The role of the CCG’s Quality Team is to ensure that the services we commission are safe, effective and in line with the needs of the population.
Quality is made up of three key elements:
- Clinical effectiveness
- Patient safety
- Patient experience.
We work collaboratively with all providers of health and social care in the Black Country & West Birmingham to monitor and review information from a range of sources to ensure that safe, effective and high quality, caring health services are commissioned and delivered for local people.
Our Quality Assurance Framework uses a variety of methods, including agreed and aligned quality schedules and regular formal contract and quality review meetings with all our providers. This provides a robust picture of service quality and gives greater insight into local service delivery. Open and transparent relationships allow us to work collaboratively with partners to identify key areas of focus for quality improvement, share best practice across the system and ensure that learning from incidents, complaint, feedback and events informs service improvements.
The Black Country and West Birmingham Clinical Commissioning Quality Strategy works across the five Places and has been developed with those place-based teams and combined into one plan.
The strategy sets out our key clinical quality priorities and the benefits of working as a single strategic commissioner in supporting an ageing and ethnically diverse population.
Quality is everyone’s business and the Black Country & West Birmingham CCG is committed to working with partners across the system to ensure the best possible outcomes and experience for all our patients, their families and carers. The CCG is committed to openness and transparency when developing and assuring services and seeks to hear the voice of the local population and the impact of its decisions on people.
Our key clinical quality priorities and the benefits of working as a single strategic commissioner in supporting an ageing and ethnically diverse population are to ensure that services are delivered:
- in the right way (delivered by a workforce that is highly skilled, motivated and competent to deliver the care required)
- at the right time (through accessible services)
- in the right place (providing treatment/services locally in a safe and non-threatening environment)
- with the right outcome (improving health, reducing variation in clinical outcomes, ensuring parity of esteem, reduction in potential years lost to conditions amendable to treatment).
We commission services from all the main NHS Trusts in the area:
- The Royal Wolverhampton NHS Trust
- The Dudley Group NHS Foundation Trust
- Sandwell and West Birmingham NHS Trust
- Walsall Healthcare NHS Trust
- West Midlands Ambulance Service
- Black Country Healthcare NHS Foundation Trust
- Alongside local services and over 300 care homes.
All CQC Ratings for the above can be found on the Care Quality Commission Website.
Quality is at the heart of everything we do. The Care Home Quality Nurse Advisor (QNA) Team lead the quality and safety agenda in care homes across the Black Country & West Birmingham. The QNA Team delivers the Integrated Care Home Improvement Plan working closely with the CCG Quality and Transformation Teams to establish systems and processes for effective quality assurance monitoring. The team drives innovation, transformation and improvement across the Ageing Well portfolio targeted on the older person, with key work streams focusing on improving quality and safety in care homes to protect vulnerable residents, implementation of remote monitoring at home and improving the accessibility to the right place of care at the right time linked with individual’s preference to chosen place of care. The Team also works to imbed the FREED pathway (Frailty, Recognising End of Life and Escalating Deterioration) into all care homes, and support other programmes and portfolios, including:
- Living well
- Staying safe
- The Urgent Integrated Care agenda
The QNA team undertakes annual training needs analysis and develops effective care home education programmes supporting the introduction of clinical guidelines and quality indicators, ensuring homes participate in the NHS Institution’s Harm Free Care Programme.
The CCG has a Care Homes App to support staff and families. The app includes lots helpful resources, recent guidance, latest news and training. To download this app please first download Healthzone UK and Search for “Black Country and West Birmingham CCG Care Homes App”.
Safeguarding vulnerable children and adults is everyone’s responsibility. Black Country & West Birmingham CCG believes that living a life that is free from harm and abuse is a fundamental right of every person. We acknowledge our statutory responsibility to promote the welfare of children and young people and to protect adults from abuse and risk of harm. BCWB CCG has an agreed strategic approach to maintain safe and effective safeguarding services and to strengthen arrangements for safeguarding children and adults at risk from abuse and neglect across the area.
Safeguarding is a key priority. In order to achieve this the CCG ensures robust arrangements are in place to provide strong leadership, vision and direction for safeguarding, providing clear accessible policies and procedures in line with relevant legislation, statutory guidance and best practice. We commissions services that promote and protect individual human rights and which effectively safeguard against abuse, neglect, discrimination or poor treatment. We recognise that safeguarding adults and children is a shared responsibility and ensure appropriate arrangements are in place to co-operate with our local authorities in the operation of the safeguarding boards and partnerships. We recognise and support the need for robust and proportionate information sharing arrangements between health professionals and partner agencies to ensure the safety and wellbeing of children, young people and adults and in the interests of public safety.
We continue to progress a programme of safeguarding training for staff to ensure that all eligible staff receive the right level of training relevant to their roles and responsibilities as per national intercollegiate guidance (2019).
Children and young people come into care following often traumatic experiences including abuse or neglect, as unaccompanied asylum seekers, or due to the loss of main carers through illness, death or imprisonment, which make them more vulnerable to:
- emotional and mental health issues, including attachment difficulties
- early pregnancy
- physical health and developmental delay
- disengaging from education.
Recognising the above, designated CYPiC professionals across the Black Country and West Birmingham aim to ensure the care delivered to our children is high quality, responsive, high performing and provides value for money. Channels of communication between commissioners and provider organisations must be effective to ensure the health needs of CYPiC are met in a timely way.
- High Quality: A child-centred service delivered in a safe environment in a timely fashion and in a manner that takes account of the views of the child/young person and is delivered by staff who are in receipt of appropriate training, supervision and support.
- Responsive: The service must provide flexibility to respond to the changing needs of local CYPiC and to take account of corporate plans and actions to reduce the numbers of children entering the care system.
- High performing: Having systems and processes that focus on meeting each child’s physical, emotional and mental health needs without making them feel different, ensuring access to universal services as well as targeted and specialist services where necessary. Information must be provided as specified in relation to activity, finance and quality of service provision.
- Provides value for money, quality assurance: This means children and young people receive the right care in the right place at the right time, and that specialist support is high quality and monitored to ensure progress is being made.
The CCG continues to progress a programme of safeguarding training for staff to ensure that all eligible staff have received the right level of CYPiC training relevant to their roles and responsibilities as per the revised national intercollegiate guidance (2020).
Children and young people aged 0-25 have a SEND if they have a learning difficulty or disability that calls for special education provision to be made. The CCG supports the health element of the SEND agenda for children and young people.
We work in partnership with local authorities to contribute to the implementation of the SEND reforms (Children and Families Act 2014). This means we work together to identify the needs of the local population and any gaps in local provision and then jointly address them.
The Local Offer
Each of our Places has a SEND Local Offer which provides information in one place. They can be found here:
The CCG has responsibilities with regard to provision for children and young people with SEND. These are:
- To commission services jointly for children and young people (up to age 25) with SEND, including those with Education, Health and Care Plans (EHCPs).
- To work in partnership with local authorities to develop the Local Offer.
- To have mechanisms in place to ensure practitioners and clinicians will support the integrated Education, Health and Care (EHC) needs assessment process.
- To agree Personal Health Budgets where they are provided for children and young people with EHC plans.
SEND Inspection Reports
Each place’s SEND Inspection Reports can be found below:
Direct link to report: https://files.ofsted.gov.uk/v1/file/50075533
Direct link to revisit report: https://files.ofsted.gov.uk/v1/file/50076824
Direct link to report: https://files.ofsted.gov.uk/v1/file/2668105
Direct link to report: https://files.ofsted.gov.uk/v1/file/50093279
to be confirmed.
What services are commissioned for children and young people with SEND?
In addition to the general services commissioned for the whole of the population, health services specifically provided for children and young people with additional needs include:
- Therapy services: Speech and language therapy, physiotherapy, occupational therapy.
- Nursing and paediatrics.
- Child and adolescent mental health services.
- Continuing care and complex care assessments and packages.
A range of support can be provided including Personal health Budgets which can be used for a variety of items.
Designated Medical/Clinical Officer (DMO/DCO)
The Designated Medical/Clinical Officer roles support the CCG to meet our statutory responsibilities for children and young people with SEND. The DMO/DCO provides a point of contact for the CCG, local authority, schools and colleges when specialist health advice is required.
Contact information for DMO/DCOs:
|Kellie Lennon||Designated Clinical Officerfirstname.lastname@example.org|
|Dr Timothy Horsburgh||Designated Medical Officeremail@example.com|
|Designated Clinical Officer||Juliet.Ridgway@nhs.net|
|Dr Pandey||Designated Medical Officerfirstname.lastname@example.org|
|Dr Monica Kaul||Designated Medical Officeremail@example.com|
|Katrina McCormick||SEND Lead||Katrina.firstname.lastname@example.org|
|Cathy Higgins||Designated Medical Officeremail@example.com|
|Emma Boyce||Continuing Care Nursefirstname.lastname@example.org|
The Patient Safety, Incident & Learning Team are responsible for liaising with all health care providers commissioned by the CCG to ensure patient safety incidents, never events and quality matters are reported, collated and triangulated with other key information. Through analysis of data, the team will work to identify themes and trends that can be actioned to ensure the safe delivery of high-quality care across the system.
The team will support and promote the organisational patient safety culture focussing on high-quality care and standards, preventing avoidable harm by analysing and interpreting trends, themes, lessons learnt and sharing best practice.
Patient Safety and Incident Learning is a key part of the NHS Patient Safety Strategy, to deliver safety and quality improvements across the NHS in England. The team will support programmes of work in relation to Patient Safety, Incidents and Learning and work collaboratively across the system to support continuous and sustainable improvement through:
•Culture: Promote positive safety culture, encouraging staff to gain insight and share learning from good and poor practice
•Evidence-based improvement: Support evidence-based, quality improvement (QI) methodology, ensuring change is consistently measured and evaluated
•Quality improvement (QI) capability: Grow QI capability in trusts and local healthcare systems so they can continue to improve
•System-level change: Enable regional and local health systems to identify improvement priorities and share learning. The Team can be reached by emailing BCWBCCG.email@example.com.