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:

  • Referral to treatment waiting times for non-urgent consultant-led treatment
  • Diagnostic test waiting times
  • Accident and Emergency (A&E) waits
  • Cancer waits (2 weeks, 31 days and 62 days), and
  • Ambulance waits for emergency calls.

On a monthly basis, performance against key NHS Constitution standards and other measures outlined in the NHS Operational Planning and Contracting Guidance is reported to the CCG’s Quality and Performance Committee. This Committee is chaired by a non-Executive Director 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.

CCG Improvement Assessment Framework

Assurance reviews of the CCG itself are undertaken on a regular basis by NHS England as part of the CCG Improvement Assessment Framework (IAF).  Such reviews involve NHS England analysing performance data in addition to undertaking quarterly assurance visits where 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, however, these meetings provide an opportunity to discuss positive initiatives in order that best practice can be shared across the region.

Under the IAF, the CCG is assessed against a set of indicators grouped into ‘six clinical priorities’ and also receives an end of year rating. The six clinical priority areas are:

  • Cancer
  • Dementia
  • Diabetes
  • Learning disabilities
  • Maternity, and
  • Mental health.

The quarterly visits, together with performance against the indicators within the IAF, are used to provide an end of year rating for each CCG which is published on MYNHS. The end of year position is usually available from July and can be accessed here.

Again, performance against the CCG IAF is reported to both the Quality and Performance Committee and the Governing Body on a quarterly basis.