National assessments of performance in 2008/09 and 2009/10
The Healthcare Commission, which has previously been responsible for carrying
out the Annual Health Check, ceased to exist from 31st March 2009. It has
merged with the Commission for Social Care Inspection and the Mental Health Act
Commission to form the Care Quality Commission, an independent regulatory body
who, from April 1st 2009, will bring together the best inspection and regulation
methods from those three bodies.
2008/09
The Care Quality Commission will publish the results for the
2008/09 Annual Health Check in autumn 2009. PCTs will be assessed against the
quality of its healthcare services and quality of financial management:
Quality of services
- Core standards
- Existing national targets
- National priorities (based on Vital Signs)
Quality of financial management
- Use of resources assessment (carried out by Audit Commission)
PCTs will receive an overall scoring of Excellent, Good, Fair or Weak against each of the two components.
2009/10
The Care Quality Commission intends to assess PCTs and adult social care
separately in 2009/10, with a view to laying a foundation for a future common
assessment of PCT and council commissioning from 2010/11 onwards.
It has two parts to its overall assessment of PCT performance: the quality of its healthcare services, and how effectively it manages its financial resources. It has recently consulted with trusts on the approach for 2009/10. It is envisaged that the Care Quality Commission will use a similar approach to that of the Healthcare Commission for assessing PCT performance:
- Assessment of performance against a range of national priorities – (a selection of) Tiers 1 and 2 of the Vital Signs and existing commitments.
- Assessment of commissioning processes using information from the World Class Commissioning assurance system.
- Quality of financial management.
NHS bodies that provide services will also be assessed by the Care Quality Commission. The PCT, in its role as a service provider, will be required to submit a declaration against the Standards for Better Health in November 2009. Providers will also be assessed against quality of financial management and a range of indicators tailored to the services provided by each trust type.
Final guidance on the process for 2009/10 assessment is due to be published by the Care Quality Commission in the summer of 2009.
Local assessment of performance
In addition to reports that go to the PCT Board on specific service
areas, the PCT also has a Performance Management Framework in
place which is the tool by which the PCT assesses progress in delivering
its objectives as set out in the Operational Plan (available on the PCT’s
website). Previously known as the ‘Local Delivery Plan’, the Operational Plan is
produced annually and
sets out the developments the PCT is planning over the next
year to improve health and well-being and health services. It also
describes how the PCT will deliver progress against national and local
priorities and has taken into account
the views of PCT stakeholders.
The Performance Management Framework sets out two strands of reporting to the PCT Board:
Monthly performance reports:
These reports outline performance against key national priorities, including
performance against targets such a 4 hour Accident & Emergency waits, Referral
to Treatment waiting times, ambulance response times and smoking cessation.
Comprehensive quarterly performance reports:
Whilst it is recognised that the PCT has national requirements, the
organisation’s objectives also relate to a much broader local work programme.
The comprehensive quarterly report has been developed to capture and give a high
level overview of all aspects of the PCT’s work. It includes updates on
performance against:
- National priorities (including the Annual Health Check);
- Local priorities (including updates on progress against the streams of work taking place to ensure delivery of the PCT’s principal objectives, plus Key Performance Indicators for supporting functions within the PCT);
- Clinical quality (based on clinical indicators set out in our contracts with our providers); and
- Patient experience (e.g. complaints, compliments and PALS performance).
Electronic copies of the monthly and quarterly performance reports can be found on the PCT’s website under the Board section.
Performance pre 2008/9
Annual Health Check performance ratings for NHS
North Somerset from 2005/6 to 2007/8 can be found here:
Annual Health Check Performance
Ratings Pre 2008
Queries relating to performance matters can be directed to: Louise Morley, Performance Manager - louise.morley@nsomerset-pct.nhs.uk
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