Our Performance
The principle reason for measuring NHS performance is to ensure accountability to the public and parliament for the quality of service it delivers. It also enables clinicians and managers to undertake meaningful benchmarking; comparing their performance results and methods against those of their peers so that they can identify scope for improvement and share knowledge of best practice.
Annual health check
The aim of the annual health check is to promote improvements in healthcare for patients and the public. The annual health check was a performance assessment used by the Healthcare Commission and is now conducted by the Care Quality Commission (CQC) to drive improvements in healthcare for patients.
For the year 2009-10, the Care Quality Commission will be assessing NHS Oxfordshire on its financial management and quality of commissioning services. The quality of commissioning services looks at existing commitments (longstanding targets that were mostly set by the Department of Health) and national priorities (the Government's national priorities include goals for the whole of the NHS, such as reducing health inequalities and improving the health of the population). The outcome of the assessment will not be available until October 2010.
Key areas of achievement in our performance throughout 2009-10 include:
- Cervical Screening: the cervical screening for women aged 25-65 years. We will have exceeded this target by 73.1 per cent.
- Breast screening: the percentage of women aged 53-70 screened for cancer is 80.6 per cent.
- Clostridium Difficile: the incidence of C-Dif remains an achievement this year for NHS Oxfordshire with 500 recorded cases against a target of 546.
- Access to a GP within 48 hours and a primary care practitioner within 24 hours: all practices within Oxfordshire are providing this level of access to their patients.
Use of Resources
The Care Quality Commission determines NHS Oxfordshire’s use of resources score, which is measured from an assessment made by the Audit Commission on the financial management of the organisation. The Audit Commission consider performance in three areas:
- Financial Management
- Strategic Commissioning and Good Governance
- Effective Management of Natural Resources, Assets and People
NHS Oxfordshire has received initial feedback from the Audit Commission on the rating for financial management and this feedback will be submitted to the Care Quality Commission to include in its Assessment of Quality of Health and Adult Social Care Commissioners for NHS Oxfordshire for 2009-10. The Assessment replaces the Annual Health Check for NHS Oxfordshire as commissioners. The feedback from the Audit Commission is that NHS Oxfordshire is delivering value for money, and can demonstrate clear and measurable improvements in the outcomes to local population in the services it commissions. NHS Oxfordshire has a strong commitment to partnership working as identified particularly through the Comprehensive Area Assessment.
World Class Commissioning
In March 2010 we undertook our second World Class Commissioning review – feedback was that NHS Oxfordshire is a strong operational organisation with a clear understanding of the challenging times ahead. A full report on the outcome of the review is available at http://www.oxfordshirepct.nhs.uk/about-us/world-class-commissioning.aspx
Vital Signs
The Department of Health annually releases Vital Signs results for PCTs across England, detailing their performance against their Strategic Health Authority and the overall England result. Please click below to view the reports:
Publication of Invoices over 25k
As part of the government’s commitment to greater transparency, there is now a requirement to publish online, central government expenditure over 25k.. For more information about this please visit http://www.hm-treasury.gov.uk/psr_transparency_index.htm
As such at PCTs, NHS Trust and Strategic Health Authorities are required to publish information relating to invoices over 25k. Please see below. It is important to note that NHS Oxfordshire hosts services and therefore pays invoices on behalf of other NHS organisations in Oxfordshire and in the South Central area; however the cost is shared across organisations. First example of this are Tribal invoices which we pay on behalf of all Primary Care Trusts in the South Central area so the NHS Oxfordshire element equates to 15% of the invoice. The second example is work undertaken by Cap Gemini for all NHS organisations in Oxfordshire with all Trusts making a contribution to the cost.
Payments to GP practices over 25,000 for general medical services (GMS) and personal medical services (PMS)