• CCG rating measures include progress of the STP they are a member of
  • But STPs will not all be rated by September as originally planned
  • Other CCG measures include the proportion of GP practices offering extended access, and progress with new care models

Clinical commissioning groups will in future be rated on the progress of the STP they are a member of, the proportion of GP practices with extended access, and the development of new care models in their area.

The measures are explained in details of NHS England’s assessment framework for CCGs in 2016-17, which the organisation published at the end of last month.

The indicators which CCGs will be judged against, in addition to numerous clinical indicators, include:

  • Progress of their sustainability and transformation plan.
  • Proportion of GP practices offering extended access.
  • Progress in putting in place a new care model.

The guidance says all STPs will receive a “rag” (red, amber, green) rating. However, it is understood the rating may not necessarily be in a “rag” form, and that it is now unlikely all STPs will be either nationally approved, or rated, by September.

On the STP measure, the guidance says: “This indicator will report progress on the STP that each CCG is part of, starting in 2016-17 with the development of the plan, through to implementation in future years… Progress will be assessed in conversation with NHS England each quarter, with [NHS England’s directors of commissioning operations] providing moderation within, and across, STP footprints.”

The guidance says STPs will be assessed first “in July 2016 with the submission of STP plans with the next assessment in March 2017”, with judgements expected to be published by September.

However, NHS England’s May board meeting heard that some STPs would not be signed off in the summer, but instead in a “pipeline” or “waves” through 2016-17, developing into the 2017-18 planning process. Some areas are now expected to submit only basic, not fully developed plans at the end of June. As a result, judgements about STPs are likely to be issued beyond September, HSJ understands. The latest financial guidance to STPs says some will be allowed to submit their projections as late as mid September.

Meanwhile, the indicator for “primary care access” will measure the “percentage of practices within a CCG where patients have the option of accessing pre-bookable appointments outside of standard working hours”. The guidance notes that access “may be through a hub or federation rather than the individual practice”, and that the indicator “depends on the minimum requirement, which is still subject to refinement”. Performance against the indicator is intended to be first published in November.

The measure for “adoption of new models of care” will be a “five point scale based on answer to the following question: At what stage are you in implementing and contracting with a new model of out of hospital care which has all of the core components of an MCP or a PACS, as set out in the relevant frameworks for these models?”

The options are: “1. Minimal thinking; 2. There is a strategic intent to implement a new model of care; 3. CCG has had initial discussions with potential partners; 4. Concrete plans exist to implement a new model of care, but implementation has not yet started; 5. Implementation is underway.” The guidance says this will be assessed annually but does not say when it will first be reported.

Reporting of some measures in the new framework is due to begin at the end of this month. At the same time CCGs are due to be given ratings in six clinical areas: Mental health; dementia; learning disabilities; cancer; maternity; and diabetes.