Performance Management
7
Recommendations
100% accepted
Government Response
Accepted (5)Accepted in Part (2)
Recommendations in This Theme
recommendation across 1 inquiry
Across 1 inquiry
Tagged Recommendations
7 total
F139
Accepted
Mid Staffs Inquiry
The need to put patients first at all times
The first priority for any organisation charged with responsibility for performance management of a healthcare provider should be ensuring that fundamental patient safety and quality standards are being met. Such …
- NHS England's System Oversight Framework (SOF) establishes patient safety and quality as the primary considerations in oversight of NHS providers and ICBs. SOF assessment …
NHS England
F140
Accepted
Mid Staffs Inquiry
Performance managers working constructively with regulators
Where concerns are raised that such standards are not being complied with, a performance management organisation should share, wherever possible, all relevant information with the relevant regulator, including information about …
- NHS England and CQC operate a memorandum of understanding governing the sharing of information about provider quality and safety. The agreement provides for the …
NHS England
F141
Accepted in Part
Mid Staffs Inquiry
Taking responsibility for quality
Any differences of judgement as to immediate safety concerns between a performance manager and a regulator should be discussed between them and resolved where possible, but each should recognise its …
- The System Oversight Framework (SOF) provides a structured mechanism for resolving differences between NHS England (as performance manager) and CQC (as regulator) regarding provider …
NHS England
F142
Accepted
Mid Staffs Inquiry
Clear lines of responsibility supported by good information flows
For an organisation to be effective in performance management, there must exist unambiguous lines of referral and information flows, so that the performance manager is not in ignorance of the …
- The Health and Care Act 2022 established a statutory framework for information flows within the NHS. ICBs have duties to obtain information about the …
NHS England
F143
Accepted
Mid Staffs Inquiry
Clear metrics on quality
Metrics need to be established which are relevant to the quality of care and patient safety across the service, to allow norms to be established so that outliers or progression …
- The NHS Outcomes Framework (NHS OF) provides a national set of outcome indicators across five domains: preventing people from dying prematurely, enhancing quality of …
NHS England
F144
Accepted
Mid Staffs Inquiry
Need for ownership of quality metrics at a strategic level
The NHS Commissioning Board should ensure the development of metrics on quality and outcomes of care for use by commissioners in managing the performance of providers, and retain oversight of …
- NHS England (originally the NHS Commissioning Board) developed and maintains the NHS Outcomes Framework, a suite of outcome indicators used to assess the overall …
NHS England
F34
Accepted in Part
Mid Staffs Inquiry
Interim measures
Where a provider is under regulatory investigation, there should be some form of external performance management involvement to oversee any necessary interim arrangements for protecting the public.
- Where CQC places a provider in special measures following an "Inadequate" rating, NHS England (and previously NHS Improvement) provides oversight and performance management support …
CQC