Our Vision, Values and Priorities

Commissioning for Quality and Innovation (CQUIN)

The Commissioning for Quality and Innovation (CQUINs) payments framework encourages care providers to share and continually improve how care is delivered and to achieve transparency and overall improvement in healthcare.

It enables commissioners to reward excellence, by linking a proportion of English healthcare providers' income to the achievement of local quality improvement goals.

The framework aims to embed quality within commissioner-provider discussions and to create a culture of continuous quality improvement, with stretching goals agreed in contracts on an annual basis.

It makes a proportion of provider income conditional on the achievement of ambitious quality improvement goals and innovations agreed between commissioner and provider, with active clinical engagement.

This year the CQUINs are worth over £3m of income to the Trust and cover areas such as Staff Wellbeing, the Urgent Care Pathway and Physical Health. The Trust achieved 97% of the income available for the 2016/17 Local CQUINs and 100% of the income available for the 2016/17 Specialist Services CQUINS.

How did we do for 2016/17?

The following CQUIN targets were set for Local and National Services in 2016/17, including 6 national and 2 local CQUINs.

CQUIN Indicator	Q1	Q2	Q3	Q4
Improving Physical healthcare to reduce premature mortality in people with severe mental illness (National) Cardio Metabolic Assessment and treatment for patients with psychosis	Met	Met	Met	Partially Met
Communication with General Practitioners	N/A	Met	N/A	N/A
Staff Health and Wellbeing (National) Introduction of health and wellbeing initiatives	Met	N/A	N/A	Met
Healthy food for NHS staff, visitors and patients	Met	N/A/	N/A	Met
Improving the uptake of flu vaccinations for frontline staff	N/A	N/A	N/A	Met
Urgent Care Pathway (Local) Psychiatric Decision Unit Pilot	Met	Met	Met	Met
Recovery/Crisis Cafes	Met	Met	Met	Met
Street Triage	Partially Met	Met	Met	Met
Recovery Colleges for Medium and Low Secure Patients (National)	Met	N/A	Met	Partially Met
Reducing Restrictive Practices within Adult Low and Medium Secure Services (National)	Met	Met	Met	Met
Improving CAMHS Care Pathway Journeys by Enhancing the Experience of Family/Carer (National)	Met	Met	Met	Met
Benchmarking Deaf CAMHS & Adult Services and developing Outcome Performance plans and Standards (National)	Met	Met	Met	Met
Secure Service Transformation and Repatriation of London Secure Patients (Local)	Met	Met	Met	Met

What do we have planned for 2017/18?

2017-18 CQUIN and Trust Quality Priorities Indicators	Goals
Cardio Metabolic Assessment	To demonstrate cardio metabolic assessment and treatment for patients with psychoses. Targets for full assessment: 90%-Inpatient Services 65%-Community Services 90%-Early intervention service
Summaries of Care	90% of patients to have a care programme approach care plan or a comprehensive discharge summary shared with the GP.
Improvement of staff health and wellbeing	Achieving a 5 percentage point improvement in two of the three NHS annual staff survey questions on health and wellbeing.
Healthy food for NHS staff, visitors and patients	Provider to evidence changes made including maintain changes achieved in 2016/17.
Improving the Uptake of Flu Vaccinations	Achieving an uptake of flu vaccinations by frontline clinical staff of 70%
Child and Young Person MH Transition	Improve the outcomes for young people who transition out of CYPMHS
Improving Services for people who present at A&E with Mental Health needs	Reduce by 20% the number of attendances to A&E for those within a selected cohort of frequent attenders.
Preventing ill health by risky behaviour	This CQUIN seeks to help deliver on the objectives set out in the Five Year Forward View.
Recovery Colleges for Medium and Low Secure Patients	The establishment of co-developed and co-delivered programmes
Reducing Restrictive Practices within Adult Secure Services	Improving service user experience whilst maintaining safe services.
CAMHS Transition Pathway	Plan for discharge/transition at the point of admission
Improvement of Information flows across the justice pathway to improve patient outcomes	Improving the information flows from police custody to court to prison.
Non-secure - Repatriation	The Trust will need to review the list and identify patients who can be repatriated back to London.
Non-secure – Reducing Length of Stay	To achieve a reduction in the current Average Length of Stay in non-secure specialist inpatient services
Secure Services – Reducing Length of Stay	To achieve a reduction in the current Average Length of Stay in secure specialist inpatient services