13-098464-01 Version 7 | Internal Use Only© Ipsos MORI 1 Version 1| Internal Use Only Knowsley CCG CCG 360 o stakeholder survey 2014 Main report

13-098464-01 Version 7 | Internal Use Only© Ipsos MORI1

Version 1| Internal Use Only

Knowsley CCG

CCG 360o stakeholder survey 2014

Main report


Background and objectives

Clinical Commissioning Groups (CCGs) need to have strong relationships with a range of health and care partners in order to be successful commissioners within the local system. These relationships provide CCGs with on-going information, advice and knowledge to help them make the best possible commissioning decisions.

The CCG 360o stakeholder survey is a key part of ensuring these strong relationships are in place. The survey allows stakeholders to provide feedback on working relationships with CCGs. The results from the survey will serve two purposes:

1. To provide a wealth of data for CCGs to help with their ongoing organisational development, enabling them to continue to build strong and productive relationships with stakeholders. The findings can provide a valuable tool for all CCGs to be able to evaluate their progress and inform their organisational decisions.

2. To feed into assurance conversations between NHS England Area Teams and CCGs. The survey will form part of the evidence used to assess whether the stakeholder relationships, forged during the transition through authorisation, continue to be central to the effective commissioning of services by CCGs, and in doing so, improve quality and outcomes for patients.

Knowsley CCG


Methodology and technical details

• It was the responsibility of each CCG to provide the list of stakeholders to invite to take part in the CCG 360o stakeholder survey.

• CCGs were provided with a core list of stakeholder organisations (outlined in the table opposite) to be included in their stakeholder list. Beyond this however, CCGs had flexibility to determine which individual within each organisation was the most appropriate to nominate.

• They were also given the opportunity to add up to seven additional stakeholders they wanted to include locally (they are referred to in this report as ‘Wider stakeholders’). These included: Commissioning Support Units, Health Education England, lower tier LAs, MPs, private providers, Public Health England, social care / community organisations, voluntary / third sector organisations and other stakeholders and clinicians.

• The survey was conducted primarily online via email invitations. Stakeholders who did not respond to the email invitation, and stakeholders for whom an email address was not provided, were telephoned by an Ipsos MORI interviewer who encouraged response and offered the opportunity to complete the survey by telephone.

Core stakeholder framework

GP member practices One from every member practice

Other CCGs Up to five

Health and wellbeing boards Up to two per HWB

Upper tier or unitary local authorities Up to five per LA

Local Healthwatch One per local Healthwatch

Other patient groups Up to three

NHS providers – Acute Up to two from each provider

NHS providers – Mental health trusts

Up to two from each provider

NHS providers – Community health trusts

Up to two from each provider

Knowsley CCG


Methodology and technical details

• Within the survey, stakeholders were asked a series of questions about their working relationship with the CCG. In addition, to reflect each core stakeholder group’s different area of expertise and knowledge, they were presented with a short section of questions specific to the stakeholder group they represent.

• Fieldwork was conducted between 12 March 2014 and 8 April 2014.

• 40 of the CCG’s stakeholders completed the survey. The overall response rate was 78% which varied across the stakeholder groups shown in the table opposite.

Survey response rates for Knowsley CCG

Stakeholder group Invited to take part in survey Completed survey Response rate

GP member practices 32 25 78%

Health and wellbeing boards 2 1 50%

Local Healthwatch/patient groups 4 4 100%

NHS providers 6 5 83%

Other CCGs 2 2 100%

Upper tier or unitary local authorities 5 3 60%

Wider stakeholders 0 0 -

Knowsley CCG


Interpreting the results

• For each question, the responses to each answer are presented both as a percentage (%) and the number of stakeholders giving a certain answer, which are included in brackets (n).

• The number of stakeholders answering (the base size) is stated for each question. The total number of responses is shown at the bottom of each chart and in every table.

• For questions with fewer than 30 stakeholders answering, we strongly recommend that you look at the number of stakeholders giving each response rather than the percentage, as the percentage can be misleading when based on so few stakeholders.

• This report presents the results from Knowsley CCG's stakeholder survey. Throughout the report, ‘the CCG / your CCG’ refers to Knowsley CCG.

• Where a result for the ‘Area team’ is presented, this refers to the overall score across Merseyside Area Team.

• Where results do not sum to 100%, or where individual responses (e.g. tend to agree; strongly agree) do not sum to combined responses (e.g. strongly/tend to agree) this is due to rounding.

Knowsley CCG


Using the results – the reports

Knowsley CCG

• The results of the CCG 360 degree stakeholder survey are presented for each CCG in two separate reports – a summary report and a main report.

• The summary report shows the results at CCG level for the questions asked of all stakeholders (i.e. only those in section 1 of the questionnaire).

• This report provides CCGs with an ‘at a glance’ visual summary of the results for the key questions, including direction of travel comparisons where appropriate.

• The main report shows the results for all questions in the survey including any local questions where CCGs included them. The results for each question are provided at CCG level with a breakdown also shown for each of the core stakeholder groups where relevant.

• This report allows CCGs to interrogate the data in more detail.

• The main report has been structured by the six assurance domains. There is also an additional initial section on overall engagement and relationships which contains the general questions that are not linked to specific domains.

• At the end of each section of the main report, there is a table summarising the results, along with some comparative data for those questions asked of all stakeholders.


Using the results – comparisons

Knowsley CCG

• For some questions, data has been included in the reports to compare the results for the CCG with:

• The combined national CCG average in 2014• The 2014 average across all CCGs in the CCG’s Area Team• The CCG’s result in 2012

• The comparisons are included to provide a rough headline guide only and should be treated with caution due to the low numbers of respondents and differences in stakeholder lists.

• Any differences are not necessarily statistically significant differences; a higher score than the Area Team average does not always equate to ‘better’ performance, and a higher score than in 2012 does not necessarily mean the CCG has improved.

• The comparisons offer a starting point to inform wider discussions about the CCG’s ongoing organisational development and its relationships with stakeholders. For example, they may indicate areas in which stakeholders think the CCG is performing relatively less well, for the CCG to discuss internally and externally to identify what improvements can be made in this area, if any.


Overall engagement and relationships


Overall, to what extent, if at all, do you feel you have been engaged by the CCG over the past 12 months?

Total responses : All stakeholders (2014: 40); (2012: 45)

Knowsley CCG

33%

58%

10% 13

23

4

A great deal A fair amount Not very much Not at allDon't know

Stakeholder group BaseGreat deal / Fair amount

Not very much / Not at all

GP member practices 25 96% (24) 4% (1)

Health and wellbeing boards 1 100% (1) -% (0)

Local Healthwatch/patient groups 4 100% (4) -% (0)

NHS providers 5 40% (2) 60% (3)

Other CCGs 2 100% (2) -% (0)

Upper tier/unitary local authorities 3 100% (3) -% (0)

Wider stakeholders 0 -% (0) -% (0)

90% (36)2014Great deal / Fair amount

All stakeholders By stakeholder group

87% (39)*2012Great deal / Fair amount

* 2012 question wording: ‘Overall, to what extent, if at all, do you feel you have been engaged by the CCG?’

Fieldwork: 12 March - 8 April 2014


38%

48%

8%8%

15

19

3

3

Very satisfied Fairly satisfied Neither satisfied nor dissatisfied

Fairly dissatisfied Very dissatisfied Don't know

How satisfied or dissatisfied are you with the way in which the CCG has engaged with you over the past 12 months?

All stakeholders who have been engaged by the CCG

By stakeholder group

* 2012 question wording: ‘How satisfied or dissatisfied are you with the way in which the CCG has engaged with you so far?’

Stakeholder group BaseVery / Fairly

satisfiedVery / Fairly dissatisfied

GP member practices 25 96% (24) -% (0)



NHS providers 5 20% (1) 60% (3)

Other CCGs 2 100% (2) -% (0)



85% (34)

2014Very satisfied / Fairly satisfied

77% (34)

*2012Very satisfied / Fairly satisfied

Total responses : All stakeholders who say they have been engaged by CCG (2014: 40); (2012: 44)

Knowsley CCGFieldwork: 12 March - 8 April 2014


35%

48%

18% 14

19

7

Strongly agree Tend to agreeNeither agree nor disagree Tend to disagreeStrongly disagree Don't knowI have not given any views

Still thinking about the past 12 months, to what extent do you agree or disagree that the CCG has listened to your views where you have provided them?


* 2012 question wording: ‘To what extent do you agree or disagree that the CCG has listened to your views where you have provided them?’

Stakeholder group BaseStrongly / Tend

to agreeStrongly / Tend

to disagree




NHS providers 5 40% (2) -% (0)

Other CCGs 2 100% (2) -% (0)



83% (33)

2014Strongly agree / Tend to agree

82% (37)

*2012Strongly agree / Tend to agree




23%

45%

25%

5% 3%9

18

10

2 1

Strongly agree Tend to agreeNeither agree nor disagree Tend to disagreeStrongly disagree Don't knowI have not given any suggestions

To what extent do you agree or disagree that the CCG has acted on your suggestions?


Stakeholder group BaseStrongly /

Tend to agreeStrongly / Tend

to disagree





Other CCGs 2 50% (1) -% (0)



68% (27)


76% (34)





53%

35%

8%3%3%

21

14

31 1

Very good Fairly good Neither good nor poor Fairly poor

Very poor Don't know I/we do not have a working relationship

Overall, how would you rate your working relationship with the CCG?


Stakeholder group BaseVery good / Fairly good

Very poor / Fairly poor




NHS providers 5 40% (2) 20% (1)

Other CCGs 2 100% (2) -% (0)



88% (35)2014Very good / Fairly good

91% (41)2012Very good / Fairly good



All stakeholders


26%

26%

46%

3%10

10

18

1

Got much better Got a little better Stayed about the same

Got a little worse Got much worse Don't know

Thinking back over the past 12 months, would you say your working relationship with the CCG has got better, got worse or has it stayed about the same?

Total responses : All stakeholders who say they have a working relationship with the CCG (39)

Knowsley CCG


Stakeholder group BaseGot much / A

little betterGot much / A little worse





Other CCGs 2 50% (1) -% (0)




All stakeholders who say they have a working relationship with the CCG


Engagement and relationships: Summary

Base

Overall, to what extent, if at all, do you feel you have been engaged by the CCG over the past 12 months?

90% (36) a great deal / a fair amount

All stakeholders (40)

And how satisfied or dissatisfied are you with the way in which the CCG has engaged with you over the past 12 months?

85% (34) very / fairly satisfied

All stakeholders who have been engaged (40)

Still thinking about the past 12 months, to what extent do you agree or disagree that the CCG has listened to your views where you have provided them?

83% (33) strongly / tend to agree


To what extent do you agree or disagree that the CCG has acted on your suggestions? 68% (27) strongly / tend to agree


Overall, how would you rate your working relationship with the CCG? 88% (35) very / fairly good


Thinking back over the past 12 months, would you say your working relationship with the CCG has got better, got worse or has it stayed about the same?

51% (20) much better / a little better

All stakeholders who say they have a working relationship with the CCG (39)

Knowsley CCG Fieldwork: 12 March - 8 April 2014


The CCG 2012 The CCG 2014 National CCG average 2014 CCG Area Team

Engagement and relationships: CCG comparisons

0 10 20 30 40 50 60 70 80 90 100

Satisfaction with engagementHow satisfied or dissatisfied are you with the way in which the CCG has engaged with you over the past 12 months?

Percentage of stakeholders saying very / fairly satisfied

0 10 20 30 40 50 60 70 80 90 100

EngagementOverall, to what extent, if at all, do you feel you have been engaged by the CCG over the past 12 months?

Percentage of stakeholders saying a fair amount / a great deal

Base 2014: All stakeholders (40) Base CCG Area Team: All stakeholders (269)

Base 2012: All stakeholders (45) Base national average: All stakeholders (9018)

Base 2014: All stakeholders who say they have been engaged

(40) Base CCG Area Team: All stakeholders who say they have been engaged

(265)

Base 2012: (44) Base national average: (8852)

Knowsley CCG

All comparisons are indicative only and do not imply statistical significance


• Most stakeholders who say they have been engaged feel satisfied (fairly or very) with the way they have been engaged, by the CCG.

• Most stakeholders say that they have been engaged either a great deal or a fair amount.

• This is about the same as the finding for CCGs overall.

• This is higher than the finding for CCGs overall.




0 10 20 30 40 50 60 70 80 90 100

Acting on suggestionsTo what extent do you agree or disagree that the CCG has acted on your suggestions?

Percentage of stakeholders saying strongly agree / tend to agree

0 10 20 30 40 50 60 70 80 90 100

Listening to viewsStill thinking about the past 12 months, to what extent, do you agree or disagree that the CCG has listened to your views where you have provided them?








• The majority of stakeholders say that the CCG has acted on their suggestions where they have provided them.

• Most stakeholders say that the CCG has listened to their views.






0 10 20 30 40 50 60 70 80 90 100

Change in working relationshipThinking back over the past 12 months, would you say your working relationship with the CCG has got better, got worse or has it stayed about the same?

Percentage of stakeholders saying got much better / got a little better

0 10 20 30 40 50 60 70 80 90 100

Working relationshipOverall, how would you rate your working relationship with the CCG?

Percentage of stakeholders saying very good / fairly good



Base 2014: All stakeholders who say they have a working relationship with the CCG

(39) Base CCG Area Team: All stakeholders who say they have a working relationship with the CCG

(264)

Base national average: (8881)



• Around half of stakeholders say that their working relationship with the CCG has got better over the past 12 months.

• Most stakeholders say that they have a good working relationship with the CCG.




Domain 1: Are patients receiving clinically commissioned, high quality services?


20%

68%

12%

5

17

3

Very effective Fairly effective Not very effective Not at all effective Don't know

How effective, if at all, would you say the arrangements are for member participation and decision-making in your CCG?

Total responses : All member practices (2014:25); (2012: 24)


88% (22)

Very / Fairly effective 2014

92% (22)

Very / Fairly effective 2012

All member practices


28%

52%

20%

7

13

5

Very involved Fairly involved Not very involved Not at all involved Don't know

How involved, if at all, do you feel you are in your CCG’s decision making process?

Total responses : All member practices (25)




24%

60%

8%

8%

6

15

2

2

Very confident Fairly confident Not very confident Not at all confident Don't know

How confident are you, if at all, in the systems to sustain two-way accountability between your CCG and its member practices in the CCG?

Total responses : All member practices (2014: 25); (2012: 24)

Knowsley CCG

84% (21)

Very / Fairly confident 2014

79% (19)

Very / Fairly confident 2012




Number

4

2

10

4

0

0

0

5

Approximately how often, if at all, do you have the opportunity for direct discussions with your CCG’s leaders?



Weekly

Twice a month

Once a month

Quarterly

Twice a year

Once a year

Less than once a year

Don't know

16%

8%

40%

16%

0%

0%

0%

20%



36%

44%

12%

8%

9

11

3

2

Strongly agree Tend to agree Neither agree nor disagree Tend to disagree Strongly disagree Don't know

To what extent do you agree or disagree that representatives from member practices are able to take a leadership role within the CCG if they want to?





20%

60%

20%

1

3

1


To what extent do you agree or disagree that quality is a key focus of your contracts with the CCG?

Total responses : All NHS providers (5)


All NHS providers


How involved, if at all, would you say clinicians from the CCG are in discussions about…?

60%20%

20%

31

1


Quality



All NHS providers



20%

40%

40%

1

2

2


Service redesign



All NHS providers


Domain 1: Summary

Base

How effective, if at all, would you say the arrangements are for member participation and decision-making in your CCG?

88% (22) very / fairly effective

All member practices (25)

How involved, if at all, do you feel you are in your CCG’s decision-making process? 80% (20) very / fairly involved


How confident are you, if at all, in the systems to sustain two-way accountability between your CCG and its member practices in the CCG?

84% (21) very / fairly confident


To what extent do you agree or disagree that representatives from member practices are able to take a leadership role within the CCG if they want to?



To what extent do you agree or disagree that quality is a key focus of your contracts with your CCG?


All NHS providers (5)


A. Quality

B. Service redesign

60% (3) very / fairly involved


20% (1) very / fairly involved



Domain 2: Are patients and the public actively engaged and involved?


To what extent do you agree or disagree with the following statements about the way in which the CCG commissions services…?

Total responses : All stakeholders (40)

Knowsley CCG

75%

85%

75%

68%

73%

15%

15%

13%

23%

23%

0%

0%

8%

8%

0%

10%

0%

5%

3%

5%

Strongly agree / Tend to agree Neither agree nor disagree Strongly disagree / Tend to disagree Don't know

The CCG involves and engages with the right individuals and organisations when

making commissioning decisions

I have confidence in the CCG to commission high quality services for the

local population

I understand the reasons for the decisions that the CCG makes when commissioning

services

The CCG effectively communicates its commissioning decisions with me

The CCG's plans will deliver continuous improvement in quality within the available

resources

Number

30 6 0 4

34 6 0 0

30 5 3 2

27 9 3 1

29 9 0 2


All stakeholders




Knowsley CCG

The CCG involves and engages with the right individuals and organisations when making commissioning decisions

All stakeholders By stakeholder groupBy stakeholder group



to disagree





Other CCGs 2 100% (2) -% (0)




33%

43%

15%

10% 13

17

6

4

Strongly agree Tend to agreeNeither agree nor disagree Tend to disagreeStrongly disagree Don't know



I have confidence in the CCG to commission high quality services for the local population

All stakeholders

By stakeholder groupBy stakeholder group



to disagree





Other CCGs 2 100% (2) -% (0)




38%

48%

15%15

19

6



Knowsley CCG



I understand the reasons for the decisions that the CCG makes when commissioning services




to disagree




NHS providers 5 -% (0) 60% (3)

Other CCGs 2 100% (2) -% (0)




28%

48%

13%

5%3%5% 11

19

5

21 2



Knowsley CCG



The CCG effectively communicates its commissioning decisions with me

All stakeholders





to disagree



Local Healthwatch/patient groups 4 50% (2) 25% (1)

NHS providers 5 20% (1) 20% (1)

Other CCGs 2 50% (1) -% (0)

Upper tier/unitary local authorities 3 33% (1) 33% (1)



33%

35%

23%

8% 3%13

14

9

31



Knowsley CCG



35%

38%

23%

5%14

15

9

2


The CCG’s plans will deliver continuous improvement in quality within the available resources

All stakeholders

By stakeholder groupBy stakeholder group



to disagree





Other CCGs 2 100% (2) -% (0)



Fieldwork: 12 March - 8 April 2014Total responses : All stakeholders (40)

Knowsley CCG


25%

50%

25%

1

2

1

Very satisfied Fairly satisfied Neither satisfied nor dissatisfied Fairly dissatisfied Very dissatisfied Don't know

How satisfied or dissatisfied are you with the steps taken by the CCG to engage with patients and the public?

Total responses : All Healthwatch and patient group stakeholders (4)


All Healthwatch and patient group stakeholders


25%

25%25%

25%

1

11

1

A great deal A fair amount Just a little Not at all Don't know

To what extent, if at all, do you feel that the CCG has engaged with seldom heard groups?





To what extent do you agree or disagree with the following statements…?

50%

75%

50%

25%

0%

0%

0%

0%

Strongly agree / Tend to agree Neither agree nor disagree Strongly disagree / Tend to disagree

Don't know

The CCG’s commissioning decisions are open and transparent so patients and the

public are able to understand how decisions have been made if they want to

Patients and the public have the opportunity to input into the CCG’s

commissioning decisions

Number

2 2 0 0

3 1 0 0






25%

25%

50%

1

1

2


The CCG’s commissioning decisions are open and transparent so patients and the public are able to understand how decisions have been made if they want to






50%

25%

25%

2

1

1


Patients and the public have the opportunity to input into the CCG’s commissioning decisions





25%

75%

1

3


To what extent do you agree or disagree that the CCG listens to and acts on any concerns, complaints or issues that are raised?





Domain 2: Summary

Base


A. The CCG involves and engages with the right individuals and organisations when making commissioning decisions

B. I have confidence in the CCG to commission high quality services for the local population

C. I understand the reasons for the decisions that the CCG makes when commissioning services

D. The CCG effectively communicates its commissioning decisions with me

E. The CCG’s plans will deliver continuous improvement in quality within the available resources







How satisfied or dissatisfied are you with the steps taken by the CCG to engage with patients and the public?

75% (3) very / fairly satisfied

All Healthwatch and patient group stakeholders (4)

To what extent, if at all, do you feel that the CCG has engaged with seldom heard groups?





Domain 2: Summary

Base


A. The CCG’s commissioning decisions are open and transparent so patients and the public are able to understand how decisions have been made if they want to

B. Patients and the public have the opportunity to input into the CCG’s commissioning decisions




To what extent do you agree or disagree that the CCG listens to and acts on any concerns, complaints or issues that are raised?





The CCG 2014 National CCG average 2014 CCG Area Team

Domain 2: CCG comparisons

0 10 20 30 40 50 60 70 80 90 100

High quality servicesI have confidence in the CCG to commission high quality services for the local population


0 10 20 30 40 50 60 70 80 90 100


Involving and engaging the right individuals and organisationsThe CCG involves and engages with the right individuals and organisations when making commissioning decisions



Base national average: All stakeholders (9018)



Knowsley CCG



• Most stakeholders say that they have confidence in the CCG to commission high quality services for the local population.

• The majority of stakeholders say that the CCG involves and engages with the right individuals and organisations when making commissioning decisions.






0 10 20 30 40 50 60 70 80 90 100

Communicating commissioning decisionsThe CCG effectively communicates its commissioning decisions with me


0 10 20 30 40 50 60 70 80 90 100


Understanding of commissioning decisionsI understand the reasons for the decisions that the CCG makes when commissioning services







Fieldwork: 12 March - 8 April 2014Knowsley CCG

• The majority of stakeholders say that the CCG effectively communicates its commissioning decisions.

• The majority of stakeholders say that they understand the reasons for the decisions that the CCG makes.






• The majority of stakeholders agree that the CCG’s plans will deliver continuous improvement in quality within available resources.

0 10 20 30 40 50 60 70 80 90 100


Continuous improvement in qualityThe CCG’s plans will deliver continuous improvement in quality within the available resources








Domain 3: Are CCG plans delivering better outcomes for patients?


25%

60%

15%

10

24

6

A great deal A fair amount Not very much

Nothing at all

How much would you say you know about the CCG’s plans and priorities?


Knowsley CCG


Stakeholder group BaseGreat deal/ Fair amount

Not very much/ Nothing at all




NHS providers 5 40% (2) 60% (3)

Other CCGs 2 100% (2) -% (0)





To what extent do you agree or disagree with each of the following statements about the CCG’s plans and priorities?

Total responses : All stakeholders (40); *All stakeholders except member practices (15)

Knowsley CCG

80%

75%

67%

73%

5%

15%

20%

18%

13%

3%

13%

0%

3%

8%

0%

10%


I have been given the opportunity to influence the CCG’s plans and priorities

When I have commented on the CCG’s plans and priorities I feel that my comments

have been taken on board

*The CCG has effectively communicated its plans and priorities to me

The CCG’s plans and priorities are the right ones

Number

32 2 5 1

30 6 1 3

10 3 2 0

29 7 0 4


All stakeholders / All stakeholders except member practices


To what extent do you agree or disagree with each of the following statements about the CCG’s plans and priorities…?


Knowsley CCG

30%

50%

5%

10%3%3% 12

20

2

41 1


I have been given the opportunity to influence the CCG’s plans and priorities

All stakeholders





to disagree




NHS providers 5 20% (1) 80% (4)

Other CCGs 2 50% (1) 50% (1)





30%

45%

15%

3% 8% 12

18

6

13



When I have commented on the CCG’s plans and priorities I feel that my comments have been taken on board

All stakeholders By stakeholder groupBy stakeholder group


Knowsley CCG



to disagree




NHS providers 5 -% (0) -% (0)

Other CCGs 2 -% (0) 50% (1)





27%

40%

20%

13%4

6

3

2



The CCG has effectively communicated its plans and priorities to me

All stakeholders except member practices



Total responses : All stakeholders except member practices (15)

Knowsley CCG



to disagree



NHS providers 5 20% (1) 40% (2)

Other CCGs 2 100% (2) -% (0)





18%

55%

18%

10%

7

22

7

4



The CCG’s plans and priorities are the right ones

All stakeholders




Knowsley CCG

Stakeholder group BaseStrongly/Tend

to agreeStrongly/Tend

to disagree





Other CCGs 2 100% (2) -% (0)





How well, if at all, would you say you understand…?


Knowsley CCG

76%

88%

80%

20%

4%

12%

4%

8%

8%

Very well / Fairly well Not very well / Not at all well Don't know

The financial implications of the CCG’s plans

The implications of the CCG’s plans for service improvement

The referral and activity implications of the CCG’s plans

Number

19 5 1

22 1 2

20 3 2




How well, if at all, would you say that you understand…?

8%

68%

16%

4% 4%

2

17

4

11

Very well Fairly well Not very well Not at all well Don't know

The financial implications of the CCG’s plans


Knowsley CCG

76% (19)

Very / Fairly well 2014

63% (15)

Very / Fairly well 2012





The implications of the CCG’s plans for service improvement



8%

80%

4%8%

2

20

1

2


88% (22) Very / Fairly well 2014





The referral and activity implications of the CCG’s plans

Total responses : All member practices (2014: 25); (2012:24)


8%

72%

12%

8%

2

18

3

2






16%

64%

16%

4%

4

16

4

1


How well, if at all, do you understand what is required of your practice in order to implement the CCG’s plans?


Knowsley CCG

80% (20)Very well / Fairly well 2014

79% (19)Very well / Fairly well 2012




100%

5


How well, if at all, would you say the CCG and your organisation are working together to develop long-term strategies and plans?



All NHS providers


20%

40%

40%

1

2

2


How well, if at all, would you say the CCG understands the challenges facing your provider organisation?



All NHS providers


Domain 3: Summary

Base

How much would you say you know about the CCG’s plans and priorities? 85% (34) a great deal / a fair amount



A. I have been given the opportunity to influence the CCG’s plans and priorities

B. When I have commented on the CCG’s plans and priorities I feel that my comments have been taken on board

C. The CCG has effectively communicated its plans and priorities to me

D. The CCG’s plans and priorities are the right ones

80% (32) strongly / tend to agree All stakeholders (40)




All stakeholders except member practices (15)




A. The financial implications of the CCG’s plans

B. The implications of the CCG’s plans for service improvement

C. The referral and activity implications of the CCG’s plans

76% (19) very well / fairly well




How well, if at all, do you understand what is required of your practice in order to implement the CCG’s plans?



How well, if at all, would you say the CCG and your organisation are working together to develop long-term strategies and plans?

-% (0) very well / fairly well


How well, if at all, would you say the CCG understands the challenges facing your provider organisation?







0 10 20 30 40 50 60 70 80 90 100


Influence over the CCG’s plans and prioritiesI have been given the opportunity to influence the CCG’s plans and priorities


0 10 20 30 40 50 60 70 80 90 100

Knowledge of plans and prioritiesHow much would you say you know about the CCG’s plans and priorities?

Percentage of stakeholders saying a great deal / a fair amount





Knowsley CCG



• Most stakeholders say that they have been given the opportunity to influence the CCG’s plans and priorities.

• Most stakeholders say that they know a great deal or a fair amount about the CCG’s plans and priorities.






0 10 20 30 40 50 60 70 80 90 100

The right plans and prioritiesThe CCG’s plans and priorities are the right ones


0 10 20 30 40 50 60 70 80 90 100


Taking comments on boardWhen I have commented on the CCG’s plans and priorities I feel that my comments have been taken on board








• The majority of stakeholders agree that the CCG’s plans and priorities are the right ones.

• The majority of stakeholders say that they feel the CCG takes on board their comments on the plans and priorities.




Domain 4: Does the CCG have robust governance arrangements?


To what extent do you agree or disagree with the following statements about the way in which the CCG monitors and reviews the quality of commissioned services…?


Knowsley CCG

75%

90%

88%

15%

10%

13%

3%

0%

0%

8%

0%

0%


I have confidence that the CCG effectively monitors the quality of the services it

commissions

If I had concerns about the quality of local services I would feel able to raise my

concerns with the CCG

I have confidence in the CCG to act on feedback it receives about the quality of

services

Number

30 6 1 3

36 4 0 0

35 5 0 0


All stakeholders




Knowsley CCG

25%

50%

15%

3% 8%10

20

6

13

Strongly agree Tend to agree

Neither agree nor disagree Tend to disagree

Strongly disagree Don't know

I have confidence that the CCG effectively monitors the quality of the services it commissions

All stakeholders





to disagree




NHS providers 5 40% (2) 20% (1)

Other CCGs 2 100% (2) -% (0)






If I had concerns about the quality of local services I would feel able to raise my concerns with the CCG

All stakeholders




Knowsley CCG

50%

40%

10%

20

16

4






to disagree





Other CCGs 2 100% (2) -% (0)





I have confidence in the CCG to act on feedback it receives about the quality of services

All stakeholders




Knowsley CCG

40%

48%

13%

16

19

5






to disagree





Other CCGs 2 100% (2) -% (0)




20%

60%

20%

1

3

1

Too much About right Too little Don't know

Would you say that the amount of monitoring the CCG carries out on the quality of your services is too much, too little or about right?



All NHS providers


To what extent do you agree or disagree with the following statement…?

40%

20%

20%

20%

2

1

1

1


There has never been an issue with the quality of services

When there is an issue with the quality of services, the response of the CCG is proportionate and fair



All NHS providers


Domain 4: Summary

Base


A. I have confidence that the CCG effectively monitors the quality of the services it commissions

B. If I had concerns about the quality of local services I would feel able to raise my concerns with the CCG

C. I have confidence in the CCG to act on feedback it receives about the quality of services





Would you say that the amount of monitoring the CCG carries out on the quality of your services is too much, too little or about right?

60% (3) about right All NHS providers (5)

To what extent do you agree or disagree with the following statement…?

When there is an issue with the quality of services, the response of the CCG is proportionate and fair







0 10 20 30 40 50 60 70 80 90 100

Ability to raise concerns within the CCGIf I had concerns about the quality of local services I would feel able to raise my concerns with the CCG


0 10 20 30 40 50 60 70 80 90 100


Confidence in monitoring of servicesI have confidence that the CCG effectively monitors the quality of the services it commissions






Knowsley CCG



• Most stakeholders agree they would feel able to raise any concerns about the quality of services with the CCG.

• The majority of of stakeholders are confident that the CCG effectively monitors the quality of services it commissions.






• The majority of stakeholders are confident that the CCG would act on feedback it received about the quality of services.

0 10 20 30 40 50 60 70 80 90 100


Confidence in CCG to act on feedbackI have confidence in the CCG to act on feedback it receives about the quality of services








Domain 5: Are CCGs working in partnership with others?


23%

43%

10%

25%

9

17

4

10

A great deal A fair amount Not very much Not at allDon't know


Knowsley CCG


Please now think about discussions that take place about the wider health economy in your area, through local groups such as the Quality Surveillance Group and Urgent Care Working Group.To what extent, if at all, would you say the CCG has contributed to wider discussions through these groups?

Stakeholder group BaseGreat deal / Fair amount

Not very much / Not at all



Local Healthwatch/patient groups 4 25% (1) 25% (1)

NHS providers 5 40% (2) 40% (2)

Other CCGs 2 100% (2) -% (0)





How well, if at all, would you say the CCG and your local authority are working together to develop shared plans for integrated commissioning?

Total responses : All upper tier / unitary local authority stakeholders (3)

Knowsley CCG

67%

33%

2

1



All upper tier / unitary local authority stakeholders


How well, if at all, would you say the CCG and your local authority are working together to deliver shared plans for integrated commissioning?

67%

33%

2

1






How effective, if at all, has the CCG been as part of the Local Safeguarding Children Board?

33%

33%

33%

1

1

1






How effective, if at all, has the CCG been as part of the Safeguarding Adults Board?

33%

33%

33%

1

1

1






How active, if at all, would you say the CCG is as a member of the health and wellbeing board?

Total responses : All health and wellbeing board stakeholders (1)

Knowsley CCG

100%

1

Very active Fairly active Not very active Not at all active Don't know


All health and wellbeing board stakeholders


How active, if at all, would you say the CCG has been in developing your Joint Health and Wellbeing Strategy?

100%

1

Very active Fairly active Not very active Not at all active Don't know





To what extent do you agree or disagree with each of the following statements…?

100%

100%

100%

100%

0%

0%

0%

0%

0%

0%

0%

0%

0%

0%

0%

0%

0%

0%

0%

0%


Too early to say

The CCG delivers on the elements of the Health and Wellbeing Strategy for which it

is responsible

The CCG involves other members of the health and wellbeing board in the

development of its commissioning plans

The CCG has been actively involved in the Joint Strategic Needs Assessment

The CCG supplies necessary information, such as the CCG’s plan of how it proposes to exercise its functions, when it is required

to do so

Number

1 0 0 0 0

1 0 0 0 0

1 0 0 0 0

1 0 0 0 0






100%

1

Strongly agree Tend to agree Neither agree nor disagree Tend to disagree Strongly disagree Too early to say Don't know

The CCG delivers on the elements of the Health and Wellbeing Strategy for which it is responsible






The CCG involves other members of the health and wellbeing board in the development of its commissioning plans


100%

1



Knowsley CCG




The CCG has been actively involved in the Joint Strategic Needs Assessment


100%

1



Knowsley CCG




The CCG supplies necessary information, such as the CCG’s plan of how it proposes to exercise its functions, when it is required to do so


100%

1



Knowsley CCG



How well, if at all, would you say the CCG and the local authority are working together to develop shared plans for integrated commissioning?

100%

1






And how well, if at all, would you say the CCG and the local authority are working together to deliver shared plans for integrated commissioning?

100%

1






Domain 5: Summary

Base

Please now think about discussions that take place about the wider health economy in your area, through local groups such as the Quality Surveillance Group and Urgent Care Working Group.

To what extent, if at all, would you say the CCG has contributed to wider discussions through these groups?



How well, if at all, would you say the CCG and your local authority are working together to develop shared plans for integrated commissioning?


All upper tier / unitary local authority stakeholders (3)

How well, if at all, would you say the CCG and your local authority are working together to deliver shared plans for integrated commissioning?



How effective, if at all, has the CCG been as part of the Local Safeguarding Children Board?

67% (2) very effective / fairly effective


How effective, if at all, has the CCG been as part of the Safeguarding Adults Board? 67% (2) very effective / fairly effective


How active, if at all, would you say the CCG is as a member of the health and wellbeing board?

100% (1) very active / fairly active

All health and wellbeing board stakeholders (1)

How active, if at all, would you say the CCG has been in developing your Joint Health and Wellbeing Strategy?

100% (1) very active / fairly active




Domain 5: Summary

Base


A. The CCG delivers on the elements of the Health and Wellbeing Strategy for which it is responsible

B. The CCG involves other members of the health and wellbeing board in the development of its commissioning plans

C. The CCG has been actively involved in the Joint Strategic Needs Assessment

D. The CCG supplies the necessary information, such as the CCG’s plan of how it proposes to exercise its functions, when it is required to do so






How well, if at all, would you say the CCG and the local authority are working together to develop shared plans for integrated commissioning?



And how well, if at all, would you say the CCG and the local authority are working together to deliver shared plans for integrated commissioning?







• The majority of stakeholders agree that the CCG has contributed to discussions about the wider health economy.

0 10 20 30 40 50 60 70 80 90 100

Contributing to wider discussionsPlease now think about discussions that take place about the wider health economy in your area, though local groups such as the Quality Surveillance Group and Urgent Care Working Group.

To what extent, if at all would you say the CCG has contributed to wider discussions through these groups?




Knowsley CCG





Domain 6: Does the CCG have strong and robust leadership?


To what extent do you agree or disagree with the following statements about the overall leadership of the CCG…?


Knowsley CCG

80%

93%

83%

73%

80%

8%

5%

13%

20%

15%

5%

3%

0%

0%

3%

8%

0%

5%

8%

3%


The leadership of the CCG has the necessary blend of skills and experience

There is clear and visible leadership of the CCG

I have confidence in the leadership of the CCG to deliver its plans and priorities

The leadership of the CCG is delivering continued quality improvements

I have confidence in the leadership of the CCG to deliver improved outcomes for

patients

Number

32 3 2 3

37 2 1 0

33 5 0 2

29 8 0 3

32 6 1 1


All stakeholders



The leadership of the CCG has the necessary blend of skills and experience

All stakeholders





to disagree




NHS providers 5 -% (0) 20% (1)

Other CCGs 2 100% (2) -% (0)


Wider stakeholders 0 -% (0) -% (0)80% (32)


71% (32)



Knowsley CCG

43%

38%

8%

5%8%

17

15

3

23





There is clear and visible leadership of the CCG

All stakeholders





to disagree




NHS providers 5 60% (3) 20% (1)

Other CCGs 2 100% (2) -% (0)


Wider stakeholders 0 -% (0) -% (0)93% (37)


87% (39)



Knowsley CCG

43%

50%

5%3%

17

20

2 1





I have confidence in the leadership of the CCG to deliver its plans and priorities

All stakeholders





to disagree





Other CCGs 2 100% (2) -% (0)




Knowsley CCG

83% (33)


78% (35)


43%

40%

13%5%

17

16

5

2





The leadership of the CCG is delivering continued quality improvements

All stakeholders





to disagree





Other CCGs 2 100% (2) -% (0)



Total responses : All stakeholders (2014: 40)

Knowsley CCG

33%

40%

20%

8% 13

16

8

3






Knowsley CCG

38%

43%

15%

3%3%

15

17

6

1 1


I have confidence in the leadership of the CCG to deliver improved outcomes for patients

All stakeholders





to disagree





Other CCGs 2 100% (2) -% (0)





To what extent do you agree or disagree with the following statements about the clinical leadership of the CCG?


Knowsley CCG

83%

85%

73%

3%

10%

13%

8%

3%

5%

8%

3%

10%


There is clear and visible clinical leadership of the CCG

I have confidence in the clinical leadership of the CCG to deliver its plans and priorities

The clinical leadership of the CCG is delivering continued quality improvements

Number

33 1 3 3

34 4 1 1

29 5 2 4


All stakeholders


To what extent do you agree or disagree with the following statements about the clinical leadership of the CCG…?


Knowsley CCG

33%

50%

3%

8%8% 13

20

1

3

3


There is clear and visible clinical leadership of the CCG

All stakeholders





to disagree




NHS providers 5 60% (3) 20% (1)

Other CCGs 2 100% (2) -% (0)







Knowsley CCG

I have confidence in the clinical leadership of the CCG to deliver its plans and priorities

All stakeholders





to disagree





Other CCGs 2 100% (2) -% (0)




33%

53%

10%3%3%

13

21

41 1





Knowsley CCG

The clinical leadership of the CCG is delivering continued quality improvements

All stakeholders





to disagree





Other CCGs 2 100% (2) -% (0)




28%

45%

13%

5%10%

11

18

5

2

4



Domain 6: Summary

Base


A. The leadership of the CCG has the necessary blend of skills and experience

B. There is clear and visible leadership of the CCG

C. I have confidence in the leadership of the CCG to deliver its plans and priorities

D. The leadership of the CCG is delivering continued quality improvements

E. I have confidence in the leadership of the CCG to deliver improved outcomes for patients








A. There is clear and visible clinical leadership of the CCG

B. I have confidence in the clinical leadership of the CCG to deliver its plans and priorities

C. The clinical leadership of the CCG is delivering continued quality improvements








0 10 20 30 40 50 60 70 80 90 100

Clear and visible leadershipThere is clear and visible leadership of the CCG


0 10 20 30 40 50 60 70 80 90 100


Skills and experience of leadershipThe leadership of the CCG has the necessary blend of skills and experience








• Most stakeholders agree that there is clear and visible leadership.

• Most stakeholders agree that the leadership of the CCG has the necessary blend of skills and experience.






0 10 20 30 40 50 60 70 80 90 100

Delivering continued quality improvementsThe leadership of the CCG is delivering continued quality improvements


0 10 20 30 40 50 60 70 80 90 100


Delivering plans and prioritiesI have confidence in the leadership of the CCG to deliver its plans and priorities








• The majority of stakeholders agree that the leadership is delivering continued quality improvements.

• Most stakeholders have confidence in the leadership of the CCG to deliver its plans and priorities.






• Most stakeholders have confidence in the leadership of the CCG to deliver improved outcomes.

0 10 20 30 40 50 60 70 80 90 100


Delivering improved outcomesI have confidence in the leadership of the CCG to deliver improved outcomes for patients











0 10 20 30 40 50 60 70 80 90 100

Delivering continued quality improvementsI have confidence in the clinical leadership of the CCG to deliver its plans and priorities


0 10 20 30 40 50 60 70 80 90 100

To what extent do you agree with the following statements about the clinical leadership of the CCG…?

Clear and visible clinical leadershipThere is clear and visible clinical leadership of the CCG








• Most stakeholders are confident that the clinical leadership will deliver its plans and priorities.

• Most stakeholders agree that the clinical leadership of the CCG is clear and visible.






• The majority of stakeholders agree that the clinical leadership of the CCG is delivering continued quality improvements.

0 10 20 30 40 50 60 70 80 90 100

To what extent do you agree with the following statements about the clinical leadership of the CCG…?

Delivering continuous improved outcomesThe clinical leadership of the CCG is delivering continued quality improvements

Percentage of stakeholders saying strongly agree/tend to agree







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