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The Constitution establishes the principles, statutory duties and governance arrangements of the ICB, and describes the governing principles, rules and procedures to ensure probity and accountability in the day to day running of the ICB, to ensure decisions are taken in an open, collaborative and transparent way and that the interests of patients and the public remain central to the values/aims of the ICB and One Gloucestershire ICS.

The Standing Orders regulate the proceedings of the Board so that the ICB can fulfil its obligations as set out largely in the 2006 Act (as amended).

The Governance Handbook brings together key documents which support the Constitution and best practise governance, providing further detail on how the ICB will operate.  It is a ‘living document’ to be updated regularly as new policies are approved and new structures and processes are implemented.

The link above is the collated Governance Handbook document, with individual component documents below:

Sets out those decisions that are reserved to the ICB Board, and those decisions that have been delegated to ICB Committees, individuals, joint committees, and other statutory organisations.  It also details the source of each reservation and delegation. The Scheme of Delegation is available here

Last Updated: May 2026

Presents a diagram view of how the high-level decision-making bodies in our system relate to each other and how accountability is maintained. Read the functions and decisions map.

Note: To be updated in line with clustering arrangements with BNSSG ICB.

Ensures that the ICB fulfils its statutory duty to carry out its functions to provide best value for public funding.  The SFIs are part of the ICB’s ‘control environment’ for managing the organisation’s financial affairs, defining the purpose, responsibilities, legal framework and operating environment.  They enable sound administration, lessen the risk of irregularities and support commissioning and delivery of effective, efficient and economical services. Read the Standing Financial Instructions.

Last Updated: May 2026

Set out the membership, remits, delegated responsibilities and reporting arrangements of each Committee of the Joint Cluster ICB Board.  These Committees contribute to the overall delivery of the ICB objectives by providing oversight and assurance to the Board on the adequacy of the range of functions the organisation undertakes:

4a. Audit Committee In Common – provides oversight and assurance to the Board on the adequacy of governance, risk management and internal control processes within the ICB. (TOR Approved May 2026)

4b. Joint Finance, Performance & Quality Committee – provides assurance on the ICBs’ value-for-money approach in the use of resources, financial stewardship, and delivery of key operational and contractual performance targets and will also seek assurance on delivery of relevant statutory duties (TOR Approved May 2026)

4c. Joint Strategic Health Inequalities, Prevention & Population Health Commissioning Committee (SHIPPHC) – provide assurance that the ICB becomes an effective strategic commissioner, moving resources into areas of greatest need, prevention and community capacity, tackling inequalities and commissioning for value (quality of care, improved outcomes, equity and optimal efficient cost). (TOR Approved May 2026)

4d. Joint Transformation, People & OD Committee – role of this committee is to oversee how the organisation attracts, develops, and retains its people, ensuring resources and practices support a compassionate, inclusive, and high performing workforce that has the core capabilities and capacity to support the ICB’s strategic commissioning role and functions (TOR Approved May 2026)

4e. Joint Committees– the Joint Commissioning Partnership Board (JCPB) and Joint Commissioning Partnership Executive (JCPE) oversee, monitor and make recommendations on the integrated and joint commissioning of services on behalf of the ICB and Gloucestershire County Council, in equal partnership.

4f. Joint Transition Committee – The purpose of the Committee is to manage the safe and coherent transition from the current BNSSG and Gloucestershire ICBs’ state to the future ICBs’ state, to make necessary decisions to enable this transition, and to assure the Boards that appropriate activities are being undertaken

4g. Joint Remuneration Committee– The Joint Remuneration Committee (the Committee) is established by the two Integrated Care Boards (the Boards or ICBs) as a Committee of each Board in accordance with its individual Constitution. The Joint Committee’s main purpose is to exercise the functions of each ICB relating to paragraphs 17 to 19 of Schedule 1B to the NHS Act 2006.

Presents a high-level summary of the roles, responsibilities and remits of the members of the Board, in three broad groups:

  • Non-Executive Directors, and their responsibilities for the Committees they chair and lead.
  • Chief Executive Officer (CEO) and the Executive Director
  • Partner Members who contribute to the Integrated Care Board contemporary knowledge, insight, and subject matter expertise of differing parts of the health and care system, drawn from their perspective of leading provider and public health services in Gloucestershire

Read more about the role profiles.

Sets out the Cluster ICB approach to risk and the management of risk in fulfilment of its strategic objectives to deliver services that are high quality, safe and promote the health and wellbeing of service users, their relatives and carers, staff and other stakeholders. Cluster Risk Management Framework policy can be found here.

A list of the providers of primary care medical services in the system, i.e. GP surgeries. Read about eligible providers or primary medical services.

Sets out how the ICB will set and manage the standards expected of our staff in order to ensure that they operate with integrity, openness and honesty and are accountable to the public for the actions that they take on behalf of the ICB. Standard of Business Conduct Policy