[A version of this item appears in: Dementia: the Latest Evidence Newsletter (RWHT), Volume 2 Issue 10, May 2012].
The Commissioning for Quality and Innovation (CQUIN) payment framework is intended to link a proportion of each service providers’ income to the achievement of local quality improvement goals. This enables commissioners to encourage and reward excellence by including quality-based considerations in commissioner-provider discussions. The aim is to promote a culture of continuous quality improvement (kaizen), with challenges agreed in contracts negotiated on an annual basis.
Two new national CQUIN goals have been introduced for use in 2012-13:
- The NHS Safety Thermometer.
CQUIN Dementia Goal
Approximately 25% of acute beds are occupied by people with dementia. Their length of stay (LOS) is typically longer than other people and they tend to be subject to longer delays before leaving hospital.
The CQUIN dementia goal is intended to improve the identification of patients with dementia, delirium and cognitive impairment, in addition to their other medical conditions. The aim is to prompt appropriate referral and facilitate appropriate follow-up after the patient is discharged from hospital.
NHS Safety Thermometer Goal
Pressure ulcers are a key quality issue for the NHS, according to the Chief Nursing Officer and NHS Medical Director. Approximately 10-12% of patients suffer from pressure ulcers, but a substantial proportion of cases could be avoided. Older people and vulnerable patients suffer disproportionately from pressure ulcers in community settings. Simple inexpensive nursing interventions can be effective.
Systematic and robust data is needed to help drive improvements in care and identify variations in care quality. The purpose of the NHS Safety Thermometer CQUIN is to improve the recording of harm from pressure ulcers, falls, urinary tract infections in patients with catheters and VTE. Click here for more recent information.
Department of Health (2012). Using the Commissioning for Quality and Innovation (CQUIN) payment framework: guidance on new national goals for 2012-13. Leeds: Department of Health; MHP Health Mandate, April 30th 2012. 32p. Gateway Reference: 17457.