As part of the government's commitment to greater transparency, there is a requirement for all NHS organisations to publish monthly expenditure over £25,000.
Below are the monthly expenditure reports for NHS Ipswich and East Suffolk Clinical Commissioning Group since April 2013.
The CCGs are required by law to protect the public funds it administers. It may share information provided to it with other bodies responsible for auditing or administering public funds, or where undertaking a public function, in order to prevent and detect fraud.
We participate in the Cabinet Office’s National Fraud Initiative: a data matching exercise to assist in the prevention and detection of fraud. We are required to provide particular sets of data to the Minister for the Cabinet Office for matching for each exercise.
Data matching involves comparing computer records held by one body against other computer records held by the same or another body to see how far they match. This is usually personal information. Computerised data matching allows potentially fraudulent claims and payments to be identified.
Where a match is found it may indicate that there is an inconsistency which requires further investigation. No assumption can be made as to whether there is fraud, error or other explanation until an investigation is carried out.
The processing of data by the Cabinet Office in a data matching exercise is carried out with statutory authority under its powers in Part 6 of the Local Audit and Accountability Act 2014. It does not require the consent of the individuals concerned under data protection legislation or the General Data Protection Regulation (GDPR), however the Cabinet Office set out how your data will be used and your rights here.
For further information on data matching at the CCGs please contact Emily Bosley at firstname.lastname@example.org.
The CCG Assurance Framework provides a nationally consistent approach to NHS England in order to make an annual assessment of CCG performance. It also provides a framework for NHS England to assess CCG performance and capability.
A core component of the Assurance Framework is the Balanced Scorecard, which will be used to assure CCG’s operational delivery. The Scorecard is built around five key domains.
1. Are local people getting good quality care?
Control of infection, friends and family survey, never events, CCG governance of quality and safety matters, response to Winterbourne review.
2. Are patient rights being promoted under the NHS constitution?
Waiting times for A&E, cancer treatment, elective surgery and ambulance calls; mixed sex accommodation breaches and mental healthcare programme approach.
3. Are health outcomes improving for local people?
Preventing premature dying; enhancing life for people with chronic conditions; helping people recover from ill health; positive and safe experiences of care; and local priorities for quality premium.
4. Are CCGs delivering their financial plans?
Recurrent planned surplus; activity trends; QIPP programmes; running costs and audit opinions.
5. Are CCG conditions of authorisation being addressed?
Within each domain there are a number of indicators, some of which are completed by NHS England with centrally held data, others of which are self-certified by the CCG. Each domain is rated across a spectrum of Red Amber and Green (RAG), with a set of thresholds particular to that domain determining the final RAG-rating for the domain. There is no overall rating for the scorecard.