How we are held to account

Our CCG is a membership organisation and we are accountable to our member GP practices, as well as local people and wider stakeholders. Some of the ways in which we demonstrate accountability include:

Lay member for public and patient involvement

A lay member is someone who has expertise and experience at a senior level in patient and public involvement, and who has a good knowledge of our local communities. They also bring experience of working at board level in a large organisation.

In every aspect of CCG business, our lay member helps ensure that local people’s voices are heard and that opportunities to empower people, and get them involved in co-design, are created and protected for patient and public.

Our lay member is also responsible for holding the CCG to account for their patient and public involvement by ensuring:

  • patient and community interests are at the heart of discussions and decisions
  • our CCG acts in the best interests of the health of the local population
  • our CCG commission (buy) the highest quality services and secures the best possible outcomes for patients within resources available and maintains a consistent focus on quality, integration and innovation
  • health provision is in line with the NHS constitution.

Our lay member for patient and public involvement is David Richardson.

How we hold others to account

Our CCG is responsible for planning and buying (commissioning) services from healthcare providers to meet the needs of our population. The main providers in Bradford district and Craven are:

  • GP practices
  • Airedale NHS Foundation Trust (Airedale Hospital)
  • Bradford Teaching Hospitals NHS Foundation Trust (Bradford Royal Infirmary and St Luke’s hospitals)
  • Bradford District Care NHS Foundation Trust (community and mental health services)
  • Care homes and nursing homes
  • Voluntary and community sector

Local councils – Bradford Council, North Yorkshire County Council and Craven District Council – are responsible for social care services and public health.

We regularly monitor feedback about these local providers to make sure that the services we buy deliver high quality care and give people a positive experience. If the feedback we receive suggests that there is an area for improvement, we work with our providers to identify the actions that need to be taken and follow this up.

You can find out more about what we do with people’s feedback about local services providers on the get involved pages of our website. The way that we pull together and analyse feedback is known Grassroots.

You can read more about how Grassroots feedback has made a difference in our guide to Grassroots.

We also work together with our provider organisations on engagement with patients and the public. This is facilitated by a Bradford district and Craven communications and engagement network which brings teams together to coordinate activity and jointly plan projects.

When providers want to make a change to a service, they must involve us as commissioners so that we have assurance that patients, carers and the public are involved in decision making. If appropriate, our CCG will carry out patient and public engagement activity or work closely with partners to make sure that patients and carers are fully engaged in any changes.

Some recent examples of how we have held services accountable during a change include:

  • GP practice service changes: in 2019 a group of GP practices in Bradford City wanted to work more closely together and move from Whetley Medical Centre to Westbourne Green Community Health Centre with the aim of offering improved facilities and services to patients. Our CCG advised the GP about their responsibilities to engage with patients and supported them with their communications and engagement strategy for the proposed relocation to enable a wide range of people to participate. You can find out more about the GP practice service change on The Family Practice website (opens in a new window).
  • Services changing the way they work together: our two acute hospital trusts – Bradford and Airedale – are working collaboratively on the development of a number of services, including stroke care. Our CCG funded Healthwatch Bradford to be involved in the project to ensure that the patient and carer voice was at the heart of this work. You can find out more about the stroke services project work on the Healthwatch Bradford website (opens in a new window).

The CCG quality team take part in regular quality review meetings with all local providers. The engagement and experience team work closely with the quality team to make sure the CCG is asking the right questions, focusing most on those people who find it hardest to access services or who will be most affected by any changes.

As a result of patient experience feedback we may invite providers to attend our Joint Quality Committee (JQC). The JQC is chaired by the CCG lay member for patient and public involvement and provides assurance about the action(s) being taken to improve services.

Providers report regularly to us about patient experience and engagement as part of their quality assurance processes. Our CCG comments formally on these reports. Sometimes we ask for more information about the involvement activities which have taken place, or make suggestions for ways provider can improve their engagement with patients and the public. For example, we worked with maternity services at our local hospitals to improve engagement through the local Maternity Voices Partnership.

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