Quality – What is quality?
In March 2011, the Department of Health published the NHS Constitution. It sets out the guiding principles of the NHS and peoples’ rights as an NHS patient.
There are seven key principles to guide the NHS in all it does.
- The NHS provides a comprehensive service, available to all
- Access to NHS services is based on clinical need, not an individual’s ability to pay
- The NHS aspires to the highest standards of excellence and professionalism
- The patient will be at the heart of everything the NHS does
- The NHS works across organisational boundaries
- The NHS is committed to providing best value for taxpayers’ money
- The NHS is accountable to the public, communities and patients that it serves
NHS Values – Working together for patients
- Respect and dignity
- Commitment to quality of care
- Improving lives
- Everyone counts
Commitment to quality of care
The NHS Constitution is committed to ensuring high quality care is delivered and patients have a positive experience of care and have improved health outcomes as a result of their care experience.
In 2008 Lord Darzi described three Domains of quality (High Quality Care for All DH, 2008). These Domains frame the current way in which the quality of care is scrutinized. The Domains are:
- Safety of treatment and care provided to patients
- Effectiveness of treatment and care provided to patients
- Experience patients have of the treatment and the care they receive
Additionally quality can be described as:
- Right patient
- Right time
- Right intervention
- Right staff
- Right place
The NHS Outcomes Framework reflects the vision set out in the White Paper. Indicators in the NHS Outcomes Framework are grouped around five domains, which set out the high-level national outcomes that the NHS should be aiming at improving health outcomes and reducing health inequalities.
|Domain 1||Preventing people from dying prematurely|
|Domain 2||Enhancing quality of life for people with long-term conditions|
|Domain 3||Helping people to recover from episodes of ill health or following injury|
|Domain 4||Ensuring that people have a positive experience of care|
|Domain 5||Treating and caring for people in a safe environment; and protecting them from avoidable harm|
NHS Bury CCG Arrangements
NHS Bury CCG is committed to commissioning high quality services for the residents it serves. The vision and commitment for commissioning and ensuring delivery of quality health care is embedded in our constitution, governance arrangements and day to day work. One of our key strengths is its clinical leadership which puts safety, clinical effectiveness and patient experience at the centre of commissioning decisions. Our Quality Strategy forms part of our Strategic and Delivery Plans.
The local Plans are currently being refreshed as the organisations of Bury come together to deliver integrated, joined up health and social care as intended by the strategic direction of Greater Manchester Devolution.
We have in place systems and processes for monitoring and challenging local health care providers to deliver and improve the quality of their services. We hold contracts with all of our the providers, have quality assurance meetings, quality deep dives, visits and walk arounds to clinical areas and services to track, monitor and drive up quality through constructive conversations.
Recently we have been working collaboratively with our providers on quality improvement projects to improve services and care pathways for local people. Currently we are working together on a project to improve the care of patients with mental health conditions who need to attend the acute hospital.
We responds to concerns raised by members of the public, patients and other organisations to address any issues related to heath care which affect Bury people. Additionally, we work with other CCGs locally, particularly NHS Heywood, Middleton & Rochdale CCG and NHS Oldham CCG and with our Greater Manchester partners, NHS Improvement and the Care Quality Commission (CQC) on the health care quality agenda.
Bury CCG’s safeguarding declaration
1.1 On 16 July 2009 David Nicholson wrote to all Chief Executives of NHS organisations requesting that they assure themselves of basic safeguarding practice and make a declaration of their position.
2.1 Within NHS Bury Clinical Commissioning Group the following requirements are in place in line with the recommendations of the Care Quality Commission to ensure that systems and processes are in place to safeguard children and young people:
NHS Bury Clinical Commissioning Group meets all statutory requirements in relation to Criminal Records Bureau checks.
NHS Bury Clinical Commissioning Group has a safeguarding policy in place that meets with the requirements of Working Together (2013) to Safeguard Children.
NHS Bury Clinical Commissioning Group includes Greater Manchester Safeguarding Standards in contracts and are these monitored using the tools provided.
100% of commissioning staff within NHS Bury Clinical Commissioning Group have undertaken level 1 child protection training to date.
There is Level 2 and Level 3 training available within provider organisations.
NHS Bury Clinical Commissioning Group has a designated nurse, named nurses within provider organisations, named Doctor and access to a designated Doctor. These professionals fulfil the requirements of Working Together to Safeguard Children.
There Board level Executive Lead with the responsibility for Safeguarding Children in NHS Bury Clinical Commissioning Group. This Declaration will be reviewed annually. Information regarding the Local Safeguarding Children Board can we found the Bury Council website.