Performance management and strategic oversight
In its recommendations, the inquiry repeatedly stated the need to put patients first at all times.
In managing the performance of providers, commissioners and regulators alike should be clear on their own roles and responsibilities in:
- using good quality information on which to base their judgements on performance
- sharing that information between organisations effectively
- ensuring that fundamental patient safety and quality standards are met
The government agrees with these recommendations. Commissioners and regulators should have clear and distinct roles in ensuring the safety of people who use services and should act swiftly where patients are at risk.
Registration by the Care Quality Commission and Monitor’s licencing of providers gives an assurance to commissioners that a provider meets fundamental standards of care.
In addition, the NHS Standard Contract provides a framework for commissioners to receive on-going assurance on compliance with standards, through its routine performance management processes.
Metrics have also been introduced to enable the collection and publication of information to measure the quality of patient care.
Recommendation 139Ensuring patient safety and quality standards are met
Recommendation 140Sharing information when concerns are raised
Recommendation 141Individual responsibility of regulators and performance managers as well as co-ordination between them
Recommendation 142Unambiguous referral and information
Recommendation 143Metrics relevant to quality of care and patient safety
Recommendation 144Metrics for commissioners on quality