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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, 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

 

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