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["Summary Report"]
["HSJ Clinical Commissioning Barometer November 2013 with Marie Curie"]
[""]
["2. In which region is your CCG located?"]
["Value","Count","Percent"]
["North",35,0.347]
["Midlands and the East",31,0.307]
["South",20,0.198]
["London",15,0.149]
[""]
["Statistics",""]
["Total Responses",101]
[""]
[""]
[""]
[""]
["3. Rate your confidence that the CCG can stick to its budget without compromising care quality or access, over the next 12 months (1 is not at all confident, 10 is entirely confident)"]
["Value","Count","Percent"]
[1,4,0.04]
[2,5,0.05]
[3,5,0.05]
[4,5,0.05]
[5,6,0.059]
[6,18,0.178]
[7,16,0.158]
[8,28,0.277]
[9,8,0.079]
[10,6,0.059]
[""]
["Statistics",""]
["Total Responses",101]
["Sum",655]
["Avg.",6.5]
["StdDev",2.3]
["Max",10]
[""]
[""]
[""]
[""]
["4. Rate your confidence that the CCG will be able to make significant improvements to health and services this year over the next 12 months (1 not at all confident, 10 entirely confident)"]
["Value","Count","Percent"]
[1,2,0.02]
[2,1,0.01]
[3,5,0.05]
[4,0,0]
[5,16,0.158]
[6,13,0.129]
[7,20,0.198]
[8,31,0.307]
[9,9,0.089]
[10,4,0.04]
[""]
["Statistics",""]
["Total Responses",101]
["Sum",686]
["Avg.",6.8]
["StdDev",1.9]
["Max",10]
[""]
[""]
[""]
[""]
["5. The government's requirement that CCGs pool large sums of their budgets with local authorities in coming years, under the integration transformation fund, has sparked debate as concern about NHS services facing a \"cliff edge\" funding cut. How do you rate the likelihood of these possible effects of the policy, and the NHS's response to it, in your area?"]
["","Don't know","","Very unlikely","","Unlikely","","Likely","","Very likely","","Responses"]
["","%","#","%","#","%","#","%","#","%","#","#"]
["Create better integrated services",0.04,4,0.05,5,0.079,8,0.644,65,0.188,19,101]
["NHS funds used to subsidise non-health or care services funded by councils",0.04,4,0.02,2,0.109,11,0.465,47,0.366,37,101]
["Improve out of hospital services",0.01,1,0.04,4,0.129,13,0.644,65,0.178,18,101]
["Improve the CCG's relationship with councils",0.079,8,0.099,10,0.218,22,0.416,42,0.188,19,101]
["Reductions in hospital beds",0.059,6,0.119,12,0.257,26,0.366,37,0.198,20,101]
["Improve patient experience",0.14,14,0.07,7,0.26,26,0.46,46,0.07,7,100]
["Reduce demand for hospital services",0.05,5,0.178,18,0.327,33,0.376,38,0.069,7,101]
["Create political support for hospital service reconfiguration",0.03,3,0.277,28,0.317,32,0.257,26,0.119,12,101]
["Damage hospital services care quality",0.04,4,0.101,10,0.525,52,0.273,27,0.061,6,99]
[""]
[""]
[""]
[""]
["6. How likely do you think it is that your CCG will take each of these possible steps to change it as an organisation over the next 12 months?"]
["","Very unlikely","","Unlikely","","Don't know","","Likely","","Very likely","","Responses"]
["","%","#","%","#","%","#","%","#","%","#","#"]
["Move significant further commissioning functions in-house to the CCG, from support providers",0.099,10,0.198,20,0.109,11,0.386,39,0.208,21,101]
["Formally request from NHS England additional delegated responsibilities for commissioning general practice",0.099,10,0.149,15,0.198,20,0.347,35,0.208,21,101]
["Pool a LARGER part of its budget with local authorities, THAN that required by the national integration transformation fund rules",0.198,20,0.287,29,0.139,14,0.228,23,0.149,15,101]
["Re-contract a significant amount of its commissioning support services to different providers",0.149,15,0.366,37,0.178,18,0.208,21,0.099,10,101]
["Replacing / electing a new GP lead",0.32,32,0.4,40,0.09,9,0.07,7,0.12,12,100]
["Merging with other CCGs",0.426,43,0.347,35,0.119,12,0.109,11,0,0,101]
[""]
[""]
[""]
[""]
["7. A Public Health England report this year showed that, while the numbers dying at home (where most people want to be) or in a care home has increased slightly since 2008, there is still much to be done to improve the lives of those with a terminal illness, and their families. It also found large variations in the proportion of hospital deaths across different areas of England.  Please rate these issues according to how significant they are as challenges in preventing you helping more people at the end of life to die at home?"]
["","Don't know","","Not a challenge","","A small challenge","","A major challenge","","A very major challenge","","Responses"]
["","%","#","%","#","%","#","%","#","%","#","#"]
["Difficulty discharging people from hospital with the right health and social care package",0,0,0.05,5,0.39,39,0.44,44,0.12,12,100]
["Lack of 24/7 services in the community",0,0,0.06,6,0.27,27,0.46,46,0.21,21,100]
["Lack of crisis response services to help people stay at home",0,0,0.051,5,0.354,35,0.495,49,0.101,10,99]
["Difficulty of identifying people at the end of life",0,0,0.25,25,0.53,53,0.2,20,0.02,2,100]
["Lack of staff with adequate training to support patients with end of life care needs",0.01,1,0.08,8,0.54,54,0.33,33,0.04,4,100]
[""]
[""]
[""]
[""]
["8. How important is it to your CCG to have a choice of commissioning support provider?"]
["Value","Count","Percent"]
["Not at all important",10,0.1]
["Neutral",23,0.23]
["Fairly important",24,0.24]
["Very important",43,0.43]
[""]
["Statistics",""]
["Total Responses",100]
[""]
[""]
[""]
[""]
["9. Help the new NHS England chief executive, Simon Stevens, choose his priorities. He starts work in April and will join as the service grapples with options for future strategy, and addresses structural challenges.To what extent do you agree with these potential priorities for the new chief executive to try to achieve:"]
["","Strongly disagree","","Disagree","","No view","","Agree","","Strongly agree","","Responses"]
["","%","#","%","#","%","#","%","#","%","#","#"]
["Reconsider current entitlements to free NHS and care services",0.228,23,0.366,37,0.069,7,0.238,24,0.099,10,101]
["Extend charges for health services",0.273,27,0.303,30,0.141,14,0.212,21,0.071,7,99]
["Reorganise split of commissioning responsibility between NHS England, CCGs and support units",0.081,8,0.131,13,0.091,9,0.384,38,0.313,31,99]
["Merge NHS budgets with local authority care budgets",0.267,27,0.376,38,0.109,11,0.198,20,0.05,5,101]
["Change competition and choice rules, to reduce their effect on the NHS",0.03,3,0.051,5,0.111,11,0.343,34,0.465,46,99]
["Lead disinvestment in hospital services",0.01,1,0.13,13,0.08,8,0.47,47,0.31,31,100]
["Require general practices to form larger networks or groups",0.059,6,0.267,27,0.069,7,0.386,39,0.218,22,101]
["Restrict NHS England's role in service change, leaving CCGs and others to lead",0.01,1,0.16,16,0.06,6,0.41,41,0.36,36,100]
["Tell patients more about the cost of their services, for example prescriptions",0.01,1,0.069,7,0.168,17,0.455,46,0.297,30,101]
["An immediate overhaul of NHS payment systems",0.04,4,0.178,18,0.129,13,0.347,35,0.307,31,101]
[""]
[""]
[""]
[""]
["11. There has been an intense debate in recent months about ways to improve the emergency care system. Rate these possible solutions according to how likely they are to improve the emergency care system:"]
["","Don't know","","Very unlikely","","Unlikely","","Likely","","Very likely","","Responses"]
["","%","#","%","#","%","#","%","#","%","#","#"]
["Many more GP practices opening longer, on weekdays and weekends",0.01,1,0.129,13,0.277,28,0.485,49,0.099,10,101]
["Ensuring more local GPs are involved in providing out of hours primary care",0.02,2,0.109,11,0.248,25,0.436,44,0.188,19,101]
["Supporting emergency hospital services with short-term funding",0.01,1,0.485,49,0.356,36,0.129,13,0.02,2,101]
["Spending more on social care / home care services",0.03,3,0.03,3,0.119,12,0.604,61,0.218,22,101]
["Expanding services outside hospital",0.02,2,0.04,4,0.069,7,0.376,38,0.495,50,101]
["Giving patients an out-of-hospital \"named\" clinician",0.02,2,0.32,32,0.41,41,0.2,20,0.05,5,100]
["Improving remote access to primary care, eg phone consultations and web records access",0.03,3,0.1,10,0.17,17,0.49,49,0.21,21,100]
["Centralising emergency services into specialist centres",0.02,2,0.12,12,0.25,25,0.43,43,0.18,18,100]
[""]
[""]
[""]
[""]
["12. For each of these groups, please choose the phrase which best describes its or their interactions with your CCG"]
["","No relationship","","Very good","","Good","","Neutral","","Unhelpful","","Very unhelpful","","Bullying","","Responses"]
["","%","#","%","#","%","#","%","#","%","#","%","#","%","#","#"]
["NHS England (commissioning board) national team",0.386,39,0.01,1,0.119,12,0.327,33,0.089,9,0.059,6,0.01,1,101]
["NHS England (commissioning board) regional team",0.287,29,0.05,5,0.109,11,0.356,36,0.089,9,0.05,5,0.059,6,101]
["NHS England (commissioning board) local area team",0,0,0.198,20,0.426,43,0.168,17,0.168,17,0.03,3,0.01,1,101]
["NHS commissioning support service",0.059,6,0.059,6,0.347,35,0.257,26,0.208,21,0.069,7,0,0,101]
["Member GP practices",0,0,0.426,43,0.535,54,0.04,4,0,0,0,0,0,0,101]
["Hospital provider organisations",0,0,0.198,20,0.604,61,0.139,14,0.059,6,0,0,0,0,101]
["Local authorities",0,0,0.376,38,0.505,51,0.079,8,0.03,3,0.01,1,0,0,101]
["Regulators - Monitor or Care Quality Commission",0.091,9,0.04,4,0.192,19,0.505,50,0.111,11,0.051,5,0.01,1,99]
[""]
[""]
[""]
[""]