NHS Oversight Framework 

Clinical commissioning groups (CCGs) were established on 1 April 2013 and are clinically-led organisations at the heart of the NHS system. NHS England has a statutory duty (under the Health and Social Care Act (2012)) to conduct an annual assessment of every CCG.

In 2020, the NHS Oversight Framework replaced the CCG Improvement and Assessment Framework (IAF), which was introduced in March 2016 to assess how well CCGs are performing and how well they work with others to improve quality and outcomes for patients.

In November 2020, Salford CCG was rated outstanding for the fifth consecutive year, making it one of only two CCGs in the country to achieve the highest rating for five years running. 

As well as being rated outstanding, the CCG received full marks (15/15) and a ‘green star’ for the way in which it involves the public in planning health services in 2019/20.

Previous assurance

Year Headline rating
2019/20 Outstanding
2018/19 Outstanding
2017/18 Outstanding
2016/17 Outstanding
2015/16 Outstanding
2014/15 Assured with support
2013/14 Assured

You can find out more about the data behind the ratings from the My NHS website.

Annual performance reports

The CCG produces a number of reports every year such as our annual engagement report, diversity and inclusion report and overarching CCG annual report and accounts. You can read them all via our Publications page.

In September 2021, we held our Annual General Meeting looking back at the highlights and challenges from 2020/21. The slides from the AGM are available below, along with a film summarising our latest Annual Report.  This video has captions, these can be found by clicking on cc in the YouTube player functions.

Download the Salford CCG AGM 2020/21

Transcript of Salford CCG Annual Report 2020/21

Doctor Tom Tasker: Hello, I’m Tom, I’m a GP in Eccles. I’m also chair of Salford Clinical Commissioning Group. 

Every GP practice in Salford is part of the CCG. We work together - and in partnership with Salford City Council and other public and voluntary sector organisations - to plan the best way to spend the health and care budget for Salford. 

Our vision is to have high quality services so that people in Salford live longer, healthier lives.

2020/21 was the year the world was dealt with COVID-19. Our Annual Report is the story of how Salford CCG responded, and the progress made towards achieving our vision in the midst of a global pandemic.

Richard Whitehead: The last 12 months has transformed the world in ways we could never have imagined and put us all through our biggest test. We have all been impacted by COVID-19 one way or another. 

Within a national control and command environment, we have needed to work together as a city to suppress the virus, reduce the rise in infections and roll out the biggest vaccination programme in the history of the NHS.

Together with partners, we have been called on to provide some services for the very first time, and at a pace and scale not seen before. 

We invested more than £1 million into primary care services, commissioning Salford Primary Care Together to set up COVID-19 assessment centres. This was so people with COVID-19 symptoms could get the help they needed from a GP safely either in person or in their own home.  

Our GP practices have faced unprecedented demand and we’ve worked with our five Primary Care Networks to ensure they have the support needed to stay open for their patients.

In December 2020, the Salford NHS Vaccination Service launched. Salford Primary Care Together run the service on behalf of primary care and opened three large vaccination centres to offer the vaccine as quickly as we could to the eligible cohorts. Working with our GP practices, we’ve seen several ‘pop-up’ clinics delivered across the city, ensuring all patients had the option to be vaccinated locally. 

A housebound vaccination team deliver the vaccine to our most vulnerable patients, and the Salford Primary Care Together Inclusion Service work with homeless residents to ensure they were not forgotten. 

We work with the Salford Community Learning Disabilities Team to encourage more people with learning disabilities to have the vaccine by offering them a home visit from a specialist nurse.

The NHS did not become a COVID-only service. We have worked hard to keep our critical health and care services running, alongside the COVID-19 response.. Our services have followed infection control requirements so they could be delivered effectively, efficiently and safely. 

Wherever possible, digital technology is used, with face-to-face consultations, diagnostics and treatmentstill available where needed. All our GP practices moved to virtual / telephone triage of all patients, only bringing patients into practice for face to face appointments where needed, so they could stay open throughout the pandemic.

Alongside fighting the actual virus, we’ve also had to deal with the unforeseen consequences of COVID-19. Long stretches of isolation have impacted many people’s mental wellbeing. Some routine non-urgent care had to be paused. Fear of being a burden on an over-stretched NHS delayed many people - both with COVID-19 and without - from seeking the help and advice they needed. 

Clear recovery plans are in place, including in the re-established Salford Standard for 2021/22, and those patients waiting longer are being reviewed to minimise harm caused. Referrals and those on the waiting list for treatment are being prioritised according to need, with cancer and other urgent treatment prioritised. 

Throughout our time as a CCG, the voice of Salford people has been at the heart of everything we do – never more so than throughout the last 12 months. We continue to be grateful to the support and understanding shown to our health and care staff by our residents as we adapted services, and for more than 1,000 who shared their insight into how we build back our health and care system through our Big Reset Conversation, shaping our plans for the future.

We have a new NHS (albeit we had not imagined how this would come about). We are at an important pivot point. 

Given current demand from COVID-19 has reduced we are proceeding full speed with the recovery. COVID-19 will not be going away completely, and we recognise that if we do need to manage COVID-19 again we are well practised and in a good position to do so.

We can’t cram into a short film everything we, and our partners, have been working on over the last 12 months. So, if you’d like to learn more, our full Annual Report and Accounts are available on our website, www.salfordccg.nhs.uk.

Mental Health Investment Standard

The planning guidance for 2018/19 stated that each CCG must meet the Mental Health Investment Standard (MHIS) by which their 2018/19 investment in mental health rises at a faster rate than their overall published programme funding.

Salford CCG considers that it has not complied with the requirements of the mental health investment standard for 2018/19 as it has recorded a reduction of £0.2m in mental health expenditure when compared to 2017/18. The required increase in mental health expenditure for 2018/19 is 2.99% , which is an expected increase of £1.5m. This reduction is not due to any intentional disinvestment in mental health but has arisen from the fact that prescribing costs were extraordinary high in 2017/18 due to external pricing and drug availability issues. These costs returned to expected levels in 2018/19, reducing expenditure by £1.2m. In addition, the CCG was able to make some additional one-off investments in mental health in 2017/18 which were not required in 2018/19.  The CCG has nevertheless made investments in mental health in 2018/19 in areas required to achieve national priorities.

Download the Statement of Mental Health Improvement Standard Compliance 2019/20

Download the Mental Health Improvement Standard Assurance Report 2019/20

Independent external quality assurance review of the independent investigation into the care and treatment of mental health service user Mr M: Published November 2021

NHS England and NHS Improvement commissioned Niche Health and Social Care Consulting Ltd (Niche) to carry out an independent investigation into the care and treatment provided to a mental health and substance misuse service user (Mr M) in Manchester, dated October 2019. The report is now available: NHS England and NHS Improvement North West » Independent investigation reports