Holding providers to account
The CCG is responsible for planning and buying (commissioning) local healthcare services. The services we buy are:
- Hospital services
- Mental health services
- GP services
- Community services
- Some voluntary community sector services
There are individual organisations that provide these services. The main providers in Wigan Borough are:
- Our 60 GP practices
- Wrightington, Wigan and Leigh NHS Foundation Trust – hospital
- North West Boroughs Healthcare NHS Foundation Trust – mental health
- Bridgewater Community Healthcare NHS Foundation Trust – community
- Care and Nursing Homes
Wigan Council is responsible for social care services and public health.
We find out what engagement work the different organisations are doing and we work together as much as possible. We also take action on the back of feedback we get from engagement work.
How we hold providers to account
When providers want to make a change to a service, they should let the commissioners know. We then ask about their plans to involve patients in their changes and either get involved as commissioners where that is appropriate, or ask to see the engagement reports before any decisions are made.
Here are some of examples of when that might happen:
- GP practices wanting to change their services, e.g. Dr Tun closing a branch in Hindley Green - we asked them to run a consultation, but we ran it with them as they didn't have the expertise and skills. The report went to the Primary Care Commissioning Committee
- Changing the location of a service - for example, moving an outpatient clinic from a hospital site to a community site - we ran a joint engagement exercise to decide if we needed to do a consultation
- Services changing the way they work together - e.g. community services working together as an integrated team and we asked to see their Equality Impact Assessment; and, GP practices in South Wigan are working together to offer more same day appointments and we asked them to do engagement to find out what patients thought of the new service
Our Quality and Safety team and our Equality Lead are really important in this as they will hear about changes through quality review meetings with providers. We work closely with them to make sure the CCG is asking the right questions, focusing most on those people who will find it hardest to access our services.
On overview of our process
More information about the engagement groups can be found on our "we need your help" page.
More information about the Quality Team processes can be found in the CCGs Quality & Safety Annual Report. This can be found on our "Annual Report" page.
Feedback prompts action
Here are some examples that demonstrate the process:
Ear Care Service
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