Performance Management Framework

Governing Body

4 July 2013

Performance Management Framework

• Direction of Travel – agree?

• Governance Structure for Performance

• Hierarchy of Reports/Information

• Performance Information & Assurance

• Performance Reporting Structure

• Governing Body Performance Report

• Performance On A Page

Governance Structure for Performance

Governing Body

Audit Committee

Remuneration Committee

Quality and Patient Safety

Committee

Clinical

Executive

Performance Reporting Hierarchy

Performance Management

Performance Information

Performance Information

Performance Information

• Formal Reports to Groups/Committees

• Electronically available Information Sheets (Data Compendium)

• On-line Dashboards

• On-line to Real-time information

Performance Reports CSU

CCG Performance Assurance Questions

• Is the CCG ensuring people are getting good quality care and ensuring there are no serious quality issues (QP)? (Contract Quality measures & CQUINS, SIRIs, and including primary care)

• Is the CCG improving health outcomes for patients? (Everyone Counts outcomes –

Commissioning Outcomes Framework and local measures, and Quality Premium)

• Is the CCG ensuring patients’ rights are promoted? (NHS Constitution Pledges)

• Is the CCG delivering services within its financial plans and is the CCG managing its business efficiently? (Finance & Efficiency - including workforce ratios) (Contract Performance (health services, commissioning support and corporate – including incentive schemes, referrals, waiting lists and activity trends)

• Is the CCG delivering its Strategic plan? (Local Strategy, Operational Plan and

Delivery Plan outcomes - ?H&WB Strategy contribution) • Is the CCG ensuring that information is appropriately used to drive change? (NHS

Number)

Performance Knowledge Management Database

• NHS Outcomes Framework • Commissioning Outcomes Framework & Local 3 • NHS Constitution Pledges • Mandate Pre-existing Commitments • Quality Premium • Quality Standards in Contracts • Commissioning Assurance Framework metrics (additional) • CCG Local Strategy & local measures (inc QIPP) • Contract Activity and Hotspot information & MAR • Provider returns metrics (eg NHS Thermometer – pressure ulcers, CQC

compliance) • Benchmarking Info. Inc PH, Audit outcomes, JSNA etc. • Primary Care performance affecting delivery of health system

(referrals/budgets) • Financial Indicators and Business Efficiency Indicators

Governing Body Performance Report

Performance Report Structure

• Part A – “Performance-on-A-Page” and Narrative Highlights Summary • Part B – Financial Performance - highlights

(also including financial efficiency measures and achievement of surplus and QIPP savings targets, Contract Activity Performance (Health Services and Individual Placements) against planned activity, Referrals)

• Part C – Quality Outcomes Performance - highlights (including Patient Safety, Patient Experience, Clinical Outcomes, Commissioning Outcomes Framework & Local Targets, CQUINS and Contractual standards achievement)

• Part D – Standards Performance - highlights (including NHS Constitution Pledges, additional Local and National Targets,) (and variations against expected Primary Care Performance at Locality/GP Practice Level , Local Incentive Schemes)

• Part E – Management Performance - highlights (Operational Plan and Delivery Plan milestone achievement and QIPP milestones, CSU & Other Corporate Contracts performance, Workforce and Other Business Efficiency Indicators, Authorisation conditions)

• Part F – Hot Topics (including Areas under additional scrutiny and drill down, Winterbourne View Action Plan review, presentation of “external” reports; benchmarking; CCG Profiles, Public Health data, HPA Reports, PROMS, Clinical Audit Reports) (also presentation of financial reports – Accounts, FIMS, Programme Budgeting (successor), Reference Costs, Audit Report Recommendations, Issues and Action Plans, etc.)

Performance On A Page

Performance Management Framework

Is this the right direction???