1. NHS West Kent Clinical Commissioning Group CCG Performance Reporting arrangements Patient Participation Group Chairs 31 st March 2015

2. NHS West Kent Clinical Commissioning Group Purpose of the review To enable the Governing Body/Members/Public to track progress towards: –key aims and objectives –towards NHS Constitution standards –National Outcomes Framework –Achievement of ‘Value’ from deployment of resources

3. NHS West Kent Clinical Commissioning Group Issues for consideration How can we better align the requirements of national reporting with more local needs How do we ensure a focus on progress towards strategic intentions as well as in-year deliverables? CCG wide vs Locality/practice level reporting Can we revise reporting arrangements in a way that supports public engagement? How do we incorporate shared objectives/outcomes with social care services (e.g. the Better Care Fund?) Can we/should we differentiate between the CCG as commissioner and the wider health system?

4. NHS West Kent Clinical Commissioning Group Reflections on the current report to the Governing Body Generally seems to be geared more towards national agenda Presentation – could be more graphical Should be more accessible to the public Greater emphasis on interpretation of performance dashboards Needs greater focus on actions and accountabilities How to handle areas outside of CCG remit? –Primary Care –Public Health –Specialised Commissioning –Social Care Scope for inclusion of more clinical outcome data

5. NHS West Kent Clinical Commissioning Group NHS England Consultation 2015-16 draft assurance framework Strengthen focus on CCGs performance in delivering improvements for patients Assessing capacity and capability of CCGs to deliver core responsibilities and to take on additional responsibilities A new Scorecard for CCGs Framework developed with wide range of stakeholders including patient representatives, and HealthWatch England Envisaged will be accessed through ‘My NHS-NHS Choices’ Will encourage comparisons of performance and drive improvement Will provide transparency to the public Consultation closes on 17 th April 2015

6. NHS West Kent Clinical Commissioning Group Possible CCG Scorecard 2015-16?

7. NHS West Kent Clinical Commissioning Group NHS ENGLAND Example 1 – The frail elderly

8. NHS West Kent Clinical Commissioning Group NHS ENGLAND Example 2 – People with Long Term Conditions

9. NHS West Kent Clinical Commissioning Group Presenting Indicator values

10. NHS West Kent Clinical Commissioning Group A possible format (1)

11. NHS West Kent Clinical Commissioning Group A possible format (1)

12. NHS West Kent Clinical Commissioning Group 2015-16 Top Focus areas Earlier diagnosis of cancer Better outcomes for stroke Earlier diagnosis of diabetes Better diagnosis and mgt. of atrial fibrillation patients Management of COPD conditions Reduce admissions from care homes Transform children’s emotional and well-being services Improve uptake of rehab services for patients with LTC’s Improve specialised nursing services Improve dementia diagnosis rate Increase provision of IAPT

13. NHS West Kent Clinical Commissioning Group Other priorities Progress towards alignment of health & social care services Self Care, health inequalities, prevention Development of primary care Invest in technology as an enabler Invest in Mental Health - Parity of Esteem

14. NHS West Kent Clinical Commissioning Group NHS Constitution and other commitments Referral to treatment times Diagnostics waiting times Cancer waiting times Ambulance performance A&E performance C. Difficile Dementia IAPT access IAPT recovery Mental Health Access Patient satisfaction – primary care

15. NHS West Kent Clinical Commissioning Group Strategic direction Creation and development of integrated pathways to transfer care out of acute settings Transformation of outpatients Develop strategies/specifications for orthotics, tele-health, and care homes Integrated Enhanced Rapid Response and New Primary Care units Transform ambulatory acute care with more activity taking place outside hospital Review and change services for frail and elderly care Address issues of concern arising from Commissioning for Value: –Diabetes –Trauma –Stroke –Cancer

16. NHS West Kent Clinical Commissioning Group A possible framework? A strengthened Executive Summary Key focus areas & actions –Strategic –Operational –Assurance Appendix 1 – National assurance Appendix 2 - Practice/locality specific dashboards Appendix 3 - Balanced scorecard dashboard for operational/strategic –Performance –Outcomes –Finance –Risks Not all elements to be reported on monthly….

17. NHS West Kent Clinical Commissioning Group Sample report for CCG? CCG Locality Practice Performance Outcomes FinanceRisk Actions Strategic goals Summary Focus areas

18. NHS West Kent Clinical Commissioning Group Summary Key questions for PPG –What issues would you wish to see incorporated in CCG reporting? –How would you envisage gaining access? –How would this be used to support CCG/local PPG discussions? –Might there be input from PPG into the NHSE consultation on CCG assurance arrangements? –Can PPG members support the CCG in development of new arrangements? How do we ensure that CCG reporting is adding value? And not a bureaucratic nightmare!