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NHS England has introduced a new CCG improvement and assessment framework (IAF) to replace the NHS England CCG assurance framework. The new IAF came into effect from the 1st of April 2016.

The new CCG IAF is about better reflecting what matters most to local communities as CCGs carry on their work to implement the Five Year Forward View and maintain high standards for patients and is intended to embed a ‘triple aim’ in how CCGs work with NHS England:

From 2016/17, our CCG will receive an annual overall assessment. We will be given one of four ratings which are consistent with those used by the Care Quality Commission (CQC); outstanding, good, requires improvement or inadequate. In addition, CCGs will also be subject to an initial baseline assessment which will be based on our achievement in six clinical priority areas:

What are we doing in each of the clinical priority areas? 

Please note: information about how we are performing in the other two clinical priority areas, dementia and diabetes, will be posted soon.

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Cancer services

Over the last few years, our CCG has been working with our partners to improve cancer outcomes for people living Airedale, Wharfedale and Craven.

Following the publication of the NHS Five Year Forward View and the Independent Cancer Taskforce’s Cancer Strategy, there has been a greater focus on and scrutiny of cancer services.

We welcome this increased focus. Cancer survival rates in Bradford have been increasing year on year, however, we recognise that there is still work to be done to make sure our local rates are better than national survival rates.

Our work addresses specific areas cited in the NHS England Five Year Forward View – prevention, early diagnosis, research and innovation. We are looking at these areas to achieve better outcomes for our local population.  

We are working with providers of cancer services that we commission to assess current provision. We are also working closely with the public health team at Bradford Metropolitan District Council to make sure that our local population are cancer aware, especially around how the disease can be prevented. Our work does not cover the commissioning of specialised cancer services which are managed through NHS England.

Learning disabilities services

Our plans for learning disabilities focus on transforming care. These plans are based strongly on the transforming care for people with learning disabilities – next steps report which follows on from the Winterbourne View Concordat.

The report focuses on improving services for people with learning disabilities and / or autism, who display behaviour that challenges (including those with a mental health condition). This will drive system-wide change and enable more people to live in the community, with the right support, and closer to home.

The programme reinstates that children, young people and adults with a learning disability and / or autism have the right to the same opportunities as anyone else to live satisfying and valued lives, and to be treated with dignity and respect. They should have a home within their community, be able to develop and maintain relationships, and get the support they need to live healthy, safe and rewarding lives.

Over the past 10 years, we have been making strides to ensure this vision becomes a reality. Locally Bradford’s changing lives programme has been the vehicle to implement this strategy for people with learning disabilities. However, for a minority, we continue to remain reliant on inpatient care – a view often held by families.

We are also following the NHS England policy and guidance following a care and treatment review.

Maternity services

Over the last few years, we have been working with our partners to improve maternal and child health.

We welcome the increased focus on maternity services following the publication of the National Maternity Review. The National Maternity Review led to the Five Year Forward View for maternity care – Better births: Improving outcomes of maternity services in England (2016).

The report highlights that staff should be supported to deliver care that is centred around the woman. It also outlines a vision for maternity services to become; safer, more personalised, kinder, professional, and, more family friendly.

Information about the work and vision of the West Yorkshire and Harrogate local maternity system can be found here

Mental health services

Our plans for mental health are focus on two areas; making sure we can help prevent the onset of mental health problems, and, supporting those living with a mental illness to manage their condition and recover.

In Bradford, Airedale, Wharfedale and Craven, mental health issues with affect approximately 155,000 people during their lifetime. This is equivalent to 1 in 4 people living in the area*. At any one time, 6,200 people will need specialist mental health services. We expect the number of people in our area with mental health needs will rise at a similar rate to the increase in the general population.

There is national recognition that mental health should be treated with the same importance as physical health – commonly termed ‘parity of esteem’. A number of recent national policies have recommended areas for development, including new standards, these policies include:

We are already starting to respond to these national policies by making changes that address local need and meet these new standards, this includes:

  • a 24/7 emergency First Response service, accessible to people of all ages in Bradford and district,
  • when inpatient care is needed, providing this closer to home, family and friends,
  • effective services to monitor and improve the physical health of people with a severe mental illness,
  • improving memory assessment services, the treatment of people with dementia and making sure support is available for carers,
  • ensuring people suffering from anxiety and depression have access to psychological therapies.

Effective treatments can prevent or reduce distress to individuals and families. That’s why we are working to design services to meet acute needs when they occur, and prevent milder problems from becoming more serious conditions.

Bradford, Airedale, Wharfedale and Craven is considered a system leader – specifically for crisis care, dementia care and the design of innovative services which meet both mental health and physical health needs.

Children & Young People’s mental health and wellbeing plan: Future in Mind – outlines how we need to improve access to, and the quality of, services and outcomes for children. Based on what children and young people have told us they want from services –  Future in Mind describes how the NHS and social care will work together to develop mental health and well-being services in Bradford district and Craven for the period 2015 to 2020.

*determined by population statistics from the Bradford and Airedale Joint Strategic Needs Assessment.

CCG Scorecard – how we are doing

The CCG Scorecard includes 60 metrics over four domains: Better Health; Better Care; Sustainability and Leadership. You can view how our CCG is performing in each of these areas on the My NHS website.

The year end assessment for 2016/17 rates our CCG as 'Good'.

The year end assessment for 2015/16 rated our CCG as ‘Requires Improvement’. Although rated as ‘Good’ in four out of the five areas, the CCG was rated as ‘Requires Improvement’ in planning.