Lincolnshire East CCG CCG authorisation 360o stakeholder survey report.

Lincolnshire East CCG CCG authorisation 360o stakeholder survey report

Background and objectives
In April 2012 the NHS Commissioning Board Authority (NHSCBA) published Clinical commissioning group authorisation: a draft guide for applicants which sets out the thresholds for authorisation that CCGs must meet. The vision for CCGs is rooted in three principles: giving patients more power; focusing on healthcare outcomes, quality and reducing inequalities; and giving frontline professionals greater freedoms and a strong leadership role. For CCGs to fulfill these principles successfully, they will need to form strong relationships with a range of stakeholders, including patients, clinical colleagues both within and outside their CCG, colleagues in local authorities and health and wellbeing board(s), providers, other commissioners and those who will provide commissioning support for the CCG (where appropriate). The potential of CCGs will only be realised if these relationships are in place. Therefore, a key part of the authorisation process is the CCG authorisation 360o stakeholder survey, which has been conducted with a broad range of stakeholders connected to each CCG. In a system where much will be achieved through relationships that harness the expertise of different stakeholders, the survey is an essential part of understanding how those relationships are developing and therefore the CCG’s readiness for authorisation. The survey allows the NHSCB to learn more about the aspiring CCG’s relationships with its stakeholders and therefore to assess whether the relationships forged during transition are likely to provide sufficient basis for effective commissioning by CCGs.

Methodology and technical details
The applicant CCG provided the list of stakeholders for the CCG authorisation 360o stakeholder survey as specified by the stakeholder framework which was provided to them. The following stakeholder groups were included in the survey: The survey was conducted primarily online. Nominated stakeholders were initially invited to participate via . Those stakeholders who did not respond to the invitation were telephoned by an Ipsos MORI interviewer who encouraged response and offered the opportunity to complete the survey by telephone. Within the survey, stakeholders were asked a series of questions about their working relationships with the CCG. In addition, as each stakeholder group has different areas of experience and knowledge, they were presented with a short, personalised section of questions that was specific to the stakeholder group they represent. Each question is linked to one of the six domains of authorisation set out in Clinical commissioning group authorisation: a draft guide for applicants. GP member practices CCGs with whom the applicant has collaborative commissioning arrangements (Shadow) Health and wellbeing boards Upper tier or unitary local authorities Lower tier local authorities (where applicable) LINks or (shadow) local HealthWatch and patient groups NHS Providers Other health professionals Commissioning support services

Methodology and technical details
Fieldwork was conducted between 13 August and 7 September 2012. 47 of Lincolnshire East CCG’s stakeholders completed the survey. The overall response rate was 69% which varied across the stakeholder groups as follows: Stakeholder type Invited to take part in survey Completed survey Response rate GP member practices 30 21 70% CCGs 4 100% (Shadow) Health and wellbeing boards 3 1 33% Local authorities (total) Upper tier/unitary local authorities Lower tier local authorities 15 6 9 10 5 67% 83% 56% LINks/(shadow) HealthWatch/patient groups NHS Providers 8 63% Other health professionals CSSs

Interpreting the results
Results for each question are shown in percentages (%) and the number of stakeholders giving a certain answer (n). In the tables, the number of stakeholders giving a certain answer are included in brackets. For questions with fewer than 30 stakeholders answering, we strongly recommend that you look at the number of stakeholders giving each answer rather than the percentage, as the percentage can be misleading when based on so few stakeholders. The number of stakeholders answering (the base size) is stated for each question in this report. The base size is shown at the bottom of each chart and in every table. In some cases, percentages have been rounded up or down to ensure that the figures in a pie chart sum to 100%. Where the results for net scores (e.g. strongly/tend to agree) do not match the results you obtain from adding percentages in the chart, this is due to rounding. This work was carried out in accordance with the requirements of the international quality standard for market research, ISO 20252:2006 and with the Ipsos MORI Terms and Conditions which can be found here

Engagement and relationships

Overall, to what extent, if at all, do you feel you have been engaged by Lincolnshire East CCG? Stakeholder group Base Great deal/Fair amount Not very much/Not at all GP member practices (21) 71% (15) 29% (6) CCGs (4) 100% (4) -% (-) Health and wellbeing boards (1) 100% (1) Local authorities (total) Upper tier/unitary Lower tier (10) (5) 50% (5) 60% (3) 40% (2) LINks/(shadow) HealthWatch/patient groups NHS providers 100% (5) Other health professionals 50% (2) Commissioning support services Base: All stakeholders (47)

And how satisfied or dissatisfied are you with the way in which Lincolnshire East CCG has engaged with you so far? Stakeholder group Base Very/Fairly satisfied Very/Fairly dissatisfied GP member practices (20) 60% (12) 10% (2) CCGs (4) 75% (3) -% (-) Health and wellbeing boards (1) 100% (1) Local authorities (total) Upper tier/unitary Lower tier (9) (5) 67% (6) 60% (3) 11% (1) 20% (1) LINks/(shadow) HealthWatch/patient groups NHS providers 100% (5) Other health professionals (2) 100% (2) Commissioning support services Base: All stakeholders who feel they have been engaged (43)

To what extent do you agree or disagree that Lincolnshire East CCG has listened to your views where you have provided them? Stakeholder group Base Strongly/ Tend to agree Strongly/ Tend to disagree GP member practices (21) 62% (13) 24% (5) CCGs (4) 75% (3) -% (-) Health and wellbeing boards (1) 100% (1) Local authorities (total) Upper tier/unitary Lower tier (10) (5) 50% (5) 60% (3) 40% (2) LINks/(shadow) HealthWatch/patient groups NHS providers 100% (5) Other health professionals 50% (2) 25% (1) Commissioning support services Base: All stakeholders (47)

To what extent do you agree or disagree that Lincolnshire East CCG has acted on your suggestions? Stakeholder group Base Strongly/ Tend to agree Strongly/ Tend to disagree GP member practices (21) 48% (10) 14% (3) CCGs (4) 75% (3) -% (-) Health and wellbeing boards (1) 100% (1) Local authorities (total) Upper tier/unitary Lower tier (10) (5) 40% (4) 40% (2) LINks/(shadow) HealthWatch/patient groups NHS providers 80% (4) Other health professionals 25% (1) Commissioning support services Base: All stakeholders (47)

Overall, how would you rate your working relationship with Lincolnshire East CCG? Stakeholder group Base Very/ Fairly good Very/ Fairly poor GP member practices (21) 76% (16) 14% (3) CCGs (4) 100% (4) -% (-) Health and wellbeing boards (1) 100% (1) Local authorities (total) Upper tier/unitary Lower tier (10) (5) 60% (6) 80% (4) 40% (2) LINks/(shadow) HealthWatch/patient groups NHS providers 100% (5) Other health professionals 25% (1) Commissioning support services Base: All stakeholders (47)

To what extent do you agree or disagree with the following statements about the leadership of Lincolnshire East CCG …?* NUMBER 32 7 3 5 34 33 8 2 Base: All stakeholders (47) * Please note that the name of the CCG was also substituted into the question statements The statements read ‘the CCG’ on this chart for presentation purposes.

To what extent do you agree or disagree with following statements about the leadership of Lincolnshire East CCG …? The leadership of Lincolnshire East CCG has the necessary blend of skills and experience Stakeholder group Base Strongly/ Tend to agree Strongly/ Tend to disagree GP member practices (21) 62% (13) 14% (3) CCGs (4) 100% (4) -% (-) Health and wellbeing boards (1) 100% (1) Local authorities (total) Upper tier/unitary Lower tier (10) (5) 60% (6) 60% (3) LINks/(shadow) HealthWatch/patient groups NHS providers 100% (5) Other health professionals 50% (2) Commissioning support services Base: All stakeholders (47)

To what extent do you agree or disagree with following statements about the leadership of Lincolnshire East CCG …? There is clear and visible leadership of Lincolnshire East CCG Stakeholder group Base Strongly/ Tend to agree Strongly/ Tend to disagree GP member practices (21) 76% (16) 10% (2) CCGs (4) 75% (3) -% (-) Health and wellbeing boards (1) 100% (1) Local authorities (total) Upper tier/unitary Lower tier (10) (5) 70% (7) 80% (4) 60% (3) LINks/(shadow) HealthWatch/patient groups NHS providers 100% (5) Other health professionals 25% (1) Commissioning support services Base: All stakeholders (47)

To what extent do you agree or disagree with following statements about the leadership of Lincolnshire East CCG …? I have confidence in the leadership of Lincolnshire East CCG to deliver its plans and priorities Stakeholder group Base Strongly/ Tend to agree Strongly/ Tend to disagree GP member practices (21) 62% (13) 10% (2) CCGs (4) 100% (4) -% (-) Health and wellbeing boards (1) 100% (1) Local authorities (total) Upper tier/unitary Lower tier (10) (5) 70% (7) 80% (4) 60% (3) LINks/(shadow) HealthWatch/patient groups NHS providers 100% (5) Other health professionals 50% (2) Commissioning support services Base: All stakeholders (47)

To what extent do you agree or disagree with following statements about the leadership of Lincolnshire East CCG …? The leadership of Lincolnshire East CCG will be able to deliver continued quality improvements Stakeholder group Base Strongly/ Tend to agree Strongly/ Tend to disagree GP member practices (21) 67% (14) 10% (2) CCGs (4) 100% (4) -% (-) Health and wellbeing boards (1) 100% (1) Local authorities (total) Upper tier/unitary Lower tier (10) (5) 60% (6) 60% (3) LINks/(shadow) HealthWatch/patient groups NHS providers 100% (5) Other health professionals 50% (2) Commissioning support services Base: All stakeholders (47)

Engagement and relationships: Summary
Base Overall, to what extent, if at all, do you feel you have been engaged by Lincolnshire East CCG? 72% (34) a great deal/a fair amount All stakeholders (47) And how satisfied or dissatisfied are you with the way in which Lincolnshire East CCG has engaged with you so far? 72% (31) very/fairly satisfied All stakeholders who have been engaged (43) To what extent do you agree or disagree that Lincolnshire East CCG has listened to your views where you have provided them? 66% (31) strongly/tend to agree To what extent do you agree or disagree that Lincolnshire East CCG has acted on your suggestions? 49% (23) strongly/tend to agree Overall, how would you rate your working relationship with Lincolnshire East CCG? 72% (34) very/fairly good To what extent do you agree or disagree with the following statements about the leadership of Lincolnshire East CCG…? The leadership of Lincolnshire East CCG has the necessary blend of skills and experience There is clear and visible leadership of Lincolnshire East CCG I have confidence in the leadership of Lincolnshire East CCG to deliver its plans and priorities The leadership of Lincolnshire East CCG will be able to deliver continued quality improvements 68% (32) strongly/tend to agree 72% (34) strongly/tend to agree 70% (33) strongly/tend to agree

Engagement and relationships: Summary
Stakeholders are generally positive about the engagement that has taken place with Lincolnshire East CCG so far. The majority feel they have been engaged by the CCG, with more than seven in ten saying they have been engaged at least a fair amount. Among these stakeholders, around seven in ten are also satisfied with the way in which this has been done so far. Working relationships tend to be strong, with the majority of stakeholders (again seven in ten) describing them as good. However, the CCG performs a little lower than the average across Wave 3 aspiring CCGs here. The majority of stakeholders are positive about the leadership of Lincolnshire East CCG, with around seven in ten rating each aspect of leadership positively. Views of the leadership are broadly in line with the Wave 3 average. Opinions are relatively consistent across the different stakeholder groups; with the exception of several member practices, and some of the local authority stakeholders and other health professionals, who appear to have more negative perceptions of engagement and relationships with the CCG than other stakeholders.

Domain 1: A strong clinical and multi-professional focus which brings real added value

Criteria 1.1D: CCG members recognise local quality priority areas identified in CCG plans.
How much, if anything, would you say you know about Lincolnshire East CCG’s priority areas for quality improvement? A great deal/Fair amount/Just a little Heard of, know nothing/Never heard of 81% (17) 14% (3) Base: All member practices (21)

Criteria 1.1D: CCG members recognise local quality priority areas identified in CCG plans.
Which areas for quality improvement, if any, do you understand to be identified as a priority for Lincolnshire East CCG ?* N 3 8 4 13 5 14 11 12 - Base: All member practices who have at least heard of CCG’s priority areas for quality improvement (19) * Results shown for all over 10%

Strongly/Tend to agree Strongly/Tend to disagree
Criteria 1.1D: CCG members recognise local quality priority areas identified in CCG plans. To what extent do you agree or disagree that these are the right priority areas for Lincolnshire East CCG? Strongly/Tend to agree Strongly/Tend to disagree 68% (13) 5% (1) Base: All member practices who have at least heard of CCG’s priority areas for quality improvement (19)

Not very/Not at all involved
Criteria 1.2D: Member practices are involved in decision-making processes and, where appropriate, there are clear arrangements for delegation of functions. How involved, if at all, do you feel you have been in decisions about the proposed configuration, structure and governance arrangements for Lincolnshire East CCG? Very/Fairly involved Not very/Not at all involved 48% (10) 52% (11) Base: All member practices (21)

Very/Fairly effective Not very/Not at all effective
Criteria 1.2F: Examples of member practice involvement in decision-making. How effective, if at all, would you say the arrangements are for member participation and decision-making in Lincolnshire East CCG? Very/Fairly effective Not very/Not at all effective 67% (14) 19% (4) Base: All member practices (21)

Criteria 1.3A. Arrangements in place for CCG to involve and seek advice from healthcare professionals from secondary, community, mental health, learning disabilities and social care. Does Lincolnshire East CCG have arrangements in place to involve you in discussions about local healthcare services and seek your advice, or not? Yes No 50% (2) -% (-) Base: All other health professionals (4)

Very/Fairly satisfied Very/Fairly dissatisfied
Criteria 1.3A. Arrangements in place for CCG to involve and seek advice from healthcare professionals from secondary, community, mental health, learning disabilities and social care. To what extent are you satisfied or dissatisfied with these arrangements? Very/Fairly satisfied Very/Fairly dissatisfied 25% (1) -% (-) Base: All other health professionals (4)

Not very/Not at all well
Criteria 1.3A. Arrangements in place for CCG to involve and seek advice from healthcare professionals from secondary, community, mental health, learning disabilities and social care. How well, if at all, do you think Lincolnshire East CCG understands what you/your group does? Very/Fairly well Not very/Not at all well 50% (2) 25% (1) Base: All other health professionals (4)

Criteria 1.3C: Arrangements in place between LA and CCG specifying how public health advice to CCGs will be delivered. Do you have arrangements in place with Lincolnshire East CCG that specify how your local authority will deliver public health advice to the CCG, or not? Yes No 60% (3) 20% (1) Base: All upper tier/unitary local authorities (5)

Very/Fairly confident Not very/Not at all confident
Criteria 1.3C: Arrangements in place between LA and CCG specifying how public health advice to CCGs will be delivered. How confident are you, if at all, that these arrangements will enable your local authority to deliver public health advice to Lincolnshire East CCG? Very/Fairly confident Not very/Not at all confident 100% (3) -% (-) Base: All upper tier/unitary local authorities who have arrangements in place (3)

Criteria 1.4.1A: CCG can demonstrate that it has taken steps to communicate its vision and priorities to partners, via its clinical leadership, through the local health and wellbeing board. To what extent do you agree or disagree with the following statements about the clinical leadership of Lincolnshire East CCG...?* NUMBER 1 - % agree 100 Base: All health and wellbeing board members (1) * Please note that the name of the CCG was also substituted into the question statements The statements read ‘the CCG’ on this chart for presentation purposes.

Not very/Not at all active
Criteria 1.4.1A: CCG can demonstrate that it has taken steps to communicate its vision and priorities to partners, via its clinical leadership, through the local health and wellbeing board. How active, if at all, would you say the clinical leaders of Lincolnshire East CCG are as members of your health and wellbeing board? Very/Fairly active Not very/Not at all active 100% (1) -% (-) Base: All health and wellbeing board members (1)

Criteria 1.4.1A: CCG can demonstrate that it has taken steps to communicate its vision and priorities to partners, via its clinical leadership, through the local health and wellbeing board. How well, if at all, would you say the clinical leaders of Lincolnshire East CCG have communicated its vision and priorities to the health and wellbeing board? Very/Fairly well Not very/Not at all well 100% (1) -% (-) Base: All health and wellbeing board members (1)

Very/Fairly consistent Not very/Not at all consistent
Criteria 1.4.1A: CCG can demonstrate that it has taken steps to communicate its vision and priorities to partners, via its clinical leadership, through the local health and wellbeing board. How consistent, if at all, is the vision that Lincolnshire East CCG 's clinical leaders have communicated with the health and wellbeing board’s priorities? Very/Fairly consistent Not very/Not at all consistent 100% (1) -% (-) Base: All health and wellbeing board members (1)

Criteria 1.4.1B. CCG can demonstrate it has taken steps to communicate its vision and priorities to stakeholders, patients and the public. Which of the following steps, if any, has Lincolnshire East CCG taken to communicate its vision and priorities to you? * N 33 26 14 24 28 - 5 3 Base: All stakeholders (47) * Results shown for all over 10%

Criteria 1.4.1B. CCG can demonstrate it has taken steps to communicate its vision and priorities to stakeholders, patients and the public. Which of the following steps, if any, has Lincolnshire East CCG taken to communicate its vision and priorities to you? Stakeholder group Base The CCG has held events, workshops or meetings The CCG has sent out bulletins or other documents The CCG has published information on its website Representatives from the CCG have attended board meetings Representatives from the CCG have attended other meetings The CCG has not taken any steps Don’t know GP member practices (21) 76% (16) 38% (8) 71% (15) 67% (14) 5% (1) CCGs (4) 100% (4) -% (-) 75% (3) Health and wellbeing boards (1) 100% (1) Local authorities (total) Upper tier/unitary Lower tier (10) (5) 60% (6) 40% (2) 80% (4) 50% (5) 60% (3) 30% (3) 20% (1) 20% (2) 10% (1) LINks/(shadow) HealthWatch/patient groups NHS providers Other health professionals 50% (2) 25% (1) Commissioning support services

Criteria 1.4.1B. CCG can demonstrate it has taken steps to communicate its vision and priorities to stakeholders, patients and the public. How satisfied or dissatisfied are you with the steps that Lincolnshire East CCG has taken to communicate its vision and priorities to you? Stakeholder group Base Very/Fairly satisfied Very/Fairly dissatisfied GP member practices (21) 76% (16) 10% (2) CCGs (4) 100% (4) -% (-) Health and wellbeing boards (1) 100% (1) Local authorities (total) Upper tier/unitary Lower tier (10) (5) 50% (5) 40% (2) 60% (3) 30% (3) 20% (1) LINks/(shadow) HealthWatch/patient groups NHS providers 100% (5) Other health professionals 25% (1) Commissioning support services Base: All stakeholders (47)

Criteria 1.4.2A Clinicians have taken steps to engage with LINks/local HealthWatch and patient groups. Which of the following steps, if any, have clinicians from Lincolnshire East CCG taken to communicate its plans and priorities to your organisation?* N - 1 Base: All LINks/HealthWatch and patient groups (1) *Results shown for all over 10%

Strongly/Tend to agree Strongly/Tend to disagree
Criteria 1.4.2A: Clinicians have taken steps to engage with LINks/local HealthWatch and patient groups. To what extent do you agree or disagree that clinicians from Lincolnshire East CCG have actively engaged with your organisation? Strongly/Tend to agree Strongly/Tend to disagree -% (-) 100% (1) Base: All LINks/HealthWatch and patient groups (1)

Criteria 1.4.2A: Clinicians have taken steps to engage with LINks/local HealthWatch and patient groups. How satisfied or dissatisfied are you with the steps taken by clinicians from Lincolnshire East CCG to engage with your organisation? Very/Fairly satisfied Very/Fairly dissatisfied -% (-) 100% (1) Base: All LINks/HealthWatch and patient groups (1)

Criteria 1.4.2B: Positive feedback from LINks/local HealthWatch and patient groups.
To what extent do you agree or disagree with the following statements about the clinical leadership of Lincolnshire East CCG...?* NUMBER - 1 - Base: All LINks/HealthWatch and patient groups (1) * Please note that the name of the CCG was also substituted into the question statements The statements read ‘the CCG’ on this chart for presentation purposes.

Domain 1: Summary Criteria 1.1.D CCG members recognise local quality priority areas identified in CCG plans. Base How much, if anything, would you say you know about Lincolnshire East CCG’s priority areas for quality improvement? 81% (17) a great deal/a fair amount/just a little All member practices (21) Which areas for quality improvement, if any, do you understand to be identified as a priority for Lincolnshire East CCG? Mothers and newborns People with need for support with mental health People with learning disabilities People who need emergency and urgent care People who need routine operations People with long-term conditions People at the end of life People with continuing healthcare needs 16% (3) 42% (8) 21% (4) 68% (13) 26% (5) 74% (14) 58% (11) 63% (12) All member practices who have heard of CCG’s priority areas (19) To what extent do you agree or disagree that these are the right priority areas for Lincolnshire East CCG? 68% (13) strongly/tend to agree Criteria 1.2.D Member practices are involved in decision-making processes and, where appropriate, there are clear arrangements for delegation of functions. Base How involved, if at all, do you feel you have been in decisions about the proposed configuration, structure and governance arrangements for Lincolnshire East CCG? 48% (10) very/fairly involved All member practices (21)

Domain 1: Summary Criteria 1.2.F Examples of member practice involvement in decision-making. Base How effective, if at all, would you say the arrangements are for member participation and decision-making in Lincolnshire East CCG? 67% (14) very/fairly effective All member practices (21) Criteria 1.3.A Arrangements in place for CCG to involve and seek advice from healthcare professionals from secondary, community, mental health, learning disabilities and social care. Base Does Lincolnshire East CCG have arrangements in place to involve you in discussions about local healthcare services and seek your advice, or not? 50% (2) yes, it does All other health professionals (4) To what extent are you satisfied or dissatisfied with these arrangements? 25% (1) very/fairly satisfied How well, if at all, do you think Lincolnshire East CCG understands what you/your group does? 50% (2) very/fairly well Criteria 1.3.C Arrangements in place between LA and CCG specifying how public health advice to CCGs will be delivered. Base Do you have arrangements in place with Lincolnshire East CCG that specify how your local authority will deliver public health advice to the CCG, or not? 60% (3) yes, we do have arrangements in place All upper tier/unitary local authorities (5) How confident are you, if at all, that these arrangements will enable your local authority to deliver public health advice to Lincolnshire East CCG? 100% (3) very/fairly confident All upper tier/unitary local authorities who have arrangements in place (3)

Domain 1: Summary Criteria 1.4.1A: CCG can demonstrate that it has taken steps to communicate its vision and priorities to partners, via its clinical leadership, through the local health and wellbeing board. Base To what extent do you agree or disagree with the following statements about the clinical leadership of Lincolnshire East CCG...? There is clear and visible clinical leadership of Lincolnshire East CCG I have confidence in the clinical leadership of Lincolnshire East CCG to deliver its plans and priorities The clinical leadership of Lincolnshire East CCG will be able to deliver continued quality improvements I have confidence in the clinical leadership of Lincolnshire East CCG to involve other clinical colleagues providing health services locally. 100% (1) strongly/tend to agree 100% (1) strongly/tend to agree All health and wellbeing board members (1) How active, if at all, would you say the clinical leaders of Lincolnshire East CCG are as members of your health and wellbeing board? 100% (1) very/fairly active How well, if at all, would you say the clinical leaders of Lincolnshire East CCG have communicated its vision and priorities to the health and wellbeing board. 100% (1) very/fairly well How consistent, if at all, is the vision that Lincolnshire East CCG's clinical leaders have communicated with the health and wellbeing board’s priorities? 100% (1) very/fairly consistent

Domain 1: Summary Criteria 1.4.1B: CCG can demonstrate it has taken steps to communicate its vision and priorities to stakeholders, patients and the public. Base Which of the following steps, if any, has Lincolnshire East CCG taken to communicate its vision and priorities to you? The CCG has held events, workshops or meetings The CCG has sent out bulletins or other documents The CCG has published information on its website Representatives from the CCG have attended board meetings Representatives from the CCG have attended other meetings The CCG has not taken any steps to communicate its vision and priorities to me 70% (33) 55% (26) 30% (14) 51% (24) 60% (28) 11% (5) All stakeholders (47) How satisfied or dissatisfied are you with the steps that Lincolnshire East CCG has taken to communicate its vision and priorities to you? 68% (32) very/fairly satisfied

Domain 1: Summary Criteria 1.4.2A: Clinicians have taken steps to engage with LINks/local HealthWatch and patient groups. Base Which of the following steps, if any, have clinicians from Lincolnshire East CCG taken to communicate its plans and priorities to your organisation? Clinicians from the CCG have been involved in/present at events, workshops or meetings Clinicians from the CCG have been involved in the publication of bulletins or other documents Clinicians from the CCG have been involved in the publication of information on its website Clinicians from the CCG have attended board meetings Clinicians from the CCG have attended other meetings Clinicians from the CCG have not taken any steps to communicate its plans and priorities to me -% (-) 100% (1) All LINks/ HealthWatch and patient groups (1) To what extent do you agree or disagree that clinicians from Lincolnshire East CCG have actively engaged with your organisation? -% (-) strongly/tend to agree How satisfied or dissatisfied are you with the steps taken by clinicians from Lincolnshire East CCG to engage with your organisation? -% (-) very/fairly satisfied

Domain 1: Summary Criteria 1.4.2B: Positive feedback from LINks/local HealthWatch and patient groups. Base To what extent do you agree or disagree with the following statements about the clinical leadership of Lincolnshire East CCG…? There is clear and visible clinical leadership of Lincolnshire East CCG I have confidence in the clinical leadership of Lincolnshire East CCG to deliver its plans and priorities The clinical leadership of Lincolnshire East CCG will be able to deliver continued quality improvements I have confidence in the clinical leadership of Lincolnshire East CCG to involve other clinical colleagues providing health service locally. -% (-) strongly/tend to agree All LINks/HealthWatch and patient groups (1)

Domain 1: Summary Views on the arrangements to ensure that the clinical perspective is represented within Lincolnshire East CCG vary by stakeholder group. Among member practices, fewer than half feel they were involved in decisions about the proposed configuration, structure and governance arrangements for the CCG, although two-thirds find the subsequent arrangements for member participation effective. Other health professionals outside the CCG have mixed opinions about the arrangements in place for them to feed into decisions about local healthcare services. Two of the four affirm that arrangements are in place, but only one stakeholder is satisfied with those arrangements. The health and wellbeing board member is positive about the clinical leadership of the CCG and indicates that the clinical leaders of Lincolnshire East CCG are engaging effectively with their organisation. The views of the LINks/HealthWatch/patient group stakeholder responding are not as positive however, as the stakeholder tends to voice negative perceptions in these areas.

Domain 2: Meaningful engagement with patients, carers and their communities

Upper tier/unitary local authority Not very/at all involved
Criteria 2.1.2A: CCG has engaged local authority/ties in establishing its geographic area. How involved were you, if at all, in discussions about the geographic area that Lincolnshire East CCG would cover? Upper tier/unitary local authority 0 people say there has been no change in the boundaries for the CCG from previous PCT boundaries Very/Fairly involved Not very/at all involved 20% (1) 60% (3) Base: All upper tier/unitary local authorities (5)

Lower tier local authority Not very/at all involved
Criteria 2.1.2A: CCG has engaged local authority/ties in establishing its geographic area. How involved were you, if at all, in discussions about the geographic area that Lincolnshire East CCG would cover? Lower tier local authority 0 people say there has been no change in the boundaries for the CCG from previous PCT boundaries Very/Fairly involved Not very/at all involved -% (-) 100% (5) Base: All lower tier local authorities (5)

Criteria 2.1.2A: CCG has engaged local authority/ties in establishing its geographic area.
How satisfied or dissatisfied are you with Lincolnshire East CCG's boundaries? Upper tier/unitary local authority 0 people say there has been no change in the boundaries for the CCG from previous PCT boundaries Very/Fairly satisfied Very/Fairly dissatisfied 80% (4) -% (-) Base: All upper tier/unitary local authorities (5)

Criteria 2.1.2A: CCG has engaged local authority/ties in establishing its geographic area.
How satisfied or dissatisfied are you with Lincolnshire East CCG's boundaries? Lower tier local authority 0 people say there has been no change in the boundaries for the CCG from previous PCT boundaries Very/Fairly satisfied Very/Fairly dissatisfied 60% (3) -% (-) Base: All lower tier local authorities (5)

Domain 2: Summary Criteria 2.1.2A: CCG has engaged local authority/ties in establishing its geographic area. Base How involved were you, if at all, in discussions about the geographic area that Lincolnshire East CCG would cover? 10% (1) very/fairly involved 20% (1) very/fairly involved -% (-) very/fairly involved All local authorities (10) Upper tier/unitary local authorities (5) Lower tier local authorities (5) How satisfied or dissatisfied are you with Lincolnshire East CCG's boundaries? 70% (7) very/fairly satisfied 80% (4) very/fairly satisfied 60% (3) very/fairly satisfied

Domain 2: Summary Only one of the ten local authority stakeholders responding says they were involved in discussions about the geographic area of the CCG. However, seven are satisfied with the current boundaries and the other three either don’t know or are neutral.

Domain 3: Clear and credible plans which continue to deliver the QIPP (quality, innovation, productivity and prevention) challenge within financial resources, in line with national requirements (including excellent outcomes) and local joint health and wellbeing strategies.

Criteria 3.1.2A. CCG can demonstrate that the process for developing its plans and priorities was inclusive and transparent. Have you been involved in the development of any of the following activities, or not?* N 20 18 6 19 15 - 16 1 Base: All stakeholders (47) * Results shown for all over 10%

Service or pathway design Developing commissioning intentions
Criteria 3.1.2A. CCG can demonstrate that the process for developing its plans and priorities was inclusive and transparent. Have you been involved in the development of any of the following activities, or not? Stakeholder group Base Service or pathway design Priority setting Resource allocation Developing commissioning intentions Developing joint commissioning arrangements with local authorities or other CCGs None of these Don’t know GP member practices (21) 48% (10) 43% (9) 29% (6) 52% (11) 33% (7) -% (-) CCGs (4) 75% (3) 25% (1) Health and wellbeing boards (1) 100% (1) Local authorities (total) Upper tier/unitary Lower tier (10) (5) 10% (1) 20% (1) 20% (2) 40% (2) 30% (3) 60% (3) 50% (5) LINks/(shadow) HealthWatch/ patient groups NHS providers 80% (4) Other health professionals 50% (2) Commissioning support services

Very/Fairly inclusive Not very/Not at all inclusive
Criteria 3.1.2A. CCG can demonstrate that the process for developing its plans and priorities was inclusive and transparent. Overall, how inclusive, if at all, do you feel the process has been for developing Lincolnshire East CCG's plans and priorities? Stakeholder group Base Very/Fairly inclusive Not very/Not at all inclusive GP member practices (21) 62% (13) 24% (5) CCGs (4) 75% (3) -% (-) Health and wellbeing boards (1) 100% (1) Local authorities (total) Upper tier/unitary Lower tier (10) (5) 60% (6) 60% (3) 10% (1) 20% (1) LINks/(shadow) HealthWatch/patient groups NHS providers 100% (5) Other health professionals 25% (1) 50% (2) Commissioning support services Base: All stakeholders (47)

Very/Fairly transparent Not very/Not at all transparent
Criteria 3.1.2A. CCG can demonstrate that the process for developing its plans and priorities was inclusive and transparent. Overall, how transparent, if at all, do you feel the process has been for developing Lincolnshire East CCG's plans and priorities? Stakeholder group Base Very/Fairly transparent Not very/Not at all transparent GP member practices (21) 71% (15) 24% (5) CCGs (4) 100% (4) -% (-) Health and wellbeing boards (1) 100% (1) Local authorities (total) Upper tier/unitary Lower tier (10) (5) 60% (6) 60% (3) 10% (1) 20% (1) LINks/(shadow) HealthWatch/patient groups NHS providers 100% (5) Other health professionals 25% (1) 50% (2) Commissioning support services Base: All stakeholders (47)

Criteria 3.1.2A. CCG can demonstrate that the process for developing its plans and priorities was inclusive and transparent. Overall, how involved, if at all, do you feel you have been in developing Lincolnshire East CCG's plans and priorities? Stakeholder group Base Very/Fairly involved Not very/Not at all involved GP member practices (21) 48% (10) 52% (11) CCGs (4) 25% (1) 50% (2) Health and wellbeing boards (1) 100% (1) -% (-) Local authorities (total) Upper tier/unitary Lower tier (10) (5) 50% (5) 60% (3) 40% (2) 40% (4) LINks/(shadow) HealthWatch/patient groups NHS providers 100% (5) Other health professionals Commissioning support services Base: All stakeholders (47)

Are you aware of any of the following activities, or not?*
Criteria 3.1.2B. Plans clearly demonstrate where and how the CCG is working with other CCGs to meet QIPP, and can demonstrate that stakeholders are aware of and understand CCG priorities. Are you aware of any of the following activities, or not?* N 9 29 28 11 10 1 Base: All stakeholders (47) * Results shown for all over 10%

Are you aware of any of the following activities, or not?
Criteria 3.1.2B. Plans clearly demonstrate where and how the CCG is working with other CCGs to meet QIPP, and can demonstrate that stakeholders are aware of and understand CCG priorities. Are you aware of any of the following activities, or not? Stakeholder group Base Service decommissioning Management of prescribing spend Management of clinical variation Risk stratification Pathway redesign None of these Don’t know GP member practices (21) 33% (7) 90% (19) 81% (17) 43% (9) 67% (14) 10% (2) -% (-) CCGs (4) 50% (2) 75% (3) 25% (1) 100% (4) Health and wellbeing boards (1) 100% (1) Local authorities (total) Upper tier/unitary Lower tier (10) (5) 10% (1) 20% (1) 20% (2) 40% (2) 40% (4) 60% (3) 50% (5) LINks/(shadow) HealthWatch/patient groups NHS providers 80% (4) Other health professionals Commissioning support services

Have you been involved in any of the following activities, or not?*
Criteria 3.1.2B. Plans clearly demonstrate where and how the CCG is working with other CCGs to meet QIPP, and can demonstrate that stakeholders are aware of and understand CCG priorities. Have you been involved in any of the following activities, or not?* N 3 17 16 5 20 1 Base: All who are aware of activities (36) * Results shown for all over 8%

Have you been involved in any of the following activities, or not?
Criteria 3.1.2B. Plans clearly demonstrate where and how the CCG is working with other CCGs to meet QIPP, and can demonstrate that stakeholders are aware of and understand CCG priorities. Have you been involved in any of the following activities, or not? Stakeholder group Base Service decommissioning Management of prescribing spend Management of clinical variation Risk stratification Pathway redesign None of these Don’t know GP member practices (19) 16% (3) 68% (13) 53% (10) 26% (5) 32% (6) 21% (4) 5% (1) CCGs (4) 0% (-) 50% (2) 100% (4) Health and wellbeing boards (1) 100% (1) Local authorities (total) Upper tier/unitary Lower tier (5) (3) (2) 80% (4) 100% (3) 50% (1) 20% (1) LINks/(shadow) HealthWatch/patient groups (-) NHS providers Other health professionals Commissioning support services

Criteria 3.1.2B. Plans clearly demonstrate where and how the CCG is working with other CCGs to meet QIPP, and can demonstrate that stakeholders are aware of and understand CCG priorities. To what extent, if at all, are you aware of Lincolnshire East CCG's QIPP plans and priorities? Stakeholder group Base Fully aware Aware but not in detail Heard nothing GP member practices (21) 33% (7) 57% (12) 5% (1) CCGs (4) -% (-) 100% (4) Health and wellbeing boards (1) 100% (1) Local authorities (total) Upper tier/unitary Lower tier (10) (5) 50% (5) 60% (3) 40% (2) 30% (3) 20% (1) LINks/(shadow) HealthWatch/patient groups NHS providers 80% (4) Other health professionals 25% (1) 50% (2) Commissioning support services Base: All stakeholders (47)

Not very/Not at all clear
Criteria 3.1.2B. Plans clearly demonstrate where and how the CCG is working with other CCGs to meet QIPP, and can demonstrate that stakeholders are aware of and understand CCG priorities. Overall, how clear, if at all, would you say Lincolnshire East CCG's QIPP plans and priorities are? Stakeholder group Base Very/Fairly clear Not very/Not at all clear GP member practices (19) 68% (13) 26% (5) CCGs (4) 75% (3) -% (-) Health and wellbeing boards (1) 100% (1) Local authorities (total) Upper tier/unitary Lower tier (5) (3) (2) 100% (5) 100% (3) 100% (2) LINks/(shadow) HealthWatch/patient groups (-) NHS providers 25% (1) Other health professionals Commissioning support services Base: All stakeholders who are aware of Lincolnshire East CCG's QIPP plans and priorities (35)

Very/Fairly confident Not very/ Not at all confident
Criteria 3.1.2B. Plans clearly demonstrate where and how the CCG is working with other CCGs to meet QIPP, and can demonstrate that stakeholders are aware of and understand CCG priorities. How confident are you, if at all, that Lincolnshire East CCG's QIPP plans will deliver continuous improvement in quality within the available resources? Stakeholder group Base Very/Fairly confident Not very/ Not at all confident GP member practices (19) 63% (12) 21% (4) CCGs (4) 75% (3) 25% (1) Health and wellbeing boards (1) 100% (1) -% (-) Local authorities (total) Upper tier/unitary Lower tier (5) (3) (2) 100% (5) 100% (3) 100% (2) LINks/(shadow) HealthWatch/patient groups (-) NHS providers 100% (4) Other health professionals Commissioning support services Base: All stakeholders who are aware of Lincolnshire East CCG's QIPP plans and priorities (35)

Criteria 3.1.2C. Member practices understand at least at a high level their local plan and priorities. How well, if at all, would you say that you understand...* NUMBER 10 1 11 9 % well 48 52 * Please note that the name of the CCG was also substituted into the question statements The statements read ‘the CCG’ on this chart for presentation purposes. Base: All member practices (21)

Criteria 3.1.2D. Member practices receive timely information to inform their involvement in CCG planning and monitoring delivery of those plans. How well, if at all, do you understand what is required of your practice in order to implement Lincolnshire East CCG's plans? Very/Fairly well Not very/Not at all well 71% (15) 29% (6) Base: All member practices (21)

Criteria 3.1.2D. Member practices receive timely information to inform their involvement in CCG planning and monitoring delivery of those plans. How satisfied or dissatisfied are you with the timeliness of information you receive from Lincolnshire East CCG to inform your planning and implementation? Very/Fairly satisfied Very/Fairly dissatisfied 62% (13) 29% (6) Base: All member practices (21)

Criteria 3.3H. On-going discussion between the CCG and provider organisations about long-term strategy and plans. How well, if at all, would you say Lincolnshire East CCG and your organisation are working together to develop long-term provider strategy and plans? Very/Fairly well Not very/Not at all well 100% (5) -% (-) Base: All NHS providers (5)

Criteria 3.3H. On-going discussion between the CCG and provider organisations about long-term strategy and plans. How involved, if at all, has Lincolnshire East CCG been in contract or performance negotiations? Very/Fairly involved Not very/Not at all involved 100% (5) -% (-) Base: All NHS providers (5)

Criteria 3.3H. On-going discussion between the CCG and provider organisations about long-term strategy and plans. How well, if at all, would you say Lincolnshire East CCG understands the challenges facing your provider organisation? Very/Fairly well Not very/Not at all well 100% (5) -% (-) Base: All NHS providers (5)

Very/Fairly committed Not very/Not at all committed
Criteria 3.3H. On-going discussion between the CCG and provider organisations about long-term strategy and plans. How committed, if at all, would you say Lincolnshire East CCG has been in helping you as a provider to deliver your QIPP plans? Very/Fairly committed Not very/Not at all committed 80% (4) 20% (1) Base: All NHS providers (5)

Criteria 3.3H. On-going discussion between the CCG and provider organisations about long-term strategy and plans. To what extent do you agree or disagree with the following statements about the clinical leadership of Lincolnshire East CCG…?* NUMBER 5 - % agree 100 * Please note that the name of the CCG was also substituted into the question statements The statements read ‘the CCG’ on this chart for presentation purposes. Base: All NHS providers (5)

Domain 3: Summary Criteria 3.1.2A: CCG can demonstrate that the process for developing its plans and priorities was inclusive and transparent. Base Have you been involved in the development of any of the following activities, or not? Service or pathway design Priority setting Resource allocation Developing commissioning intentions Developing joint commissioning arrangements with local authorities or other CCGs None of these 43% (20) 38% (18) 13% (6) 40% (19) 32% (15) 34% (16) All stakeholders (47) Overall, how inclusive, if at all, do you feel the process has been for developing Lincolnshire East CCG's plans and priorities? 64% (30) very/fairly inclusive Overall, how transparent, if at all, do you feel the process has been for developing Lincolnshire East CCG's plans and priorities 70% (33) very/fairly transparent Overall, how involved, if at all, do you feel you have been in developing Lincolnshire East CCG's plans and priorities? 49% (23) very/fairly involved

Domain 3: Summary Criteria 3.1.2B: CCG can demonstrate where and how the CCG is working with other CCGs to meet QIPP, and can demonstrate that stakeholders are aware of and understand CCG priorities Base Are you aware of any of the following activities, or not? Service decommissioning Management of prescribing spend Management of clinical variation Risk stratification Pathway redesign None of these 19% (9) 62% (29) 60% (28) 23% (11) 21% (10) All stakeholders (47) Have you been involved in any of the following activities or not? 8% (3) 47% (17) 44% (16) 14% (5) 56% (20) All who have been aware of activities (36) To what extent, if at all, are you aware of Lincolnshire East CCG's QIPP plans and priorities? 74% (35) fully aware of them/aware of them but not in detail Overall, how clear, if at all, would you say Lincolnshire East CCG's QIPP plans and priorities are? 77% (27) very/fairly clear All stakeholders who are aware of QIPP plans and priorities (35)

Domain 3: Summary How confident, are you, if at all, that Lincolnshire East CCG's QIPP plans will deliver continuous improvement in quality within the available resources? 77% (27) very/fairly confident All stakeholders who are aware of QIPP plans and priorities (35) Criteria 3.1.2C: Member practices understand at least at a high level their local plan and priorities. Base How well, if at all, would you say that you understand… The financial implications of Lincolnshire East CCG's plan? The implications of Lincolnshire East CCG's plan for service improvement? The referral and activity implications of Lincolnshire East CCG's plan? 48% (10) very/fairly well 52% (11) very/fairly well All member practices (21) Criteria 3.1.2D: Member practices receive timely information to inform their involvement in CCG planning and monitoring delivery of those plans. Base How well, if at all, do you understand what is required of your practice in order to implement Lincolnshire East CCG's plans? 71% (15) very/fairly well All member practices (21) How satisfied or dissatisfied are you with the timeliness of information you receive from Lincolnshire East CCG to inform your planning and implementation? 62% (13) very/fairly satisfied

Domain 3: Summary Criteria 3.3H. On-going discussion between CCG and provider organisations about long-term strategy and plans. Base How well, if at all, would you say Lincolnshire East CCG and your organisation are working together to develop long-term provider strategy and plans? 100% (5) very/fairly well All providers (5) How involved, if at all, has Lincolnshire East CCG been in contract or performance negotiations? 100% (5) very/fairly involved How well, if at all, would you say Lincolnshire East CCG understands the challenges facing your provider organisation? How committed, if at all, would you say Lincolnshire East CCG has been in helping you as a provider to deliver your QIPP plans? 80% (4) very/fairly committed To what extent do you agree or disagree with the following statements about the clinical leadership of Lincolnshire East CCG…? There is clear and visible clinical leadership of Lincolnshire East CCG I have confidence in the clinical leadership of Lincolnshire East CCG to deliver its plans and priorities The clinical leadership of Lincolnshire East CCG will be able to deliver continued quality improvements I have confidence in the clinical leadership of Lincolnshire East CCG to involve other clinical colleagues providing health services locally 100% (5) strongly/tend to agree

Domain 3: Summary Awareness and understanding of the CCG’s QIPP plans and priorities is fairly high, with three-quarters of stakeholders at least aware of Lincolnshire East CCG’s QIPP plans and priorities – though this is lower than the average for Wave 3. Among those who are aware of the plans, approaching four in five consider them to be clear, in line with the Wave 3 average. A similar proportion are confident they will deliver continuous improvements in quality within the available resources – a finding that is more positive than that of Wave 3 aspiring CCGs overall. Four of the five stakeholders from NHS providers think the CCG is committed to helping them deliver their own QIPP plans.

Domain 5: Collaborative arrangements for commissioning with other CCGs, local authorities and the NHSCB as well as the appropriate commissioning support

Views of health and wellbeing board members
Criteria 5.3A: Where the need for integrated commissioning has been identified by the health and wellbeing board and in the JHWS, CCGs are collaborating with the local authority to develop shared plans. Has a need for integrated commissioning between Lincolnshire East CCG and the local authority been identified by your health and wellbeing board and in the JHWS, or not? Yes No 100% (1) -% (-) Views of health and wellbeing board members Base: All health and wellbeing board members (1)

Not very/Not at all well Views of health and wellbeing board members
Criteria 5.3A: Where the need for integrated commissioning has been identified by the health and wellbeing board and in the JHWS, CCGs are collaborating with the local authority to develop shared plans. How well, if at all, would you say Lincolnshire East CCG and the local authority are working together to develop shared plans for integrated commissioning? Very/Fairly well Not very/Not at all well 100% (1) -% (-) Views of health and wellbeing board members Base: All health and wellbeing board members where a need for integrated commissioning has been identified (1)

Views of upper tier/unitary local authorities
Criteria 5.3A: Where the need for integrated commissioning has been identified by the health and wellbeing board and in the JHWS, CCGs are collaborating with the local authority to develop shared plans. Has a need for integrated commissioning between Lincolnshire East CCG and your local authority been identified by the health and wellbeing board and in the JHWS, or not? Yes No 60% (3) -% (-) Views of upper tier/unitary local authorities Base: All upper tier/unitary local authorities (5)

Views of lower tier local authorities
Criteria 5.3A: Where the need for integrated commissioning has been identified by the health and wellbeing board and in the JHWS, CCGs are collaborating with the local authority to develop shared plans. Has a need for integrated commissioning between Lincolnshire East CCG and your local authority been identified by the health and wellbeing board and in the JHWS, or not? Yes No 20% (1) 40% (2) Views of lower tier local authorities Base: All lower tier local authorities (5)

Not very/Not at all well Views of upper tier/unitary local authorities
Criteria 5.3A: Where the need for integrated commissioning has been identified by the health and wellbeing board and in the JHWS, CCGs are collaborating with the local authority to develop shared plans. How well, if at all, would you say Lincolnshire East CCG and your local authority are working together to develop shared plans for integrated commissioning? Very/Fairly well Not very/Not at all well 100% (3) -% (-) Views of upper tier/unitary local authorities Base: All upper tier/unitary local authorities where a need for integrated commissioning has been identified (3)

Not very/Not at all well Views of lower tier local authorities
Criteria 5.3A: Where the need for integrated commissioning has been identified by the health and wellbeing board and in the JHWS, CCGs are collaborating with the local authority to develop shared plans. How well, if at all, would you say Lincolnshire East CCG and your local authority are working together to develop shared plans for integrated commissioning? Very/Fairly well Not very/Not at all well 100% (1) -% (-) Views of lower tier local authorities Base: All lower tier local authorities where a need for integrated commissioning has been identified (1)

Criteria 5.3B. Clear line of accountability for safeguarding is reflected in CCG governance arrangements, and CCG has arrangements in place to co-operate with the local authority in the operation of the Local Safeguarding Children Board and the Safeguarding Adults Board. Does Lincolnshire East CCG have arrangements in place with your local authority to co-operate in the operation of the Local Safeguarding Children Board, or not? Yes No 60% (3) -% (-) Base: All upper tier/unitary local authorities (5)

Very/Fairly appropriate Not very/Not at all appropriate
Criteria 5.3B. Clear line of accountability for safeguarding is reflected in CCG governance arrangements, and CCG has arrangements in place to co-operate with the local authority in the operation of the Local Safeguarding Children Board and the Safeguarding Adults Board. How appropriate, if at all, would you say the arrangements are for Lincolnshire East CCG and your local authority to co-operate in the operation of the Local Safeguarding Children Board? Very/Fairly appropriate Not very/Not at all appropriate 100% (3) -% (-) Base: All upper tier/unitary local authorities that have arrangements in place (3)

Know name, role, or how to contact
Criteria 5.3B. Clear line of accountability for safeguarding is reflected in CCG governance arrangements, and CCG has arrangements in place to co-operate with the local authority in the operation of the Local Safeguarding Children Board and the Safeguarding Adults Board. Do you know who will be accountable for safeguarding children within Lincolnshire East CCG, or not? Know name, role, or how to contact Do not know at all 60% (3) 20% (1) Base: All upper tier/unitary local authorities (5)

Criteria 5.3B. Clear line of accountability for safeguarding is reflected in CCG governance arrangements, and CCG has arrangements in place to co-operate with the local authority in the operation of the Local Safeguarding Children Board and the Safeguarding Adults Board. Does Lincolnshire East CCG have arrangements in place with your local authority to co-operate in the operation of the Safeguarding Adults Board, or not? Yes No 40% (2) -% (-) Base: All upper tier/unitary local authorities (5)

Very/Fairly appropriate Not very/Not at all appropriate
Criteria 5.3B. Clear line of accountability for safeguarding is reflected in CCG governance arrangements, and CCG has arrangements in place to co-operate with the local authority in the operation of the Local Safeguarding Children Board and the Safeguarding Adults Board. How appropriate, if at all, would you say the arrangements are for Lincolnshire East CCG and your local authority to co-operate in the operation of the Safeguarding Adults Board? Very/Fairly appropriate Not very/Not at all appropriate 100% (2) -% (-) Base: All upper tier/unitary local authorities that have arrangements in place (2)

Know name, role, or how to contact
Criteria 5.3B. Clear line of accountability for safeguarding is reflected in CCG governance arrangements, and CCG has arrangements in place to co-operate with the local authority in the operation of the Local Safeguarding Children Board and the Safeguarding Adults Board. Do you know who will be accountable for safeguarding adults within Lincolnshire East CCG, or not? Know name, role, or how to contact Do not know at all 40% (2) 20% (1) Base: All upper tier/unitary local authorities (5)

Criteria 5.4A. CCG can demonstrate how they have identified their commissioning support intentions. How well, if at all, would you say Lincolnshire East CCG has communicated its support needs to you? Very/Fairly well Not very/Not at all well 100% (1) -% (-) Base: All commissioning support services (1)

Criteria 5.4A. CCG can demonstrate how they have identified their commissioning support intentions. How well, if at all, would you say Lincolnshire East CCG and your organisation are working together to develop commissioning support arrangements? Very/Fairly well Not very/Not at all well 100% (1) -% (-) Base: All commissioning support services (1)

A great deal/Fair amount Not very much/Not at all
Criteria 5.4A. CCG can demonstrate how they have identified their commissioning support intentions. To what extent, if at all, do you feel Lincolnshire East CCG has engaged with you in agreeing the Service Level Agreement (SLA) or contract? A great deal/Fair amount Not very much/Not at all 100% (1) -% (-) Base: All commissioning support services (1)

Criteria 5.4A. CCG can demonstrate how they have identified their commissioning support intentions. How satisfied or dissatisfied are you with the way in which Lincolnshire East CCG has worked with you to develop the Service Level Agreement (SLA) or contract? Very/Fairly satisfied Very/Fairly dissatisfied 100% (1) -% (-) Base: All commissioning support services (1)

Criteria 5.4A. CCG can demonstrate how they have identified their commissioning support intentions.
How confident are you, if at all, that Lincolnshire East CCG has the following in place to be able to fulfil its part of the SLA or contract? % confident NUMBER 1 - 100 Base: All commissioning support services (1)

Criteria 5.4A. CCG can demonstrate how they have identified their commissioning support intentions.
Which of the following best describes the SLA or contract between Lincolnshire East CCG and your CSS? Base: All commissioning support services (1)

Domain 5: Summary Criteria 5.3A. Where the need for integrated commissioning has been identified by the health and wellbeing board and in the JHWS, CCGs are collaborating with the local authority(ties) to develop shared plans. Base Has a need for integrated commissioning between Lincolnshire East CCG and the local authority been identified by your health and wellbeing board and in the JHWS, or not? 100% (1) yes All health and wellbeing board members(1) How well, if at all, would you say Lincolnshire East CCG and the local authority are working together to develop shared plans for integrated commissioning? 100% (1) very/fairly well All health and wellbeing board members where a need for integrated commissioning has been identified (1) Has a need for integrated commissioning between Lincolnshire East CCG and your local authority been identified by the health and wellbeing board and in the JHWS, or not? 40% (4) yes 60% (3) yes 20% (1) yes All local authorities (10) All upper tier/unitary local authorities (5) All lower tier local authorities (5) How well, if at all, would you say Lincolnshire East CCG and your local authority are working together to develop shared plans for integrated commissioning? 100% (4) very/fairly well 100% (3) very/fairly well All local authorities where a need for integrated commissioning has been identified (4) All upper tier/unitary local authorities (3) All lower tier local authorities (1)

Domain 5: Summary Criteria 5.3B. Clear line of accountability for safeguarding is reflected in CCG governance arrangements, and CCG has arrangements in place to co-operate with the local authority in the operation of the Local Safeguarding Children Board and the Safeguarding Adults Board. Base Does Lincolnshire East CCG have arrangements in place with your local authority to co-operate in the operation of the Local Safeguarding Children Board, or not? 60% (3) yes All upper tier/unitary local authorities (5) How appropriate, if at all, would you say the arrangements are for Lincolnshire East CCG and your local authority to co-operate in the operation of the Local Safeguarding Children Board? 100% (3) very/fairly appropriate All upper tier/unitary that have arrangements in place (3) Do you know who will be accountable for safeguarding children within Lincolnshire East CCG, or not? 60% (3) yes (know name, role, or how to contact) All upper tier/unitary local authorities (5) Does Lincolnshire East CCG have arrangements in place with your local authority to co-operate in the operation of the Safeguarding Adults Board, or not? 40% (2) yes How appropriate, if at all, would you say the arrangements are for Lincolnshire East CCG and your local authority to co-operate in the operation of the Safeguarding Adults Board? 100% (2) very/fairly appropriate All upper tier/unitary that have arrangements in place (2) Do you know who will be accountable for safeguarding adults within Lincolnshire East CCG, or not? 40% (2) yes (know name, role, or how to contact)

Domain 5: Summary Criteria 5.4A. CCG can demonstrate how they have identified their commissioning support intentions. Base How well, if at all, would you say Lincolnshire East CCG has communicated its support needs to you? 100% (1) very/fairly well All commissioning support services (1) How well, if at all, would you say Lincolnshire East CCG and your organisation are working together to develop commissioning support arrangements? To what extent, if at all, do you feel Lincolnshire East CCG has engaged with you in agreeing the Service Level Agreement (SLA) or contract? 100% (1) a great deal/fair amount How satisfied or dissatisfied are you with the way in which Lincolnshire East CCG has worked with you to develop the Service Level Agreement (SLA) or contract? 100% (1) very/fairly satisfied All commissioning support services (1) How confident are you, if at all, that Lincolnshire East CCG has the following in place to be able to fulfil its part of the SLA or contract? Skills and experience within the leadership team B. Capacity to oversee the relationship between the CCG and your CSS C. Seniority and experience to oversee the relationship between the CCG and your CSS D. Systems and processes within the CCG to articulate its commissioning support requirements 100% (1) very/fairly confident Which of the following best describes the SLA or contract between Lincolnshire East CCG and your CSS? 100% (1) the SLA is fit for purpose for the longer term

Domain 5: Summary Stakeholders are broadly satisfied that collaborative arrangements are in place and working well within Lincolnshire East CCG. Of the four local authority stakeholders who say a need for integrated commissioning has been identified, all feel the CCG is working well with them to develop shared plans. Arrangements seem to be in place with the upper tier local authority to safeguard both children and adults. Three of the five upper tier local authority stakeholders are aware of arrangements for safeguarding children and two are aware of these in relation to adults. All who are aware of these arrangements think they are very appropriate and at least two know the name, role or how to contact the person accountable for each. The relationship with the CSS appears to be working well and the stakeholder is confident in the CCG’s ability to fulfil its part of the SLA or contract. This stakeholder also indicates that the SLA or contract is fit for purpose for the longer term.

Domain 6: Great leaders who individually and collectively can make a real difference

Not very/ Not at all well
Criteria 6.2A. Systems in place to sustain two-way accountability between members. How well, if at all, do you understand your responsibilities as a member practice, as set out in Lincolnshire East CCG's constitution? Very/Fairly well Not very/ Not at all well 76% (16) 24% (5) Base: All member practices (21)

Criteria 6.2A. Systems in place to sustain two-way accountability between members. How well, if at all, do you understand the responsibilities of Lincolnshire East CCG's governing body towards you as a member practice, as set out in Lincolnshire East CCG's constitution? Very/Fairly well Not very/Not at all well 62% (13) 38% (8) Base: All member practices (21)

Criteria 6.2A. Systems in place to sustain two-way accountability between members. How confident are you, if at all, in the systems to sustain two-way accountability between the CCG and its member practices in Lincolnshire East CCG? Very/Fairly confident Not very/Not at all confident 57% (12) 38% (8) Base: All member practices (21)

Arrangements not in place
Criteria 6.2A. Systems in place to sustain two-way accountability between members. Are there clear arrangements in place for the delegation of functions within Lincolnshire East CCG, at the point of authorisation, or not? Arrangements in place Arrangements not in place 52% (11) 29% (6) Base: All member practices (21)

Criteria 6.2A. Systems in place to sustain two-way accountability between members. How satisfied or dissatisfied are you with the arrangements in place for the delegation of functions within Lincolnshire East CCG? Very/Fairly satisfied Very/Fairly dissatisfied 73% (8) 9% (1) Base: All member practices who say there are arrangements in place (11)

Criteria 6.4C. Documented support of members for Chair of governing body. How confident are you, if at all, in the leadership provided by the Designate Chair of Lincolnshire East CCG's governing body? Very/Fairly confident Not very/Not at all confident 71% (15) 19% (4) Base: All member practices (21)

Domain 6: Summary Criteria 6.2A. Systems in place to sustain two-way accountability between members. Base How well, if at all, do you understand your responsibilities as a member practice, as set out in Lincolnshire East CCG's constitution? 76% (16) very/fairly well All member practices (21) How well, if at all, do you understand the responsibilities of Lincolnshire East CCG's governing body towards you as a member practice, as set out in Lincolnshire East CCG's constitution? 62% (13) very/fairly well How, confident are you, if at all, in the systems to sustain two-way accountability between the CCG and its member practices in Lincolnshire East CCG? 57% (12) very/fairly confident Are there clear arrangements in place for the delegation of functions within Lincolnshire East CCG, at the point of authorisation, or not? 52% (11) there are arrangements How satisfied or dissatisfied are you with the arrangements in place for the delegation of functions within Lincolnshire East CCG? 73% (8) very/fairly satisfied All member practices where arrangements are in place (11) Criteria 6.4C. Documented support of members for Chair of governing body. Base How confident are you, if at all, in the leadership provided by the Designate Chair of Lincolnshire East CCG's governing body? 71% (15) very/fairly confident All member practices (21)

Domain 6: Summary Views of the governance structures within Lincolnshire East CCG are fairly positive. Three-quarters of member practices report a good understanding of their own responsibilities under the CCG’s constitution, whilst three in five say they understand the responsibilities of the governing body towards them. Similarly, approaching three in five are confident in the systems to sustain two-way accountability and just over half of the member practices say there are arrangements in place for the delegation of functions within the CCG. Where member practices are aware of these arrangements, they tend to be satisfied with them. The majority of member practices have confidence in the leadership provided by the Designate Chair of the CCG’s governing body, although four do not and two are unsure, which is slightly lower than the Wave 3 average. The views of member practices are sometimes in line with the Wave 3 average, although sometimes they are a little less positive about governance arrangements than other CCGs in Wave 3. This work was carried out in accordance with the requirements of the international quality standard for market research, ISO 20252:2006 and with the Ipsos MORI Terms and Conditions which can be found here

Lincolnshire East CCG CCG authorisation 360o stakeholder survey report.

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Lincolnshire East CCG CCG authorisation 360o stakeholder survey report.

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