CCG authorisation 360 o stakeholder survey

Transcription

1 CCG authorisation 360 o stakeholder survey Please note that the survey must be completed through the online link you have been sent. This PDF questionnaire has been provided so you can print the questions and discuss your responses with relevant colleagues before completing the survey using your online link. Section 1: Engagement and relationships (overview) This section of the survey asks you about the engagement that has taken place between you and [CCG] and the relationships that have been formed to date. Overall, to what extent, if at all, do you feel you have been engaged by [CCG]? A great deal A fair amount Not very much Not at all Please answer the next question if you answered a great deal, a fair amount, or not very much And how satisfied or dissatisfied are you with the way in which [CCG] has engaged with you so far? Very satisfied Fairly satisfied Neither satisfied nor dissatisfied Fairly dissatisfied Very dissatisfied Everyone should answer the next question To what extent do you agree or disagree that [CCG] has listened to your views where you have provided them? Strongly agree Tend to agree Neither agree nor disagree Tend to disagree Strongly disagree I have not given any views to the CCG uestionnaire for PDF copy - v2 - FINAL PUBLIC.docx Page 1 of 24

2 To what extent do you agree or disagree that [CCG] has acted on your suggestions? Strongly agree Tend to agree Neither agree nor disagree Tend to disagree Strongly disagree I have not given any suggestions to the CCG Overall, how would you rate your working relationship with [CCG]? Very good Fairly good Neither good nor poor Fairly poor Very poor I/we do not have a working relationship with [CCG] Please provide any further comments you would like to make on how [CCG] has engaged with you, and your working relationship with them. Please type in your answer To what extent do you agree or disagree with the following statements about the leadership of [CCG]? for each statement Strongly agree Tend to agree Neither agree nor disagree Tend to disagree Strongly disagree A. The leadership of [CCG] has the necessary blend of skills and experience B. There is clear and visible leadership of [CCG] C. I have confidence in the leadership of [CCG] to deliver its plans and priorities D. The leadership of [CCG] will be able to deliver continued quality improvements uestionnaire for PDF copy - v2 - FINAL PUBLIC.docx Page 2 of 24

3 The following questions ask you about how [CCG] has developed its plans and priorities. By plans and priorities we mean the CCG s credible plans to deliver continuous improvement in quality, reductions in inequalities in access to healthcare and healthcare outcomes, financial balance, and IPP (uality, Innovation, Productivity and Prevention) across the local health system. Have you been involved in the development of any of the following activities, or not? Please select all the options that apply Service or pathway design Priority setting Resource allocation Developing commissioning intentions Developing joint commissioning arrangements with local authorities or other CCGs Other (please specify) None of these Overall, how inclusive, if at all, do you feel the process has been for developing [CCG s] plans and priorities? Very inclusive Fairly inclusive Not very inclusive Not at all inclusive Overall, how transparent, if at all, do you feel the process has been for developing [CCG s] plans and priorities? Very transparent Fairly transparent Not very transparent Not at all transparent Overall, how involved, if at all, do you feel you have been in developing [CCG s] plans and priorities? Very involved Fairly involved Not very involved Not at all involved uestionnaire for PDF copy - v2 - FINAL PUBLIC.docx Page 3 of 24

4 The next questions are about your awareness and understanding of [CCG s] IPP (uality, Innovation, Productivity and Prevention) plans and priorities. Are you aware of any of the following activities, or not? Have you been involved in any of the following activities, or not? Please select all the options that apply Service decommissioning Management of prescribing spend Management of clinical variation Risk stratification Pathway redesign Other (please specify) None of these To what extent, if at all, are you aware of [CCG s] IPP plans and priorities? I am fully aware I am aware of them but not in detail I have heard nothing about them Please answer the next question if you said you are fully aware of IPP plans and priorities, or are aware of them but not in detail Overall, how clear, if at all, would you say [CCG s] IPP plans and priorities are? Very clear Fairly clear Not very clear Not at all clear uestionnaire for PDF copy - v2 - FINAL PUBLIC.docx Page 4 of 24

5 Please answer the next question if you said you are fully aware of IPP plans and priorities, or are aware of them but not in detail How confident are you, if at all, that [CCG s] IPP plans will deliver continuous improvement in quality within the available resources? Very confident Fairly confident Not very confident Not at all confident The following questions ask about the steps [CCG] has taken to communicate its vision and priorities to stakeholders, patients and the public. By vision and priorities we mean the improvements it is seeking to make in the health of the locality including population health and health inequalities. This will include priorities for improving quality, access and health outcomes to the communities it serves. Everyone should answer the next question Which of the following steps, if any, has [CCG] taken to communicate its vision and priorities to you? Please select all the options that apply The CCG has held events, workshops or meetings The CCG has sent out bulletins or other documents The CCG has published information on its website Representatives from the CCG have attended board meetings Representatives from the CCG have attended other meetings Other (please specify) The CCG has not taken any steps to communicate its vision and priorities to me How satisfied or dissatisfied are you with the steps that [CCG] has taken to communicate its vision and priorities to you? Very satisfied Fairly satisfied Neither satisfied nor dissatisfied Fairly dissatisfied Very dissatisfied uestionnaire for PDF copy - v2 - FINAL PUBLIC.docx Page 5 of 24

6 The following sections of the questionnaire are aimed at each different stakeholder group. Please only answer the questions for your stakeholder group: Local authority Section 2 Page 7 (Shadow) Health and wellbeing board Section 3 Page 11 LINks, Healthwatch and patient groups Section 4 Page 13 CSS Section 5 Page 15 GP member practice Section 6 Page 17 Provider (acute, mental health or community) Section 7 Page 22 Other health professional from a leadership network or clinical service-based network Section 8 Page 24 If you are from another CCG that has formal arrangements with the CCG, there are no further questions to answer uestionnaire for PDF copy - v2 - FINAL PUBLIC.docx Page 6 of 24

7 Section 2: Local authority views The following questions ask about the arrangements in place for the Local Authority to deliver public health advice to [CCG]. Please answer the next question if you are from an upper tier or unitary local authority Do you have arrangements in place with [CCG] that specify how your local authority will deliver public health advice to the CCG, or not? Yes, we do have arrangements in place No, we do not have arrangements in place, but we are discussing them No, we do not have arrangements in place and have not discussed them yet Please answer the next question if you are from an upper tier or unitary local authority that has arrangements in place with [CCG] that specify how your local authority will deliver public health advice to the CCG How confident are you, if at all, that these arrangements will enable your local authority to deliver public health advice to [CCG]? Very confident Fairly confident Not very confident Not at all confident The following questions ask about your involvement in establishing [CCG s] boundaries. All local authority representatives should answer the next questions How involved were you, if at all, in discussions about the geographic area that [CCG] would cover?. If there has been no change in CCG boundaries from previous PCT boundaries please also select There has been no change in boundaries for the CCG. Very involved Fairly involved Not very involved Not at all involved There has been no change in boundaries for the CCG uestionnaire for PDF copy - v2 - FINAL PUBLIC.docx Page 7 of 24

8 How satisfied or dissatisfied are you with [CCG s] boundaries?. If there has been no change in CCG boundaries from previous PCT boundaries please also select There has been no change in boundaries for the CCG. Very satisfied Fairly satisfied Neither satisfied nor dissatisfied Fairly dissatisfied Very dissatisfied There has been no change in boundaries for the CCG The following questions ask about integrated commissioning between the local authority and the CCG. By integrated commissioning, we mean the arrangements for joint commissioning and cooperation with the local authority to enable integration of services/pathways, deliver shared outcomes and fulfil statutory responsibilities. This would include, for example, pooled budgets, Section 75 agreements, joint teams etc. Has a need for integrated commissioning between [CCG] and your local authority been identified by the health and wellbeing board and in the JHWS, or not? Yes, it has been identified No, it has not been identified Not sure, I ve not been involved in my position Please answer the next question if a need for integrated commissioning has been identified How well, if at all, would you say [CCG] and your local authority are working together to develop shared plans for integrated commissioning? Very well Fairly well Not very well Not at all well uestionnaire for PDF copy - v2 - FINAL PUBLIC.docx Page 8 of 24

9 The following questions ask about CCG arrangements to co-operate with the local authority in the operation of the Local Safeguarding Children Board and the Safeguarding Adults Board. Please answer the next question if you are from an upper tier or unitary local authority Does [CCG] have arrangements in place with your local authority to co-operate in the operation of the Local Safeguarding Children Board, or not? Yes, it does have arrangements in place No, it does not have arrangements in place Please answer the next question if you are from an upper tier or unitary local authority and have arrangements in place How appropriate, if at all, would you say the arrangements are for [CCG] and your local authority to co-operate in the operation of the Local Safeguarding Children Board? Very appropriate Fairly appropriate Not very appropriate Not at all appropriate Please answer the next question if you are from an upper tier or unitary local authority Do you know who will be accountable for safeguarding children within [CCG], or not? Yes and I know their name Yes, I know their role but I do not know their name No, but I know how I would contact them No, I do not know at all Please answer the next question if you are from an upper tier or unitary local authority Does [CCG] have arrangements in place with your local authority to co-operate in the operation of the Safeguarding Adults Board, or not? Yes, it does have arrangements in place No, it does not have arrangements in place uestionnaire for PDF copy - v2 - FINAL PUBLIC.docx Page 9 of 24

10 Please answer the next question if you are from an upper tier or unitary local authority and have arrangements in place How appropriate, if at all, would you say the arrangements are for [CCG] and your local authority to co-operate in the operation of the Safeguarding Adults Board? Very appropriate Fairly appropriate Not very appropriate Not at all appropriate Please answer the next question if you are from an upper tier or unitary local authority Do you know who will be accountable for safeguarding adults within [CCG], or not? Yes and I know their name Yes, I know their role but I do not know their name No, but I know how I would contact them No, I do not know at all uestionnaire for PDF copy - v2 - FINAL PUBLIC.docx Page 10 of 24

11 Section 3: Health and wellbeing board members views The following section asks about the clinical leadership of [CCG] and the role clinical leaders have played in communicating its vision and priorities actively to partners. In this section, health and wellbeing boards are referred to in both shadow and statutory form. To what extent do you agree or disagree with the following statements about the clinical leadership of [CCG]? Strongly agree Tend to agree Neither agree nor disagree Tend to disagree Strongly disagree A. There is clear and visible clinical leadership of [CCG] B. I have confidence in the clinical leadership of [CCG] to deliver its plans and priorities C. The clinical leadership of [CCG] will be able to deliver continued quality improvements D. I have confidence in the clinical leadership of [CCG] to involve other clinical colleagues providing health services locally How active, if at all, would you say the clinical leaders of [CCG] are as members of your health and wellbeing board? Very active Fairly active Not very active Not at all active How well, if at all, would you say the clinical leaders of [CCG] have communicated its vision and priorities to the health and wellbeing board? Very well Fairly well Not very well Not at all well uestionnaire for PDF copy - v2 - FINAL PUBLIC.docx Page 11 of 24

12 How consistent, if at all, is the vision that [CCG s] clinical leaders have communicated with the health and wellbeing board s priorities? Very consistent Fairly consistent Not very consistent Not at all consistent The following questions ask about integrated commissioning between the local authority and the CCG. By integrated commissioning, we mean the arrangements for joint commissioning and cooperation with the local authority to enable integration of services/pathways, deliver shared outcomes and fulfil statutory responsibilities. This would include for example pooled budgets, Section 75 agreements, joint teams etc. Has a need for integrated commissioning between [CCG] and the local authority been identified by your health and wellbeing board and in the JHWS, or not? Yes, it has been identified No, it has not been identified Not sure, I ve not been involved in my position Please answer the next question if a need for integrated commissioning has been identified How well, if at all, would you say [CCG] and the local authority are working together to develop shared plans for integrated commissioning? Very well Fairly well Not very well Not at all well uestionnaire for PDF copy - v2 - FINAL PUBLIC.docx Page 12 of 24

13 Section 4: LINks, HealthWatch and patient groups views The following questions ask about the clinical leadership of [CCG] and the way in which clinicians from [CCG] have engaged with your organisation and communicated with patients and the public, demonstrating that it has credibility as a clinically-led organisation. To what extent do you agree or disagree with the following statements about the clinical leadership of [CCG]? Strongly agree Tend to agree Neither agree nor disagree Tend to disagree Strongly disagree A. There is clear and visible clinical leadership of [CCG] B. I have confidence in the clinical leadership of [CCG] to deliver its plans and priorities C. The clinical leadership of [CCG] will be able to deliver continued quality improvements D. I have confidence in the clinical leadership of [CCG] to involve other clinical colleagues providing health services locally Which of the following steps, if any, have clinicians from [CCG] taken to communicate its plans and priorities to your organisation? Please select all that apply Clinicians from the CCG have been involved in/present at events, workshops or meetings Clinicians from the CCG have been involved in the publication of bulletins or other documents Clinicians from the CCG have been involved in the publication of information on its website Clinicians from the CCG have attended board meetings Clinicians from the CCG have attended other meetings Other (please specify) Clinicians from the CCG have not taken any steps to communicate its plans and priorities to me uestionnaire for PDF copy - v2 - FINAL PUBLIC.docx Page 13 of 24

14 To what extent do you agree or disagree that clinicians from [CCG] have actively engaged with your organisation? Strongly agree Tend to agree Neither agree nor disagree Tend to disagree Strongly disagree How satisfied or dissatisfied are you with the steps taken by clinicians from [CCG] to engage with your organisation? Very satisfied Fairly satisfied Neither satisfied nor dissatisfied Fairly dissatisfied Very dissatisfied Please provide an example(s) of the way in which the CCG has communicated successfully with patients and the public. Please type in your answer Please provide an example(s) of where the CCG needs to do more to communicate with patients and the public. Please type in your answer uestionnaire for PDF copy - v2 - FINAL PUBLIC.docx Page 14 of 24

15 Section 5: CSS The following questions are about the commissioning support required by [CCG] and the Service Level Agreement (SLA) or contract between your organisations in order to demonstrate effective commissioning support arrangements that ensure robust commissioning and economies of scale. How well, if at all, would you say [CCG] has communicated its support needs to you? Very well Fairly well Not very well Not at all well How well, if at all, would you say [CCG] and your organisation are working together to develop commissioning support arrangements? Very well Fairly well Not very well Not at all well To what extent, if at all, do you feel [CCG] has engaged with you in agreeing the Service Level Agreement (SLA) or contract? A great deal A fair amount Not very much Not at all How satisfied or dissatisfied are you with the way in which [CCG] has worked with you to develop the Service Level Agreement (SLA) or contract? Very satisfied Fairly satisfied Neither satisfied nor dissatisfied Fairly dissatisfied Very dissatisfied uestionnaire for PDF copy - v2 - FINAL PUBLIC.docx Page 15 of 24

16 How confident are you, if at all, that [CCG] has the following in place to be able to fulfil its part of the SLA or contract? for each statement. Very confident Fairly confident Not very confident Not at all confident A Skills and experience within the leadership team B Capacity to oversee the relationship between the CCG and your CSS C Seniority and experience to oversee the relationship between the CCG and your CSS D Systems and processes within the CCG to articulate its commissioning support requirements Which of the following best describes the SLA or contract between [CCG] and your CSS? The SLA/contract is fit for purpose for now and the immediate future The SLA/contract is fit for purpose for the longer term The SLA/contract is not fit for purpose uestionnaire for PDF copy - v2 - FINAL PUBLIC.docx Page 16 of 24

17 Section 6: Member practices views The following questions focus on your involvement in decisions about the CCG. How involved, if at all, do you feel you have been in decisions about the proposed configuration, structure and governance arrangements for [CCG]? Very involved Fairly involved Not very involved Not at all involved Please provide examples of the way in which you have been involved in decisionmaking within [CCG]. Please type in your answer How effective, if at all, would you say the arrangements are for member participation and decision-making in [CCG]? Very effective Fairly effective Not very effective Not at all effective The next questions focus on the division of responsibilities between [CCG] and member practices, i.e. two-way accountability. How well, if at all, do you understand your responsibilities as a member practice, as set out in [CCG s] constitution? Very well Fairly well Not very well Not at all well uestionnaire for PDF copy - v2 - FINAL PUBLIC.docx Page 17 of 24

18 How well, if at all, do you understand the responsibilities of [CCG s] governing body towards you as a member practice, as set out in [CCG s] constitution? Very well Fairly well Not very well Not at all well How confident are you, if at all, in the systems to sustain two-way accountability between the CCG and its member practices in [CCG]? Very confident Fairly confident Not very confident Not at all confident The next section asks about any arrangements that may be in place for the delegation of functions from the CCG to its member practices. This might include for example delegation of budgets, performance management or monitoring and would also cover responsibilities delegated through locality arrangements. Are there clear arrangements in place for the delegation of functions within [CCG], at the point of authorisation, or not? Yes there are clear arrangements in place There are arrangements in place but they are not clear There are no arrangements in place currently, but active discussions are taking place There are no arrangements in place currently, and no discussions are taking place Please answer the next question if there are clear arrangements in place, or arrangements in place that are not clear How satisfied or dissatisfied are you with the arrangements in place for the delegation of functions within [CCG]? Very satisfied Fairly satisfied Neither satisfied nor dissatisfied Fairly dissatisfied Very dissatisfied uestionnaire for PDF copy - v2 - FINAL PUBLIC.docx Page 18 of 24

19 The next question is about the leadership of [CCG]. All member practices should answer the next question How confident are you, if at all, in the leadership provided by the Designate Chair of [CCG s] governing body? Very confident Fairly confident Not very confident Not at all confident The following questions are about the implications of [CCG s] plans and priorities. By plans and priorities, we mean the CCG s 2012/13 integrated plan and draft commissioning intentions for How well, if at all, would you say that you understand The financial implications of [CCG s] plan? The implications of [CCG s] plan for service improvement? The referral and activity implications of [CCG s] plan? for each statement Very well Fairly well Not very well Not at all well How much, if anything, would you say you know about [CCG s] priority areas for quality improvement? A great deal A fair amount Just a little Heard of, but know nothing about them Never heard of them uestionnaire for PDF copy - v2 - FINAL PUBLIC.docx Page 19 of 24

20 Please answer the next question if you have at least heard of the CCG s priority areas for quality improvement Which areas for quality improvement, if any, do you understand to be identified as a priority for [CCG]? Please select all the options that apply Mothers and newborns People with need for support with mental health People with learning disabilities People who need emergency and urgent care People who need routine operations People with long-term conditions People at the end of life People with continuing healthcare needs Other (please specify) None of these Please answer the next question if you have at least heard of the CCG s priority areas for quality improvement at To what extent do you agree or disagree that these are the right priority areas for [CCG]? Strongly agree Tend to agree Neither agree nor disagree Tend to disagree Strongly disagree All member practices should answer the next question How well, if at all, do you understand what is required of your practice in order to implement [CCG s] plans? Very well Fairly well Not very well Not at all well uestionnaire for PDF copy - v2 - FINAL PUBLIC.docx Page 20 of 24

21 How satisfied or dissatisfied are you with the timeliness of information you receive from [CCG] to inform your planning and implementation? Very satisfied Fairly satisfied Neither satisfied nor dissatisfied Fairly dissatisfied Very dissatisfied uestionnaire for PDF copy - v2 - FINAL PUBLIC.docx Page 21 of 24

22 Section 7: Providers This section of the survey asks you about the discussions that you have been having with [CCG] and their understanding of the challenges you face. How well, if at all, would you say [CCG] and your organisation are working together to develop long-term provider strategy and plans? Very well Fairly well Not very well Not at all well How involved, if at all, has [CCG] been in contract or performance negotiations? Very involved Fairly involved Not very involved Not at all involved How well, if at all, would you say [CCG] understands the challenges facing your provider organisation? Very well Fairly well Not very well Not at all well How committed, if at all, would you say [CCG] has been in helping you as a provider to deliver your IPP plans? Very committed Fairly committed Not very committed Not at all committed uestionnaire for PDF copy - v2 - FINAL PUBLIC.docx Page 22 of 24

23 The next question focuses specifically on the clinical leadership of the CCG. To what extent do you agree or disagree with the following statements about the clinical leadership of [CCG]? Strongly agree Tend to agree Neither agree nor disagree Tend to disagree Strongly disagree A. There is clear and visible clinical leadership of [CCG] B. I have confidence in the clinical leadership of [CCG] to deliver its plans and priorities C. The clinical leadership of [CCG] will be able to deliver continued quality improvements D. I have confidence in the clinical leadership of [CCG] to involve other clinical colleagues providing health services locally uestionnaire for PDF copy - v2 - FINAL PUBLIC.docx Page 23 of 24

24 Section 8: Other health professional from a leadership network or clinical service-based network The next questions are about the arrangements the CCG has in place to involve and seek advice from other clinicians from outside the CCG. Does [CCG] have arrangements in place to involve you in discussions about local healthcare services and seek your advice, or not? Yes, it does No, it does not To what extent are you satisfied or dissatisfied with these arrangements? Very satisfied Fairly satisfied Neither satisfied nor dissatisfied Fairly dissatisfied Very dissatisfied How well, if at all, do you think [CCG] understands what you/your group does? Very well Fairly well Not very well Not at all well Many thanks for your assistance in completing this survey uestionnaire for PDF copy - v2 - FINAL PUBLIC.docx Page 24 of 24