1. finance
2. accounting and auditing

Somerset Partnership NHS
Foundation Trust
CQUINS 2014/15
FRIENDS AND FAMILY TEST – IMPLEMENTATION OF STAFF FRIENDS AND FAMILY
TEST
Indicator number
1.1
Indicator name
Friends and Family Test – Implementation of
Staff Friends and Family Test
Indicator weighting (% of CQUIN scheme
available)
Description of indicator
0.0625
Numerator
Implementation of staff Friends and Family
Test as per guidance, according to the
national timetable
Not applicable
Denominator
Not applicable
Rationale for inclusion
National CQUIN scheme
Data source
Local provider response to local
commissioners
Frequency of data collection
Check on implementation at end of June
2014
Organisation responsible for data
collection
Provider
Frequency of reporting to commissioner
One off
Baseline period/date
Not applicable
Baseline value
Not applicable
Final indicator period/date (on which
payment is based)
Q1 2014/15
Final indicator value (payment threshold)
Provider to demonstrate to commissioner
that staff Friends and Family Test has been
delivered across all staff groups as outlined
in guidance
Final indicator reporting date
Response from providers to commissioners
by 30 June 2014
Are there rules for any agreed in-year
milestones that result in payment?
Funding payable once June 2014 indicator
achieved
Are there any rules for partial
achievement of the indicator at the final
Not applicable
indicator period/date?
FRIENDS AND FAMILY TEST: EARLY IMPLEMENTATION
Indicator number
1.2
Indicator name
Friends and Family Test – Early
Implementation in Mental Health Inpatient
Settings
Indicator weighting (% of CQUIN scheme
available)
0.0625
Description of indicator
Early implementation
Numerator
Not applicable
Denominator
Not applicable
Rationale for inclusion
National CQUIN scheme
Data source
Local provider response to local
commissioners
Frequency of data collection
Check on implementation at end of October
2014
Organisation responsible for data
collection
Provider
Frequency of reporting to commissioner
One off
Baseline period/date
Not applicable
Baseline value
Not applicable
Final indicator period/date (on which
payment is based)
October 2014
Final indicator value (payment threshold)
Full delivery of Friends and Family Test
across all services delivered by the provider
as outlined in guidance
Rules for calculation of payment due at
final indicator period/date (including
evidence to be supplied to commissioner)
Provider to demonstrate to commissioner
that milestone has been met
Final indicator reporting date
Response from providers to commissioners
by 31 October 2014
Are there rules for any agreed in-year
Not applicable
milestones that result in payment?
Are there any rules for partial
achievement of the indicator at the final
indicator period/date?
Partial implementation will result in receiving
half of the funding available for the indicator
(20% of the FFT CQUIN). There will be
further guidance on the conditions for partial
funding
FRIENDS AND FAMILY TEST: INCREASED RESPONSE RATE FFT IN INPATIENT
SETTINGS
Indicator number
1.3a
Indicator name
Friends and Family Test – Increased or
Maintained Response Rate; Community
Hospital inpatient settings
Indicator weighting
0.1667
(% of CQUIN scheme available)
Description of indicator
Numerator
Denominator
Rationale for inclusion
Data source
Frequency of data collection
Organisation responsible for data
collection
Frequency of reporting to
commissioner
Baseline period/date
Baseline value
Final indicator period/date (on which
payment is based)
Final indicator value (payment
threshold)
Increased or maintained response rate
Not applicable
Not applicable
National CQUIN scheme
Provider submission
Monthly return
Provider
Final indicator reporting date
Are there rules for any agreed in-year
milestones that result in payment?
Data available by end of April 2015 (for Q4)
Yes – see below
Are there any rules for partial
achievement of the indicator at the
final indicator period/date?
No
Monthly
See below
See below
Q4 in 2014/15
A response rate for Quarter 4 that is at least
30% for inpatient services
Milestones
Date/period
milestone
relates to
Rules for achievement of milestones
(including evidence to be supplied to
commissioner)
Date
milestone to
be reported
Quarter 1
A response rate for Quarter 1 that is at least
25% for inpatient services
A response rate for Quarter 4 that is at least
30% for inpatient services
31 July 2014
Milestone
weighting
(% of
CQUIN
scheme
available)
50%
30 April 2015
50%
Quarter 4
FRIENDS AND FAMILY TEST: INCREASED RESPONSE RATE FFT IN MIU SETTINGS
Indicator number
Indicator name
Indicator weighting
(% of CQUIN scheme available)
Description of indicator
Numerator
Denominator
Rationale for inclusion
Data source
Frequency of data collection
Organisation responsible for data
collection
Frequency of reporting to
commissioner
Baseline period/date
Baseline value
Final indicator period/date (on which
payment is based)
Final indicator value (payment
threshold)
1.3b
Friends and Family Test – Increased or
Maintained Response Rate; MIU Settings
0.1667
Increased or maintained response rate
Not applicable
Not applicable
National CQUIN scheme
Provider submission
Monthly return
Provider
Monthly
See below
See below
Q4 in 2014/15
A response rate for Quarter 4 that is at least
20% for A&E services
Final indicator reporting date
Are there rules for any agreed in-year
milestones that result in payment?
Data available by end of April 2015 (for Q4)
Yes – see below
Are there any rules for partial
achievement of the indicator at the
final indicator period/date?
No
Milestones
Date/period
milestone
relates to
Rules for achievement of milestones
(including evidence to be supplied to
commissioner)
Date
milestone to
be reported
Quarter 1
A response rate for Quarter 1 that is at least
15% for A&E services
A response rate for Quarter 4 that is at least
20% for A&E services
31 July 2014
Milestone
weighting
(% of
CQUIN
scheme
available)
50%
30 April 2015
50%
Quarter 4
FRIENDS AND FAMILY TEST: REDUCING NEGATIVE RESPONSES
Indicator number
Indicator name
Indicator weighting
(% of CQUIN scheme available)
Description of indicator
Numerator
Denominator
Rationale for inclusion
Data source
Frequency of data collection
Organisation responsible for data
collection
Frequency of reporting to
commissioner
Baseline period/date
Baseline value
Final indicator period/date (on which
payment is based)
Final indicator value (payment
threshold)
1.3c
Friends and Family Test – Reducing negative
response rates from inpatient and MIU settings
0.1667
Reduction in negative response rates as a
proportion of overall responses
Not applicable
Not applicable
National CQUIN scheme
Provider submission
Monthly return
Provider
Monthly
Overall negative response rate for 2013/14
TBC
Q4 in 2014/15
A response rate for Quarter 4 that is lower than
the baseline value
Final indicator reporting date
Are there rules for any agreed in-year
milestones that result in payment?
Data available by end of April 2015 (for Q4)
No
Are there any rules for partial
achievement of the indicator at the
final indicator period/date?
No
Indicator number
Indicator name
Indicator weighting (% of
CQUIN scheme available)
Description of indicator
Numerator
Denominator
Rationale for inclusion
Data source
Frequency of data
collection
Organisation responsible
for data collection
Frequency of reporting to
commissioner
Baseline period/date
2.1
Reduction In Pressure Ulcer Incidence in Community
Hospital inpatients and on the District Nurse
caseload (excluding patients resident in a care
home)
0.2500
To reduce the reported incidence of people with an
avoidable healthcare acquired pressure ulcer (Grade 2
and above) in:
1) inpatient beds by 40% by the end of Quarter 4
2) community setting by 15% by the end of Quarter 4
Number of Pressure Ulcers (Grade 2 and above)
identified by the provider
1) Baseline position for 2013/14
2) Baseline position for 2013/14
It was estimated in 2004 that the NHS spent £2.1bn
treating pressure ulcers. These figures are a
conservative estimate. 90% of this cost is nursing time.
Evidence suggests that between 4 and 10% of patients
admitted to UK district hospitals develop a pressure
ulcer.
Monthly analysis of reported incidents reported via risk
management systems and quality dashboards
Monthly
Provider
Baseline value
Quarterly report on Quality/CQUIN scorecard to Quality
Review Meeting
1) Baseline position for 2013/14
2) Baseline position for 2013/14
N/A
Final indicator period/date
(on which payment is
based)
Payment is split into two 6-monthly periods with 50% of
the total annual available payment being available for
each 6 month period
Final indicator value
(payment threshold)
Rules for calculation of
payment due at final
indicator period/date
(including evidence to be
supplied to
commissioner)
Final indicator reporting
date
Are there rules for any
agreed in-year milestones
that result in payment?
Are there any rules for
1) A 40% overall reduction by Q4
2) A 15% overall reduction by Q4
Commissioners will satisfy themselves that the data
submitted accurately reflects the position within the
provider organisation
31 March 2014
Performance against the improvement goal will be
reviewed at 6 months.
Payment will be achieved if final targets are met.
1)
partial achievement of the
indicator at the final
indicator period/date?
9% reduction or less = 0% of CQUIN value
10- 29% reduction = 30% of CQUIN value
30- 39% reduction = 60% of CQUIN value
40% or greater reduction = 100% of CQUIN value
2)
4% reduction or less = 0% of CQUIN value
5 – 9% reduction = 30% of CQUIN value
10 – 14% reduction = 60% of CQUIN value
15% or greater reduction = 100% of CQUIN value
Milestones
Date/period
milestone
relates to
Quarter 2
Quarter 4
Rules for achievement of
milestones (including
evidence to be supplied
to Commissioner)
Performance against the
improvement goal will be
reviewed at 6 months (end
of Quarter 2). Payment will
be achieved if 6 month
target is met.
Payment will be achieved
if final targets are met.
Date milestone to
be reported
Quarter 2 CQRM
Milestone
weighting (% of
CQUIN scheme
available)
50%
Quarter 4 CQRM
50%
Rules for partial achievement at final indicator period/date
Final indicator value for the part achievement threshold
% of CQUIN
scheme
available
for
meeting final
indicator value
9% reduction or less in community hospital acquired pressure ulcers 0%
10 – 29% reduction in community hospital acquired pressure ulcers
30%
30 – 39% reduction in community hospital acquired pressure ulcers
60%
40% or greater reduction in community hospital acquired pressure 100%
ulcers
4% reduction or less in community DN caseload acquired pressure 0%
ulcers
5- 9% reduction in community DN Caseload acquired pressure 30%
ulcers
10- 14% reduction in community DN Caseload acquired pressure 60%
ulcers
15% or greater reduction in community DN Caseload acquired 100%
pressure ulcers
PRESSURE ULCERS: REDUCTION IN PREVALENCE
Indicator number
2.2
Indicator name
Pressure Ulcer Prevention
Indicator weighting (% of CQUIN scheme
available)
0.2500
Description of indicator
To identify the top ten sources of non-trust
acquired pressure ulcers (grade 2 – 4) within
Somerset Partnership Patient Population
then work collaboratively with these
agencies/organisations to raise awareness
and assess the effectiveness of the
collaboration by a reduction in PU.
Numerator
Number of pressure ulcers identified by top
ten sources of non-trust acquired pressure
ulcers (grade 2 – 4) within Somerset
Partnership Patient Population at the end of
Q4 2014/15
Denominator
Number of pressure ulcers identified by top
ten sources of non-trust acquired pressure
ulcers (grade 2 – 4) within Somerset
Partnership Patient Population in Q1
2014/15.
Rationale for inclusion
To improve prevention of pressure damage
across the health community and work
collaboratively with other agencies to reduce
the prevalence of pressure ulcers and
promote a zero tolerance of harm.
Data source
Provider incidence reporting data
Frequency of data collection
Ongoing basis
Organisation responsible for data
collection
Provider
Frequency of reporting to commissioner
Quarterly
Baseline period/date
Incidence reporting data Q1 2014/15
Baseline value
To be confirmed
Final indicator period/date (on which
payment is based)
End of quarter 4
Final indicator value (payment threshold)
Implementation of plan
Rules for calculation of payment due at
final indicator period/date (including
evidence to be supplied to commissioner)
As set out below
Final indicator reporting date
31 March 2015
Are there rules for any agreed in-year
milestones that result in payment?
No. To reduce complexity assessment on the
CQUIN would be assessed at year end.
Are there any rules for partial
achievement of the indicator at the final
indicator period/date?
No
Milestones
Date/period
milestone
relates to
Rules for achievement of milestones
(including evidence to be supplied to
Commissioner)
Date
milestone to
be reported
Quarter 1
Confirm top ten sources of non Trust
acquired Pressure Ulcers from Q1 2014/15
incidence reporting data.
End of Q1
Milestone
weighting (% of
CQUIN scheme
available)
0%
Quarter 2
Develop a training and implementation
plan.
End of Q2
50%
Quarter 4
Plan has been delivered
End of Q4
50%
DEMENTIA – FIND, ASSESS, INVESTIGATE & REFER
Indicator number
3.1
Indicator name
Dementia – Find, Assess, Investigate and
Refer
Indicator weighting (% of CQUIN scheme
available)
0.0417
Description of indicator
The proportion of patients aged 75 and over
to whom case finding is applied following
emergency admission, the proportion of
those identified as potentially having
dementia who are appropriately assessed,
and the number referred on to specialist
services. Each patient admission can be
included only once in each indicator but not
necessarily in the same month, as the
identification, assessment and referral
stages may take place in different months
Numerator
1) Number of patients >75 admitted as an
emergency who are reported as having:
known diagnosis of dementia or clinical
diagnosis of delirium, or who have been
asked the dementia case finding question,
excluding those for whom the case finding
question cannot be completed for clinical
reasons (eg coma).
2) Number of above patients reported as
having had a diagnostic assessment
including investigations
3) Number of above patients referred for
further diagnostic advice in line with local
pathways agreed with commissioners
Denominator
1) Number of patients >75 admitted as an
emergency, with length of stay >72 hours,
excluding those for whom the case finding
question cannot be completed for clinical
reasons (eg coma)
2) Number of above patients with clinical
diagnosis of delirium or who answered
positively on the dementia case finding
question
3) Number of above patients who underwent
a diagnostic assessment for dementia in
whom the outcome was either positive or
inconclusive
Rationale for inclusion
National CQUIN scheme
Data source
UNIFY 2
Frequency of data collection
Monthly
Organisation responsible for data
collection
Provider
Frequency of reporting to commissioner
Quarterly
Baseline period/date
Not applicable
Baseline value
Not applicable
Final indicator period/date (on which
payment is based)
April 2014 – March 2015
Final indicator value (payment threshold)
90%
Rules for calculation of payment due at
final indicator period/date (including
evidence to be supplied to commissioner)
Provider achieves 90% or more for each
element of the indicator for Quarter 4 of
2014/15, taken as a whole
Final indicator reporting date
30 April 2015
Are there rules for any agreed in-year
milestones that result in payment?
Yes – see below
Are there any rules for partial
achievement of the indicator at the final
indicator period/date?
No
Milestones
Date/period
milestone
relates to
Rules for achievement of milestones Date
(including evidence to be supplied to milestone
Commissioner)
to be
reported
Quarter 1
Provider achieves 90% or more for
each element of the indicator for
31 July
2014
Milestone
weighting (%
of CQUIN
scheme
available)
25%
Quarter 1 of 2014/15, taken as a whole
Quarter 2
Provider achieves 90% or more for
each element of the indicator for
Quarter 2 of 2014/15, taken as a whole
31 October
2014
25%
Quarter 3
Provider achieves 90% or more for
each element of the indicator for
Quarter 3 of 2014/15, taken as a whole
31 January
2015
25%
Quarter 4
Provider achieves 90% or more for
each element of the indicator for
Quarter 4 of 2014/15, taken as a whole
30 April
2015
25%
DEMENTIA – CLINICAL LEADERSHIP
Indicator number
3.2
Indicator name
Dementia – Clinical Leadership
Indicator weighting (% of CQUIN scheme
available)
0.0417
Description of indicator
Named lead clinician for dementia and
appropriate training for staff
Numerator
Not applicable
Denominator
Not applicable
Rationale for inclusion
National CQUIN scheme
Data source
Provider
Frequency of data collection
Annual
Organisation responsible for data
collection
Provider
Frequency of reporting to commissioner
Twice (pre-April 2014, March 2015)
Baseline period/date
Not applicable
Baseline value
Not applicable
Final indicator period/date (on which
payment is based)
April 2014 – March 2015
Final indicator value (payment threshold)
Not applicable
Rules for calculation of payment due at
final indicator period/date (including
evidence to be supplied to commissioner)
Provider must confirm named lead clinician
and the planned training programme (to be
determined locally) for dementia for the
coming year. Payment will be made at the
end of the year, provided the planned
training programme has been undertaken
Final indicator reporting date
March 2015
Are there rules for any agreed in-year
milestones that result in payment?
No
Are there any rules for partial
achievement of the indicator at the final
indicator period/date?
No
DEMENTIA – SUPPORTING CARERS
Indicator number
3.3
Indicator name
Dementia – Supporting Carers of People
with Dementia
Indicator weighting (% of CQUIN scheme
available)
0.0417
Description of indicator
Ensuring carers feel supported
Numerator
Not applicable
Denominator
Not applicable
Rationale for inclusion
National CQUIN scheme
Data source
Provider report to provider Board
Frequency of data collection
Quarterly
Organisation responsible for data
collection
Provider
Frequency of reporting to commissioner
Bi-annually
Baseline period/date
Not applicable
Baseline value
Not applicable
Final indicator period/date (on which
payment is based)
April 2014 – March 2015
Final indicator value (payment threshold)
Not applicable
Rules for calculation of payment due at
final indicator period/date (including
evidence to be supplied to commissioner)
Provider must demonstrate that they have
undertaken a monthly audit of carers of
people with dementia to test whether they
feel supported and reported the results to the
Board. Provider and commissioner should
work together to agree the content of the
audit
Final indicator reporting date
March 2015
Are there rules for any agreed in-year
milestones that result in payment?
No
Are there any rules for partial
achievement of the indicator at the final
indicator period/date?
No
CARDIO METABOLIC ASSESSMENT FOR PATIENTS WITH SCHIZOPHRENIA
Indicator number
4
Indicator name
Cardio Metabolic Assessment for Patients
with Schizophrenia
Indicator weighting (% of CQUIN scheme
available)
0.1250
Description of indicator
To demonstrate, through a national audit
process similar to the National Audit of
Schizophrenia, full implementation of
appropriate processes for assessing,
documenting and acting on cardio metabolic
risk factors in patients with schizophrenia.
The audit sample must cover all relevant
services provided by the provider.
Numerator
As set out in the National Audit of
Schizophrenia
Denominator
As set out in the National Audit of
Schizophrenia
Rationale for inclusion
National CQUIN scheme
Data source
National Audit of Schizophrenia
Frequency of data collection
One-off, expected to be during Quarter 3 of
2014/15
Organisation responsible for data
collection
Provider
Frequency of reporting to commissioner
One-off, through a national audit process,
expected to be during Quarter 4 of 2014/15
Baseline period/date
Not applicable
Baseline value
Not applicable
Final indicator period/date (on which
payment is based)
October – December 2014
Final indicator value (payment threshold)
90.0%
Rules for calculation of payment due at
final indicator period/date (including
evidence to be supplied to commissioner)
The provider’s results from a national audit
demonstrate that, for 90% of patients
audited, the provider has undertaken an
assessment of each of the following key
cardio metabolic parameters (as per the
'Lester tool'), with the results recorded in the
patient's notes/care plan/discharge
documentation as appropriate, together with
a record of associated interventions (eg
smoking cessation programme, lifestyle
advice, medication review, treatment
according to NICE guidelines or onward
referral to another clinician for assessment,
diagnosis, and treatment)
The parameters are:






Smoking status
Lifestyle (including exercise, diet
alcohol and drugs)
Body Mass Index
Blood pressure
Glucose regulation (HbA1c or
fasting glucose or random glucose
as appropriate)
Blood lipids
Final indicator reporting date
30 April 2015
Are there rules for any agreed in-year
milestones that result in payment?
No
Are there any rules for partial
achievement of the indicator at the final
indicator period/date?
Yes – see below
Rules for partial achievement at final indicator period/date
Final indicator
value for the
partial
achievement
threshold
49.9% or less
% of CQUIN scheme available for meeting final indicator
value
No payment
50.0% to 69.9% 25% payment
70.0% to 79.9% 50% payment
80.0% to 89.9% 75% payment
90.0% or above 100% payment
PATIENTS ON THE CPA: COMMUNICATION WITH GENERAL PRACTITIONERS
Indicator number
5
Indicator name
Patients on the CPA: Communication with
General Practitioners
Indicator weighting (% of CQUIN scheme
available)
0.1250
Description of indicator
Completion of a programme of local audit of
communication with patents’ GPs, focusing
on patients on the CPA, demonstrating by
Quarter 4 that, for 90% of patients audited,
an up-to-date care plan has been shared
with the GP, including ICD codes for all
primary and secondary mental and physical
health diagnoses, medications prescribed
and monitoring requirements, physical health
condition and ongoing monitoring and
treatment needs
Numerator
The number of patients in the audit sample
for whom the provider has provided to the
GP an up-to-date copy of the patient’s care
plan, which sets out appropriate details of all
of the following:



all primary and secondary mental and
physical health diagnosis, including
ICD codes;
medications prescribed and
monitoring requirements; and
physical health condition and ongoing
monitoring and treatment needs
Denominator
A sample of 100 patients who are subject to
the CPA and who have been under the care
of the provider for at least 100 days at the
time of the audit
Rationale for inclusion
National CQUIN scheme
Data source
Local audit
Frequency of data collection
Two audits, one in Quarter 2, one in Quarter
4
Organisation responsible for data
collection
Provider
Frequency of reporting to commissioner
Reports required in respect of Quarter 2 and
Quarter 4
Baseline period/date
Not applicable
Baseline value
Not applicable
Final indicator period/date (on which
payment is based)
January – March 2015
Final indicator value (payment threshold)
90.0%
Rules for calculation of payment due at
final indicator period/date (including
evidence to be supplied to commissioner)
Quarter 4 audit demonstrates that, for 90%
of patients audited during the period, the
provider has provided to the GP an up-todate copy of the patient’s care plan, which
sets out appropriate details of all of the
following:



all primary and secondary mental and
physical health diagnosis, including
ICD codes;
medications prescribed and
monitoring requirements; and
physical health condition and ongoing
monitoring and treatment needs
Final indicator reporting date
30 April 2015
Are there rules for any agreed in-year
milestones that result in payment?
Yes – see below
Are there any rules for partial
achievement of the indicator at the final
indicator period/date?
Yes – see below
Milestones
Date/period
milestone
relates to
Rules for achievement of milestones Date
(including evidence to be supplied to milestone
Commissioner)
to be
reported
Quarter 2
Audit methodology and sampling
approach agreed, baseline audit
completed and findings reported
Final audit demonstrates that, for
90.0% of patients audited during the
Quarter 4
31 October
2014
30 April
2015
Milestone
weighting (%
of CQUIN
scheme
available)
30%
70%
period, the provider has provided to the
GP an up-to-date copy of the patient’s
care plan, which sets out appropriate
details of all of the following:
all primary and secondary mental and
physical health diagnosis, including ICD
codes;
 medications prescribed and
monitoring requirements; and
 physical health condition and
ongoing monitoring and treatment
needs
Rules for partial achievement at final indicator period/date
Final indicator
value for the
partial
achievement
threshold
49.9% or less
% of CQUIN scheme available for meeting final indicator
value
No payment
50.0% to 69.9% 25% payment
70.0% to 79.9% 50% payment
80.0% to 89.9% 75% payment
90.0% or above 100% payment
CONSULTANT REVIEW OF YOUNG PEOPLE WITH EATING DISORDERS
Indicator number
6
Indicator name
Consultant Review of young people
presenting with Eating Disorder (ED)
according to ED Pathway
Indicator weighting (% of CQUIN scheme
available)
0.5000
Description of indicator
Young People 11-18 diagnosed with
Anorexia nervosa F50.0 and /or Bulimia
F50.2 are seen by a Consultant Psychiatrist
within 6 weeks of diagnosis recorded on RiO
Numerator
Total number of young people diagnosed
with Anorexia F50.0 and /or Bulimia F50.2
are seen by a Consultant Psychiatrist within
6 weeks of diagnosis recorded on RiO
Denominator
Total number of young people recorded on
RiO as having been diagnosed with Anorexia
F50.0 and /or Bulimia F50.2
Rationale for inclusion
Meets NICE Guidelines (CG9)and SOMPAR
Eating Disorder Pathway
Data source
Local provider Response via RiO
Frequency of data collection
Monthly
Organisation responsible for data
collection
Somerset Partnership NHS Foundation Trust
Frequency of reporting to commissioner
Quarterly
Baseline period/date
Q1
Baseline value
Q1 as a data collection/baseline setting
period, base a trajectory on improving upon
the Q1 position.
Final indicator period/date (on which
payment is based)
Q4 - 2014/15
Final indicator value (payment threshold)
Outturn level to be established based on
trajectory.
Rules for calculation of payment due at
final indicator period/date (including
Achievement of agreed outturn.
evidence to be supplied to commissioner)
Final indicator reporting date
Response from Somerset Partnership NHS
Foundation Trust to Commissioner by end
April 2015 (Q4)
Are there rules for any agreed in-year
milestones that result in payment?
Quarterly trajectory to be established, based
upon baseline data.
Are there any rules for partial
achievement of the indicator at the final
indicator period/date?
No
Milestones
Date/period
milestone
relates to
Rules for achievement of milestones Date
(including evidence to be supplied to milestone
Commissioner)
to be
reported
Milestone
weighting (%
of CQUIN
scheme
available)
25%
Quarter 1
Collect baseline data and set trajectory
31 July
2014
Quarter 2
Per trajectory set at the end of
Quarter 1
31 October
2014
tba
Quarter 3
Per trajectory set at the end of
Quarter 1
31 January
2015
tba
Quarter 4
Per trajectory set at the end of
Quarter 1
30 April
2015
tba
ADVANCED CARE/TREATMENT ESCALATION PLANS
Indicator number
7
Indicator name
Personalised Care Plan for Patients with
identified long term conditions (to include
frailty assessments, advance care and
treatment escalation plans where
appropriate)
0.5000
Indicator weighting
(% of CQUIN scheme available)
Description of indicator
Numerator
Denominator
Rationale for inclusion
To improve the management of patients
with specific long term conditions to ensure
patient centred, individualised and
integrated care. To ensure patients have a
plan which clearly identifies agreed
escalation of treatment or management in
the community and aims to avoid
unnecessary admission.
This is a collaborative CQUIN to be
developed in conjunction with Yeovil
District Hospital NHS Foundation Trust.
Patients will have a lead hospital
consultant and a care co-ordinator in the
community This CQUIN utilises the GP out
of Hours Adastra system of ‘Special
Patient Notes’ to inform Out of Hours
services that patients have a specific
escalation plan.
Number of patients with an agreed
treatment escalation plan in place.
Number of patients admitted with the
identified long term condition of the cohort
considered and where a plan is
appropriate.
Builds on the recent NHS England
guidance “Safe Compassionate Care for
Frail Older People using an Integrated
Care Pathway”. The complex chronic
health problems and functional limitations
common in the elderly/long term condition
population place them at risk of
complicated hospital stays. The
preparation of a Management Plan on
discharge from acute and community
hospitals should improve the effectiveness
of discharge planning in identifying clear
pathways of clinical management and care
at home. Patients with increased
functional dependency and problems have
a greater likelihood of readmission and
emergency department usage therefore
there is a need for comprehensive
functional assessment as part of discharge
planning. Suitable cohorts may include
patients with a Respiratory long term
condition e.g. COPD, patients assessed
via FOPAS and those with mental health
diagnoses. The CQUIN will provide
valuable information to support the
Symphony Project in both pathway design
and outcome and measures.
Links to inform out of hours providers
would be established through the use of
the Adastra ‘Special Notes’ system.
Data source
Frequency of data collection
Organisation responsible for data
collection
Frequency
of
reporting
to
Commissioner
Baseline period/date
Baseline value
Final indicator period/date (on which
payment is based)
Final indicator value (payment
threshold)
Rules for calculation of payment due
at final indicator period/date
(including evidence to be supplied to
Commissioner)
Final indicator reporting date
Are there rules for any agreed in-year
milestones that result in payment
Rio
Quarterly
Provider
Quarterly
Quarter 2
TBC in quarter 2
Quarter 4
Achievement of 50% in agreed cohorts
Commissioners will satisfy themselves that
the data submitted accurately reflects the
position within the provider organisation.
Quarter 4
Quarter 1 – Identify suitable patient cohort,
agree template and mechanism for sharing
information, pilot development and use
Are there any rules for partial
achievement of the indicator at the
final indicator period/date?
with GPs and acute trust partners
Quarter 2 - Baseline data to be reported at
the end of quarter 2
Quarter 3 – Achievement of 25%
Quarter 4 – Achievement of 50% agreed
cohort.
CCG review of final achievement and
acknowledgement of improvement to
include partial compliance of 50% year end
requirement