Dorset Clinical Commissioning Group

CCG Assurance

NHS England Assessment of CCG Performance

 

NHS England has introduced a new Improvement and Assessment Framework for CCGs (CCG IAF) from 2016/17 onwards, to replace both the existing CCG Assurance Framework and separate CCG performance dashboard. In the Government’s Mandate to NHS England, this new framework takes an enhanced and more central place in the overall arrangements for public accountability of the NHS. 

The new framework covers indicators located in four domains, which are:

  • Better Health: this section looks at how the CCG is contributing towards improving the health and wellbeing of its population, and bending the demand curve;
  • Better Care: this principally focuses on care redesign, performance of constitutional standards, and outcomes, including important clinical areas;
  • Sustainability: this section looks at how the CCG is remaining in financial balance, and is securing good value for patients and the public from the money it spends;
  • Leadership: this domain assesses the quality of the CCG’s leadership, the quality of its plans, how the CCG works with its partners, and the governance arrangements that the CCG has in place to ensure it acts with probity, for example in managing conflicts of interest.

More information against the indicators can be seen by clicking on the year banner below and also on the MyNHS website.  Information on previous years which were assessed under a different framework for 2014/15 and 2015/16 can also be found below.

Additional information will be added when it is made available.

2016/17

The table below shows NHS Dorset CCG's assessment for quarter 1 against two domains and also the baseline assessment for the six clinical priority areas. 

Domain

Q1

Well-led: Quality of leadership

Green

Sustainability: Financial plan

Amber

 

Initial assessment

Better Care:

 

Cancer

Needs improvement 

Mental health

Top performing

Learning disability

Needs improvement

Maternity

Performing well

Dementia 

Needs improvement

Better Health:

 

Diabetes

 Needs improvement

Possible categories for clinical priority areas:

  • Top performing
  • Performing well
  • Needs improvement
  • Greatest need for improvement

2015/16

The CCG assurance domains have been redefined from the previous year, and for 2015/16 are as follows:

  • Domain 1: Well-led organisation
  • Domain 2: Performance
  • Domain 3: Financial management
  • Domain 4: Planning
  • Domain 5: Delegated functions

NHS Dorset CCG Performance

The table below shows NHS Dorset CCG's assessment against the assurance domains for the year.

NHS England (Wessex) has given an assurance categorisation to NHS Dorset CCG as ‘assured as good’ for all five domains with an overall rating as ‘assured as good’.  This assessment was  subject to local, regional and national moderation.  Year-end outcomes from the CCG Assessment Framework 2015/16 for all CCGs are available at: www.england.nhs.uk/commissioning/ccg-auth

Domain

 2015/16

Domain 1

Assured as good

Domain 2

Assured as good

Domain 3

Assured as good

Domain 4

Assured as good

Domain 5

Assured as good

 

Possible Assurance Categories

Assured as outstanding

Assured as good

Limited assurance, requires improvement

Not assured

As part of the assurance process a 360o stakeholder survey is undertaken by NHS England on behalf of CCGs via Ipsos MORI. The full report can be viewed here.

2014/15

The assurance headline for 2014/15 was Assured with Support.

The six CCG assurance domains for 2014/15 were:

  • Domain 1: are patients receiving clinically commissioned, high quality services?
  • Domain 2: are patients and the public actively engaged and involved?
  • Domain 3: are CCG plans delivering better outcomes for patients?
  • Domain 4: does the CCG have robust governance arrangements in place?
  • Domain 5: are CCGs working in partnership with others?
  • Domain 6: does the CCG have strong and robust leadership?

NHS Dorset CCG Performance

The table below identifies NHS Dorset CCG performance against the assurance domains.

 Domain      2014/15
 Quarter 1  Quarter 2  Quarter 3 Quarter 4 
 Domain 1  Assured with Support  Assured  Assured  Assured
 Domain 2  Assured with Support  Assured  Assured  Assured
 Domain 3  Assured with Support  Assured with Support  Assured with Support  Assured with Support
 Domain 4  Assured with Support  Assured  Assured  Assured
 Domain 5  Assured  Assured  Assured  Assured with Support
 Domain 6  Assured with Support  Assured  Assured  Assured

 Assurance Categories

 Assured
 Assured with Support
 Not Assured - intervention required

 

As part of the assurance process a 360 stakeholder survey was undertaken in 2015 and the full report can be viewed here.