What is quality?

The NHS Constitution sets out the guiding principles of the NHS and the rights of NHS patients.

There are seven key principles to guide the NHS in all it does.

  • The NHS provides a comprehensive service, available to all
  • Access to NHS services is based on clinical need, not an individual’s ability to pay
  • The NHS aspires to the highest standards of excellence and professionalism
  • The patient will be at the heart of everything the NHS does
  • The NHS works across organisational boundaries
  • The NHS is committed to providing best value for taxpayers’ money
  • The NHS is accountable to the public, communities and patients that it serves

NHS values – working together for patients

  • Respect and dignity
  • Commitment to quality of care
  • Compassion
  • Improving lives
  • Everyone counts

Commitment to quality of care

The NHS Constitution commits to ensuring high quality care is delivered, that patients have a positive experience of care and have improved health outcomes as a result of their care experience.

Lord Darzi described three domains of quality(High Quality Care for All DH, 2008). These domains frame the current way in which the quality of care is scrutinised. The domains are:

  • Safety of treatment and care provided to patients
  • Effectiveness of treatment and care provided to patients
  • Experience patients have of the treatment and the care they receive

Additionally quality can be described as:

  • Right patient
  • Right time
  • Right intervention
  • Right staff
  • Right place

The NHS Outcomes Framework reflects the vision set out in the White Paper. Indicators in the NHS Outcomes Framework are grouped around five domains, which set out the high-level national outcomes that the NHS should be aiming at improving health outcomes and reducing health inequalities.

Domain 1 Preventing people from dying prematurely
Domain 2 Enhancing quality of life for people with long-term conditions
Domain 3 Helping people to recover from episodes of ill health or following injury
Domain 4 Ensuring that people have a positive experience of care
Domain 5 Treating and caring for people in a safe environment; and protecting them from avoidable harm

CCG arrangements

The CCG is committed to commissioning high quality services for the local population. The vision and commitment for commissioning and ensuring delivery of quality health care is embedded in our constitution, governance arrangements and day to day work. One of our key strengths is our clinical leadership which puts safety, clinical effectiveness and patient experience at the centre of commissioning decisions. Our Quality Strategy forms part of our strategic and delivery plans.

Partners in Bury have come together to deliver integrated, joined up health and social care as intended by the strategic direction of Greater Manchester Devolution, and this has given us opportunities to work with our providers to improve quality outcomes more collaboratively. Additionally our response to the Covid-19 pandemic has improved systems and processes for working across the system for the benefit of our local population.

We have systems and processes in place for working with local health care providers to deliver and improve the quality of their services. We hold contracts with all of our providers, have quality assurance meetings, quality deep dives, visits and walk arounds to clinical areas and services to track, monitor and drive up quality through constructive conversations.

We respond to concerns raised by members of the public, patients and other organisations to address any issues related to heath care which affect Bury people. Additionally, we work with other CCGs locally, particularly NHS Heywood, Middleton & Rochdale CCG and NHS Oldham CCG and with our Greater Manchester partners, NHS England Improvement and the Care Quality Commission and Healthwatch on the health care quality agenda.

Safeguarding declaration 

1. Background

1.1 On 16 July 2009 David Nicholson wrote to all Chief Executives of NHS organisations requesting that they assure themselves of basic safeguarding practice and make a declaration of their position.

2. Declaration

2.1 Within NHS Bury Clinical Commissioning Group the following requirements are in place in line with the recommendations of the Care Quality Commission to ensure that systems and processes are in place to safeguard children, young people and adults at risk of abuse:

NHS Bury Clinical Commissioning Group meets all statutory requirements in relation to Criminal Records Bureau checks.

NHS Bury Clinical Commissioning Group has a safeguarding policy in place that meets with the requirements of Working Together (2018) to Safeguard Children and The Care Act 2014.

NHS Bury Clinical Commissioning Group includes Greater Manchester Safeguarding Standards in contracts and these are monitored using the tools provided.

Commissioning staff within NHS Bury Clinical Commissioning Group undertake level one child protection and adult safeguarding training. Clinical staff undertake the level of training appropriate to their clinical roles in line with Intercollegiate documents for Adult Safeguarding: Roles and Responsibilities of Health Care Staff 2019 and Safeguarding Children and Young People: Roles and Responsibilities 2019

NHS Bury Clinical Commissioning Group has a Designated Nurse for Child Protection, A Designated Nurse for Looked After Children and a Designated Nurse for Safeguarding Adults, named nurses within provider organisations, named doctor and access to a designated doctor. These professionals fulfil the requirements of Working Together to Safeguard Children (2018) and The Care Act 2014.

There is a Board level Executive Lead with the responsibility for Safeguarding Children in NHS Bury Clinical Commissioning Group. This declaration will be reviewed annually.

Information regarding the Bury Integrated Safeguarding Partnership can be found via the Bury Directory or via the Bury Safeguarding Partnership web page.

Annual reports

Safeguarding Children and Adults at Risk Annual Report 2020/21

Adult And Childrens Safeguarding Information-Pack V5 March2021

Looked After Children Annual Report 2019/20

Bury Integrated Safeguarding Partnership Adult Annual Report 2019/20

LeDeR Annual Report 2020/21- Easy Read

LeDeR Annual Report 2020/21

Further resources

Recommended Read Codes for use in Safeguarding

New Read Code Poster

GM Primary Care Safeguarding Resource December 2014

Safeguarding Children and Vulnerable Adults Policy 2019

Safeguarding Training Strategy 2019

Bury CCG Safeguarding Framework 2019

Mental Capacity Act Implementation Policy

Review of Health Services for Children Looked After and Safeguarding in Bury

Bury, Rochdale and Oldham Child Death Overview Panel (CDOP)

Children Looked After and Safeguarding (CLAS) inspection outcome report

Multi Agency Safeguarding Arrangements