1. Health Quality Matters Joan Plant Head of Service Improvement September 2013

2. 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’.

3. Whose business is quality?

4. Everyone's

5. Working & Learning in Partnership Health & 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

6. What is Quality? Cost effectiveness High quality care requires all dimensions to be present Workforce Access Access Access Access

7. 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

8. 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

9. Herts Valleys Clinical Strategy:

10. 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

11. Quality Framework Clinical EffectivenessPatient SafetyPatient 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 ScoresQuality Review Meetings National Quality & Outcome Framework Cleanliness and HCAIComplaints & PALs DataExecutive Review Meetings National & Local Clinical Audits Tissue Viability Same Sex Accommodation Data Quality Site Visits CQUIN SchemesSerious Incident DataProductive 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

12. 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

13. 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?

14. 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

15. 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

16. 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

17. Quality Indicators Question 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

18. Quality Indicators Question 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 tools C.Dependency tools D.Infection prevention audit tools E.Other

19. Quality Indicators Question 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

20. Quality Indicators Question 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

21. Thank you for your help Joan Plant HVCCG Joan.plant@hertsvalleysccg.nhs.uk Where other was ticked please email admin@hcpa.info with information admin@hcpa.info