Transcript Safety, Quality & Patient Experience

Health Quality
Matters
Joan Plant
Head 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 Partnership
Health & Well
Being Board
WHHT
Transformation
Board
Safeguarding
Children Board
Adult
Safeguarding
Board
Care Homes
Steering Group
HVCCG
Programme
Boards
Herts HCAI
Board
Community
Safety
Partnerships
Chief
Executives
Forum
What is Quality?
Workforce
High quality
care requires
all dimensions
to be present
A
c
c
e
s
s
A
c
c
e
s
s
Cost effectiveness
Workforce
Compassionate Care
Culture /
capability
Use of soft
intelligence &
meaningful
debate &
performance
management
Developing
relationships
with providers
Contracts to
drive quality
improvement
Developing
relationships
with patients,
carers…
Mature quality
markers
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 Framework
Clinical 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
Expert
Clinical
Workforce &
Leadership
Safeguarding
quality
Putting
Patients
First
Incentivise
quality
improvement
Contractual
arrangements
for quality
standards
Innovation
through
engagement
with public,
patients &
clinicians
Measure
and
publish
quality
outcomes
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 Indicators
Question 1
From this list which is the one area you feel requires
the most input from your CCG Quality Team
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A. GP input into the Care
Homes
B. Understanding of
Safeguarding
C. Understanding of Contract
requirements?
D. Admission criteria?
E. Other
Quality Indicators
Question 2
From this list which area would you like further
assistance to meet the outcomes for Service Users.
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A. Person Centred Care
planning
B. Audit tools
C. Dependency tools
D. Infection prevention
audit tools
E. Other
Quality Indicators
Question 3
Which of these do you have the most difficulty gaining
access to?
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Quality Indicators
Question 4
What would support me most to deliver care to a
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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
Thank you for your help
Joan Plant HVCCG
[email protected]
Where other was ticked please email
[email protected] with information