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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, Physical Health, Child and Young Person Transition and Improving services for people who present at A&E with Mental Health Needs. The Trust achieved 89% of the income available for the 2017/18 Local CQUINs and 100% of the income available for the 2017/18 Specialist Services CQUINS.

How did we do for 2017/18?

The following CQUIN targets were set for Local and National Services in 2017/18.

 

2017-18 CQUIN and Trust Quality Priorities Indicators

Q1       

Q2   

Q3

Q4

Cardio Metabolic Assessment

Met     

N/A      

N/A

Partially Met  

Summaries of Care

N/A

Met

Partially Met   

Met

Improvement of staff health and wellbeing

N/A

N/A

N/A

Not Met

Healthy food for NHS staff, visitors and patients

N/A

N/A

N/A

Partially Met

Improving the Uptake of Flu Vaccinations

N/A

N/A

N/A

Partially Met

Child and Young Person MH Transition

Met

Met

N/A

Partially Met

Improving Services for people who present at A&E with Mental Health needs

Met

Met

Met

Partially Met

Preventing ill health by risky behaviour

Met

Met

Partially Met

Partially Met

Recovery Colleges for Medium and Low Secure Patients

Met

Met

Met

Met

Reducing Restrictive Practices within Adult Secure Services

Met

Met

Met

Met

CAMHS Transition Pathway

Met

Met

Met

Met

Improvement of Information flows across the justice pathway to improve patient outcomes

Met

Met

Met

Met

Non-secure -  Repatriation

Met

Met

Met

Met

Non-secure – Reducing Length of Stay

Met

Met

Met

Met

Secure Services – Reducing Length of Stay

Met

Met

Met

Met

What do we have planned for 2018/19?

The CQUINS will be continuing for another year, with further development indicators for each area.

 

 

2018/19 CQUIN

Goals

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 in Year 2 (18/19) made including maintaining changes achieved in 2016/17 introducing three new changes to food and drink provision.

Improving the Uptake of Flu Vaccinations

Achieving an uptake of flu vaccinations by frontline clinical staff of 75%

Cardio Metabolic Assessment

To demonstrate cardio metabolic assessment and treatment for patients with psychoses. Targets for full assessment:

90%-Inpatient Services

75%-Community Services

90%-Early intervention service

And in addition, in 2018/19

To demonstrate positive outcomes in relation to BMI and smoking cessation for patients in early intervention in psychosis (EIP) services.

Summaries of Care

90% of patients to have either an updated CPA i.e. a care programme approach care plan or a comprehensive discharge summary shared with the GP. A local audit of communications should be completed

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.

Child and Young Person MH Transition

Improve the outcomes for young people who transition out of CYPMHS

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

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