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01 August 2014

NICE proposes new menu of measures to review how patients benefit from services commissioned by Clinical Commissioning Groups

NICE has proposed new indicators to support better quality healthcare being commissioned in the NHS. The indicators are used by Clinical Commissioning Groups (CCGs) – the local NHS bodies, led by clinicians, which oversee the delivery of NHS services across England.

These indicators will be included on the “menu”, for deliberation by NHS England who will decide if the indicators can go into the Clinical Commissioning Groups Outcomes Indicator Set (CCG OIS).

Indicators underpin health improvement such as enhancing quality of life for people with long-term conditions and preventing people from dying prematurely.

This menu of indicators will now be considered by NHS England for inclusion in the indicator set for 2015/16.  Indicators were introduced in April 2013 and are identified and developed from NICE quality standards and from other existing indicator collections (such as national audits) to help CCGs improve quality of care and results for patients.

The additions to the NICE CCG OIS menu include: an indicator to support high quality rehabilitation for people admitted to hospital with coronary heart disease; a number of indicators to support antenatal and maternity care; and a process-based indicator to support high quality care for people with a hip fracture.  The final decision on indicators to include in the CCG OIS will be made by NHS England.

Professor Gillian Leng, Deputy Chief Executive and Director of Health and Social Care at NICE said: “These proposed indicators will encourage high quality commissioning of NHS services in England and lead to better care for patients. We know the indicators will work – each one has been subject to a public consultation and tested in GPs’ practices.”

Professor Danny Keenan, the chair of the Advisory Committee for the Clinical Commissioning Groups Outcome Indicator Set, said: “The independent CCG OIS Advisory Committee is made up of GPs, hospital doctors, patients and commissioners. They bring a broad range of expertise to indicator development. This ensures that the menu of indicators is workable, and can improve the quality of commissioning and patient care.  We’re delighted to recommend this robust set of indicators for potential inclusion in the 2015/16 indicator set. We hope they will help the CCGs to commission NHS services that will improve the quality of people’s lives.”

The Committee’s recommendations for the 2015/2016 menu of indicators are available at: http://www.nice.org.uk/Standards-and-Indicators/CCGOISIndicators. The selection of the final indicators will be decided by NHS England in autumn 2014. 

Ends

Notes to Editors

About the Clinical Commissioning Groups Outcome Indicator Set (CCG OIS)

  1. Clinical Commissioning Groups (CCGs) took over responsibility for commissioning the majority of NHS services in England from April 2013. This includes the services in secondary care and community care. All GP practices in England are required to join one of the CCGs.
  2. NHS England, supported by NICE and working with professional and patient groups, has developed a CCG OIS that measures the health outcomes and quality of care (including patient reported outcome measures and patient experience) commissioned by CCGs.
  3. NICE was originally commissioned by the Department of Health to develop indicators for the CCG OIS. The CCG OIS is now the responsibility of NHS England. NICE opened a public consultation on this set of indicators in February 2014, and these indicators have since also undergone feasibility testing (as conducted by the Health and Social Care Information Centre which involved analysis of data sets to ensure that indicators are measurable and meaningful) before further consideration by the independent CCGOIS advisory Committee in May 2014.
  4. The range of clinical topics covered by the indicators will reflect the available quality standards topics. As more quality standards are developed, the breadth of clinical topics covered by CCG OIS indicators is expected to increase accordingly. The core library of quality standards is at http://www.nice.org.uk/Standards-and-Indicators/Developing-NICE-quality-standards-/Quality-standards-topic-library.
  5. The CCGOIS indicators will focus on quality and reducing health inequalities. This will form part of a wider system of accountability for CCGs which will cover CCGs’ financial performance, their contribution to joint health and wellbeing strategies, and fulfilment of other statutory duties such as patient and public involvement. The set of indicators which NICE has developed will not, however, cover these wider areas: its focus is on the quality of the health services commissioned, not on how they are commissioned. NICE will not be responsible for setting the Quality Premium Payments. For media enquiries about how the CCG OIS works in practice, please contact the NHS England press office.

About NICE

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The independent CCG OIS Advisory Committee is made up of GPs, hospital doctors, patients and commissioners. They bring a broad range of expertise to indicator development. This ensures that the menu of indicators is workable, and can improve the quality of commissioning and patient care

Professor Danny Keenan, chair of the Advisory Committee for the Clinical Commissioning Groups Outcome Indicator Set