competition and equal opportunities the level and structure of its staffing, including grades and numbers of staff, is appropriate to its functions and the requirements of efficiency, effectiveness and economy the performance of its staff at all levels is managed effectively and efficiently; they are satisfactorily appraised; and the performance appraisal and promotion systems of the DHI are reviewed from time to time its staff are encouraged to acquire the appropriate professional, management and other expertise necessary to achieve the objectives of the DHI proper consultation with staff takes place on key issues affecting them adequate grievance and disciplinary procedures are in place whistleblowing procedures consistent with the Public Interest Disclosure Act are in place DHI / GOVERNANCE MANUAL / VERSION 2 - JANUARY 2014 34 DIGITAL HEALTH INSTITUTE GOVERNANCE MANUAL Annex C – DHI Management Statement · a code of conduct for staff is in place The DHI will put in place arrangements for the purposes of: · · · improving the management of the officers employed by it; monitoring such management; and workforce planning. In order to comply with this requirement, the DHI should put in place arrangements to improve continuously in relation to the fair and effective management of staff. This can be achieved by specifying that staff are entitled to be: · · · · · well informed; appropriately trained; involved in decisions which affect them; treated fairly and consistently; and provided with an improved and safe working environment. Paragraph 5: Reviewing the role of the DHI The SFC has the right of review of the role of the DHI and through its offer letter dated 4 March 2013, it has imposed the following standard conditions of grant: · · · · · · · · You must use the grant to achieve the activities and outcomes you detailed in your business plan and associated documents, and in accordance with the Council's Financial Memorandum with institutions. You must seek our agreement in advance for any alterations to the objectives or outcomes of the Centre. We anticipate that operational changes will be agreed through our representation on the Centre's governance structure. The main contact you have nominated in your business plan must act on behalf of all partner institutions and accept responsibility for monitoring use and allocation of the grant and coordinating any reports. If your pattern of spend differs significantly from the budget provided in your business plan, you must notify us as soon as possible. You must comply with the monitoring and evaluation requirements in this letter and also cooperate with the impact evaluation, if requested. You must immediately tell us of any problems with the project which are likely to affect the timetable or outcomes. We may request additional reports on the project if we think this is necessary. You must tell us in advance of any publicity arrangements you are making for the project so that we can advise on our inclusion in signage, advertising and media releases. We may audit relevant project documentation so that we know that you have used the grant appropriately and have met these conditions of grant. We may suspend payments or recover grant paid if you do not comply with any of these conditions of grant DHI / GOVERNANCE MANUAL / VERSION 2 - JANUARY 2014 35 DIGITAL HEALTH INSTITUTE GOVERNANCE MANUAL Annex C – DHI Management Statement SECTION 3: DECISIONS RESERVATIONS OF POWERS TO THE BOARD – SCHEDULE OF RETAINED The strategic role of the Board is to determine the direction and objectives of the DHI. In this respect it is responsible for compliance by the DHI with any performance standards, guidance and regulatory requirement. Accountability requires the Board to adopt a Schedule of Decisions that are reserved for the DHI Board. Having regard to its strategic role, its duty to hold the Executive to account and to ensure that proper and effective controls and systems for running the DHI are in place and are implemented, the following are reserved to the Board: · · · · · · · · · · · · · · · Approval of the Strategic Plan and related vision, values and aims and any significant variance considered by the Chairman or Chief Executive Officer to fall within the strategic role of the DHI Board: Approval of the Operational Delivery Plan and any significant variance considered by the Chairman or Chief Executive Officer to fall within the strategic role of the Board Approval of the Workforce Plan Approval of any other underpinning Strategy required to support the delivery of the Strategic Plan, including the strategic communication plan and the fraud action plan Approval of the Three Year Financial Plan and Annual Financial Plan and any significant variations as determined by the Scheme of Delegation Approval of the Board’s Standing Orders Approval of the Establishment, Terms of Reference and Membership of all Committees acting on behalf of the Board Approval of Schedule of Retained Decisions and Scheme of Delegation Approval of Standing Financial Instructions Receiving and noting Board Members’ Register of Interests Approval of the DHI Board Annual Report Monitoring of performance against the Strategic and Financial Plans (Operational Delivery Plan, Revenue and Capital Budget) Appointment of the Vice Chairman Appointment of Internal Auditors Approval of delegation of any function to any external agencies SECTION 4: SCHEME OF DELEGATION A clear set of rules for delegation, is essential to ensure that effective management control of resources is exercised. Decisions retained by the Board are identified in Section 3. All powers not retained by the Board or delegated to a Committee or Sub Committee shall be exercised on behalf of the Board by the Chief Executive Officer. The Chief Executive Officer is required to prepare a Scheme of Delegation identifying which functions he/she shall perform personally and which functions have been delegated to other Officers. DHI / GOVERNANCE MANUAL / VERSION 2 - JANUARY 2014 36 DIGITAL HEALTH INSTITUTE GOVERNANCE MANUAL Annex C – DHI Management Statement The Scheme of Delegation and the Standing Financial Instructions form a major part of the system of internal control. These should be used in conjunction with other established procedures. SECTION 5: BOARD INDUCTION PROCESS In order to ensure that Board Members are clear on the Board’s expectations and have an appropriate level of knowledge, an induction process has been put in place which is supplemented by the individual processes agreed for each of the Board’s Committees. Various stages have been put in place as follows: Step 1: Appointment letter to be forwarded to individual by the Chairman detailing the: · · · · designation of the position authority under which the appointment is made term and conditions of appointment length of appointment Step 2: Follow-up letter to be forwarded by Chief Executive Officer providing key additional information and documentation: · · · SFC Submissions Letter of Award and Terms of Grant Programme Plan Step 3: Meetings to be arranged with: · · · Board Chairman (general introduction) Chief Executive Officer (general introduction) Senior Management Team (specific discussion around functional areas) Step 4: Attendance at first Board meeting Step 5: Involvement in individual Committee induction process as appropriate Step 6: Meeting with Board Chairman to review additional induction requirements Step 7: Observation of one meeting of the other Board Committees Step 8: Involvement in on-going Board development and review programme SECTION 6: MANAGEMENT GROUPS’ TERMS OF REFERENCE (to be supplied by individual groups) All powers not retained by the Board or delegated to a Committee, Sub Committee or advisory Board shall be exercised on behalf of the Board by the Chief Executive Officer. As outlined in Section 4, the Chief Executive Officer is required to prepare a Scheme of Delegation identifying which functions he/she shall perform personal and which functions have been delegated to other Officers, this should be submitted to the board by 31st January 2014 and reviewed annually. DHI / GOVERNANCE MANUAL / VERSION 2 - JANUARY 2014 37 DIGITAL HEALTH INSTITUTE GOVERNANCE MANUAL Annex C – DHI Management Statement To support the above, an internal corporate governance structure is in place. This section details the management groups established as part of the supporting system and provides their associated terms of reference (where available). The terms of reference shall determine the rules and regulations for the proceedings of formally constituted Groups subject to the following provisions: · · · Executive Directors have the right to receive all papers of, and the right to attend meetings of all the Groups. Meetings of the Groups shall not be open to the public and press unless the Senior Management Team decides otherwise in respect to a particular meeting. Groups and the membership thereof shall be reviewed annually at an appropriate Meeting of the Senior Management Team. Casual vacancies in the membership of Groups shall be filled, so far as practicable, by the Senior Management Team at the next scheduled meeting following a vacancy occurring. The terms of reference for Management Groups form part of this Governance Manual and are contained in Annex D and E as follows: · · Senior Management Team Advisory Boards DHI / GOVERNANCE MANUAL / VERSION 2 - JANUARY 2014 38 DIGITAL HEALTH INSTITUTE GOVERNANCE MANUAL Annex D – The DHI Senior Management Team ANNEX D– THE DHI SENIOR MANAGEMENT TEAM SECTION 1: PURPOSE OF THE SENIOR MANAGEMENT TEAM The Senior Management Team is the group established by the Chief Executive Officer to ensure delivery of the DHI’s strategic objectives. It seeks to ensure that the DHI’s activities are undertaken within the framework contained within this Governance Manual. SECTION 2: COMPOSITION OF THE DHI SENIOR MANAGEMENT TEAM Paragraph 1: Membership The Group will comprise: · · · · · · · Chief Executive Officer Chief Operating Officer Industry, Health and Care Engagement Manager Network Integrator Director of Research and Knowledge Exchange Finance Controller Design Director(s) Appropriate training and development will be provided to ensure that members of the Group have the skills and knowledge to carry out their roles. Paragraph 2: Attendance Regular review and operational planning meetings will take place in accordance with the operational and functional meeting schedules and attendees will vary depending on agenda specified, however attendees will be made up from any of the following and their direct line staff where appropriate: · · · · · · · Chief Executive Officer Chief Operating Officer Industry, Health and Care Engagement Manager Network Integrator Director of Research and Knowledge Exchange Finance Controller Design Director(s) The Personal Assistant to the Chief Executive Officer shall attend meetings to take the minute of discussions. The Group can request the attendance of any other staff member of the DHI. Paragraph 3: Meetings of the Senior Management Team Frequency The Group shall meet as required, with Meetings normally to be held fortnightly, at the place and time as determined by the Group. DHI / GOVERNANCE MANUAL / VERSION 2 - JANUARY 2014 39 DIGITAL HEALTH INSTITUTE GOVERNANCE MANUAL Annex D – The DHI Senior Management Team The Chief Executive Officer may at any time convene additional Meetings of the Group to consider business which may require urgent consideration. These meetings may be attended exclusively by Group Members. Agenda and Papers The Chief Operating Officer will set the Agenda for meetings, with contributions expected from each of the Members. The Agenda and supporting papers will be sent out at least two working days in advance of the meetings. All papers will clearly state the agenda reference, the author, the purpose of the paper and the action the Group is asked to consider (as per the documentation guidelines). Quorum A minimum of four members of the Group shall constitute a quorum and no business shall be transacted unless this minimum number of Members is present. For the purposes of determining whether a meeting is quorate, Members attending by either video or tele-conference link will be determined to be in attendance. Minutes Formal minutes shall be taken of the proceedings of the Group by the Personal Assistant to the Chief Executive Officer. These Draft Minutes shall be distributed for consideration and review, to the Chairman of the Meeting within two working days of the Meeting and distributed to the Members within four working days of the Meeting. The Draft Minutes shall then be presented at the next Meeting of the Group for approval. Formally approved Minutes shall be held on file for audit and general reference purposes. Authority The Group is authorised by the Chief Executive Officer, within its Terms of Reference, to investigate any activity in the operations of the DHI. It is authorised to seek and obtain any information it requires from any employee and all employees of the DHI are directed to co-operate with any request made by the Group. The Group is authorised by the Chief Executive Officer to obtain external legal or other independent professional advice and to secure the assistance of people from outside the DHI with relevant expertise if it is considered necessary. Specific Duties of the Senior Management Team The duties of the Group shall be in line with the Scheme of Delegation contained in this Governance Manual, specifically: Strategic Plan/Service Design: · · Develop strategic objectives for the consideration of the DHI Deliver against the strategic objectives agreed with the Board, reporting on progress on a quarterly basis through the Chief Executive Officer’s report DHI / GOVERNANCE MANUAL / VERSION 2 - JANUARY 2014 40 DIGITAL HEALTH INSTITUTE GOVERNANCE MANUAL Annex D – The DHI Senior Management Team · · Advise and make recommendations to the Board on any strategic planning and redesign priorities required to ensure delivery of the strategic priorities, commissioning any individual pieces of work as required Monitor regional planning activities, ensuring there is an agreed DHI position. Operational Delivery Plan (OPD): · · · Develop the key objectives and performance measures for the annually produced Operations Delivery Plan for the consideration of the Board Ensure integration of the ODP with related local plans and service development priorities. Deliver against the key objectives agreed with the Board, monitoring on a monthly basis and reporting on progress on a monthly basis through the Chief Executive Officer’s report Financial Planning & Monitoring: · · Develop financial plans in line with requirements for the consideration of the Board Deliver against the agreed financial plans, reporting on progress to the Board through the Finance Controller Governance Arrangements: · · Review and recommend approval to the Board for any required revisions to the Governance Manual Ensure appropriate internal governance arrangements are in place to support the Governance Manual Operational Performance Management · · Review performance management information on a monthly basis and report to the Board through the Chief Executive Officer’s Report Ensure appropriate steps are taken to address any service affecting issues identified Internal and External Audit Activity: · Review progress on a quarterly basis against and stipulated audit plans Project Management Governance: · · · · · Ensure work programmes are in place, operating effectively and to a consistent methodology Agree deliverables with each respective Project Board / Steering Group (through the Project Initiation Document (PID) documentation) and the inter-programme linkage between them. Carry out gateway reviews of project activity Receive progress reports from each of the projects / programmes, evaluating outcomes in terms of key measures Review reports from internal project health checks carried out by the Programme Manager Reporting The key reporting to the Board of the activities of the Senior Management Team will be through the Chief Executive Officer and specifically the Chief Executive Officer’s monthly report to the Board. DHI / GOVERNANCE MANUAL / VERSION 2 - JANUARY 2014 41 DIGITAL HEALTH INSTITUTE GOVERNANCE MANUAL Annex D – The DHI Senior Management Team All Board and Committee papers require to be considered and supported by the Senior Management Team. DHI / GOVERNANCE MANUAL / VERSION 2 - JANUARY 2014 42 DIGITAL HEALTH INSTITUTE GOVERNANCE MANUAL Annex E – DHI Advisory Group Structure proposal ANNEX E - DHI ADVISORY GROUP STRUCTURE PROPOSAL The DHI Advisory Boards are created to support the development of board strategy and organisational direction in the best interests of successful economic impact in Scotland. The board are working to develop this function further as the DHI moves forward. The framework states a purpose for each board which is based on the broad principles that every IC has accepted. The DHIBoard Industry Advisory Board Design Advisory Board Technology Advisory Board Health and Care Advisory Board Academic Advisory Board In addition to a dedicated Industry Advisory Board, all of the Boards will have at least one Industry representative. All Advisory Boards have an appointed board representative sponsor who is responsible for the administration and coordination of their boards. These boards are expected to evolve and develop as will the DHI as our knowledge and understanding will over time. An Ethics Advisory Board may also be established in the future. It is expected that the Advisory Boards will report to The DHI Board twice annually on matters relating to their areas of concern, and it is anticipated that boards will meet quarterly as a minimum and six times per year as a maximum to progress their agendas and as the DHI develops and matures on the objectives set by the board. Ad-hoc meetings may be called as required. DHI / GOVERNANCE MANUAL / VERSION 2 - JANUARY 2014 43 Industry Advisory Board DIGITAL HEALTH INSTITUTE GOVERNANCE MANUAL Annex E – DHI Advisory Group Structure proposal Justene Ewing (COO Administrating) The Industry Advisory Board is established to support the strengthening of its ties between DHI and its constituents in industry with particular focus on SME enablement in Scotland facilitating DHI to remain demand driven. Advising The Advisory and DHI Boards on broad matters relating to industry and commerce Advise DHI on industry issues relevant to DHI and its research and design Development of a Scotland First network of digital health experts Facilitiate involvement in the interactions between industry, DHI and other partners Technology Advisory Board *The advisory board does not have authority to vote on DHI board matters Dave Robertson (Marcia Rankin administrating) The Technology Advisory Board is established to promote transformational change in the use of existing and emerging digital and technological systems, devices and interventions in health and care environments Advise the Advisory Board and the Board of developments in Digital Information Technology relating to health and care Advise on EU developments in technology development specifically where opportunity may exist for Scottish SMEs Advise on data advances and use of insight and understanding in realtion to the sector which may provide strategic advantage Provide thought leadership and horizon scanning activities to challenge the innovation landscape *The advisory board does not have authority to vote on DHI board matters DHI / GOVERNANCE MANUAL / VERSION 2 - JANUARY 2014 44 DIGITAL HEALTH INSTITUTE GOVERNANCE MANUAL Annex E – DHI Advisory Group Structure proposal Design Advisory Board Health and Care Advisory Board Sandra McRury (Health) Peter MacLeod (Social Care) (Brian McKinstry Administrating) The Health and Care Advisory Board is established to support the understanding and engagement of industry in health and care issues experienced throughout Scotland Advising The Advisory and DHI Boards on broad matters relating to health and care issues / opportunities throughout Scotand and Europe *The advisory board does not have authority to vote on DHI board matters Irene McAra-McWilliam (Joe Lockwood administrating) The Design Advisory Board is established to support the innovation in early, rapid and iterative testing of new solutions to digital health challenges Advising The Advisory and DHI Boards on broad matters relating to design *The advisory board does not have authority to vote on DHI board matters DHI / GOVERNANCE MANUAL / VERSION 2 - JANUARY 2014 45 DIGITAL HEALTH INSTITUTE GOVERNANCE MANUAL Annex E – DHI Advisory Group Structure proposal Director of Research and Knowledge Exchange (TBC) Academic Advisory Board (Stuart Anderson administrating) The Academic Advisory Board is established to support development of collaborative knowledge exchange and research activities and enhance two way knowledge exchange between universities, industry and others towards realising tangible benefits for businesses while also stimulating and challenging the Scottish research base. We are in late stages of finalising participation to this Academic Advisory Board. The Chairman of the DHI will inform the Board Members of the name of the Director of Research and Knowledge Exchange once the role has been successfully appointed in due course. Advising The Advisory and DHI Boards on broad matters relating to collaborative research and knowledge exchange Advise DHI on ways to enhance two way knowledge exchange between universities, industry and others Advise on simplifying the innovation landscape in Scotland through creating conduits to the university Development of a Scotland First network of digital health academic experts Facilitiate involvement in an environment that supports collaboration and development between industry, DHI and other partners *The advisory board does not have authority to vote on DHI board matters DHI / GOVERNANCE MANUAL / VERSION 2 - JANUARY 2014 46 DIGITAL HEALTH INSTITUTE GOVERNANCE MANUAL Annex F – Template DHI register of interests ANNEX F - TEMPLATE DHI REGISTER OF INTERESTS Name: Date: Category One: Remuneration – please insert details of all current remunerated positions (and those held in the past 12 months) Employment: [Please provide name of the employer, the nature of its business and the nature of the post held] Self-employment: [Please provide the name and nature of the business] Office Holder: [Please provide name of the undertaking, the nature of its business and the nature of the post held] Directorships: [Please provide the name of each undertaking and the nature of its business] Partnerships: [Please provide the name of the partnership and the nature of its business] Other work: Other received: remunerated [Please provide the nature of the work and its regularity] allowances [If you receive any allowances in relation to membership of any organisation, please provide details here] Category Two: Related Undertakings – please insert details of all current directorships for which you are not remunerated but where the undertaking in question is a subsidiary of, or a parent of, an undertaking in which you hold a remunerated directorship (and those held in the past 12 months) Directorships: [Please provide the name of each undertaking, the nature of its business and its relationship to the undertaking in which you hold a remunerated directorship] Category Three : Contracts – please insert details of all contracts that either (i) you; (ii) a firm in which you are a partner; or (iii) an undertaking in which you are a director or in which you have shares of a value as described in category 5 below, have in place with any of the DHI partner institutions in relation to the DHI activities, under which goods or services are to be provided, or works are to be executed; and which has not been fully discharged. DHI / GOVERNANCE MANUAL / VERSION 2 - JANUARY 2014 47 DIGITAL HEALTH INSTITUTE GOVERNANCE MANUAL Annex F – Template DHI register of interests Contracts: [Please provide a description of each contract, including its duration, but excluding the consideration]. Category Four: Houses, Land and Buildings – please insert details of all houses, land and buildings which you own, or in which you have any other right or interest, which may be significant to, of relevance to, or bear upon, the work and operation of the DHI. Houses: [Please provide details of each house, your right/interest in it and its relevance to the DHI] Land: [Please provide details of each area of land, your right/interest in it and its relevance to the DHI] Buildings: [Please provide details of each building, your right/interest in it and its relevance to the DHI] Category Five: Shares and Securities – please insert details of all shares and securities in which you hold an interest and which constitute a holding in a company or organisation which may be significant to, of relevance to, or bear upon, the work and operation of the DHI. Shares: [Please provide details of the number of shares held, the undertaking in which those shares are held and the relevance of that shareholding to the DHI. Note that you do not require to register the value of the shares] Securities: [Please provide details of the number of securities held, the undertaking in which those securities are held and the relevance of those securities to the DHI. Note that you do not require to register the value of the securities] Category Six: Non-Financial Interests – please insert details of all non-financial interests you hold which may be significant to, of relevance to, or bear upon, the work and operation of the DHI. Non-Financial Interests: [Please provide details of all non-financial interests and their relevance to the DHI. This may include details of membership of public bodies, clubs, societies and organisations such as trades unions and voluntary organisations] DHI / GOVERNANCE MANUAL / VERSION 2 - JANUARY 2014 48
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