Delivering as a CCG


In order to ensure the actions contained within the Francis Report are implemented in NNE and are having a positive impact on the quality of care the following actions have been implemented:

  • The development of quality summits where providers and commissioner meet to discuss intelligence that has been gathered and set improvement targets
  • Monitoring of Provider Organisations responses to the Francis Report through commissioner led Quality Scrutiny Panels
  • Working with Providers to ensure quality is improved through a coordinated and considered approach across the healthcare system


“The role of NHS Commissioners” DoH 2011 outlines commissioners’ role in preventing and responding to neglect, harm and abuse to adults in the most vulnerable situations, including the commissioning services for women and children who experience violence or abuse.”

The Winterbourne Review sets out specific actions for the care of patients with learning disabilities and provides a salutary reminder of the failings in care for this group of vulnerable people. NNE CCG will therefore support the Nottinghamshire Multi-Agency Safeguarding Hub (MASH) which is the first point of contact for Social Care for safeguarding concerns in respect of both children and vulnerable adults. It includes representatives from Children’s Social Care, Adult Social Care, Police and Health working together at a central location. Virtual links will exist to other services and agencies such as the Probation Trust and housing.

As a result, better decisions will be made about what action to take and support will be targeted on the most urgent cases. Better co-ordination between agencies will be initiated leading to an improved service for children, adults and families.

The MASH also provides an advice line for professionals who have concerns about a child or adult. This helps to clarify any causes of concern and offer advice on application of social care thresholds, or signpost to early intervention or other services as and when this is appropriate.

The Nottinghamshire and Nottingham City Safeguarding Children Boards have jointly produced Child Protection Procedures to provide consistency for those workers who cross boundaries between the two authorities. Procedures and guidelines can be found on the Nottinghamshire County Council website

The Interagency Safeguarding Children Procedures of the Nottinghamshire Safeguarding Children Board (NSCB) and the Nottingham City Safeguarding Children Board (NCSCB) can be accessed at

The safety and welfare of children and vulnerable adults is of paramount importance to Nottingham North & East Clinical Commissioning Group (CCG). We work closely with other CCG’s across Nottinghamshire to ensure that all of the services we commission ensure high quality safe effective care.

The following measures ensure that safeguarding and promoting the welfare of children and vulnerable adults is given priority and is discharged effectively across the whole local health economy through commissioning arrangements:

  • Executive level CCG membership of both Nottinghamshire Safeguarding Children and Adult Boards which ensures that safeguarding is at the forefront of service planning.
  • Senior CCG membership of Nottinghamshire Multi Agency Public Protection Arrangements (MAPPA)
  • Close collaboration with the Local Authority to assess and ensure the provision of co-ordinated integrated services to meet the needs of the local population, including specialist services for vulnerable groups.
  • Ensuring that safeguarding children and adult strategies and associated policies are in place, including safe recruitment of staff, a whistle-blowing policy and safeguarding training and supervision policies.
  • Ensuring that providers of services are held to account through regular review of safeguarding arrangements through quality scrutiny processes.
  • Designated nurse and doctors in post to offer professional expertise and advice around safeguarding matters.

Here are some useful documents on Safeguarding:

Domestic Abuse

Domestic abuse is about the misuse of power and the exercise of control within a relationship. It is most often experienced by women from someone they know, usually a man. This could be a partner, carer, friend or family member.

It is more common than you think with 1 in 3 women experiencing it at some time in their lives. Anyone can experience domestic abuse as it occurs regardless of age, class, race, social group, sexuality, disability or lifestyle. Long term consequences can be serious including disability, physical injuries, mental illness and in some cases, death. Children living with domestic violence are also at serious risk and may experience life-long psychological effects. Homelessness, poverty, isolation, disruption to employment and education are all common issues facing those surviving domestic violence.

Whilst local statistics show that domestic violence continues to be a significant problem in Nottinghamshire they also show that agencies have been working effectively to protect and support victims, bring perpetrators to justice and reduce the incidence of domestic violence.
Nottingham North and East CCG as a member of the Nottingham Health and Wellbeing Board and Safeguarding Children and Adult Boards supports the commissioning of services to support victims and survivors of domestic abuse.

Key principles of Nottinghamshire Domestic Abuse Strategy include:

  • Prevention of violence against women and girls by challenging the attitudes and behaviours which foster it and intervening as early as possible
  • Provision of adequate levels of support where violence does occur
  • Action to reduce the risk to victims and ensure that perpetrators are brought to justice.
  • Partnership work to obtain the best outcome for victims and their families (Call to End Violence Against Women and Girls, Home Office, 2010)

Further information regarding services for victims of domestic abuse can be found here:


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