DATE: 31 July 2014
Title Results of 360° survey
Recommended action for the Governing Body
That the Governing Body: NOTE the response rate (page three), areas where the CCG received higher scores (pages 13 to 14), lower scores (pages 14 to 15) and the work plans to help improve relationships with stakeholders and results of the survey in the future (pages 15 to 18) as set out in the report attached.
Executive summary
NHS England commissioned Ipsos-Mori to undertake a stakeholder survey on behalf of all CCGs in March 2014 to feed into the assurance process and to help CCGs develop relationship with a number of stakeholders. Results were provided to CCGs in early May and this report outlines the score of all the questions in each of the domains. The report also provides a comparison to the south London and national average, as well as a comparison to the CCGs scores in 2012 where available. The CCG obtained the second highest response rate to the survey in London, and the seventeenth best nationally. Overall, the results for the CCG are positive, however, there are a number of areas where the CCG should seek to improve scores reflecting lower than the south London or national average. Results for overall engagement and relationships were positive, particularly when all stakeholders were asked if the CCG had engaged well over the past 12 months – 77% thought a great deal or fair amount – and how stakeholders rated their working relationship with the CCG – 75% thought very or fairly good.
Which objective does this paper support?
Patients: Improve the health and wellbeing of people in Bexley in partnership with our key stakeholders
People: Empower our staff to make NHS Bexley CCG the most successful CCG in (south) London
ENCLOSURE: O Agenda Item: 92/14
Governing Body (public) meeting
Pounds: Delivering on all of our statutory duties and become an effective, efficient and economical organisation
Process: Commission safe, sustainable and equitable services in line with the operating framework and which improves outcomes and patient experience
Organisational implications
Key risks (corporate and/or clinical)
Although there are no risks directly associated with this report, the CCG is at risk of not further improving relationships with its stakeholders unless it embeds a series of work plans and engagement activity. This could also have an impact on the results of future surveys.
Equality and diversity N/A
Patient impact
The results of the survey have highlighted a number of positive outcomes for patients e.g. engagement, communication and explaining plans. However, by embedding a series of work plans and engagement activity there is a greater likelihood of more people, patients and groups will be better informed.
Financial N/A
Legal issues N/A
NHS constitution N/A
Consultation (public, member or other) N/A
Audit (considered/approved by other committees/groups)
Communications plan N/A Author Lucy Huitson
Clinical lead Dr Howard Stoate
Executive sponsor Simon Evans-Evans
Date 31/07/14
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NHS Bexley Clinical Commissioning Group’s 360º stakeholder survey report
Contents
Background ................................................................................................................ 2
Fieldwork .................................................................................................................... 3
Response rate ............................................................................................................ 3
Analysis and next steps .............................................................................................. 4
Overall engagement and listening to views ............................................................. 6
Domain one: are patients receiving clinically commissioned, high quality services?
................................................................................................................................ 6
Domain two: are patients and the public actively engaged and involved? .............. 7
Domain three: are the CCG plans delivering better outcomes for patients? ........... 7
Domain four: does the CCG have robust governance arrangements? ................... 8
Domain five: are the CCGs working in partnership with others? ............................. 9
Domain six: does the CCG have strong and robust leadership?............................. 9
Work underway to improve satisfaction of future surveys ........................................ 10
Additional work to improve satisfaction rates in future 360° surveys ........................ 12
Appendix one: Summary results .............................................................................. 12
Appendix two: CCG 360° stakeholder survey 2014 main report……………………...21
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Background The previous CCG stakeholder survey was carried out as part of the authorisation process in 2012. NHS England commissioned Ipsos-Mori to undertake a stakeholder survey to provide feedback and assurance on all CCGs regarding engagement and working relationships with a range of stakeholders. The purpose of the survey was to:
1. Feed into the assurance process of CCGs with NHS England 2. Provide CCGs with useful information to help develop their relationships with
stakeholders. NHS England provided guidance on the stakeholder groups and CCGs provide names and contact details. NHS England Stakeholder Groups:
One person from each member practice
Up to five CCGs with whom the CCG collaborates
Up to two health and wellbeing board stakeholders
Up to five local authority stakeholders
Local Healthwatch
Up to three from other patient groups
Up to two stakeholders from main NHS providers – acute trust
Up to two stakeholders from main NHS providers – mental health
Up to two stakeholders from main NHS Providers – community trusts
Optional seven additional stakeholders NHS Bexley CCG Stakeholders included representatives of:
Each member practice
NHS Bromley, Greenwich, Lambeth, Lewisham and Southwark CCGs
London Borough of Bexley
Bexley Health and Wellbeing Board
Bexley Council for Voluntary Services
Bexley Healthwatch
Lewisham and Greenwich NHS Trust
Dartford and Gravesham NHS Trust
Oxleas NHS Foundation Trust
Other specific individuals There was a core set of questions for all stakeholders as well as segmented questions for each group of stakeholders. The CCG also took the opportunity of providing five additional bespoke questions to be included in the survey. These were:
A. How would you rate the CCG on each of the following:
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1. Leading the communications with stakeholders on the changes taking place at Queen Mary’s Hospital
2. Engaging patients and residents in the changes to local healthcare services
3. Engaging local people and clinicians to develop the CCGs priorities – also known as commissioning intentions – for the years ahead
4. Addressing concerns about the quality of local healthcare services provided by local NHS organisations
5. Collaborating with our partners to improve health and social care across the borough
It is expected that the survey will run on an annual basis.
Fieldwork
The survey period ran from 12 March 2014 until 8 April 2014. Ipsos-Mori distributed electronic links to the survey to all participants, once contact details had been received from the CCG. Reminder emails were sent twice to stakeholders by Ipsos-Mori with a final telephone reminder and the CCG included reminder updates in its fortnightly bulletin.
Response rate The CCG had the second highest overall response rate in London and the seventeenth highest nationally.
Stakeholder Group
Invited to take part in survey
Completed Survey
Response Rate
GP member practices
28 23 82.1%
Health and Wellbeing boards
2 2 100%
Local Healthwatch / patient groups
5 3 60%
NHS Providers 6 5 83.3%
Other CCGs 5 5 100%
Local Authority 5 5 100%
Wider stakeholders 6 5 83.3%
TOTAL 57 48 84.2%
This compares to the following overall response rates across south east London CCGs:
CCG Overall Response Rate
Lambeth 74.7%
Lewisham 60%
Bexley 84.2%
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Bromley 53.5%
Greenwich 61.1%
Southwark 89.5%
Results were made available to CCGs on 9 May 2014 in the form of a summary report, showing the results which were asked of all stakeholders, including direction of travel comparisons, a main report and a copy of verbatim comments from stakeholders. This was reported verbally to the governing body on 29 May. The main report (appendix two), includes the results for all questions in the survey with results shown for each stakeholder group where relevant and structured across the six assurance domains. The main report also contains an initial section on overall engagement relating to questions not linked to specific domains. At the end of each section there is a table summarising the results with comparative data for those questions asked of all stakeholders. Some questions also include data to compare results to:
the combined national CCG average in 2014
the 2014 average across the local area team (i.e. the 12 south London CCGs)
our 2012 results Note that only some of the questions were the same as those asked in 2012, so comparisons cannot be made for every question. When reviewing the data it has to be borne in mind that the sample size is very low and for some answers are only from two or three people. Such small sample sizes can skew percentages. Both the percentage and actual numbers are shown below to add understanding.
Analysis and next steps Overall, the results for the CCG are positive, as they reflect improvement across domains and most questions since the first 2012 survey. In particular, the results reflect significantly improved relations with the local authority since 2012. This is could be attributed to a number of factors:
The development of an integrated commissioning team
Jointly commissioning services to benefit the health of local populations e.g. early intervention and prevention services, mental health recovery services
Launching and implementing the borough’s integrated care programme
Close partnership working to establish the integrated care collaborative to develop the better care fund
Developments in safeguarding e.g. the joint implementation of a multi-agency safeguarding hub
Collaborative work to develop Queen Marys Hospital
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New leadership at the CCG and their commitment to on-going engagement – both informally, and formally, through health and wellbeing boards, overview scrutiny committees, safeguarding boards
The survey does identify areas to be addressed with NHS providers. However, these results, since the previous survey was undertaken in 2012, could be attributed to a period of significant change for providers such as the dissolution of the South London Healthcare NHS Trust, and the procurement of new services at the time of the survey. The survey represents a small proportion of the local people, patients and groups the CCG engages with, although the majority of feedback from Healthwatch and patients is positive and the CCG has advanced ways of engaging with the public, more work to progress on-going and future relationships needs to be progressed. Like the CCG, Healthwatch is a new organisation and both need to establish tools and processes to share learning, feedback and concerns to ultimately improve patients’ experience of local healthcare. Some areas of the report show that more needs to be done to engage, listen and to act on messages from member practices.
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Overall engagement and listening to views
The CCG had particularly good results in the following areas:
There are a number of areas where the CCG has scored lower than it would have liked and lower than the south London or the national average
o The way in which the CCG engaged with stakeholders in the past 12 months
o The working relationship the CCG has with stakeholders
o The way in which the CCG engaged with stakeholders in the past 12 months, in particular with members practices and NHS providers
o How the CCG listened to stakeholders, in particular with member practices and NHS providers
o How the CCG acted on stakeholders’ suggestions, in particular with member practices and NHS providers
o How the CCG improved its relationships with member practices
Domain one: are patients receiving clinically commissioned, high quality services?
The CCG had particularly good results in the following areas:
There are a number of areas where the CCG has scored lower than it would have liked and lower than the south London or the national average:
o The frequency of which the CCG engages with member practices
o Clinical involvement
o Improving participation and decision-making in the CCG o How the CCG involves member practices in decision making
processes o Building confidence with member practices to sustain two-
way accountability o Ensuring more clinicians are involved in discussions about
NHS providers
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Domain two: are patients and the public actively engaged and involved?
The CCG had particularly good results in the following areas:
There are a number of areas where the CCG has scored lower than it would have liked and lower than the south London or the national average:
o The confidence stakeholders have in the way NHS Bexley CCG commissions high-quality services for the local population
o The understanding by all stakeholders of the decisions the CCG makes when commissioning services
o The way in which the CCG effectively communications its commissioning decisions with all stakeholders
o The steps taken by the CCG to engage with patients and the public
o The extent the CCG has engaged with seldom heard groups o The way in which patients and the public are able to
understand how decisions have been made if they want to o The opportunities for patients and the public to input into the
CCGs commissioning decisions o The way in which Healthwatch and patient groups feel the
CCG listens to and acts on concerns, complaints or issues raised
o Ensuring member practices, NHS providers and wider stakeholders are more aware of who the CCG engages with to commission services
o Ensuring member practices and NHS providers are confident in the CCGs ability to deliver continuous quality improvements in the available resources
Domain three: are the CCG plans delivering better outcomes for patients?
The CCG had particularly good results in the following areas:
There are a number of areas where the CCG has scored lower than it would have liked and lower than the south London or the national average:
o Stakeholders’ knowledge of the CCGs plans and priorities o The effectiveness of the way the CCG communicates about
its plans and priorities to stakeholders – in particular member practices
o Ensuring member practices and NHS providers have the opportunity to influence the CCGs plan and priorities
o Ensuring member practices and NHS providers feel their comments about the CCGs plan and priorities are being taken
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o The understanding by member practices of financial implications facing the CCG
o The understanding by member practices regarding the implications of the CCGs plans for service improvement
o The understanding by member practices of referral and activity implications on the CCGs plans
o The understanding by member practices of what is required of practices in order to implement the CCGs plans
o The recognition from NHS providers to work together and develop long-term strategies and plans
on board o Ensuring member practices and NHS providers feel the
CCGs plan and priorities are the right ones
Domain four: does the CCG have robust governance arrangements?
The CCG had particularly good results in the following areas:
There are a number of areas where the CCG has scored lower than it would have liked and lower than the south London or the national average:
o The confidence in the CCG to effectively monitor quality of the services it commissions
o The ability to raise concerns concerning the quality of local services with the CCG
o The confidence in the CCG to act on feedback it receives about the quality of services
o Agreement from most NHS providers that the level of monitoring the CCG undertakes is sufficient
o Ensuring the CCGs responses to the issues around the quality of services are proportionate and fair
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Domain five: are the CCGs working in partnership with others?
The CCG had particularly good results in the following areas
There are a number of areas where the CCG has scored lower than it would have liked and lower than the south London or the national average:
o The CCGs contribution through local groups e.g. urgent care working groups
o The working relationship with local authority to develop and deliver shared plans and integrated commissioning
o The CCGs active role as a member of the health and wellbeing board, developing the joint strategic needs assessment and delivering on elements of the health and wellbeing strategy
o The CCGs ability to engage the health and wellbeing board in the development of its commissioning plans
o The CCGs ability to supply necessary information to health and wellbeing board stakeholders when necessary
o Ensuring the CCG is as effective as it can be with the adult safeguarding board
Domain six: does the CCG have strong and robust leadership?
The CCG had particularly good results in the following areas:
There are a number of areas where the CCG has scored lower than it would have liked and lower than the south London or the national average:
o Confidence from stakeholders of the skills of CCG leaders and their clear and visible leadership
o Confidence from stakeholders of the clear and visible leadership of clinicians at the CCG
o Ensuring member practices and NHS providers have confidence in the leadership of the CCG to deliver its plans and priorities and continued quality improvements
o Ensuring member practices and NHS providers have confidence in the leadership of the CCG to deliver on its plans, priorities and improved outcomes for patients
o Ensuring member practices and NHS providers feel clinical leaders are delivering continued quality improvements
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Work underway to improve satisfaction of future surveys The following on-going work, much of which is detailed in the CCG’s organisational development plan, will seek to address some of the concerns listed above and hopefully lead to improved satisfaction in future surveys. This includes:
1. The CCG’s second independent telephone survey to learn more about the views and opinions of all GPs in the borough – this will help to address and establish how the CCG can ensure members feel engaged, listened to and their actions addressed.
2. The clinical leads programme is currently being expanded. The programme includes a series of training for all 30 of its leads, covering quality improvements. Recently, a local GP was appointed as the principal clinical lead to support and help develop the clinical leadership programme. This will include a series of soft reports, engagement and communication to ensure all GPs are aware of the work their fellow clinical colleagues are undertaking. It will also promote the profile of the clinical leads work in the public domain. As more clinical leads engage with the CCG, especially those leading on service redesign projects; they will have more contact with NHS providers, increasing interactions and two-way communication between both organisations.
3. Quarterly GP engagement events are being expanded by the CCG to
ensure more stakeholders can be involved and engaged in the sessions. Since the survey was completed, two engagement sessions have featured information stalls and half-hour presentations from NHS England and Lewisham and Greenwich NHS Trust to discuss the care.data programme and electronic patient records respectively. The CCG is also working with all GPs to ensure members have greater influence the event agendas.
4. All member practices in Bexley are also being supported to help develop
future models of working to meet the evolving needs of patients. The CCG hosted an event earlier this month (July 2014), attended by a clinician and manager from each practice, to hear how neighbouring boroughs are creating and implementing GP ‘networks’ – where practices pool resources and expertise to improve care. The CCG has committed to support localities through this journey, where possible. From this work stream it is also hoped that improvements will be made in primary care.
5. During the undertaking of the survey, the CCG’s governing body approved a
primary care strategy, which is currently being implemented. The work deriving from the strategy aims to support practices and NHS England to improve the overall quality of primary care.
6. Earlier this month (July 2014), the CCG introduced a web-based quality alert system pilot with five GP practices. The software enables practices to log a quality issue in the system and share it with the CCG’s quality team so that it
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can be addressed with the service provider. The aim of the system is to improve communication between GPs and the CCG concerning quality issues. The CCG will be working alongside practices to obtain feedback and if successful, the software will be introduced at practices across the borough.
7. A bi-annual review will be developed with the patient council and members to demonstrate the CCG’s progress against its commissioning plans. The review – focusing on April to September and October to March – will include a series of case studies and examples to show:
o how members have been engaged and their comments acted on o where members of the public and patients have fed back comments or
compliments and how these have been acted on or listened to o how programmes of work are being delivered through partnership
working with providers, patients and the local authority o how and where decisions were made in the last six months and by
whom o how clinical leaders and members have impacted on the progress of
the commissioning plan The bi-annual review will be made available in an easy-to-read format and shared with community groups, forums, patient networks, clinicians, providers and wider stakeholders to demonstrate how the CCG is delivering against its plans and priorities.
8. Since the survey was undertaken, the Primary Care Advisory Group
(PCAG) has met and approved the constitution, which had been reviewed by all members. The changes in the constitution included the CCG’s updated values and updated governing body appointment procedures including the voting system and the role of the clinical-vice chair. The changes were approved and adopted by PCAG and the new constitution is available from the CCG’s public website.
9. Work is underway to ensure the CCG is an effective member of the adult safeguarding board. Following the completion of the survey, the CCG has and continues to ensure there is representation from the CCG at all adult safeguarding board meetings. A multi-agency forum has also been established to share learning between organisations and has ensured other stakeholders recognise the CCG as a valued adult safeguarding representative.
10. Work is underway to develop a training and development programme for CCG
senior leads including coaching and education, to help understand the local landscape (potentially including visits to or shadowing providers).
11. Work is also underway to develop a knowledge-training programme for the
governing body. The programme is likely to include topics such as risk appetite, safeguarding, finance and assurance.
12. Building relationships with NHS providers continues to expand following
dissolution of South London Healthcare NHS Trust, resulting in the CCG forming new networks and rapports with NHS providers. As an example, an
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urgent care network has been established between Bexley, Lewisham and Greenwich to improve governance structures and to better monitor winter pressures activity and performance.
Additional work to improve satisfaction rates in future 360° surveys A number of areas will require additional work or engagement to hopefully improve positive response rates in the future. These include:
1. A brainstorming session with members at a primary care advisory group meeting to consider some of the issues raised by the survey and discuss how these issues could be improved or resolved.
2. Using other forums to address some of the concerns raised by stakeholders and how these could be resolved, for example, informal clinical lead sessions and/or governing body think tanks, to obtain feedback and identify what other mechanisms and tools the CCG can implement to improve some understandings by stakeholders.
3. Enhancing internal and external processes to ensure members and wider stakeholders are more confident and aware of how decisions are made and the engagement that has taken place beforehand. For example, ensuring the decision to procure, through to the decision to award is even more transparent.
4. Expanding engagement with stakeholders to and establishing a series of tools to ensure stakeholders feel their suggestions are being listened to and acted on.
5. Implementing performance tools to demonstrate how the CCG’s plans are delivering quality improvements.
6. Building on existing plans to ensure the CCG effectively monitors the quality of services the CCG commissions and share these with members.
Appendix one: Summary results
Overall engagement and relationships Overall 77% (37) stakeholders felt they have been engaged by the CCG a great deal or a fair amount over the last 12 months. This represents a 20% improvement on the 2012 results where 64% of stakeholders gave this rating. The figure for member practices was slightly lower at 70% (16). Seven member practices felt that they had not been engaged very much or not at all as well as one patient/local Healthwatch representative, one CCG, one local authority representative and one representative from the wider stakeholder list. London CCG’s average for 2014 is 83% (450) and the national average is 83% (7451).
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“I’ve been invited to all meeting and they’ve been very open. Any questions I’ve needed to ask were dealt with – there was no fobbing off. I think the people running
the CCG and the staff have been very helpful and open, and they’re there.” 63% (30) of stakeholders reported that they were very or fairly satisfied with the way in which the CCG has engaged with them and this compares favourably to 53% (23) stakeholders in 2012, a 19% increase, and is slightly lower that the south London average of 76% (401) and the national average of 74% (6511). However, only 48% (11) of member practices were very or fairly satisfied and 17% (4) are very or fairly dissatisfied with the way in which the CCG has engaged with them. 52% (25) of all stakeholders strongly or tended to agree that the CCG listened to their views which is slightly lower than the CCG’s result in 2012 where 55% (23) agreed. This score is also lower than the national average of 66% (5921) and the south London average of 62% (334). 30% (7) of member practices tended to or strongly agree that the CCG listens to their views and 39% (9) strongly or tended to disagree. “Bexley CCG colleagues often have strong views on issues, but are very receptive to hearing different perspectives and happy to develop their thinking in response. They
are very straightforward and open, so good.” 42% (20) stakeholders strongly or tend to agree that the CCG had acted on their suggestions, compared to 36% (15) in 2012 – an increase of 17%. This score is lower than the south London average of 53% (284) and the national average of 51% (4580). 22% (5) of member practices strongly or tended to agree as did 80% (4) of other CCGs and 80% (4) of local authority representatives. 30% (7) of member practices strongly or tended to disagree. 75% (36) of all respondents rated their working relationship with the CCG as very or fairly good, compared to 57% (24) in 2012, representing a 32% increase. 70% (16) of member practices rated their working relationship as very or fairly good and 17% (4) rate it as very or fairly poor.
“Bexley CCG and the council work in partnership, engagement is good and relationships are built on growing mutual trust and understanding. This does not
mean there is no challenge or disagreement but that we can usually reach agreement because we have common goals and respect.”
54% (25) of stakeholders agreed that over the last 12 months their working relationship with the CCG has improved which is the same as the south London average of 54% (287) and a little higher that the national average of 49% (4377). Only 27% (6) member practices thought their working relationship had got much or a little better and 9% (2 practices) felt it had got much or a little worse.
Domain one: Are patients receiving clinically commissioned, high quality services?
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43% (10) of member practices said the arrangements for member participation and decision-making are very or fairly effective, compared to 63% (12) in 2012. 48% (11) of member practices feel that the arrangements for member participation and decision-making are not very or not at all effective. 78% (18) of member practices felt not very or not at all involved in the CCG’s decision making process, compared to 21% (5) practices who felt very or fairly involved. 35% (8) of member practices felt very or fairly confident in two way accountability between the CCG and member practices, compared to 47% (27) in 2012. 48% (11) practices were not very or not at all confident. 39% (9) of member practices stated that they had the opportunity for direct discussions with the CCG’s leaders on a quarterly basis, 35% (8) monthly. 9% (2) did not know. 56% (13) of member practices strongly or tended to agree that representatives from member practices are able to take a leadership role in the CCG and 5% (2) tend to disagree. 20% (1) of NHS provider trusts who responded to the survey agreed that quality is a key focus of the CCG’s discussions with them. 60% (3) stated that clinicians from the CCG are very or fairly involved in discussions about quality and 40% (2) stated that clinicians are very or fairly involved in discussions about service redesign.
Domain two: Are patients and the public actively engaged and involved? 53% (25) of all respondents strongly or tended to agree that the CCG involves and engages with the right individuals and organisations when making commissioning decisions, compared to a south London average of 63% (342) and a national average of 63% (5691). 48% (11) of members practices strongly or tended to agree with this statement and 30% (7) strongly or tended to disagree. 67% (2) of the Healthwatch/patient groups strongly or tended to agree with the statement as did 100% (5) of local authority respondents and 60% (3) of other CCGs. 58% (28) of all respondents strongly or tended to agree that they have confidence in the CCG to commission high quality services. 52% (12) of member practices strongly or tended to agree with this statement and 26% (6) strongly or tended to disagree.
“They [the CCG] have made an effort to understand the quality of our services. They
have been open on suggestions on how we report to them on the quality of our services. Initially they have not understood our services fully but this has improved
during the last financial year.” 63% (30) of all stakeholders strongly or tended to agree that they understood the reasons for the decisions that the CCG makes when commissioning services, compared to a south London average of 67% (364) and a national average of 64% (5745). 52% (12) of member practices strongly or tended to agree with this statement and 26% (6) strongly or tended to disagree.
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59% (28) of stakeholders strongly or tended to agree that the CCG effectively communicates its commissioning decisions with them which is slower than the south London average of 63% (339) and the same as the national average of 59% (5303). 52% (12) of member practices strongly or tended to agree with this statement and 26% (6) strongly or tended to disagree. “We have certain members who are involved in the CCG who are paid members of staff who engage with us. What’s missing is knowing the process that follows the
engagement, knowing how the process is fed back to the board and what the overall thinking is.”
58% (24) of all stakeholders strongly or tended to agree that the CCG’s plans will deliver continuous improvement in quality within the available resources, which is lower than the south London average of 62% (336) and the same national average of 58% (5249). 39% (9) of member practices strongly or tended to agree with this statement and 22% (5) strongly or tended to disagree. 50% (1) health and wellbeing board respondent, 67% (2) Healthwatch/patient groups and 100% (5) of local authority representatives strongly or tended to agree with this statement. 67% (3) of Healthwatch/patient group respondents were very or fairly satisfied with the steps taken by the CCG to engage with patients and the public and one respondent in this group is fairly dissatisfied. 33% (1) felt the CCG had engaged with seldom heard groups a great deal, 33% (1) a fair amount and 33% (1) just a little. “The Bexley CCG attend our meetings about twice a year and the Bexley pensioners forum and give our members updates on Queen Mary’s Hospital and other changes
in medical within Bexley which is received with thanks by all of our members.” 67% (2) of Healthwatch/patient group respondents strongly or tended to agree that the CCGs commissioning decisions were open and transparent and the public are able to understand how decisions are made and one strongly or tended to disagree. 67% of this group of respondents strongly or tended to agree that patients and the public had the opportunity to input into the CCGs commissioning decisions and one disagreed. 100% of respondents in this group strongly or tended to agree that the CCG listens to and acts on any concerns, complaints or issues that are raised.
Domain three: Are CCG plans delivering better outcomes for patients? 80% (38) of all respondents stated that they knew a great deal/fair amount about the CCG’s plans and priorities, which is just below the south London average of 81% (437) and above the national average of 78% (7027). 57% (13) of member practices stated that they knew a great deal/fair amount about the CCG’s plans and priorities and 43% (10) stated that they do not know very much or nothing at all.
“The plans and priorities are right – transformation is required to produce a more sustainable healthcare system. I would like to see increased emphasis on prevention
– managing the demand so as to give us some space to work with residents and clinicians to reconfigure services.”
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61% (29) of all stakeholders strongly or tended to agree that they had been given the opportunity to influence the CCG’s plans and priorities, which is just below the south London average of 62% (337) and the national average of 63% (5641). 43% (10) of member practices strongly or tended to agree that they had been given the opportunity to influence and 39% (9) strongly or tended to disagree. 52% (25) of all respondents felt that their comments had been taken on board, which is the same as the south London average of 52% (282) and just below the national average of 53% (4793). 29% (14) respondents do not know whether their comments had been taken on board. 26% (6) of member practices strongly or tended to agree that their comments had been taken on board and 26% (6) strongly or tended to disagree. 67% (2) health and wellbeing/patient groups also strongly or tended to disagree as did 100% of CCGs, local authorities and 60% of wider stakeholders.
“The CCG is in a particularly challenging financial position and this has, of course, influenced its plans and priorities. The CCG has taken some bold and innovative
approaches which have the potential to deliver significant improvements but it is too early to be confident of success.”
76% (19) of all stakeholders (this question did not include member practices) strongly or tended to agree that the CCG has effectively communicated its plans and priorities to them, which is higher than the south London average of 74% (183) and the national average of 68% (2678). 53% (25) of all respondents strongly or tended to agree that the CCGs plans and priorities are the right ones. 30% (7) of member practices strongly or tended to agree, as did 100% (2) of health and wellbeing board respondents, 100% (3) Healthwatch or patient group respondents and 100% (5) local authority representatives. 61% (14) of member practices understood very or fairly well the financial implications of the CCG’s plans, compared to 47% (9) in 2012. 39% (8) of practices responded that they did not very well or not at all well understand the financial implications. 65% (15) of member practices understood very or fairly well the implications of the CCGs plans for service improvement compared to 47% (9) in 2012, 30% (7) did not very or not at all well understand these implications. “We are often involved at the stage where the intentions are communicated. It would
be good at an earlier stage where they are being developed.” 65% (15) of member practices very or fairly well understood the referral and activity implications of the CCGs plans compared to 58% (11) in 2012. 31% (7) did not understand very well or not at all well these implications. 78% (18) of member practices understood very or fairly well what is required of their practice to implement the CCG’s plans, compared to 63% (12) in 2012. 21% (5) did not very well or not at all well what is required.
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80% (4) of NHS providers said that they are working very or fairly well with the CCG to develop long-term strategies and plans. Only 20% (1) of NHS providers said that the CCG understood very or fairly well the challenges facing provider organisations.
Domain four: Does the CCG have robust governance arrangements? 54% (26) of all stakeholders strongly or tended to agree that they have confidence that the CCG effectively monitors the quality of the services it commissions. 57% (13) of member practices strongly or tended to agree with this, as did 100% (3) of Healthwatch and patient groups, 60% (3) local authority and 40% (2) stakeholders. 30% (7) member practices strongly or tended to disagree with this statement. 81% (39) of all respondents strongly or tended to agree that if they had concerns about the quality of local services they would feel able to raise them with the CCG, which is just below the London average of 86% (464) and the national average of 86% (7732). 22% of member practices strongly or tended to disagree. “I think there is still some work to be done around engaging all constituent practices
in addition to having robust mechanisms by which to improve quality and accessibility to services.”
68% (32) of stakeholders strongly or tended to agree that they had confidence in the CCG to act on feedback it receives about the quality of services, which is just below the south London average of 70% (378) and the national average of 71% (6372). 52% (12) of member practices strongly or tended to agree with this statement as did 100% (2) health and wellbeing board respondents, 100% (3) of Healthwatch or patient groups and 100% (5) local authority representatives. 80% of NHS providers would said the amount of monitoring the CCG carries out is about right. 40% (2) of NHS providers tended to agree that when there is an issue with quality of service, the CCG’s response is proportionate and fair. 40% (2) neither agreed nor disagreed and 20% (1) didn’t know.
Domain five: Are CCGs working in partnership with others? 63% (30) of all stakeholders said the CCG had contributed a great or fair amount to discussions to local groups on quality and urgent care, compared to a south London average of 66% (355) and a national average of 62% (5583). 57% (13) of member practices said this whilst 9% (2) of practices said the CCG had not contributed very much or not at all. “Patient council member are encouraged to join various focus groups set up whereby they come together with CCG members to ensure that local health services will work
well for patients. Cardiology, end of life/palliative care, setting up of community clinics are just some examples.”
100% (5) of local authority respondents said they and the CCG are working very or fairly well together. 100% (5) local authority respondents said they and the CCG are
18
working very or fairly well together to deliver shared plans for integrated commissioning. 60% (3) of local authority respondents stated that the CCG had been very or fairly effective as part of the Local Safeguarding Children Board and 40% (2) did not know. 60% of these respondents stated that the CCG had been very or fairly effective as part of the Safeguarding Adults Board, 20% (1) didn’t know and 20% (1) said not very effective. 100% (2) health and wellbeing board respondents stated that the CCG is a very active member of the board and that the CCG has been very active in developing the Joint Health and Wellbeing Strategy. 100% (2) of health and wellbeing board respondents strongly or tended to agree that the CCG delivers elements of the strategy for which it is responsible. 100% (1) of these respondents strongly or tended to agree that the CCG involves other members of the board in development of the CCG’s commissioning plans. 50% of these respondents strongly or tended to agree that the CCG has been actively involved in the Joint Strategic Needs Assessment, 50% neither agreed nor disagreed, and 100% strongly or tended to agree that the CCG supplies information on its plans when it is required to do so.
Domain six: Does the CCG have strong and robust leadership? 65% (31) of all stakeholders strongly or tended to agree that the leadership of the CCG has the necessary blend of skills and experience, which is just higher than the CCG’s 2012 result of 65% (27). 57% (13) of member practices strongly or tended to agree that the leadership has the necessary blend of skills and experience as did 100% (3) of Healthwatch/patient groups. 17% (4) of member practices strongly or tended to disagree with this statement.
“Always available to meet and discuss issues.” 79% (38) of all respondents strongly or tended to agree that the CCG has clear and visible leadership, compared equally to 79% (33) in 2012 and is just higher than both the south London and national averages of 78%. 70% (16) of member practices, 100% (3) of Healthwatch/patient groups, 100% NHS providers, 100% (2) health and wellbeing board representatives, 100% (5) local authority representatives, strongly or tended to agree that there is clear and visible leadership. 22% (5) member practices strongly or tended to disagree. 63% (30) of all stakeholders strongly or tend to agree that they have confidence in the leadership to deliver its plans and priorities, which is comparable to 57% (24) in 2012 but lower than the south London average 72% (387) and the national average of 69% (6182). 100% (2) health and wellbeing board and 67% (2) of Healthwatch/ patient groups strongly or tended to agree that they had confidence in the leadership of the CCG to deliver its plans and priorities. However, only 48% of member practices strongly or tended to agree.
“Thank goodness we have high functioning colleagues as part of the CCG.”
19
50% (24) of stakeholders strongly or tended to agree that the leadership of the CCG is delivering continued quality improvements, which is lower than the south London average of 64% (344) and the national average of 60% (5410). 67% (2) of Healthwatch/patient groups and 100% (5) of local authorities and 60% (3) of wider stakeholders strongly or tended to agree that the leadership delivers continued quality improvements. 39% (9) of member practices strongly or tended to disagree as did 20% (1) NHS providers. 52% (25) of stakeholders strongly or tended to agree that they have confidence in the CCG to deliver improved outcomes for patients, which is lower than the south London average of 67% (362) and the national average of 65% (5868). 50% (1) health and wellbeing board, 67% (2) of Healthwatch/patient groups, 100% (5) local authority respondents strongly or tended to agree. 35% (8) of member practices and 80% (4) of NHS providers strongly or tended to agree. “Relationships and productivity has substantially improved over the past 12 months. Bexley CCG leadership takes a very forward looking and collaborative approach.”
71% (34) of all stakeholders strongly or tended to agree that there is clear and visible clinical leadership of the CCG which is just below the south London average of 77% (418) and the national average of 76% (6891). 57% (13) of member practices, 100% (3) of local Healthwatch/patient groups and 100% (5) of local authority respondents and 80% of all other stakeholders strongly or tended to agree that there is clear and visible clinical leadership and 20% (1) NHS providers strongly or tended to disagree. “Not sure they [the CCG] fully appreciate the difficulties in day-to-day practice when
trying to meet targets.” 52% (25) of all stakeholders strongly or tended to agree that they had confidence in the clinical leadership to deliver its plans and priorities which lower than the south London average of 70% (379) and the national average of 68% (6112). 50% (1) of health and wellbeing board, 67% (2) of local Healthwatch/patient groups, 100% (5) local authority, 60% (3) of wider stakeholders strongly or tended to agree that they have confidence in the clinical leadership to deliver it plans and priorities. Only 38% (8) of member practices strongly or tended to agree. 50% (14) of stakeholders strongly or tended to agree that the clinical leadership of the CCG is delivering continued quality improvements, which is lower than the south London average of 63% (342) and the national average of 61% (5467). 67% (2) of local Healthwatch/patient groups, 100% (5) local authority, 60% (3) wider stakeholders and 80% of other CCGs strongly or tended to agree that they have confidence in the clinical leadership of the CCG to deliver its plans and priorities. However, 35% (8) of member practices and 40% (2) of NHS providers strongly or tended to disagree.
Additional questions 71% (34) of stakeholders strongly felt the communication with stakeholders regarding the changes taking place at QMH were very or fairly good. 70% (16) of members, 100% (2) of health and wellbeing boards, 100% (3) of Healthwatch/patient
20
groups, 60% (3) of NHS providers and 100% (5) of local authority representatives through communication was very/fairly good.
“Queen Mary’s Hospital Sidcup is a clear example of a strategic approach that is delivering enhanced community-based care and more will follow.”
50% (24) of stakeholders felt engagement with patients and residents regarding the changes to local healthcare services was very or fairly good. Only 43% (10) and 20% (1) of NHS Providers felt engagement was very or fairly good. 53% (30) of stakeholders felt engaging local people and clinicians in the development of the CCGs commissioning plans was very or fairly good. 65% (31) of stakeholders felt the CCG addressed concerns about the quality of local healthcare services provided by local NHS organisations very or fairly well. 58% (28) of stakeholders felt the CCG collaborated with its partners to improve health and social care across the borough very or fairly well. Only 40% (10) of member practices and 40% (2) of NHS providers felt the CCG collaborated very or fairly well.
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Version 1| Internal Use Only
Bexley CCG
CCG 360o stakeholder survey 2014
Main report
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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.
Bexley CCG
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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
Bexley CCG
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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.
• 48 of the CCG’s stakeholders
completed the survey. The
overall response rate was
84% which varied across the
stakeholder groups shown in
the table opposite.
Survey response rates for Bexley CCG
Stakeholder group
Invited to take
part in survey
Completed
survey Response rate
GP member practices 28 23 82%
Health and wellbeing boards 2 2 100%
Local Healthwatch/patient
groups 5 3 60%
NHS providers 6 5 83%
Other CCGs 5 5 100%
Upper tier or unitary local
authorities 5 5 100%
Wider stakeholders 6 5 83%
Bexley CCG
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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 Bexley CCG's stakeholder survey. Throughout the
report, ‘the CCG / your CCG’ refers to Bexley CCG.
• Where a result for the ‘Area team’ is presented, this refers to the overall score across
South London 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.
Bexley CCG
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Using the results – the reports
Bexley 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.
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Using the results – comparisons
Bexley 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.
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Overall engagement and
relationships
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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: 48); (2012: 42)
Bexley CCG
29%
48%
23% 14
23
11
A great deal A fair amount Not very much
Not at all Don't know
Stakeholder group Base Great deal /
Fair amount
Not very much
/ Not at all
GP member practices 23 70% (16) 30% (7)
Health and wellbeing boards 2 100% (2) -% (0)
Local Healthwatch/patient
groups 3 67% (2) 33% (1)
NHS providers 5 100% (5) -% (0)
Other CCGs 5 80% (4) 20% (1)
Upper tier/unitary local
authorities 5 80% (4) 20% (1)
Wider stakeholders 5 80% (4) 20% (1)
77% (37) 2014 Great deal /
Fair amount
All stakeholders By stakeholder group
64% (27) *2012 Great 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
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31%
31%
23%
8% 4% 2%
15
15
11
4
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 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 Base Very / Fairly
satisfied
Very / Fairly
dissatisfied
GP member practices 23 48% (11) 17% (4)
Health and wellbeing boards 2 100% (2) -% (0)
Local Healthwatch/patient
groups 3 67% (2) 33% (1)
NHS providers 5 40% (2) -% (0)
Other CCGs 5 80% (4) -% (0)
Upper tier/unitary local
authorities 5 100% (5) -% (0)
Wider stakeholders 5 80% (4) 20% (1)
63%
(30)
2014 Very satisfied /
Fairly satisfied
59%
(23)
*2012 Very satisfied /
Fairly satisfied
Total responses : All stakeholders who say they have been engaged by CCG (2014: 48); (2012: 39)
Bexley CCG Fieldwork: 12 March - 8 April 2014
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17%
35%
15%
21%
4% 2% 6%
8
17
7
10
2 1
3
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?
All stakeholders By stakeholder group
* 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 Base Strongly /
Tend to agree
Strongly / Tend
to disagree
GP member practices 23 30% (7) 39% (9)
Health and wellbeing boards 2 100% (2) -% (0)
Local Healthwatch/patient
groups 3 67% (2) -% (0)
NHS providers 5 40% (2) 40% (2)
Other CCGs 5 80% (4) -% (0)
Upper tier/unitary local
authorities 5 100% (5) -% (0)
Wider stakeholders 5 60% (3) 20% (1)
52%
(25)
2014 Strongly agree /
Tend to agree
55%
(23)
*2012 Strongly agree /
Tend to agree
Total responses : All stakeholders (2014: 48); (2012: 42)
Bexley CCG Fieldwork: 12 March - 8 April 2014
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8%
33%
23%
15%
4%
6%
10%
4
16
11
7
2
3
5
Strongly agree Tend to agree
Neither agree nor disagree Tend to disagree
Strongly disagree Don't know
I have not given any suggestions
To what extent do you agree or disagree that the CCG has acted on
your suggestions?
All stakeholders By stakeholder group
Stakeholder group Base Strongly /
Tend to agree
Strongly / Tend
to disagree
GP member practices 23 22% (5) 30% (7)
Health and wellbeing boards 2 -% (0) -% (0)
Local Healthwatch/patient
groups 3 67% (2) -% (0)
NHS providers 5 40% (2) 20% (1)
Other CCGs 5 80% (4) -% (0)
Upper tier/unitary local
authorities 5 80% (4) -% (0)
Wider stakeholders 5 60% (3) 20% (1)
42%
(20)
2014 Strongly agree
/ Tend to agree
36%
(15)
2012 Strongly agree
/ Tend to agree
Total responses : All stakeholders (2014: 48); (2012: 42)
Bexley CCG Fieldwork: 12 March - 8 April 2014
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38%
38%
8%
10%
2%
4%
18
18
4
5
1 2
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?
By stakeholder group
Stakeholder group Base Very good /
Fairly good
Very poor /
Fairly poor
GP member practices 23 70% (16) 17% (4)
Health and wellbeing boards 2 100% (2) -% (0)
Local Healthwatch/patient
groups 3 67% (2) 33% (1)
NHS providers 5 60% (3) -% (0)
Other CCGs 5 80% (4) -% (0)
Upper tier/unitary local
authorities 5 100% (5) -% (0)
Wider stakeholders 5 80% (4) 20% (1)
75% (36) 2014 Very good /
Fairly good 57% (24)
2012 Very good /
Fairly good
Total responses : All stakeholders (2014: 48); (2012: 42)
Bexley CCG Fieldwork: 12 March - 8 April 2014
All stakeholders
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24%
30%
41%
4% 11
14
19
2
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 (46)
Bexley CCG
By stakeholder group
Stakeholder group Base Got much /
A little better
Got much / A
little worse
GP member practices 22 27% (6) 9% (2)
Health and wellbeing boards 2 100% (2) -% (0)
Local Healthwatch/patient
groups 3 67% (2) -% (0)
NHS providers 5 60% (3) -% (0)
Other CCGs 4 100% (4) -% (0)
Upper tier/unitary local
authorities 5 100% (5) -% (0)
Wider stakeholders 5 60% (3) -% (0)
Fieldwork: 12 March - 8 April 2014
All stakeholders who say they have a working
relationship with the CCG
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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?
77% (37) a great deal
/ a fair amount
All stakeholders (48)
And how satisfied or dissatisfied are you with the way in which the CCG has engaged with you
over the past 12 months?
63% (30) very / fairly
satisfied
All stakeholders who have
been engaged (48)
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?
52% (25) strongly /
tend to agree
All stakeholders (48)
To what extent do you agree or disagree that the CCG has acted on your suggestions? 42% (20) strongly /
tend to agree
All stakeholders (48)
Overall, how would you rate your working relationship with the CCG? 75% (36) very / fairly
good
All stakeholders (48)
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?
54% (25) much better
/ a little better
All stakeholders who say
they have a working
relationship with the CCG
(46)
Bexley CCG Fieldwork: 12 March - 8 April 2014
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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 engagement
How 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
Engagement
Overall, 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 (48) Base CCG Area Team: All stakeholders (540)
Base 2012: All stakeholders (42) Base national average: All stakeholders (9018)
Base 2014: All stakeholders who
say they have been
engaged
(48) Base CCG Area Team: All stakeholders who
say they have been
engaged
(531)
Base 2012: (39) Base national average: (8852)
Bexley CCG
All comparisons are indicative only and do not imply statistical significance
Fieldwork: 12 March - 8 April 2014
• The majority of stakeholders who say they
have been engaged feel satisfied (fairly or very)
with the way they have been engaged by the
CCG.
• The majority of 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 lower than the finding for CCGs overall.
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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
Acting on suggestions
To 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 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?
Percentage of stakeholders saying strongly agree / tend to agree
Base 2014: All stakeholders (48) Base CCG Area Team: All stakeholders (540)
Base 2012: All stakeholders (42) Base national average: All stakeholders (9018)
Base 2014: All stakeholders (48) Base CCG Area Team: All stakeholders (540)
Base 2012: All stakeholders (42) Base national average: All stakeholders (9018)
All comparisons are indicative only and do not imply statistical significance
Bexley CCG Fieldwork: 12 March - 8 April 2014
• Around half of stakeholders say that the CCG
has acted on their suggestions where they
have provided them.
• Around half of stakeholders say that the CCG
has listened to their views.
• This is lower than the finding for CCGs overall.
• This is about the same as the finding for CCGs
overall.
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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
Change in working relationship
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?
Percentage of stakeholders saying got much better / got a little better
0 10 20 30 40 50 60 70 80 90 100
Working relationship
Overall, how would you rate your working relationship with the CCG?
Percentage of stakeholders saying very good / fairly good
Base 2014: All stakeholders (48) Base CCG Area Team: All stakeholders (540)
Base 2012: All stakeholders (42) Base national average: All stakeholders (9018)
Base 2014: All stakeholders who say
they have a working
relationship with the CCG
(46) Base CCG Area Team: All stakeholders who say
they have a working
relationship with the CCG
(529)
Base national average: (8881)
All comparisons are indicative only and do not imply statistical significance
Bexley CCG Fieldwork: 12 March - 8 April 2014
• Around half of stakeholders say that their
working relationship with the CCG has got
better over the past 12 months.
• The majority of stakeholders say that they have
a good working relationship with the CCG.
• This is about the same as the finding for CCGs
overall.
• This is about the same as the finding for CCGs
overall.
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Domain 1: Are patients receiving
clinically commissioned, high
quality services?
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4%
39%
48%
4% 4%
1
9
11
1 1
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 (2014:23); (2012: 19)
Bexley CCG
Fieldwork: 12 March - 8 April 2014
43%
(10) Very / Fairly
effective 2014
63%
(12) Very / Fairly
effective 2012
All member practices
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4%
17%
43%
35%
1
4
10
8
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 (23)
Bexley CCG Fieldwork: 12 March - 8 April 2014
All member practices
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9%
26%
26%
22%
17%
2
6
6
5
4
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: 23); (2012: 19)
Bexley CCG
35%
(8) Very / Fairly
confident 2014
47%
(9) Very / Fairly
confident 2012
Fieldwork: 12 March - 8 April 2014
All member practices
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Number
1
1
8
9
1
1
0
2
Approximately how often, if at all, do you have the opportunity
for direct discussions with your CCG’s leaders?
Total responses : All member practices (23)
Bexley CCG Fieldwork: 12 March - 8 April 2014
4%
4%
35%
39%
4%
4%
0%
9%
Weekly
Twice a month
Once a month
Quarterly
Twice a year
Once a year
Less than once a year
Don't know
All member practices
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17%
39% 17%
13%
4%
9%
4
9
4
3
1
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?
Total responses : All member practices (23)
Bexley CCG
Fieldwork: 12 March - 8 April 2014
All member practices
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20%
60%
20%
1
3
1
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 quality is a key focus of your
contracts with the CCG?
Total responses : All NHS providers (5)
Bexley CCG
Fieldwork: 12 March - 8 April 2014
All NHS providers
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How involved, if at all, would you say clinicians from the CCG are in
discussions about…?
20%
40%
40%
1
2
2
Very involved Fairly involved Not very involved Not at all involved Don't know
Quality
Total responses : All NHS providers (5)
Bexley CCG Fieldwork: 12 March - 8 April 2014
All NHS providers
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How involved, if at all, would you say clinicians from the CCG are in
discussions about…?
40%
20%
40% 2
1
2
Very involved Fairly involved Not very involved Not at all involved Don't know
Service redesign
Total responses : All NHS providers (5)
Bexley CCG
Fieldwork: 12 March - 8 April 2014
All NHS providers
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Domain 1: Summary
Base
How effective, if at all, would you say the arrangements are for member participation and
decision-making in your CCG?
43% (10) very / fairly
effective
All member practices (23)
How involved, if at all, do you feel you are in your CCG’s decision-making process? 22% (5) very / fairly
involved
All member practices (23)
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?
35% (8) very / fairly
confident
All member practices (23)
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?
57% (13) strongly /
tend to agree
All member practices (23)
To what extent do you agree or disagree that quality is a key focus of your contracts with your
CCG?
20% (1) strongly /
tend to agree
All NHS providers (5)
How involved, if at all, would you say clinicians from the CCG are in discussions about…?
A. Quality
B. Service redesign
60% (3) very / fairly
involved
All NHS providers (5)
40% (2) very / fairly
involved
Bexley CCG Fieldwork: 12 March - 8 April 2014
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Domain 2: Are patients and the
public actively engaged and
involved?
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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 (48)
Bexley CCG
52%
58%
63%
58%
50%
15%
17%
13%
19%
21%
23%
19%
17%
21%
19%
10%
6%
8%
2%
10%
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
25 7 11 5
28 8 9 3
30 6 8 4
28 9 10 1
24 10 9 5
Fieldwork: 12 March - 8 April 2014
All stakeholders
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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 (48)
Bexley CCG
The CCG involves and engages with the right individuals and organisations when making commissioning
decisions
All stakeholders By stakeholder group
By stakeholder group
Stakeholder group Base Strongly /
Tend to agree
Strongly / Tend
to disagree
GP member practices 23 48% (11) 30% (7)
Health and wellbeing boards 2 -% (0) -% (0)
Local Healthwatch/patient
groups 3 67% (2) 33% (1)
NHS providers 5 40% (2) 40% (2)
Other CCGs 5 60% (3) -% (0)
Upper tier/unitary local
authorities 5 100% (5) -% (0)
Wider stakeholders 5 40% (2) 20% (1)
Fieldwork: 12 March - 8 April 2014
15%
38%
15%
17%
6%
10%
7
18
7
8
3
5
Strongly agree Tend to agree
Neither agree nor disagree Tend to disagree
Strongly disagree Don't know
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To what extent do you agree or disagree with the following
statements about the way in which the CCG commissions services…?
I have confidence in the CCG to commission high quality services for the local population
All stakeholders
By stakeholder group
By stakeholder group
Stakeholder group Base Strongly /
Tend to agree
Strongly / Tend
to disagree
GP member practices 23 52% (12) 26% (6)
Health and wellbeing boards 2 50% (1) -% (0)
Local Healthwatch/patient
groups 3 67% (2) -% (0)
NHS providers 5 20% (1) 40% (2)
Other CCGs 5 80% (4) -% (0)
Upper tier/unitary local
authorities 5 100% (5) -% (0)
Wider stakeholders 5 60% (3) 20% (1)
Fieldwork: 12 March - 8 April 2014
25%
33%
17%
10%
8% 6% 12
16
8
5
4
3
Strongly agree Tend to agree
Neither agree nor disagree Tend to disagree
Strongly disagree Don't know
Total responses : All stakeholders (48)
Bexley CCG
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To what extent do you agree or disagree with the following
statements about the way in which the CCG commissions services…?
I understand the reasons for the decisions that the CCG makes when commissioning services
All stakeholders By stakeholder group
Stakeholder group Base Strongly /
Tend to agree
Strongly / Tend
to disagree
GP member practices 23 52% (12) 26% (6)
Health and wellbeing boards 2 50% (1) -% (0)
Local Healthwatch/patient
groups 3 100% (3) -% (0)
NHS providers 5 40% (2) 20% (1)
Other CCGs 5 80% (4) -% (0)
Upper tier/unitary local
authorities 5 100% (5) -% (0)
Wider stakeholders 5 60% (3) 20% (1)
Fieldwork: 12 March - 8 April 2014
25%
38%
13%
17%
8% 12
18
6
8
4
Strongly agree Tend to agree
Neither agree nor disagree Tend to disagree
Strongly disagree Don't know
Total responses : All stakeholders (48)
Bexley CCG
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To what extent do you agree or disagree with the following
statements about the way in which the CCG commissions services…?
The CCG effectively communicates its commissioning decisions with me
All stakeholders
By stakeholder group
By stakeholder group
Stakeholder group Base Strongly /
Tend to agree
Strongly / Tend
to disagree
GP member practices 23 52% (12) 26% (6)
Health and wellbeing boards 2 50% (1) -% (0)
Local Healthwatch/patient
groups 3 67% (2) 33% (1)
NHS providers 5 40% (2) 20% (1)
Other CCGs 5 60% (3) -% (0)
Upper tier/unitary local
authorities 5 100% (5) -% (0)
Wider stakeholders 5 60% (3) 40% (2)
Fieldwork: 12 March - 8 April 2014
15%
44%
19%
13%
8% 2%
7
21
9
6
4 1
Strongly agree Tend to agree
Neither agree nor disagree Tend to disagree
Strongly disagree Don't know
Total responses : All stakeholders (48)
Bexley CCG
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To what extent do you agree or disagree with the following
statements about the way in which the CCG commissions services…?
19%
31% 21%
10%
8%
10%
9
15
10
5
4
5
Strongly agree Tend to agree
Neither agree nor disagree Tend to disagree
Strongly disagree Don't know
The CCG’s plans will deliver continuous improvement in quality within the available resources
All stakeholders
By stakeholder group
By stakeholder group
Stakeholder group Base Strongly /
Tend to agree
Strongly / Tend
to disagree
GP member practices 23 39% (9) 22% (5)
Health and wellbeing boards 2 50% (1) -% (0)
Local Healthwatch/patient
groups 3 67% (2) -% (0)
NHS providers 5 20% (1) 60% (3)
Other CCGs 5 60% (3) -% (0)
Upper tier/unitary local
authorities 5 100% (5) -% (0)
Wider stakeholders 5 60% (3) 20% (1)
Fieldwork: 12 March - 8 April 2014 Total responses : All stakeholders (48)
Bexley CCG
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67%
33%
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 (3)
Bexley CCG Fieldwork: 12 March - 8 April 2014
All Healthwatch and patient group stakeholders
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33%
33%
33%
1
1
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?
Total responses : All Healthwatch and patient group stakeholders (3)
Bexley CCG
Fieldwork: 12 March - 8 April 2014
All Healthwatch and patient group stakeholders
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To what extent do you agree or disagree with the following
statements…?
67%
67%
33%
33%
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 0 1 0
2 0 1 0
Total responses : All Healthwatch and patient group stakeholders (3)
Bexley CCG Fieldwork: 12 March - 8 April 2014
All Healthwatch and patient group stakeholders
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To what extent do you agree or disagree with the following
statements…?
67%
33%
2
1
Strongly agree Tend to agree Neither agree nor disagree Tend to disagree Strongly 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
Total responses : All Healthwatch and patient group stakeholders (3)
Bexley CCG
Fieldwork: 12 March - 8 April 2014
All Healthwatch and patient group stakeholders
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To what extent do you agree or disagree with the following
statements…?
67%
33%
2
1
Strongly agree Tend to agree Neither agree nor disagree Tend to disagree Strongly disagree Don't know
Patients and the public have the opportunity to input into the CCG’s commissioning decisions
Total responses : All Healthwatch and patient group stakeholders (3)
Bexley CCG Fieldwork: 12 March - 8 April 2014
All Healthwatch and patient group stakeholders
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67%
33%
2
1
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 the CCG listens to and
acts on any concerns, complaints or issues that are raised?
Total responses : All Healthwatch and patient group stakeholders (3)
Bexley CCG Fieldwork: 12 March - 8 April 2014
All Healthwatch and patient group stakeholders
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Domain 2: Summary
Base
To what extent do you agree or disagree with the following statements about the way in
which the CCG commissions services…?
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
52% (25) strongly /
tend to agree
All stakeholders (48)
58% (28) strongly /
tend to agree
63% (30) strongly /
tend to agree
58% (28) strongly /
tend to agree
50% (24) strongly /
tend to agree
How satisfied or dissatisfied are you with the steps taken by the CCG to engage with
patients and the public?
67% (2) very / fairly
satisfied
All Healthwatch and
patient group stakeholders
(3)
To what extent, if at all, do you feel that the CCG has engaged with seldom heard
groups?
67% (2) a great deal /
a fair amount
All Healthwatch and
patient group stakeholders
(3)
Bexley CCG Fieldwork: 12 March - 8 April 2014
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Domain 2: Summary
Base
To what extent do you agree or disagree with the following statements…?
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
67% (2) strongly /
tend to agree
All Healthwatch and
patient group stakeholders
(3)
67% (2) strongly /
tend to agree
To what extent do you agree or disagree that the CCG listens to and acts on any
concerns, complaints or issues that are raised?
100% (3) strongly /
tend to agree
All Healthwatch and
patient group stakeholders
(3)
Bexley CCG Fieldwork: 12 March - 8 April 2014
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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 services
I have confidence in the CCG to commission high quality services for the local population
Percentage of stakeholders saying strongly agree / tend to agree
0 10 20 30 40 50 60 70 80 90 100
To what extent do you agree or disagree with the following statements about the way in
which the CCG commissions services…?
Involving and engaging the right individuals and organisations
The CCG involves and engages with the right individuals and organisations when making
commissioning decisions
Percentage of stakeholders saying strongly agree / tend to agree
Base 2014: All stakeholders (48) Base CCG Area Team: All stakeholders (540)
Base national average: All stakeholders (9018)
Base 2014: All stakeholders (48) Base CCG Area Team: All stakeholders (540)
Base national average: All stakeholders (9018)
Bexley CCG
All comparisons are indicative only and do not imply statistical significance
Fieldwork: 12 March - 8 April 2014
• Around half of stakeholders say that they have
confidence in the CCG to commission high
quality services for the local population.
• Around half of stakeholders say that the CCG
involves and engages with the right individuals
and organisations when making commissioning
decisions.
• This is lower than the finding for CCGs overall.
• This is about the same as the finding for CCGs
overall.
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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
Communicating commissioning decisions
The CCG effectively communicates its commissioning decisions with me
Percentage of stakeholders saying strongly agree / tend to agree
0 10 20 30 40 50 60 70 80 90 100
To what extent do you agree or disagree with the following statements about the way in
which the CCG commissions services…?
Understanding of commissioning decisions
I understand the reasons for the decisions that the CCG makes when commissioning
services
Percentage of stakeholders saying strongly agree / tend to agree
Base 2014: All stakeholders (48) Base CCG Area Team: All stakeholders (540)
Base national average: All stakeholders (9018)
Base 2014: All stakeholders (48) Base CCG Area Team: All stakeholders (540)
Base national average: All stakeholders (9018)
All comparisons are indicative only and do not imply statistical significance
Fieldwork: 12 March - 8 April 2014 Bexley CCG
• Around half 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.
• This is about the same as the finding for CCGs
overall.
• This is about the same as the finding for CCGs
overall.
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The CCG 2014 National CCG average 2014 CCG Area Team
Domain 2: CCG comparisons
• Around half 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
To what extent do you agree or disagree with the following statements about the way in
which the CCG commissions services…?
Continuous improvement in quality
The CCG’s plans will deliver continuous improvement in quality within the available
resources
Percentage of stakeholders saying strongly agree / tend to agree
Base 2014: All stakeholders (48) Base CCG Area Team: All stakeholders (540)
Base national average: All stakeholders (9018)
All comparisons are indicative only and do not imply statistical significance
Fieldwork: 12 March - 8 April 2014 Bexley CCG
• This is about the same as the finding for CCGs
overall.
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Domain 3: Are CCG plans delivering
better outcomes for patients?
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13%
67%
13%
8%
6
32
6
4
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?
Total responses : All stakeholders (48)
Bexley CCG
All stakeholders By stakeholder group
Stakeholder group Base Great deal/
Fair amount
Not very much/
Nothing at all
GP member practices 23 57% (13) 43% (10)
Health and wellbeing boards 2 100% (2) -% (0)
Local Healthwatch/patient
groups 3 100% (3) -% (0)
NHS providers 5 100% (5) -% (0)
Other CCGs 5 100% (5) -% (0)
Upper tier/unitary local
authorities 5 100% (5) -% (0)
Wider stakeholders 5 100% (5) -% (0)
Fieldwork: 12 March - 8 April 2014
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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 (48); *All stakeholders except member practices (25)
Bexley CCG
60%
52%
76%
52%
19%
29%
20%
23%
21%
17%
4%
19%
2%
6%
Strongly agree / Tend to agree Neither agree nor disagree Strongly disagree / Tend to disagree Don't know
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
29 9 10 0
25 14 8 1
19 5 1 0
25 11 9 3
Fieldwork: 12 March - 8 April 2014
All stakeholders / All stakeholders except member practices
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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 (48)
Bexley CCG
21%
40%
19%
19%
2% 10
19
9
9
1
Strongly agree Tend to agree
Neither agree nor disagree Tend to disagree
Strongly disagree Don't know
I have been given the opportunity to influence the CCG’s plans and priorities
All stakeholders
By stakeholder group
By stakeholder group
Stakeholder group Base Strongly /
Tend to agree
Strongly / Tend
to disagree
GP member practices 23 43% (10) 39% (9)
Health and wellbeing boards 2 50% (1) -% (0)
Local Healthwatch/patient
groups 3 100% (3) -% (0)
NHS providers 5 40% (2) 20% (1)
Other CCGs 5 80% (4) -% (0)
Upper tier/unitary local
authorities 5 100% (5) -% (0)
Wider stakeholders 5 80% (4) -% (0)
Fieldwork: 12 March - 8 April 2014
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17%
35% 29%
10%
6%
2%
8
17 14
5
3 1
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 with each of the following
statements about 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
All stakeholders By stakeholder group
By stakeholder group
Total responses : All stakeholders (48)
Bexley CCG
Stakeholder group Base Strongly /
Tend to agree
Strongly / Tend
to disagree
GP member practices 23 26% (6) 26% (6)
Health and wellbeing boards 2 100% (2) -% (0)
Local Healthwatch/patient
groups 3 67% (2) -% (0)
NHS providers 5 40% (2) 20% (1)
Other CCGs 5 100% (5) -% (0)
Upper tier/unitary local
authorities 5 100% (5) -% (0)
Wider stakeholders 5 60% (3) 20% (1)
Fieldwork: 12 March - 8 April 2014
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28%
48%
20%
4% 7
12
5
1
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 with each of the following
statements about the CCG’s plans and priorities…?
The CCG has effectively communicated its plans and priorities to me
All stakeholders except member practices
By stakeholder group
By stakeholder group
Total responses : All stakeholders except member practices (25)
Bexley CCG
Stakeholder group Base Strongly /
Tend to agree
Strongly / Tend
to disagree
Health and wellbeing boards 2 100% (2) -% (0)
Local Healthwatch/patient
groups 3 67% (2) -% (0)
NHS providers 5 40% (2) 20% (1)
Other CCGs 5 100% (5) -% (0)
Upper tier/unitary local
authorities 5 100% (5) -% (0)
Wider stakeholders 5 60% (3) -% (0)
Fieldwork: 12 March - 8 April 2014
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13%
40% 23%
17% 2%
6%
6
19
11
8
1 3
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 with each of the following
statements about the CCG’s plans and priorities…?
The CCG’s plans and priorities are the right ones
All stakeholders
By stakeholder group
By stakeholder group
Total responses : All stakeholders (48)
Bexley CCG
Stakeholder group Base Strongly/Tend
to agree
Strongly/Tend
to disagree
GP member practices 23 30% (7) 22% (5)
Health and wellbeing boards 2 100% (2) -% (0)
Local Healthwatch/patient
groups 3 100% (3) -% (0)
NHS providers 5 20% (1) 60% (3)
Other CCGs 5 80% (4) -% (0)
Upper tier/unitary local
authorities 5 100% (5) -% (0)
Wider stakeholders 5 60% (3) 20% (1)
Fieldwork: 12 March - 8 April 2014
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How well, if at all, would you say you understand…?
Total responses : All member practices (23)
Bexley CCG
61%
65%
65%
39%
30%
30%
4%
4%
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
14 9 0
15 7 1
15 7 1
Fieldwork: 12 March - 8 April 2014
All member practices
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How well, if at all, would you say that you understand…?
17%
43%
26%
13%
4
10
6
3
Very well Fairly well Not very well Not at all well Don't know
The financial implications of the CCG’s plans
Total responses : All member practices (2014: 23); (2012: 19)
Bexley CCG
61% (14) Very / Fairly
well 2014
47% (9) Very / Fairly
well 2012
Fieldwork: 12 March - 8 April 2014
All member practices
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How well, if at all, would you say that you understand…?
The implications of the CCG’s plans for service improvement
Total responses : All member practices (2014: 23); (2012: 19)
Bexley CCG
Fieldwork: 12 March - 8 April 2014
17%
48%
26%
4% 4%
4
11
6
1 1
Very well Fairly well Not very well Not at all well Don't know
65% (15) Very / Fairly
well 2014
47% (9) Very / Fairly
well 2012
All member practices
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How well, if at all, would you say that you understand…?
The referral and activity implications of the CCG’s plans
Total responses : All member practices (2014: 23); (2012: 19)
Bexley CCG
Fieldwork: 12 March - 8 April 2014
13%
52%
22%
9% 4%
3
12
5
2
1
Very well Fairly well Not very well Not at all well Don't know
65% (15) Very / Fairly
well 2014
58% (11) Very / Fairly
well 2012
All member practices
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26%
52%
17%
4% 6
12
4
1
Very well Fairly well Not very well Not at all well Don't know
How well, if at all, do you understand what is required of your practice in
order to implement the CCG’s plans?
Total responses : All member practices (2014: 23); (2012: 19)
Bexley CCG
78%
(18)
Very well /
Fairly well
2014
63%
(12)
Very well /
Fairly well
2012
Fieldwork: 12 March - 8 April 2014
All member practices
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80%
20%
4
1
Very well Fairly well Not very well Not at all well Don't know
How well, if at all, would you say the CCG and your organisation are working
together to develop long-term strategies and plans?
Total responses : All NHS providers (5)
Bexley CCG Fieldwork: 12 March - 8 April 2014
All NHS providers
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20%
60%
20%
1
3
1
Very well Fairly well Not very well Not at all well Don't know
How well, if at all, would you say the CCG understands the challenges facing
your provider organisation?
Total responses : All NHS providers (5)
Bexley CCG
Fieldwork: 12 March - 8 April 2014
All NHS providers
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Domain 3: Summary
Base
How much would you say you know about the CCG’s plans and priorities? 79% (38) a great
deal / a fair amount
All stakeholders (48)
To what extent do you agree or disagree with each of the following statements about the CCG’s
plans and priorities…?
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
60% (29) strongly /
tend to agree All stakeholders (48)
52% (25) strongly /
tend to agree
All stakeholders (48)
76% (19) strongly /
tend to agree All stakeholders except
member practices (25)
52% (25) strongly /
tend to agree
All stakeholders (48)
How well, if at all, would you say that you understand…?
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
61% (14) very well /
fairly well
All member practices (23)
65% (15) very well /
fairly well
65% (15) 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?
78% (18) very well /
fairly well
All member practices (23)
How well, if at all, would you say the CCG and your organisation are working together to
develop long-term strategies and plans?
80% (4) very well /
fairly well
All NHS providers (5)
How well, if at all, would you say the CCG understands the challenges facing your provider
organisation?
20% (1) very well /
fairly well
All NHS providers (5)
Bexley CCG Fieldwork: 12 March - 8 April 2014
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The CCG 2014 National CCG average 2014 CCG Area Team
Domain 3: CCG comparisons
0 10 20 30 40 50 60 70 80 90 100
To what extent do you agree or disagree with each of the following statements about the
CCG’s plans and priorities?
Influence over the CCG’s plans and priorities
I have been given the opportunity to influence the CCG’s plans and priorities
Percentage of stakeholders saying strongly agree / tend to agree
0 10 20 30 40 50 60 70 80 90 100
Knowledge of plans and priorities
How much would you say you know about the CCG’s plans and priorities?
Percentage of stakeholders saying a great deal / a fair amount
Base 2014: All stakeholders (48) Base CCG Area Team: All stakeholders (540)
Base national average: All stakeholders (9018)
Base 2014: All stakeholders (48) Base CCG Area Team: All stakeholders (540)
Base national average: All stakeholders (9018)
Bexley CCG
All comparisons are indicative only and do not imply statistical significance
Fieldwork: 12 March - 8 April 2014
• The majority of stakeholders say that they have
been given the opportunity to influence the
CCG’s plans and priorities.
• The majority of stakeholders say that they
know a great deal or a fair amount about the
CCG’s plans and priorities.
• This is about the same as the finding for CCGs
overall.
• This is about the same as the finding for CCGs
overall.
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Domain 3: CCG comparisons
0 10 20 30 40 50 60 70 80 90 100
The right plans and priorities
The CCG’s plans and priorities are the right ones
Percentage of stakeholders saying strongly agree / tend to agree
0 10 20 30 40 50 60 70 80 90 100
To what extent do you agree or disagree with each of the following statements about the
CCG’s plans and priorities?
Taking comments on board
When I have commented on the CCG’s plans and priorities I feel that my comments have
been taken on board
Percentage of stakeholders saying strongly agree / tend to agree
Base 2014: All stakeholders (48) Base CCG Area Team: All stakeholders (540)
Base national average: All stakeholders (9018)
Base 2014: All stakeholders (48) Base CCG Area Team: All stakeholders (540)
Base national average: All stakeholders (9018)
All comparisons are indicative only and do not imply statistical significance
Fieldwork: 12 March - 8 April 2014 Bexley CCG
• Around half of stakeholders agree that the
CCG’s plans and priorities are the right ones.
• Around half of stakeholders say that they feel
the CCG takes on board their comments on the
plans and priorities.
• This is about the same as the finding for CCGs
overall.
• This is about the same as the finding for CCGs
overall.
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Domain 4: Does the CCG have robust
governance arrangements?
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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…?
Total responses : All stakeholders (48)
Bexley CCG
54%
81%
67%
21%
8%
19%
17%
10%
15%
8%
Strongly agree / Tend to agree Neither agree nor disagree Strongly disagree / Tend to disagree Don't know
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
26 10 8 4
39 4 5 0
32 9 7 0
Fieldwork: 12 March - 8 April 2014
All stakeholders
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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…?
Total responses : All stakeholders (48)
Bexley CCG
21%
33% 21%
13%
4% 8%
10
16 10
6
2
4
Strongly agree Tend to agreeNeither agree nor disagree Tend to disagreeStrongly disagree Don't know
I have confidence that the CCG effectively monitors the quality of the services it commissions
All stakeholders
By stakeholder group
By stakeholder group
Stakeholder group Base Strongly /
Tend to agree
Strongly / Tend
to disagree
GP member practices 23 57% (13) 30% (7)
Health and wellbeing boards 2 -% (0) -% (0)
Local Healthwatch/patient
groups 3 100% (3) -% (0)
NHS providers 5 20% (1) -% (0)
Other CCGs 5 80% (4) -% (0)
Upper tier/unitary local
authorities 5 60% (3) -% (0)
Wider stakeholders 5 40% (2) 20% (1)
Fieldwork: 12 March - 8 April 2014
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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…?
If I had concerns about the quality of local services I would feel able to raise my concerns with the CCG
All stakeholders
By stakeholder group
By stakeholder group
Fieldwork: 12 March - 8 April 2014 Total responses : All stakeholders (48)
Bexley CCG
46%
35%
8%
8% 2%
22
17
4
4 1
Strongly agree Tend to agree
Neither agree nor disagree Tend to disagree
Strongly disagree Don't know
Stakeholder group Base Strongly /
Tend to agree
Strongly / Tend
to disagree
GP member practices 23 74% (17) 22% (5)
Health and wellbeing boards 2 100% (2) -% (0)
Local Healthwatch/patient
groups 3 100% (3) -% (0)
NHS providers 5 60% (3) -% (0)
Other CCGs 5 100% (5) -% (0)
Upper tier/unitary local
authorities 5 100% (5) -% (0)
Wider stakeholders 5 80% (4) -% (0)
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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…?
I have confidence in the CCG to act on feedback it receives about the quality of services
All stakeholders
By stakeholder group
By stakeholder group
Fieldwork: 12 March - 8 April 2014 Total responses : All stakeholders (48)
Bexley CCG
21%
46%
19%
13% 2%
10
22
9
6 1
Strongly agree Tend to agree
Neither agree nor disagree Tend to disagree
Strongly disagree Don't know
Stakeholder group Base Strongly /
Tend to agree
Strongly / Tend
to disagree
GP member practices 23 52% (12) 30% (7)
Health and wellbeing boards 2 100% (2) -% (0)
Local Healthwatch/patient
groups 3 100% (3) -% (0)
NHS providers 5 40% (2) -% (0)
Other CCGs 5 100% (5) -% (0)
Upper tier/unitary local
authorities 5 100% (5) -% (0)
Wider stakeholders 5 60% (3) -% (0)
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20%
80%
1
4
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?
Total responses : All NHS providers (5)
Bexley CCG Fieldwork: 12 March - 8 April 2014
All NHS providers
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To what extent do you agree or disagree with the following
statement…?
40%
40%
20%
2
2
1
Strongly agree Tend to agreeNeither agree nor disagree Tend to disagreeStrongly disagree Don't knowThere 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
Total responses : All NHS providers (5)
Bexley CCG Fieldwork: 12 March - 8 April 2014
All NHS providers
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Domain 4: Summary
Base
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…?
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
54% (26) strongly /
tend to agree
All stakeholders (48)
81% (39) strongly /
tend to agree
67% (32) strongly /
tend to agree
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?
80% (4) 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 40% (2) strongly /
tend to agree
All NHS providers (5)
Bexley CCG Fieldwork: 12 March - 8 April 2014
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Domain 4: CCG comparisons
0 10 20 30 40 50 60 70 80 90 100
Ability to raise concerns within the CCG
If I had concerns about the quality of local services I would feel able to raise my concerns
with the CCG
Percentage of stakeholders saying strongly agree / tend to agree
0 10 20 30 40 50 60 70 80 90 100
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…?
Confidence in monitoring of services
I have confidence that the CCG effectively monitors the quality of the services it
commissions
Percentage of stakeholders saying strongly agree / tend to agree
Base 2014: All stakeholders (48) Base CCG Area Team: All stakeholders (540)
Base national average: All stakeholders (9018)
Base 2014: All stakeholders (48) Base CCG Area Team: All stakeholders (540)
Base national average: All stakeholders (9018)
Bexley CCG
All comparisons are indicative only and do not imply statistical significance
Fieldwork: 12 March - 8 April 2014
• Most stakeholders agree they would feel able
to raise any concerns about the quality of
services with the CCG.
• Around half of stakeholders are confident that
the CCG effectively monitors the quality of
services it commissions.
• This is about the same as the finding for CCGs
overall.
• This is about the same as the finding for CCGs
overall.
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Domain 4: CCG comparisons
• 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
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…?
Confidence in CCG to act on feedback
I have confidence in the CCG to act on feedback it receives about the quality of services
Percentage of stakeholders saying strongly agree / tend to agree
Base 2014: All stakeholders (48) Base CCG Area Team: All stakeholders (540)
Base national average: All stakeholders (9018)
All comparisons are indicative only and do not imply statistical significance
Bexley CCG Fieldwork: 12 March - 8 April 2014
• This is about the same as the finding for CCGs
overall.
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Domain 5: Are CCGs working in
partnership with others?
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23%
40%
6%
2%
29%
11
19
3
1
14
A great deal A fair amount Not very much
Not at all Don't know
Total responses : All stakeholders (48)
Bexley CCG
All stakeholders By stakeholder group
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 Base Great deal /
Fair amount
Not very much
/ Not at all
GP member practices 23 57% (13) 9% (2)
Health and wellbeing boards 2 -% (0) -% (0)
Local Healthwatch/patient
groups 3 100% (3) -% (0)
NHS providers 5 60% (3) 20% (1)
Other CCGs 5 100% (5) -% (0)
Upper tier/unitary local
authorities 5 80% (4) -% (0)
Wider stakeholders 5 40% (2) 20% (1)
Fieldwork: 12 March - 8 April 2014
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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 (5)
Bexley CCG
100%
5
Very well Fairly well Not very well Not at all well Don't know
Fieldwork: 12 March - 8 April 2014
All upper tier / unitary local authority stakeholders
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How well, if at all, would you say the CCG and your local authority are
working together to deliver shared plans for integrated commissioning?
100%
5
Very well Fairly well Not very well Not at all well Don't know
Total responses : All upper tier / unitary local authority stakeholders (5)
Bexley CCG Fieldwork: 12 March - 8 April 2014
All upper tier / unitary local authority stakeholders
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How effective, if at all, has the CCG been as part of the Local
Safeguarding Children Board?
20%
40%
40%
1
2
2
Very effective Fairly effective Not very effective Not at all effective Don't know
Total responses : All upper tier / unitary local authority stakeholders (5)
Bexley CCG
Fieldwork: 12 March - 8 April 2014
All upper tier / unitary local authority stakeholders
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How effective, if at all, has the CCG been as part of the Safeguarding
Adults Board?
20%
40%
20%
20%
1
2
1
1
Very effective Fairly effective Not very effective Not at all effective Don't know
Total responses : All upper tier / unitary local authority stakeholders (5)
Bexley CCG
Fieldwork: 12 March - 8 April 2014
All upper tier / unitary local authority stakeholders
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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 (2)
Bexley CCG
100%
2
Very active Fairly active Not very active Not at all active Don't know
Fieldwork: 12 March - 8 April 2014
All health and wellbeing board stakeholders
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How active, if at all, would you say the CCG has been in developing your
Joint Health and Wellbeing Strategy?
50% 50% 1 1
Very active Fairly active Not very active Not at all active Don't know
Total responses : All health and wellbeing board stakeholders (2)
Bexley CCG Fieldwork: 12 March - 8 April 2014
All health and wellbeing board stakeholders
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To what extent do you agree or disagree with each of the following
statements…?
100%
100%
50%
100%
50%
Strongly agree / Tend to agree Neither agree nor disagree Strongly disagree / Tend to disagree
Don't know 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
2 0 0 0 0
2 0 0 0 0
1 1 0 0 0
2 0 0 0 0
Total responses : All health and wellbeing board stakeholders (2)
Bexley CCG
Fieldwork: 12 March - 8 April 2014
All health and wellbeing board stakeholders
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To what extent do you agree or disagree with each of the following
statements…?
100%
2
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
Total responses : All health and wellbeing board stakeholders (2)
Bexley CCG Fieldwork: 12 March - 8 April 2014
All health and wellbeing board stakeholders
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To what extent do you agree or disagree with each of the following
statements…?
The CCG involves other members of the health and wellbeing board in the development of its
commissioning plans
Fieldwork: 12 March - 8 April 2014
100%
2
Strongly agree Tend to agree Neither agree nor disagree Tend to disagree Strongly disagree Too early to say Don't know
Total responses : All health and wellbeing board stakeholders (2)
Bexley CCG
All health and wellbeing board stakeholders
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To what extent do you agree or disagree with each of the following
statements…?
The CCG has been actively involved in the Joint Strategic Needs Assessment
Fieldwork: 12 March - 8 April 2014
50% 50% 1 1
Strongly agree Tend to agree Neither agree nor disagree Tend to disagree Strongly disagree Too early to say Don't know
Total responses : All health and wellbeing board stakeholders (2)
Bexley CCG
All health and wellbeing board stakeholders
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To what extent do you agree or disagree with each of the following
statements…?
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
Fieldwork: 12 March - 8 April 2014
100%
2
Strongly agree Tend to agree Neither agree nor disagree Tend to disagree Strongly disagree Too early to say Don't know
Total responses : All health and wellbeing board stakeholders (2)
Bexley CCG
All health and wellbeing board stakeholders
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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%
2
Very well Fairly well Not very well Not at all well Don't know
Total responses : All health and wellbeing board stakeholders (2)
Bexley CCG
Fieldwork: 12 March - 8 April 2014
All health and wellbeing board stakeholders
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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%
2
Very well Fairly well Not very well Not at all well Don't know
Total responses : All health and wellbeing board stakeholders (2)
Bexley CCG
Fieldwork: 12 March - 8 April 2014
All health and wellbeing board stakeholders
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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?
63% (30) a great
deal / a fair amount
All stakeholders (48)
How well, if at all, would you say the CCG and your local authority are working together
to develop shared plans for integrated commissioning?
100% (5) very well /
fairly well
All upper tier / unitary local
authority stakeholders (5)
How well, if at all, would you say the CCG and your local authority are working together
to deliver shared plans for integrated commissioning?
100% (5) very well /
fairly well
All upper tier / unitary local
authority stakeholders (5)
How effective, if at all, has the CCG been as part of the Local Safeguarding Children
Board?
60% (3) very
effective / fairly
effective
All upper tier / unitary local
authority stakeholders (5)
How effective, if at all, has the CCG been as part of the Safeguarding Adults Board? 60% (3) very
effective / fairly
effective
All upper tier / unitary local
authority stakeholders (5)
How active, if at all, would you say the CCG is as a member of the health and wellbeing
board?
100% (2) very active
/ fairly active
All health and wellbeing
board stakeholders (2)
How active, if at all, would you say the CCG has been in developing your Joint Health
and Wellbeing Strategy?
50% (1) very active /
fairly active
All health and wellbeing
board stakeholders (2)
Bexley CCG Fieldwork: 12 March - 8 April 2014
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Domain 5: Summary
Base
To what extent do you agree or disagree with each of the following statements…?
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
100% (2) strongly /
tend to agree
All health and wellbeing
board stakeholders (2)
100% (2) strongly /
tend to agree
50% (1) strongly /
tend to agree
100% (2) strongly /
tend to agree
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% (2) very well /
fairly well
All health and wellbeing
board stakeholders (2)
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% (2) very well /
fairly well
All health and wellbeing
board stakeholders (2)
Bexley CCG Fieldwork: 12 March - 8 April 2014
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Domain 5: CCG comparisons
• 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 discussions
Please 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?
Percentage of stakeholders saying strongly agree / tend to agree
Base 2014: All stakeholders (48) Base CCG Area Team: All stakeholders (540)
Base national average: All stakeholders (9018)
Bexley CCG
All comparisons are indicative only and do not imply statistical significance
Fieldwork: 12 March - 8 April 2014
• This is about the same as the finding for CCGs
overall.
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Domain 6: Does the CCG have
strong and robust leadership?
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To what extent do you agree or disagree with the following statements
about the overall leadership of the CCG…?
Total responses : All stakeholders (48)
Bexley CCG
65%
79%
63%
50%
52%
19%
6%
19%
27%
25%
8%
10%
15%
17%
19%
8%
4%
4%
6%
4%
Strongly agree / Tend to agree Neither agree nor disagree Strongly disagree / Tend to disagree Don't know
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
31 9 4 4
38 3 5 2
30 9 7 2
24 13 8 3
25 12 9 2
Fieldwork: 12 March - 8 April 2014
All stakeholders
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To what extent do you agree or disagree with the following
statements about the overall leadership of the CCG…?
The leadership of the CCG has the necessary blend of skills and experience
All stakeholders
By stakeholder group
By stakeholder group
Stakeholder group Base Strongly / Tend
to agree
Strongly / Tend
to disagree
GP member practices 23 57% (13) 17% (4)
Health and wellbeing boards 2 -% (0) -% (0)
Local Healthwatch/patient
groups 3 100% (3) -% (0)
NHS providers 5 40% (2) -% (0)
Other CCGs 5 80% (4) -% (0)
Upper tier/unitary local
authorities 5 100% (5) -% (0)
Wider stakeholders 5 80% (4) -% (0) 65%
(31)
2014 Strongly agree /
Tend to agree
64%
(27)
2012 Strongly agree /
Tend to agree
Total responses : All stakeholders (2014: 48); (2012: 42)
Bexley CCG
27%
38%
19%
6% 2%
8% 13
18
9
3
1 4
Strongly agree Tend to agree
Neither agree nor disagree Tend to disagree
Strongly disagree Don't know
Fieldwork: 12 March - 8 April 2014
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To what extent do you agree or disagree with the following
statements about the overall leadership of the CCG…?
There is clear and visible leadership of the CCG
All stakeholders
By stakeholder group
By stakeholder group
Stakeholder group Base Strongly /
Tend to agree
Strongly / Tend
to disagree
GP member practices 23 70% (16) 22% (5)
Health and wellbeing boards 2 100% (2) -% (0)
Local Healthwatch/patient
groups 3 100% (3) -% (0)
NHS providers 5 100% (5) -% (0)
Other CCGs 5 80% (4) -% (0)
Upper tier/unitary local
authorities 5 100% (5) -% (0)
Wider stakeholders 5 60% (3) -% (0) 79%
(38)
2014 Strongly agree
/ Tend to agree
79%
(33)
2012 Strongly agree
/ Tend to agree
Total responses : All stakeholders (2014: 48); (2012: 42)
Bexley CCG
35%
44%
6%
8% 2%
4%
17
21
3
4
1 2
Strongly agree Tend to agree
Neither agree nor disagree Tend to disagree
Strongly disagree Don't know
Fieldwork: 12 March - 8 April 2014
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To what extent do you agree or disagree with the following
statements about the overall leadership of the CCG…?
I have confidence in the leadership of the CCG to deliver its plans and priorities
All stakeholders
By stakeholder group
By stakeholder group
Stakeholder group Base Strongly /
Tend to agree
Strongly / Tend
to disagree
GP member practices 23 48% (11) 26% (6)
Health and wellbeing boards 2 100% (2) -% (0)
Local Healthwatch/patient
groups 3 67% (2) 33% (1)
NHS providers 5 40% (2) -% (0)
Other CCGs 5 80% (4) -% (0)
Upper tier/unitary local
authorities 5 100% (5) -% (0)
Wider stakeholders 5 80% (4) -% (0)
Total responses : All stakeholders (2014: 48); (2012: 42)
Bexley CCG
63%
(30)
2014 Strongly agree
/ Tend to agree
57%
(24)
2012 Strongly agree
/ Tend to agree
25%
38%
19%
10%
4% 4% 12
18
9
5
2 2
Strongly agree Tend to agree
Neither agree nor disagree Tend to disagree
Strongly disagree Don't know
Fieldwork: 12 March - 8 April 2014
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To what extent do you agree or disagree with the following
statements about the overall leadership of the CCG…?
The leadership of the CCG is delivering continued quality improvements
All stakeholders
By stakeholder group
By stakeholder group
Stakeholder group Base Strongly / Tend
to agree
Strongly / Tend
to disagree
GP member practices 23 39% (9) 30% (7)
Health and wellbeing boards 2 -% (0) -% (0)
Local Healthwatch/patient
groups 3 67% (2) -% (0)
NHS providers 5 20% (1) 20% (1)
Other CCGs 5 80% (4) -% (0)
Upper tier/unitary local
authorities 5 100% (5) -% (0)
Wider stakeholders 5 60% (3) -% (0)
Total responses : All stakeholders (2014: 48)
Bexley CCG
23%
27% 27%
10%
6% 6%
11
13 13
5
3
3
Strongly agree Tend to agree
Neither agree nor disagree Tend to disagree
Strongly disagree Don't know
Fieldwork: 12 March - 8 April 2014
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To what extent do you agree or disagree with the following
statements about the overall leadership of the CCG…?
Total responses : All stakeholders (48)
Bexley CCG
19%
33% 25%
10%
8% 4%
9
16 12
5
4 2
Strongly agree Tend to agree
Neither agree nor disagree Tend to disagree
Strongly disagree Don't know
I have confidence in the leadership of the CCG to deliver improved outcomes for patients
All stakeholders
By stakeholder group
By stakeholder group
Stakeholder group Base Strongly /
Tend to agree
Strongly / Tend
to disagree
GP member practices 23 35% (8) 30% (7)
Health and wellbeing boards 2 50% (1) -% (0)
Local Healthwatch/patient
groups 3 67% (2) -% (0)
NHS providers 5 40% (2) 20% (1)
Other CCGs 5 80% (4) -% (0)
Upper tier/unitary local
authorities 5 100% (5) -% (0)
Wider stakeholders 5 60% (3) 20% (1)
Fieldwork: 12 March - 8 April 2014
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To what extent do you agree or disagree with the following
statements about the clinical leadership of the CCG?
Total responses : All stakeholders (48)
Bexley CCG
71%
52%
50%
13%
29%
27%
15%
17%
19%
2%
2%
4%
Strongly agree / Tend to agree Neither agree nor disagree Strongly disagree / Tend to disagree Don't know
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
34 6 7 1
25 14 8 1
24 13 9 2
Fieldwork: 12 March - 8 April 2014
All stakeholders
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To what extent do you agree or disagree with the following
statements about the clinical leadership of the CCG…?
Total responses : All stakeholders (48)
Bexley CCG
29%
42%
13%
13% 2% 2%
14
20
6
6
1 1
Strongly agree Tend to agree
Neither agree nor disagree Tend to disagree
Strongly disagree Don't know
There is clear and visible clinical leadership of the CCG
All stakeholders
By stakeholder group
By stakeholder group
Stakeholder group Base Strongly /
Tend to agree
Strongly / Tend
to disagree
GP member practices 23 57% (13) 26% (6)
Health and wellbeing boards 2 50% (1) -% (0)
Local Healthwatch/patient
groups 3 100% (3) -% (0)
NHS providers 5 60% (3) 20% (1)
Other CCGs 5 100% (5) -% (0)
Upper tier/unitary local
authorities 5 100% (5) -% (0)
Wider stakeholders 5 80% (4) -% (0)
Fieldwork: 12 March - 8 April 2014
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To what extent do you agree or disagree with the following
statements about the clinical leadership of the CCG…?
Total responses : All stakeholders (48)
Bexley CCG
I have confidence in the clinical leadership of the CCG to deliver its plans and priorities
All stakeholders
By stakeholder group
By stakeholder group
Stakeholder group Base Strongly /
Tend to agree
Strongly / Tend
to disagree
GP member practices 23 35% (8) 30% (7)
Health and wellbeing boards 2 50% (1) -% (0)
Local Healthwatch/patient
groups 3 67% (2) -% (0)
NHS providers 5 40% (2) -% (0)
Other CCGs 5 80% (4) -% (0)
Upper tier/unitary local
authorities 5 100% (5) -% (0)
Wider stakeholders 5 60% (3) 20% (1)
Fieldwork: 12 March - 8 April 2014
25%
27%
29%
13%
4%
2%
12
13
14
6
2 1
Strongly agree Tend to agree
Neither agree nor disagree Tend to disagree
Strongly disagree Don't know
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To what extent do you agree or disagree with the following
statements about the clinical leadership of the CCG…?
Total responses : All stakeholders (48)
Bexley CCG
The clinical leadership of the CCG is delivering continued quality improvements
All stakeholders
By stakeholder group
By stakeholder group
Stakeholder group Base Strongly / Tend
to agree
Strongly / Tend
to disagree
GP member practices 23 35% (8) 30% (7)
Health and wellbeing boards 2 -% (0) -% (0)
Local Healthwatch/patient
groups 3 67% (2) -% (0)
NHS providers 5 40% (2) 20% (1)
Other CCGs 5 80% (4) -% (0)
Upper tier/unitary local
authorities 5 100% (5) -% (0)
Wider stakeholders 5 60% (3) 20% (1)
Fieldwork: 12 March - 8 April 2014
21%
29% 27%
17% 2%
4% 10
14 13
8
1 2
Strongly agree Tend to agree
Neither agree nor disagree Tend to disagree
Strongly disagree Don't know
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Domain 6: Summary
Base
To what extent do you agree or disagree with the following statements about the overall
leadership of the CCG…?
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
65% (31) strongly /
tend to agree
All stakeholders (48)
79% (38) strongly /
tend to agree
63% (30) strongly /
tend to agree
50% (24) strongly /
tend to agree
52% (25) strongly /
tend to agree
To what extent do you agree or disagree with the following statements about the clinical
leadership of the CCG…?
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
71% (34) strongly /
tend to agree
All stakeholders (48)
52% (25) strongly /
tend to agree
50% (24) strongly /
tend to agree
Fieldwork: 12 March - 8 April 2014 Bexley CCG
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Domain 6: CCG comparisons
0 10 20 30 40 50 60 70 80 90 100
Clear and visible leadership
There is clear and visible leadership of the CCG
Percentage of stakeholders saying strongly agree / tend to agree
0 10 20 30 40 50 60 70 80 90 100
To what extent do you agree or disagree with the following statements about the overall
leadership of the CCG…?
Skills and experience of leadership
The leadership of the CCG has the necessary blend of skills and experience
Percentage of stakeholders saying strongly agree / tend to agree
Base 2014: All stakeholders (48) Base CCG Area Team: All stakeholders (540)
Base 2012: All stakeholders (42) Base national average: All stakeholders (9018)
Base 2014: All stakeholders (48) Base CCG Area Team: All stakeholders (540)
Base 2012: All stakeholders (42) Base national average: All stakeholders (9018)
All comparisons are indicative only and do not imply statistical significance
Fieldwork: 12 March - 8 April 2014 Bexley CCG
• The majority of stakeholders agree that there is
clear and visible leadership.
• The majority of stakeholders agree that the
leadership of the CCG has the necessary blend
of skills and experience.
• This is about the same as the finding for CCGs
overall.
• This is about the same as the finding for CCGs
overall.
The CCG 2012 The CCG 2014 National CCG average 2014 CCG Area Team
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Domain 6: CCG comparisons
0 10 20 30 40 50 60 70 80 90 100
Delivering continued quality improvements
The leadership of the CCG is delivering continued quality improvements
Percentage of stakeholders saying strongly agree / tend to agree
0 10 20 30 40 50 60 70 80 90 100
To what extent do you agree or disagree with the following statements about the overall
leadership of the CCG…?
Delivering plans and priorities
I have confidence in the leadership of the CCG to deliver its plans and priorities
Percentage of stakeholders saying strongly agree / tend to agree
Base 2014: All stakeholders (48) Base CCG Area Team: All stakeholders (540)
Base 2012: All stakeholders (42) Base national average: All stakeholders (9018)
Base 2014: All stakeholders (48) Base CCG Area Team: All stakeholders (540)
Base national average: All stakeholders (9018)
All comparisons are indicative only and do not imply statistical significance
Fieldwork: 12 March - 8 April 2014 Bexley CCG
• Around half of stakeholders agree that the
leadership is delivering continued quality
improvements.
• The majority of stakeholders have confidence
in the leadership of the CCG to deliver its plans
and priorities.
• This is about the same as the finding for CCGs
overall.
• This is about the same as the finding for CCGs
overall.
The CCG 2012 The CCG 2014 National CCG average 2014 CCG Area Team
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Domain 6: CCG comparisons
• Around half of stakeholders have confidence in
the leadership of the CCG to deliver improved
outcomes.
0 10 20 30 40 50 60 70 80 90 100
To what extent do you agree or disagree with the following statements about the overall
leadership of the CCG…?
Delivering improved outcomes
I have confidence in the leadership of the CCG to deliver improved outcomes for patients
Percentage of stakeholders saying strongly agree / tend to agree
Base 2014: All stakeholders (48) Base CCG Area Team: All stakeholders (540)
Base national average: All stakeholders (9018)
All comparisons are indicative only and do not imply statistical significance
Fieldwork: 12 March - 8 April 2014 Bexley CCG
• This is lower than the finding for CCGs overall.
The CCG 2014 National CCG average 2014 CCG Area Team
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The CCG 2014 National CCG average 2014 CCG Area Team
Domain 6: CCG comparisons
0 10 20 30 40 50 60 70 80 90 100
Delivering continued quality improvements
I have confidence in the clinical leadership of the CCG to deliver its plans and priorities
Percentage of stakeholders saying strongly agree / tend to agree
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 leadership
There is clear and visible clinical leadership of the CCG
Percentage of stakeholders saying strongly agree / tend to agree
Base 2014: All stakeholders (48) Base CCG Area Team: All stakeholders (540)
Base national average: All stakeholders (9018)
Base 2014: All stakeholders (48) Base CCG Area Team: All stakeholders (540)
Base national average: All stakeholders (9018)
All comparisons are indicative only and do not imply statistical significance
Fieldwork: 12 March - 8 April 2014 Bexley CCG
• Around half of stakeholders are confident that
the clinical leadership will deliver its plans and
priorities.
• The majority of stakeholders agree that the
clinical leadership of the CCG is clear and
visible.
• This is about the same as the finding for CCGs
overall.
• This is lower than the finding for CCGs overall.
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The CCG 2014 National CCG average 2014 CCG Area Team
Domain 6: CCG comparisons
• Around half 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 outcomes
The clinical leadership of the CCG is delivering continued quality improvements
Percentage of stakeholders saying strongly agree/tend to agree
Base 2014: All stakeholders (48) Base CCG Area Team: All stakeholders (540)
Base national average: All stakeholders (9018)
All comparisons are indicative only and do not imply statistical significance
Fieldwork: 12 March - 8 April 2014 Bexley CCG
• This is lower than the finding for CCGs overall.
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Bexley CCG’s local
questions
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How would you rate the CCG on each of the following…?
25%
46%
10%
6% 2%
8% 2% 12
22
5
3
1
4 1
Very good Fairly goodNeither good nor poor Fairly poorVery poor Don't knowNot relevant
Leading the communications with stakeholders on the changes taking place at Queen Mary's Hospital
Total responses : All stakeholders (48)
Bexley CCG Fieldwork: 12 March - 8 April 2014
All stakeholders By stakeholder group
Stakeholder group Base Very / Fairly
good
Very / Fairly
poor
GP member practices 23 70% (16) 13% (3)
Health and wellbeing boards 2 100% (2) -% (0)
Local Healthwatch/patient
groups 3 100% (3) -% (0)
NHS providers 5 60% (3) 20% (1)
Other CCGs 5 40% (2) -% (0)
Upper tier/unitary local
authorities 5 100% (5) -% (0)
Wider stakeholders 5 60% (3) -% (0)
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How would you rate the CCG on each of the following…?
Engaging patients and residents in the changes to local healthcare services
Total responses : All stakeholders (48)
Bexley CCG Fieldwork: 12 March - 8 April 2014
15%
35%
10%
10%
8%
19%
2%
7
17
5
5
4
9
1
Very good Fairly goodNeither good nor poor Fairly poorVery poor Don't knowNot relevant
All stakeholders By stakeholder group
Stakeholder group Base Very / Fairly
good
Very / Fairly
poor
GP member practices 23 43% (10) 26% (6)
Health and wellbeing boards 2 50% (1) -% (0)
Local Healthwatch/patient
groups 3 67% (2) 33% (1)
NHS providers 5 20% (1) 20% (1)
Other CCGs 5 40% (2) -% (0)
Upper tier/unitary local
authorities 5 100% (5) -% (0)
Wider stakeholders 5 60% (3) 20% (1)
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How would you rate the CCG on each of the following…?
Engaging local people and clinicians to develop the CCG’s priorities – also known as commissioning
intentions – for the years ahead
Total responses : All stakeholders (48)
Bexley CCG
Fieldwork: 12 March - 8 April 2014
19%
44%
19%
8%
2% 6% 2%
9
21
9
4
1 3 1
Very good Fairly goodNeither good nor poor Fairly poorVery poor Don't knowNot relevant
All stakeholders By stakeholder group
Stakeholder group Base Very / Fairly
good
Very / Fairly
poor
GP member practices 23 52% (12) 22% (5)
Health and wellbeing boards 2 50% (1) -% (0)
Local Healthwatch/patient
groups 3 100% (3) -% (0)
NHS providers 5 40% (2) -% (0)
Other CCGs 5 80% (4) -% (0)
Upper tier/unitary local
authorities 5 100% (5) -% (0)
Wider stakeholders 5 60% (3) -% (0)
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How would you rate the CCG on each of the following…?
Addressing concerns about the quality of local healthcare services provided by local NHS organisations
Total responses : All stakeholders (48)
Bexley CCG Fieldwork: 12 March - 8 April 2014
21%
44%
10%
8%
6%
8% 2% 10
21
5
4
3
4 1
Very good Fairly goodNeither good nor poor Fairly poorVery poor Don't knowNot relevant
All stakeholders By stakeholder group
Stakeholder group Base Very / Fairly
good
Very / Fairly
poor
GP member practices 23 52% (12) 26% (6)
Health and wellbeing boards 2 100% (2) -% (0)
Local Healthwatch/patient
groups 3 100% (3) -% (0)
NHS providers 5 80% (4) -% (0)
Other CCGs 5 60% (3) -% (0)
Upper tier/unitary local
authorities 5 80% (4) -% (0)
Wider stakeholders 5 60% (3) 20% (1)
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How would you rate the CCG on each of the following…?
Collaborating with our partners to improve health and social care across the borough
Total responses : All stakeholders (48)
Bexley CCG
Fieldwork: 12 March - 8 April 2014
All stakeholders
29%
29%
19%
10%
2% 8% 2%
14
14
9
5
1
4 1
Very good Fairly goodNeither good nor poor Fairly poorVery poor Don't knowNot relevant
By stakeholder group
Stakeholder group Base Very / Fairly
good
Very / Fairly
poor
GP member practices 23 43% (10) 13% (3)
Health and wellbeing boards 2 100% (2) -% (0)
Local Healthwatch/patient
groups 3 67% (2) 33% (1)
NHS providers 5 40% (2) 20% (1)
Other CCGs 5 80% (4) -% (0)
Upper tier/unitary local
authorities 5 100% (5) -% (0)
Wider stakeholders 5 60% (3) 20% (1)
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Domain 6: Summary
Base
How would you rate the CCG on each of the following…? All stakeholders (48)
Leading the communications with stakeholders on the changes taking place at Queen Mary's
Hospital
71% (34) very good /
fairly good
Engaging patients and residents in the changes to local healthcare services 50% (24) very good /
fairly good
Engaging local people and clinicians to develop the CCG’s priorities – also known as
commissioning intentions – for the years ahead
63% (30) very good /
fairly good
Addressing concerns about the quality of local healthcare services provided by local NHS
organisations
65% (31) very good /
fairly good
Collaborating with our partners to improve health and social care across the borough 58% (28) very good /
fairly good
Bexley CCG Fieldwork: 12 March - 8 April 2014
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