On the day briefing: NHS Oversight Framework for 2019/20
We have produced an On the day briefing summarising the new approach as outlined in the oversight framework 2019/20 by NHS England and NHS Improvement (NHSE/I). The key changes include:
- As NHSE/I align their operating models to support system working, 2019/20 will be a transitional year, with NHSE/I regional teams coming together to support local systems. The existing statutory roles and responsibilities of NHSE/I in relation to providers and commissioners remain unchanged, however these roles and responsibilities will be carried out by working with and through system leaders where possible.
- In line with the move to greater autonomy for better performing local systems, oversight arrangements will reflect both the performance and relative maturity of integrated care systems (ICSs). In 2019/20 it will be for regional teams to determine the level of oversight that best meets their assurance needs.
- The specific dataset for 2019/20 (see Appendix 1) broadly reflects existing provider and commissioner oversight and assessment priorities. They are split by their alignment to priority areas in the NHS long term plan. Where appropriate these will be aggregated across system level and are likely to be complemented by purpose-built system metrics. Four metrics have been added to the set used to identify issues at providers based on questions in the annual NHS Staff Survey covering bullying and harassment, teamwork and inclusivity.
- From 2019/20, ICSs and emerging ICSs will be increasingly involved in the oversight process and support of organisations in their system. Regional teams will use data from the metrics as well as local information and insight to identify where commissioners and providers may need support, involving system leads in this process.