Download Purpose of the review

CCG Performance
Reporting arrangements
Patient Participation Group Chairs
31st March 2015
NHS West Kent Clinical Commissioning Group
Purpose of the review
• To enable the Governing
Body/Members/Public to track progress
towards:
– key aims and objectives
– towards NHS Constitution standards
– National Outcomes Framework
– Achievement of ‘Value’ from deployment of
resources
NHS West Kent Clinical Commissioning Group
Issues for consideration
• How can we better align the requirements of national
reporting with more local needs
• How do we ensure a focus on progress towards
strategic intentions as well as in-year deliverables?
• CCG wide vs Locality/practice level reporting
• Can we revise reporting arrangements in a way that
supports public engagement?
• How do we incorporate shared objectives/outcomes
with social care services (e.g. the Better Care Fund?)
• Can we/should we differentiate between the CCG as
commissioner and the wider health system?
NHS West Kent Clinical Commissioning Group
Reflections on the current report to the
Governing Body
• Generally seems to be geared more towards national
agenda
• Presentation – could be more graphical
• Should be more accessible to the public
• Greater emphasis on interpretation of performance
dashboards
• Needs greater focus on actions and accountabilities
• How to handle areas outside of CCG remit?
– Primary Care
– Public Health
– Specialised Commissioning
– Social Care
• Scope for inclusion of more clinical outcome data
NHS West Kent Clinical Commissioning Group
NHS England Consultation
2015-16 draft assurance framework
• Strengthen focus on CCGs performance in delivering
improvements for patients
• Assessing capacity and capability of CCGs to deliver core
responsibilities and to take on additional responsibilities
• A new Scorecard for CCGs
• Framework developed with wide range of stakeholders
including patient representatives, and HealthWatch
England
• Envisaged will be accessed through ‘My NHS-NHS
Choices’
• Will encourage comparisons of performance and drive
improvement
• Will provide transparency to the public
• Consultation closes on 17th April 2015
NHS West Kent Clinical Commissioning Group
Possible CCG Scorecard 2015-16?
NHS West Kent Clinical Commissioning Group
NHS ENGLAND
Example 1 – The frail elderly
NHS West Kent Clinical Commissioning Group
NHS ENGLAND
Example 2 – People with Long Term
Conditions
NHS West Kent Clinical Commissioning Group
Presenting Indicator values
NHS West Kent Clinical Commissioning Group
A possible format (1)
NHS West Kent Clinical Commissioning Group
A possible format (1)
NHS West Kent Clinical Commissioning Group
2015-16 Top Focus areas
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Earlier diagnosis of cancer
Better outcomes for stroke
Earlier diagnosis of diabetes
Better diagnosis and mgt. of
atrial fibrillation patients
• Management of COPD
conditions
• Reduce admissions from
care homes
NHS West Kent Clinical Commissioning Group
• Transform children’s
emotional and well-being
services
• Improve uptake of rehab
services for patients with
LTC’s
• Improve specialised nursing
services
• Improve dementia diagnosis
rate
• Increase provision of IAPT
Other priorities
• Progress towards alignment of health & social
care services
• Self Care, health inequalities, prevention
• Development of primary care
• Invest in technology as an enabler
• Invest in Mental Health - Parity of Esteem
NHS West Kent Clinical Commissioning Group
NHS Constitution and other
commitments
• Referral to treatment
times
• Diagnostics waiting
times
• Cancer waiting times
• Ambulance
performance
• A&E performance
• C. Difficile
NHS West Kent Clinical Commissioning Group
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•
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•
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Dementia
IAPT access
IAPT recovery
Mental Health Access
Patient satisfaction –
primary care
Strategic direction
• Creation and development of integrated pathways to transfer care
out of acute settings
• Transformation of outpatients
• Develop strategies/specifications for orthotics, tele-health, and
care homes
• Integrated Enhanced Rapid Response and New Primary Care
units
• Transform ambulatory acute care with more activity taking place
outside hospital
• Review and change services for frail and elderly care
• Address issues of concern arising from Commissioning for Value:
– Diabetes
– Trauma
– Stroke
– Cancer
NHS West Kent Clinical Commissioning Group
A possible framework?
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•
•
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A strengthened Executive Summary
Key focus areas & actions
– Strategic
– Operational
– Assurance
Appendix 1 – National assurance
Appendix 2 - Practice/locality specific dashboards
Appendix 3 - Balanced scorecard dashboard for operational/strategic
– Performance
– Outcomes
– Finance
– Risks
Not all elements to be reported on monthly….
NHS West Kent Clinical Commissioning Group
Sample report for CCG?
Summary
Actions
Strategic goals
CCG
Performance
Locality
Focus areas
Practice
Finance
NHS West Kent Clinical Commissioning Group
Outcomes
Risk
Summary
• Key questions for PPG
– What issues would you wish to see
incorporated in CCG reporting?
– How would you envisage gaining access?
– How would this be used to support CCG/local
PPG discussions?
– Might there be input from PPG into the NHSE
consultation on CCG assurance arrangements?
– Can PPG members support the CCG in
development of new arrangements?
• How do we ensure that CCG reporting is adding
value? And not a bureaucratic nightmare!
NHS West Kent Clinical Commissioning Group