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Health Quality Matters
Joan PlantHead of Service Improvement
September 2013
HVCCG Mission & Constitution
‘NHS Herts Valleys Clinical Commissioning Group will lead commissioning that is fair, high quality, cost effective, inclusive, puts patients at the centre and works to promote provider responsibility’.
Whose business is quality?
Everyone's
Working & Learning in PartnershipHealth & Well Being Board
WHHT Transformation
Board
Safeguarding Children Board
HVCCG Programme
Boards
Care Homes Steering Group
Adult Safeguarding
Board
Herts HCAI Board
Community Safety
Partnerships
Chief Executives
Forum
What is Quality?
Cost effectiveness
High quality care requires all dimensions to be present
Workforce
Workforce
Access
Access
Compassionate Care Culture / capability
Developing relationships
with providers
Developing relationships with patients,
carers…
Mature quality markers
Contracts to drive quality improvement
Use of soft intelligence &
meaningful debate &
performance management
Priorities as a CCG
Deliver the NHS Constitution Rights and
Pledges
Achieve Quality Improvements in the
NHS Outcomes Framework
Continue to listen to patients/public so they
influence commissioning priorities
Deliver a clinical commissioning strategy through five programme
areas
Ensure CCG is fit for purpose with a
development plan for clinicians, staff & Board
Herts Valleys Clinical Strategy:
Tools for Quality Improvement
Outcome based service
specifications
Key Performance Indicators (KPIs) in
all contracts
Quality Schedule in all contracts
Commissioning for Quality &
Innovation Schemes (CQUINs)
Quality Premium for primary care
Quality FrameworkClinical Effectiveness Patient Safety Patient Experience Assurance Mechanism
National Strategies CQC Registration of Providers
National & Local Patient Surveys
Contract Quality & Information Schedules
NICE Quality Standards Mental Capacity Act & DOLs
Patient Reported Outcome Measures (PROMs)
CQUIN Schemes
NICE Guidelines Patient Safety Programmes Net Promoter Scores Quality Review Meetings
National Quality & Outcome Framework
Cleanliness and HCAI Complaints & PALs Data Executive Review Meetings
National & Local Clinical Audits
Tissue Viability Same Sex Accommodation Data
Quality Site Visits
CQUIN Schemes Serious Incident Data Productive Initiatives Care Homes Quality Assurance Tool
Learning from National Reports & Publications
Safeguarding Children & Adults Data
Quality Accounts Safeguarding Quality Assurance Tools
High Impact Interventions Summarised Hospital Mortality Indicator (SHMI)
Carer projects and initiatives
Serious Incident Assurance Meetings
Independent Practitioner Practice Concerns
Quality Impact Assessments
A RANGE OF WORKFORCE DATA INFORMS ALL DOMAINS
Quality Strategy
Putting Patients
First
Expert Clinical
Workforce & Leadership
Innovation through
engagement with public, patients & clinicians
Measure and
publish quality
outcomes
Contractual arrangements
for quality standards
Incentivise quality
improvement
Safeguarding quality
CCG Assurance Framework
• are local people getting good quality care?• are patient rights under the NHS Constitution
being promoted?• are health outcomes improving for local
people?• are CCGs commissioning services within their
financial allocations?• Are CCGs ensuring that information is
appropriately used to drive change?
Next Steps for Care Homes
• Engagement with all providers• Establish the methodology for quality
assurance visits including triangulation of data– Combine methodologies with Herts County
Council– Carry out joint visits with HCC, JCT and
Healthwatch
Next Steps for Care Homes (2)
• Further develop and refine the quality dashboard and reports– Ensure input from providers and develop a portal
for sharing information– Look at innovation and sharing of good practice
• Review all contracts large and small for all provider settings
What do you need?
• Now your turn to tell me what your CCG can do to help you meet quality outcomes and to minimise the risk for all concerned
Quality IndicatorsQuestion 1
From this list which is the one area you feel requires the most input from your CCG Quality Team
A. GP input into the Care Homes
B. Understanding of Safeguarding
C. Understanding of Contract requirements?
D. Admission criteria?E. Other
0% 0%0%0%0%
Quality IndicatorsQuestion 2
From this list which area would you like further assistance to meet the outcomes for Service Users.
A. Person Centred Care planning
B. Audit toolsC. Dependency toolsD. Infection prevention
audit toolsE. Other
Person Centre
d Care pla...
Audit tools
Dependency to
ols
Infection prevention aud..
Other
0% 0%0%0%0%
Quality IndicatorsQuestion 3
Which of these do you have the most difficulty gaining access to?
A. Falls team?B. Tissue Viability?C. Continence service?D. Dietician and or
SALT assessments?E. Other Fa
lls te
am?
Tissue Viabilit
y?
Continence se
rvice
?
Dietician and or S
ALT as..
.Oth
er
0% 0%0%0%0%
Quality IndicatorsQuestion 4
What would support me most to deliver care to a resident newly admitted following a stroke is
A. A detailed care plan, with identified risks
B. A follow up visit from the hospital
C. Training in stroke rehabilitation
D. Someone to contact if there is a problem
A detailed ca
re plan, w
it...
A follo
w up visit
from th
...
Training i
n stro
ke rehabil..
.
Someone to co
ntact if t
he..
0% 0%0%0%
Thank you for your helpJoan Plant HVCCG
Where other was ticked please email [email protected] with information