Introduction

In order to ensure that commissioned services are of a high quality and meet the needs of the local population, the CCG has a responsibility to ensure that specific performance standards are achieved. This involves monitoring the performance of all providers of care to any individual registered with a General Practitioner in the Bury area.

NHS Constitution

Many of the performance standards are specified within the NHS Constitution and are split into the following main categories:

  • Planned Care
    • Referral to treatment waiting times for non-urgent consultant-led treatment
    • Cancelled operations
    • Diagnostic test waiting times
  • Urgent Care
    • Accident and Emergency (A&E) waits
    • Ambulance waits for emergency calls
  • Cancer Care
    • Waiting times (2 weeks, 28 days, 31 days and 62 days)
  • Mental Health
    • Access, recovery rates and waiting times to Improving Access to Psychological Therapy (IAPT) services
    • Dementia diagnosis rates
    • Follow-up upon discharge from an inpatient ward

On a monthly basis, performance against key NHS Constitution standards and other measures either amended or introduced as part of the annual planning process is reported to the CCG’s Quality and Performance Committee. This Committee is chaired by a lay member and ensures that performance is scrutinised and challenged as appropriate. In line with the CCG’s governance structure, the Quality and Performance Committee then reports up to the Governing Body.  A summary performance report is also presented to the Strategic Commissioning Board (SCB) every two months.  The SCB is a joint CCG and Council committee.

NHS System Oversight Framework (NHS SOF)

Assurance reviews of the CCG itself are undertaken on a regular basis by NHS England and NHS Improvement (NHSE/I) as part of the NHS SOF.  Such reviews involve NHSE/I analysing performance data in addition to undertaking assurance visits to which colleagues from local partner organisations are also invited to attend. These meetings provide an opportunity to discuss any identified areas of concern where the CCG might be an outlier when compared to other CCGs across Greater Manchester. Equally, these meetings provide an opportunity to discuss positive initiatives in order that best practice can be shared across the region.

During the coronavirus pandemic, assurance structures under the framework have been simplified though do still include an end-of-year meeting between CCG leaders and NHSE/I.

Under the NHS SOF, the CCG is assessed against a set of indicators, performance against which is published on a quarterly basis.  Upon publication, these too are reported into the CCG’s Quality and Performance Committee and Governing Body.  The indicators are grouped into the following six themes:

  • Theme 1: Quality of care, access and outcomes
  • Theme 2: Preventing ill-health and reducing inequalities
  • Theme 3: People
  • Theme 4: Leadership
  • Theme 5: Finance and use of resources
  • Theme 6: Local strategic priorities

Following the end of each financial year, each CCG receives ratings for overall performance, quality of leadership and financial management.  In the latest ratings, the CCG was rated as ‘green’ in each area.

Read more about the CCG and our work in this area in our latest Annual Report (2020/21).