Performance: CQUIN targets

Performance: CQUIN targets

CQUIN stands for Commissioning for QUality and INnovation. It is a national framework which links a proportion of a healthcare provider’s income to the achievement of challenging quality improvement goals.¬†CQUINs were first introduced in 2009 and are designed to reward excellence and to encourage a culture of continuous quality improvement whilst delivering better outcomes for patients.

CQUIN Targets are set annually by our commissioners and end-of-year performance is confirmed each year in June, for the preceding financial year.

Most recent complete year: 2019/20

The Trust was assigned six national CQUIN schemes for the financial year 2019/20. All six schemes applied to hospitals across the whole of England. Acute Trusts in London also continued working towards an additional CQUIN aimed at optimising use of medicines across the capital. Due to COVID-19, CQUINs were suspended across England and Wales in March 2020. Our commissioners agreed 100% achievement of all schemes for 2019/20.

CQUIN Schemes 2019/20

Description

Antimicrobial Resistance: Lower Urinary Tract Infections in Older People

This scheme measures compliance against four criteria;

  • Clearly documented signs and symptoms
  • Diagnosis not based on dipstick
  • Urine sample sent for analysis
  • Choice of antibiotic consistent with guidelines

Antimicrobial Resistance: Antibiotic Prophylaxis in Colorectal Surgery

This scheme measures appropriate use of antibiotics for patients undergoing elective colorectal surgery

Staff Flu Vaccinations

This scheme is in its fourth year and measures uptake of flu vaccination by front-line health care workers

Alcohol and Tobacco: Screening and Advice

This is a continuation of the Alcohol and Tobacco CQUIN first introduced in 2018/19

The aim is to ensure that every patient who is admitted to our hospital is asked about their drinking and smoking habits and that patients are given brief advice about quitting smoking, or moderating alcohol consumption, where appropriate

Three High Impact Actions to Prevent Hospital Falls

This scheme measures compliance against three criteria, in relation to inpatients aged 65 years and over;

  • All patients to have a mobility assessment and, if required, to be provided with an appropriate walking aid within 24hrs of admission
  • All patients to have lying and standing blood pressure taken at least once during their admission
  • Review of medications to consider stopping certain medications that might increase the risk of falls

Same Day Emergency Care

This is a new CQUIN, introduced in April 2019, which aims to ensure that all patients, attending the Emergency Department with any of the three conditions specified below, are managed in a same day care setting unless clinically inappropriate;

  • Pulmonary Embolus
  • Tachycardia with Atrial Fibrillation
  • Community Acquired Pneumonia

Medicines Optimisation (Specialised CQUIN)

In a continuation of the 2018/19 Medicines Optimisation scheme, this CQUIN is focussed upon;

  • Continued adoption of best value medicines
  • Further improvements in antifungal stewardship
  • Providing evidence of good management of chemotherapy medicines
  • Providing evidence of compliance with prior approval rules for appropriate medications

Current financial  year: 2020/21

Operation of the 2020/21 CQUIN scheme will remain suspended for all providers for the remainder of the year, with an allowance for CQUIN to be included in the block payments made to Trusts.