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

Joan.plant@hertsvalleysccg.nhs.uk

Where other was ticked please email admin@hcpa.info with information