2015/16 CQUIN Schemes

Size: px
Start display at page:

Download "2015/16 CQUIN Schemes"

Transcription

1 Barnet, Enfield & Haringey Mental Health Trust 2015/16 CQUIN Schemes Version: 3.0 Version Date Revision Author /03/15 Excel to Word Document A Bland /04/15 1 st Discussion with BEHMHT A Bland /05/15 2 nd discussion with BEHMHT A Bland Contents: REF Goal Name Page number Introduction 2 National CQUINs 4 N4 Improving physical healthcare to reduce premature mortality in people with severe mental illness (SMI) 5 BEHMHT Specific CQUINs 13 BEHMHT N8 Improving diagnoses and re attendance rates of Patients with mental health needs at A&E 13 Local NCL CQUINs 18 L4 Prevention 18 L4.1 Smoking cessation 19 L4.2 Alcohol misuse 26 L4.3 Domestic Violence Year 1 31 L5 Safe and timely discharge 35 L5.1 Effective Discharge Arrangements 38 L5.2 Medicines on discharge 40 L5.3 Discharge information for GPs 42 Page 1

2 Guidance from NHS England To support the national priorities NHSE have set a scheme that focuses on: The physical health of patients. The mental health and wellbeing of patients. Enabling care to be provided closer to home for those that need access to urgent and emergency care. The National Scheme is as follows: Two of the current national indicators will remain in place, with limited updating; these cover improving dementia and delirium care and improving the physical health care of patients with mental health conditions; Two new indicators will be introduced, one on the care of patients with acute kidney injury, the other on the identification and early treatment of sepsis; There will also be a new national CQUIN theme on improving urgent and emergency care across local health communities, commissioners will select one or more indicators locally from a menu of options; As planned, the other national CQUIN indicators in 2014/15 covering the safety thermometer and the friends and family test will instead be covered from 2015/16 by new requirements within the NHS Standard Contract. Mental health services The national indicator on physical health assessment of patients with severe mental illness will apply, with a value of 0.25% A further 0.5% will be available through the UEC menu Up to 1.75% will be available for local indicators National CQUINs Indicator Area Mental Health: Improving Physical Healthcare for Patients with Severe Mental Illness (SMI) Indicator Indicator Description Number 4 Two part indicator: 4a: Cardio Metabolic Assessment and treatment for Patients with psychoses. 4b: Communication with General Practitioners. UEC Menu 5 Three part indicator: 5a: A reduction in the proportion of NHS 111 calls that end in an inappropriate 999 referral. 5b: Capture of disposition (and referral) to type 1 and 2 A&E separately from type 3 and 4, thereby improving the quality of the Directory of Services (DoS). 5c: Proportion of NHS 111 calls that end in an inappropriate type 1 or type 2 A&E referral. UEC Menu 6 A reduction in the rate per 100,000 population of ambulance 999 calls that result in transportation to a type 1 or type 2 A&E Department. UEC Menu UEC Menu 7 Reducing the proportion of avoidable emergency admissions to hospital. UEC Menu 8 Two part indicator 8a: Improving recording of diagnosis in A&E 8b: Reduction in A&E MH re-attendances Suggested weighting 0.25% 0.5% (Weighting for each indicator to be agreed locally). Page 2

3 Proposed CQUIN Goals & Indicators for 2015/16: Estimated Contract Value??? REF Goal Name Description Weighting % of Schemes Approx. Value N4 N4a N4b BEHMHT N8 BEHMHT N8 National CQUINs Improving physical healthcare to reduce premature mortality in people with severe mental illness (SMI) BEHMHT Specific CQUIN Improving diagnoses and re attendance rates of Patients with mental health needs at A&E Local NCL CQUINs Full implementation of appropriate processes for assessing, documenting and acting on cardio metabolic risk factors in patients with psychoses, including schizophrenia. Local audit of communication with patients GPs Cardio Metabolic Assessment and Treatment for Patients with Psychoses Communication with General Practitioners Reduction in A&E MH reattendances L4 Prevention L4.1 Smoking Cessation L4.2 Alcohol Misuse L4.3 Domestic Violence-Year 1 L5 Safe and Timely Discharge L5.1 Effective Discharge Arrangements L5.2 Medicines on discharge L5.3 Discharge information for GPs Page 3

4 Description of CQUIN Schemes Goal National N4: Improving Physical Healthcare to Reduce Premature Mortality in People with Severe Mental Illness N4 Improving physical healthcare to reduce premature mortality in people with severe mental illness (SMI) Full implementation of appropriate processes for assessing, documenting and acting on cardio metabolic risk factors in patients with psychoses, including schizophrenia. Local audit of communication with patients GPs % % N4a N4b 80% - To demonstrate full implementation of appropriate processes for assessing, documenting and acting on cardio metabolic risk factors in inpatients with psychoses and community patients in Early Intervention psychosis teams. 20% for Communication with General Practitioners 0. 15% % 0.1% % Page 4

5 Indicators N4a Cardio Metabolic Assessment and Treatment for Patients with Psychoses IMPROVING PHYSICAL HEALTHCARE TO REDUCE PREMATURE MORTALITY IN PEOPLE WITH SEVERE MENTAL ILLNESS IMPROVEMENT GOAL SPECIFICATION Indicator number N4a Indicator name Indicator weighting 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) Cardio Metabolic Assessment and Treatment for Patients with Psychoses 4a and 4b total weighting be agreed locally (suggested minimum of 0.25%): 4a = 80% of total funding To demonstrate full implementation of appropriate processes for assessing, documenting and acting on cardio metabolic risk factors in inpatients with psychoses and community patients in Early Intervention psychosis teams. As set out in National Audit of Schizophrenia. As set out in National Audit of Schizophrenia. National CQUIN scheme. Audit data collected via a national process which will be notified early in 2015 Separate audits for inpatients and EIP, with data expected to be submitted during Quarters 2 and 3 of 2015/16 results to be available in Quarter 4. BEHMHT Audit reporting requirements as set out above. Additional direct reporting to commissioners locally in Quarters 1, 3 and 4. Not applicable Not applicable January March % (inpatients), 80.0% (EIP) Page 5

6 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 partial achievement of the indicator at the final indicator period/date? Quarter 4 audit results demonstrate that, for 90% of patients audited during the period (inpatients) or for 80% of patients audited during the period (community EIP), the provider has undertaken an assessment of each of the following key cardio metabolic parameters, 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 interventions, medication review, treatment according to NICE guidelines and /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. Provider supplies evidence of systematic feedback on performance to clinical teams. 30 April 2016 Yes see below Yes see below Page 6

7 Indicator N4a Milestones Date/period milestone relates to Rules for achievement of milestones (including evidence to be supplied to commissioner) Quarter 1 Implementation plan covering: Board commitment sign-up identified clinical leadership detailed project plan planning for training for all clinical staff** systematic feedback process for individual clinical teams planning for implementation of electronic healthcare records data collection of physical health assessment and measurable outcomes with a view to going live in 16/17 (assessed locally by commissioners) Quarter 2 No milestone Quarter 3 Clinical staff training plan fully implemented (assessed locally by commissioners) Electronic recording of outcomes fully implemented Quarter 4 Results of national Royal College audit - separate samples for: inpatients community early intervention patients (See sliding scales below for payment details.) Evidence of systematic feedback on performance to clinical teams (assessed locally by commissioners) Date milestone to be reported 31 July % 31 January 2016 Milestone weighting (% of CQUIN scheme available) 20% 29 April % in all, made up of: 30% 20% 10% **Definition of all clinical staff Staff working in a clinical role within the adult Mental Health Inpatient settings/ teams and the Early Intervention Psychosis Teams Page 7

8 Rules for partial achievement at final indicator period/date The two tables below provide for a sliding scale of payment in relation to the element of the indicator which is payable on the basis of the actual audit results for Quarter 4. Audit of inpatients Final indicator value for the partial achievement Q4 threshold % of CQUIN scheme available for meeting final indicator value 49.9% or less 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 Audit of community EIP patients Final indicator value for the partial achievement Q4 threshold % of CQUIN scheme available for meeting final indicator value 39.9% or less No payment 40.0% to 59.9% 25% payment 60.0% to 69.9% 50% payment 70.0% to 79.9% 75% payment 80.0% or above 100% payment Page 8

9 N4b Communication with General Practitioners IMPROVING PHYSICAL HEALTHCARE TO REDUCE PREMATURE MORTALITY IN PEOPLE WITH SEVERE MENTAL ILLNESS (SMI) IMPROVEMENT GOAL SPECIFICATION Indicator number N4b Indicator name Indicator weighting Description of indicator Communication with General Practitioners 4a & 4b total weighting be agreed locally (suggested minimum of 0.25%): 4b = 20% of total weighting 90% of patients should have either an updated CPA ie a care programme approach care plan or a comprehensive discharge summary shared with the GP. A local audit of communications should be completed. Completion of a local audit of communication with patents GPs, demonstrating that, for 90% of patients audited, an up-to-date care plan and/or discharge summary has been shared with the GP, which meets the standards of the Academy of Royal Colleges and includes NHS number, ICD codes for all primary and secondary mental and physical health diagnoses, medications prescribed and monitoring requirements, physical health conditions and ongoing monitoring and treatment needs and Recovery focussed healthy lifestyle plans.* 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 or a discharge summary which sets out appropriate details of all of the following: NHS number; All primary and secondary mental and physical health diagnosis, including ICD codes; Medications prescribed and monitoring requirements; an Physical health condition and ongoing monitoring and treatment needs; Recovery focussed healthy lifestyle plans. Denominator A sample of a minimum 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 One audit in Quarter 2 collection Organisation responsible BEHMHT for data collection Frequency of reporting to Reports required in respect of Quarter 2. commissioner Baseline period/date NA Baseline value NA Final indicator Audit undertaken in Q2, July September period/date (on which payment is based) Page 9

10 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 partial achievement of the indicator at the final indicator period/date? 90.0% Quarter 2 audit demonstrates that, for 90% of patients audited during the period, the provider has provided to the GP an up-to-date copy of the patient s care plan or a comprehensive discharge summary for patients with no CPA initiated. Quarter 2 audit demonstrates that, for 90% of patients audited during the 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: NHS number; All primary and secondary mental and physical health diagnosis, including ICD codes; Medications prescribed and monitoring requirements; an Physical health condition and ongoing monitoring and treatment needs; Recovery focussed healthy lifestyle plans. 31 October 2015 No Yes see below *Definition of Recovery focussed healthy lifestyle plan A care plan that focusses not only on recovery from mental illness but also promotes a healthy lifestyle in order to aid that recovery and prevent deterioration. Examples WRAP (Wellness Recovery Action Plan) and STAR outcomes (Triangle) **Definition of up to date A care plan that has been documented as reviewed at the previous contact. Page 10

11 Rules for partial achievement at final indicator period/date Final indicator value for the partial achievement threshold % of CQUIN scheme available for meeting final indicator value 49.9% or less 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 Note Baseline in Q /15 BEHMHT achieved 60% Page 11

12 Urgent and Emergency Care Menu National CQUINs 5 8 are from the Urgent and Emergency Care (UEC) Menu For Mental Health Providers the National CQUIN Guidance states A further 0.5% will be available through the UEC menu The UEC menu is as follows 5 Three part indicator: 5a: A reduction in the proportion of NHS 111 calls that end in an inappropriate 999 referral. 6 A reduction in the rate per 100,000 population of ambulance 999 calls that result in transportation to a type 1 or type 2 A&E Department. 7 Two part indicator 8 Two part indicator Reducing the proportion of avoidable emergency admissions to hospital. 8a: Improving recording of diagnosis in A&E 5b: Capture of disposition (and referral) to type 1 and 2 A&E separately from type 3 and 4, thereby improving the quality of the Directory of Services (DoS). 8b: Reduction in A&E MH re-attendances 5c: Proportion of NHS 111 calls that end in an inappropriate type 1 or type 2 A&E referral. 0.5% (Weighting for each indicator to be agreed locally). Indicator 8 Improving Diagnoses and Re-attendance Rates of Patients with Mental Health Needs at A&E - This is a two part indicator. Part 8b can only be implemented following completion of part 8a. It was suggested that UEC Menu 8 is indicated as Indicator 5 relates to 111 services only, indicator 6 to Ambulance services and Indicator 7 to A&E services, however on discussion with BEHMHT it was clarified that 8a relates to acute trust A&E services and 8b is also more related to acute Trusts. It was therefore agreed that a local CQUIN which is BEH specific would be developed to support the national UEC CQUIN objectives Page 12

13 Goal BEHMHT N8: Improving Diagnoses and Re-attendance Rates of Patients with Mental Health Needs at A&E BEHMHT N8 Improving Diagnoses and Re-attendance Rates of Patients with Mental Health Needs at A&E 0.5% % Reduction in A&E MH re-attendances 0.5% % Page 13

14 Indicators 8 Reduction in A&E MH Re-attendances UEC: IMPROVING DIAGNOSES AND RE ATTENDANCE RATES OF PATIENTS WITH MENTAL HEALTH NEEDS AT A&E IMPROVEMENT GOAL SPECIFICATION Indicator number BEHMHT N8 Indicator name Reduction in A&E MH re-attendances Indicator weighing To be agreed -? 0.5% Description of indicator Reduce the rate of mental health re-attendances at A&E in 2015/16 Provide training to staff in A&E and RAID to identify Mental Health conditions Provide ongoing support to A&E and RAID staff in the management of service users who reattend A&E repeatedly Coordinate and facilitate learning events aimed to o Improve identification and management of mental health conditions within A&E teams o Encourage improved and timely communication and intervention between acute trusts and mental health providers to improve outcomes for those with MH conditions seeking urgent and emergency care. And thereby o Reduce the rate of mental health re-attendances at A&E Numerator The number of times a re-attendance occurred (for any reason at any A&E) within 7 days following attendances specified in the denominator. See technical specification below. Denominator Number of attendances at A&E where the diagnosis identified is MH. Commissioners should determine locally what codes to use to define MH depending on local data quality and recording but should include psychosis and adult poisoning as a minimum. See technical specification below. Note - These have been left in as an indicative measure of whether the required actions are making a difference. However these should be as an annex to see if the acute trusts are able to measure in this way. Rationale for inclusion The national indicator was developed to incentivise better data recording and encourage improved and timely communication and intervention between acute trusts and mental health providers to improve outcomes for those with MH conditions seeking urgent and emergency care. Data source Frequency of data collection Organisation responsible for data collection This local specific CQUIN will support the reduction of A&E reattendances by people known to BEHMHT mental health services through support and education provided to A&E staff. BEHMHT Quarterly Acute trusts (RFL and NMUH) to measure reattendance rates. BEHMHT to provide reports on progress. Page 14

15 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? Are there any rules for partial achievement of the indicator at the final indicator period/date? Quarterly Quarter /16. See milestone box below See milestone box below 19 th May 2016 See below No Indicator 8 Technical Specification For the data quality component, the first 2 and 3 digits of the raw DIAG_01 field in HES will be matched against a list of valid 2 character A&E diagnosis codes and valid ICD-10 codes. For the re-attendance component, all patients with an A&E 2 character diagnosis of 14 or 35 or with an ICD-10 diagnosis in the range F00-F99, G30, T36-T51 or X40-X49 should be included within the denominator. The numerator is then the number of these patients who re-attend ANY A&E for ANY reason within 7 days (inclusive) of the attendance in the denominator. Page 15

16 Indicator BEHMHT N8 Milestones Date/period milestone relates to Rules for achievement of milestones (including evidence to be supplied to commissioner) Quarter 1 1. Implementation plan to be presented to July CQRG covering: Board commitment sign-up Detailed project plan to include plan for training for A&E and RAID staff at RFL and NMUH Training package Evaluation using case study method of case studies from 3 areas o Adult o Specialist services o Children s (CAMHS) of frequent attenders to A&E. The evaluation should include how action taken supports the patient pathway. 2 facilitated Events with acute Trusts (RFL & NMUH) A&E and RAID colleagues Final report to include actions taken by BEH to make a difference, lessons learned and results (as measured by acute trust colleagues) 2. Training sessions to be delivered to 30% A&E/ RAID staff Quarter 2 1. Training sessions to be delivered to 70% A&E/ RAID staff 2. Evaluation using case study method of case studies from 3 areas a. Adult b. Specialist services c. Children s (CAMHS) of frequent attenders to A&E. The evaluation should include how action taken supports the patient pathway. Quarter 3 1. Training sessions to be delivered to A&E/ RAID staff (no target but as close to 100% as possible) Date milestone to be reported 20 August 2015 at CQRG 20 August 2015 at CQRG 19 November 2015 at CQRG 19 November 2015 at CQRG 18 February 2016 at CQRG Milestone weighting (% of CQUIN scheme available) 15% 15% 15% 15% 0% Page 16

17 Date/period milestone relates to Quarter 4 Rules for achievement of milestones (including evidence to be supplied to commissioner) 2. At least 2 facilitated events to be held with acute trust A&E/RAID colleagues. a. At least 1 event at RFL b. At least 1 event at NMUH Note: Events do not necessarily have to be exclusive i.e. RFL staff may attend the NMUH event and vice versa 1. Final report to include actions taken by BEH to make a difference, lessons learned and results (as measured by acute trust colleagues) Date milestone to be reported 18 February 2016 at CQRG 19 May 2016 at CQRG Milestone weighting (% of CQUIN scheme available) 20% 20% Page 17

18 Local NCL CQUINs These CQUIN goals have been taken from the NCL suite of CQUINs agreed across NCL Commissioning bodies. Goal L4: Prevention L4 Prevention 0. %.00% L4.1 Prevention Smoking Cessation 0. 00% 0% L4.2 Alcohol Misuse 0. 0% 0% L4.3 Domestic Violence-Year % 0% Page 18

19 Indicators Indicator number L4.1 Local NCL CQUIN - Prevention Indicator name Indicator weighing Description of indicator Prevention- Smoking Cessation 10% (to be agreed) To support the stop smoking offer to patients attending or admitted to hospital, or in contact with community or mental health services. The incentive seeks to improve the recording of smoking status in community and secondary care and increase access to effective support and treatment to stop smoking. Routinely, at their initial contact with services, patients' smoking status should be established and smokers should be given effective brief stop smoking advice, treatment initiated for those wishing to quit, and referred to local NHS Stop Smoking Services Additionally, ensuring that staff are trained to ensure status is recorded, deliver the very brief advice or assistance (VBA), and to initiate treatment and refer for on-going support. Visible and influential leadership is important to promote stop smoking action in hospitals, and the appointment of clinical champions is encouraged, as is action to promote stop smoking support to staff. To encourage more successful quits among patients who smoke by improving the stop smoking offer for all patients attending A&E or outpatient departments or who are admitted as inpatients and day cases in hospitals in North Central London, or who have contact with community services or mental health services. Summary of CQUIN objectives: 1. To ensure that smoking status is established and recorded in all patients 2. Very brief advice (VBA) provided to all smokers thus identified 3. Initiation of treatment provided in inpatients who wish to make a quit attempt 4. Referral of aforementioned patients to community stop smoking arrangements 5.Offer Nicotine Replacement Therapy (NRT) for patients wishing to stop smoking 6. More targeted interventions (referral to appropriate community services) in selected specialties, including cardiac, stroke, vascular, respiratory, maternity and diabetes; 7. Identification of a smoking cessation clinical champion 8. Pro-active promotion of stop smoking to staff through in-house or local stop smoking service Page 19

20 Numerator Denominator Rationale for inclusion Comment Extension of smoking prevention service to all non-admitted and admitted patients. For community services smoking status will be established at time of first contact. 1 Smoking status Number of patients with smoking status recorded 2 Very brief advice Number of patients recorded as current smoker who have had first very brief advice at time of attendance or start of admission. 3 Quit attempts and initiation of treatment and referrals for on-going support Number of patients who wish to make a quit attempt with a record of initiation of treatment including setting a quit date or receiving Varenicline or NRT or referred for on-going support into community services 4 Selected specialties or patient groups Number of patients recorded as current smoker who have had offer of assistance Number of patients who wish to make a quit attempt with a record of initiation of treatment including setting a quit date or receiving Varenicline or NRT or referred for on-going support into community services, or maternity patients undergoing CO monitoring. Comment Selected patient groups to include maternity, cardiology, stroke, diabetes, respiratory. 1 Smoking status All patients attending A&E, outpatients, or admitted as inpatients or day cases 2 Very brief advice Number of above patients recorded as current smoker 3 Quit attempts and initiation of treatment and referrals for on-going support Number of above patients recorded as current smoker 4 Selected specialties or patient groups Number of patients in selected patient groups recorded as current smoker Comment Selected patient groups to include maternity, cardiology, stroke, diabetes, respiratory. Helping patients to stop smoking is among the most effective and costeffective of all interventions the NHS can offer patients. Despite this, however, rates of intervention by healthcare professionals often remain low. Simple advice from a physician or nurse, during routine patient contact can have a small but significant effect on smoking cessation more so than Nicotine Replacement Therapy (NRT) alone. Very brief stop Page 20

21 smoking advice need take only 30 seconds, and clinicians should be encouraged to deliver very brief advice to all smokers at every opportunity, and in selected patient groups, a more proactive offer of assistance. Patients wishing to set a quit date should have anti-smoking treatment initiated and be referred for on-going stop smoking support. This significantly increases the likelihood of a successful quit attempt. For patients not wishing to set a quit date, provision of NRT can reduce cravings. Data source Data to be provided for denominator as part of regular reporting arrangements. Data for numerator to be collected manually or through trust recording systems. 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? Are there any rules for partial achievement of the indicator at the final indicator period/date? On-going, real time data collection through Trust recording systems. BEHMHT Quarterly NA NA Quarter 4 Payment based on results at end of each quarter against quarterly milestones. May 19 th 2016 Yes Yes Page 21

22 Date/period milestone relates to Quarter 1 Quarter 2 Rules for achievement of milestones (including evidence to be supplied to commissioner) 1. Smoking status recorded at time of attendance/ admission for 95% adult patients. 2. Baseline - Smoking status recorded at time of attendance/ admission patients age 14 to 18 years 3. Very brief advice for 95% of patients recorded as current smoker. 4. Quit attempts, initiation of treatment and referral: 20% of patients who are current smokers who wish to make a quit attempt with a record of initiation of treatment including setting a quit date or receiving Varenicline or NRT or referred for on-going support. 5. Quit attempts, initiation of treatment and referral: 25% patients in target patient groups who have been identified as current smokers who wish to make a quit attempt 6. Nomination of a clinical champion to promote smoking cessation for patients and staff 1. Smoking status recorded at time of attendance/ admission for 95% adult patients. 2. Smoking status recorded at time of attendance/ admission for 90% of patients age 14 to 18 years 3. Very brief advice for 95% of patients recorded as current smoker. 4. Quit attempts, initiation of treatment and referral: 21% of patients who are current smokers who wish to make a quit attempt with a record of initiation of treatment including setting a quit date, receiving Varenicline, NRT or referred for on-going support. 5. Quit attempts, initiation of treatment and referral: 27% patients in target patient groups who have been identified as current smokers who wish to make a quit attempt Date milestone to be reported 20 August 2015 at CQRG 19 November 2015 at CQRG Milestone weighting (% of CQUIN scheme available) 25% of *% 25% of *% Page 22

23 Date/period milestone relates to Quarter 3 Quarter 4 Rules for achievement of milestones (including evidence to be supplied to commissioner) 6. Provide evidence of a programme of events for staff approved by the Clinical Champion that is designed to encourage staff to quit smoking planned 1. Smoking status recorded at time of attendance/ admission for 95% adult patients. 2. Smoking status recorded at time of attendance/ admission for 95% of patients age 14 to 18 years 3. Very brief advice for 95% of patients recorded as current smoker. 4. Quit attempts, initiation of treatment and referral: 23% of patients who are current smokers who wish to make a quit attempt with a record of initiation of treatment including setting a quit date or receiving Varenicline or NRT or referred for on-going support. 5. Quit attempts, initiation of treatment and referral: 29% patients in target patient groups who have been identified as current smokers who wish to make a quit attempt 1. Smoking status recorded at time of attendance/ admission for 95% adult patients. 2. Smoking status recorded at time of attendance/ admission for 95% of patients age 14 to 18 years 3. Very brief advice for 95% of patients recorded as current smoker. 4. Quit attempts, initiation of treatment and referral: 24% of patients who are current smokers who wish to make a quit attempt with a record of initiation of treatment including setting a quit date or receiving Varenicline or NRT or referred for on-going support. 5. Quit attempts, initiation of treatment and referral: 30% patients in target patient groups who have been identified as current smokers who wish to make a quit attempt Date milestone to be reported 18 February 2016 at CQRG 19 May 2016 at CQRG Milestone weighting (% of CQUIN scheme available) 25% of *% 25% of *% Page 23

24 Date/period milestone relates to Rules for achievement of milestones (including evidence to be supplied to commissioner) 6. Provide evidence that a programme of events for staff approved by the Clinical Champion that is designed to encourage staff to quit smoking has been delivered Date milestone to be reported Milestone weighting (% of CQUIN scheme available) Page 24

25 Indicator number L4.2 Local NCL CQUIN - Prevention Indicator name Indicator weighing Description of indicator Prevention - Alcohol Misuse 10% (to be confirmed) Screening for increasing risk (hazardous) and high risk (harmful) alcohol use in Emergency Departments, Urgent Care Centres, Maternity serivces, Community Services and Mental Health Services - Patients (aged 14 years or over). Trusts should use an evidence-based screening and brief advice tool. This may include universal offer (i.e. to all patients aged 14+) or for those patients whose reason for attendance is: collapse (inc falls and fits); head injury; assault; psychiatric (self-harm, overdose); repeat attender; gastro-intestinal; hypertension/chest pain; and other presentations where alcohol problem is indicated (e.g. intoxication, withdrawal fits or DTs). The initial screening time is generally very brief. It is anticipated that on average 25-30% of patients screened would be positive, requiring a brief intervention and advice, taking 5-7 minutes, and is shown to be highly effective in reducing alcohol consumption. There should be communication of positive results to patients' GPs. Referral to alcohol liaison services will be indicated for some patients. Trusts need to ensure that staff have been trained to identify patients, deliver the screening and do the brief intervention. Additionally, recording the locations of alcoholrelated violence/trauma, including domestic violence, can assist local crime reduction partnerships in targeting and reducing future incidents. The overall objective is to reduce alcohol harm among users of ED, UCC, Community and Mental Health services in North Central London through the use of screening and brief interventions: 1. To ensure the consistent offer of effective, evidence-based screening for increasing risk (hazardous) and high risk (harmful) alcohol consumption to patients presenting with selected conditions in EDs, UCCs, Community and Mental Health Services. 2. To ensure patients screening positive are provided with a brief intervention and information concerning sensible/safer drinking; 3. To ensure communication with the GP concerning positive screens for all patients registered with NCL GPs; 4. To ensure referral to alcohol liaison services for patients where indicated; 5. To ensure that identified frontline staff in ED, UCC settings are trained to be able to confidently screen, provide brief intervention and refer where necessary as part of their routine clinical practice. 6. To record and report incidents related to alcohol violence as part of an anonymised dataset to local crime reduction partnerships (the 'Cardiff Page 25

26 model'). Numerator Denominator Rationale for inclusion Number of patients screened using the screening tool Number of patients presenting 14+ (universal screen) excluding the following: those that leave on their own accord without waiting to receive medical attention; those that are unconscious or lack capacity; ambulance cases that do not come through to triage. Alcohol-related problems represent a significant cause of potentially preventable disease, emergency admissions and attendances at EDs and UCCs. Screening for alcohol risk (hazardous and harmful drinking) can be provided effectively in routine patient contact and has been shown to reduce subsequent attendances and alcohol consumption. The FAST and Audit C models of screening and brief intervention and advice has been shown to be the most effective for routine screening. Trusts should be encouraged to work closely with GPs and their local alcohol liaison services in the implementation of this CQUIN. NCL Commissioners wish to adopt a whole systems integrated approach. This CQUIN will ensure that patients who test positive during the screening process will receive a brief intervention and that their registered GP will be made aware of the result. This will promote clinical reinforcement, continuity and clarity of advice. Immediate and brief intervention will be, where appropriate, the precursor to a long term approach to preventing the misuse of alcohol which may lead to or contribute to a range of serious chronic conditions (e.g. Diabetes, CVD, Liver Disease, cancer, mental health problems) as well as a range of acute conditions. The British Medical Association estimates that there are at least a million acts of violence a year which result in injury. Alcohol is a factor in a significant proportion of these violent incidents: 60-70% of homicides; 75% of stabbings; 70% of beatings; and 50% of fights and domestic assaults. It is estimated that substantially less than half of violencerelated attendances seen at EDs are ever reported to the police. EDs are therefore well placed to provide information in an anonymised format that would otherwise be unavailable to Community Safety Partnerships to assist with targeting of preventive actions to reduce alcohol related and other violence in the community. The College of Emergency Medicine Clinical Effectiveness Committee s Guideline for Information Sharing to reduce community violence (2009) recommends that in order to reduce community violence EDs should routinely collect data about assault victims at registration and have produced guidelines on the suggested process. This states that three additional items of information should be Page 26

27 collected incident type, assault type and location. The data should then be shared with the local Community Safety Partnership and crime analysts in an anonymous format (see Figure for dataset items). 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? Are there any rules for partial achievement of the indicator at the final indicator period/date? ED and UCC services, Community and Mental Health services to collect data using the FAST or Audit C screening tools. Trusts responsible for ED and UCC services to provide information for their local Community Safety Partnerships in an agreed reporting format. On-going, real time data collection through trust recording systems. BEHMHT Acute trusts to provide monthly dataset reports on alcohol-related violence/trauma to Crime Reduction Partnerships. Acute, Community and Mental Health trusts to report results of screening programme quarterly. Q4 2015/16 Payment based on results at end of each quarter against quarterly milestones. 19 th May 2016 (at CQRG) Yes No Page 27

28 Date/period milestone relates to Rules for achievement of milestones (including evidence to be supplied to commissioner) Quarter 1 1. Develop a training package for staff on the use of the FAST tool Quarter 2 1. Deliver FAST tool training to all relevant staff (front facing staff who undertake clinical assessments) Quarter 3 1. Baseline, the numbers of patients (universal or targeted) screened during quarter 2. Baseline of patients screened positive receiving brief intervention and information during quarter. 3. Baseline of patients screened positive and registered with a GP where communication of result is sent (within 24 hours) during quarter. 4. A report detailing screening results and brief interventions delivered, GP communication and onward referral with accompanying demographic and attendance details for period Quarter 3. Report to provide recommendations on healthcare needs and to be presented by the Trust at CQRG meeting. Quarter 4 1. Using Q3 2015/16 as the baseline, a 5% increase on the numbers of patients (universal or targeted) screened during quarter 2. 95% of patients screened positive receiving brief intervention and information during quarter % of patients screened positive and registered with a GP where communication of result is sent (within 24 hours) during quarter. 4. A report detailing screening results and brief interventions delivered, GP communication and onward referral with accompanying demographic and attendance details for period Quarter 4. Report to be presented by the Trust at CQRG meeting. Date milestone to be reported 20 August 2015 at CQRG 19 November 2015 at CQRG 18 February 2016 at CQRG 19 May 2016 at CQRG Milestone weighting (% of CQUIN scheme available) 25% of *% 25% of *% 25% of *% 25% of *% Page 28

29 Indicator number L4.3 Local NCL CQUIN - Prevention Indicator name Prevention - Domestic Violence-Year 1 Indicator weighing 10% 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) 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 partial achievement of the indicator at the final indicator period/date? To introduce and/or develop existing measures that will help to identify, assess and advise patients where there is evidence of domestic violence. To encourage the provision of specialist advice, information and support services as well as mechanisms for further referral where domestic violence has been identified. SUS Monthly BEHMHT Quarterly M12 SUS Page 29

30 Date/period milestone relates to Quarter 1 Quarter 2 Quarter 3 Quarter 4 Rules for achievement of milestones (including evidence to be supplied to commissioner) 1. Evidence of implementation of a domestic violence policy that includes a. A domestic violence lead in place b. A domestic violence programme established at the Trust c. The domestic violence programme is supported by a trust wide multi disciplinary steering group d. Training on Domestic Violence awareness is included in Induction training and as part of safeguarding training (Adults and Children) 1. Evidence provided of a systematic approach to the identification of domestic violence, support and referral to appropriate services for all patient groups. 2. Training programme devised for front line staff on awareness, identification, support and prevention to be presented to CQRGtraining programme to be rolled out in Q3 and Q4 3. Information (Leaflets) for staff developed a. Supporting service users/ patients at risk of Domestic Violence b. Support for staff at risk of Domestic Violence 1. Evidence of roll out of training programmes to front line staff in the identified cohorts. 2. Business case on more targeted interventions developed to feed into the 2016/17 contracting round Further in Q4 with further identification. 1. Evidence of roll out of training programme to front line staff in the identified cohorts. 2. Evidence that cases that have been referred to MDT have been followed up and monitored Date milestone to be reported 20 August 2015 at CQRG 19 November 2015 at CQRG 18 February 2016 at CQRG 19 May 2016 at CQRG Milestone weighting (% of CQUIN scheme available) 10% of *% 40% of *% 25% of *% 25% of *% Page 30

31 Date/period milestone relates to Rules for achievement of milestones (including evidence to be supplied to commissioner) 3. A report to be presented by the Trust at CQRG meeting to include a. Evaluation of training programme. b. How the learning from Domestic Violence programme and from Domestic Homicide reviews has been incorporated into Trust policy and training prohgrammes Date milestone to be reported Milestone weighting (% of CQUIN scheme available) Page 31

32 Goal L5: Safe and timely discharge L5 Safe and timely discharge 0. %.00% L5.1 Safe and timely discharge Effective Discharge Arrangements 0. 00% 0% L5.2 Medicines on discharge 0. 0% 0% L5.3 Discharge information for GPs 0. 0% 0% Page 32

33 Indicators Indicator number Indicator name Local NCL CQUIN Safe and timely discharge L5 Indicator weighing 40% Description of indicator Numerator Denominator Rationale for inclusion Summary of CQUIN objectives Data source Frequency of data Ongoing collection Organisation responsible BEHMHT for data collection Frequency of reporting to Quarterly commissioner Baseline period/date 2014/15 Baseline value Final indicator period/date Quarter /16 (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 April 2016 (at CQRG) date To ensure appropriate arrangements are in place for the safe and timely discharge of patients, avoiding the risk of unnecessarily long length of stay in hospital, minimising the risk of re-admission and ensuring patient safety on discharge. The CQUIN focuses on: - *Discharge on planned date with support in the community where appropriate. *Patients' understanding of their medication *Discharge information sent to GPs See templates The purpose of this CQUIN is to improve patients' experience and safety by ensuring that acute, community and social services operate in a seamless manner and that there is effective communication between each of the agencies contributing to patients' care. By ensuring that effective discharge arrangements are in place for all patients, Commissioners will ensure that acute and community service providers and primary care will all be used to greatest benefit and that waste of resources caused by delays and duplicated effort can be avoided. For elderly and or vulnerable patients in particular, the risks associated with readmissions will be minimised. Page 33

34 Are there rules for any agreed in-year milestones that result in payment? Are there any rules for partial achievement of the indicator at the final indicator period/date? Areas to be reported. Effective discharge plans in place 20% Patients' understanding of medication (over 75s) 20% Discharge letters for GPs 60% Total 100% Page 34

35 Indicator number L5.1 Indicator name Indicator weighing 20% 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 Local NCL CQUIN Safe and Timely Discharge Effective Discharge Arrangements This CQUIN applies to inpatient services within Enfield Community Services (ECS) and to wards for the care of older adults with mental illness. Within 72 hours of admission, a pre-discharge plan to be completed which identifies: *Patient's carer and his/her ability to manage the patient at home or *Residential or nursing home to which patient will be admitted on discharge, and any identified barriers to return to that care setting *Named person from provider trust responsible for overseeing/ implementing discharge arrangements *Patient's GP For frail elderly patients, discharge is to take place before 4pm. 50% of all patient discharges to take place before 2 pm. Patient to be discharged with 14 days' medicines and carer and patient to be given clear instructions for care during recovery period and hospital contact details in case of emergency. Number of pre-discharges and care plans each quarter in sample fully meeting the above requirements and in place within 24 hours of admission. Random sample of 50 discharges and care plans taken each quarter The purpose of this CQUIN is to improve patients' experience and safety by ensuring that acute, community and social services operate in a seamless manner and that there is effective communication between each of the agencies contributing to patients' care. By ensuring that effective discharge arrangements are in place for all patients, Commissioners will ensure that acute and community service providers and primary care will all be used to greatest benefit and that waste of resources caused by delays and duplicated effort can be avoided. For elderly and or vulnerable patients in particular, the risks associated with readmissions will be minimised. Manual sampling of patient notes and discharge plans Routine collection reported quarterly BEHMHT community services/ mental health services Quarterly NA NA Page 35

36 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? Are there any rules for partial achievement of the indicator at the final indicator period/date? Q4 2015/16 50% or more of all discharges to take place before 2 pm 90% of all discharge plans meeting specification 95% of patients over 75 discharged before 4 pm All patients discharged from hospital or community services/ mental health services in Q1, Q2, Q3 and Q4. - Random sample of 50 sets of patient notes and discharge plans to be reviewed each quarter. Quarter 4-19 May 2016 at CQRG Yes No Date/period milestone relates to Quarter 1 Quarter 2 Quarter 3 Quarter 4 Rules for achievement of milestones (including evidence to be supplied to commissioner) 40% or more of all discharges to take place before 2 pm 50% of all discharge plans meeting specification 90% of patients over 75 discharged before 4 pm 50% or more of all discharges to take place before 2 pm 70% of all discharge plans meeting specification 95% of patients over 75 discharged before 4 pm 50% or more of all discharges to take place before 2 pm 80% of all discharge plans meeting specification 95% of patients over 75 discharged before 4 pm 50% or more of all discharges to take place before 2 pm 90% of all discharge plans meeting specification 95% of patients over 75 discharged before 4 pm Date milestone to be reported 20 August 2015 at CQRG 19 November 2015 at CQRG 18 February 2016 at CQRG 19 May 2016 at CQRG Milestone weighting (% of CQUIN scheme available) 25% of 20% 25% of 20% 25% of 20% 25% of 20% Page 36

A. Commissioning for Quality and Innovation (CQUIN)

A. Commissioning for Quality and Innovation (CQUIN) A. Commissioning for Quality and Innovation (CQUIN) CQUIN Table 1: Summary of goals Total fund available: 3,039,000 (estimated, based on 2015/16 baseline) Goal Number 1 2 3 4 5 Goal Name Description of

More information

Avon & Wiltshire Mental Health Partnership NHS Trust Commissioning for Quality and Innovation (CQUIN) Schedule 2015/16

Avon & Wiltshire Mental Health Partnership NHS Trust Commissioning for Quality and Innovation (CQUIN) Schedule 2015/16 Avon & Wiltshire Mental Health Partnership NHS Trust Commissioning for Quality and Innovation (CQUIN) Schedule 2015/16 4A Nationally Mandated CQUIN IMPROVING PHYSICAL HEALTHCARE TO REDUCE PREMATURE MORTALITY

More information

CQUINS 2016/ NHS Staff health and wellbeing (Option B selected ) a. 0.75% of CQUIN Scheme available

CQUINS 2016/ NHS Staff health and wellbeing (Option B selected ) a. 0.75% of CQUIN Scheme available CQUINS 2016/17 1. NHS Staff health and wellbeing (Option B selected ) a. 0.75% of CQUIN Scheme available 3 Improving the physical health for patients with severe mental illness (PSMI) a. 0.25% of CQUIN

More information

Commissioning for Quality and Innovation (CQUIN) Schemes for 2015/16

Commissioning for Quality and Innovation (CQUIN) Schemes for 2015/16 Commissioning for Quality and Innovation (CQUIN) Schemes for 2015/16 Goal No. Indicator Name Contract 1 Acute Kidney Injury CWS CCG Contract - National CQUIN 2a Sepsis Screening CWS CCG Contract - National

More information

Commissioning for quality and innovation (CQUIN): 2014/15 guidance. February 2014

Commissioning for quality and innovation (CQUIN): 2014/15 guidance. February 2014 Commissioning for quality and innovation (CQUIN): 2014/15 guidance February 2014 1 NHS England INFORMATION READER BOX Directorate Medical Operations Patients and Information Nursing Policy Commissioning

More information

Commissioning for quality and innovation (CQUIN): 2013/14 guidance. Draft December 2012

Commissioning for quality and innovation (CQUIN): 2013/14 guidance. Draft December 2012 Commissioning for quality and innovation (CQUIN): 2013/14 guidance Draft December 2012 1 Commissioning for quality and innovation (CQUIN): 2013/14 guidance First published: December 2012 This document

More information

North Central London Sustainability and Transformation Plan. A summary

North Central London Sustainability and Transformation Plan. A summary Sustainability and Transformation Plan A summary N C L Introduction Hospitals, local authorities, GPs, commissioners, and mental health trusts across north central London have all come together to transform

More information

Commissioning for Quality and Innovation (CQUIN) Guidance for 2016/17 Published March 2016

Commissioning for Quality and Innovation (CQUIN) Guidance for 2016/17 Published March 2016 Commissioning for Quality and Innovation (CQUIN) Guidance for 2016/17 Published March 2016 Commissioning for Quality and Innovation (CQUIN) Introduction1 The CQUIN scheme is intended to deliver clinical

More information

Commissioning for Quality and Innovation (CQUIN) 2016/17

Commissioning for Quality and Innovation (CQUIN) 2016/17 Commissioning for Quality and Innovation (CQUIN) 2016/17 : Tavistock and Portman NHS MH Foundation Trust Host Commissioner: Camden Clinical Commissioning Group Commissioning for Quality and Innovation

More information

CQUIN Indicator Specification Information on CQUIN 2017/ /19

CQUIN Indicator Specification Information on CQUIN 2017/ /19 CQUIN Indicator Specification Information on CQUIN 2017/18-2018/19 Publications Gateway Reference 06023 Contents 1. The CQUIN scheme 2017/18 2018/19... 2 1. 2. 3. Improving staff health and wellbeing...

More information

The future of mental health: the Taskforce 5 year forward view and beyond

The future of mental health: the Taskforce 5 year forward view and beyond The future of mental health: the Taskforce 5 year forward view and beyond May 2016 Content Mental Health Taskforce Overview Achieving Better Access Safe, Effective and Compassionate Care Integrating Physical

More information

Wolverhampton CCG Commissioning Intentions

Wolverhampton CCG Commissioning Intentions Wolverhampton CCG Commissioning Intentions 2015-16 * Areas of particular focus and priority CI Ref Contract Provider Brief CI001 CI002 CI003 Child Protection Information Sharing Implement the new Child

More information

Learning from Deaths - Mortality Report

Learning from Deaths - Mortality Report Learning from Deaths - Mortality Report NHS Improvement and the National Quality Board have requested all NHS Trusts to publish a review of mortality by. This is our Trust report. 1. Background In line

More information

Avon & Wiltshire Mental Health Partnership NHS Trust. Extract from NHS STANDARD MULTILATERAL MENTAL HEALTH AND LEARNING DISABILITY SERVICES CONTRACT

Avon & Wiltshire Mental Health Partnership NHS Trust. Extract from NHS STANDARD MULTILATERAL MENTAL HEALTH AND LEARNING DISABILITY SERVICES CONTRACT SCHEDULE 4 QUALITY PERFORMANCE INCENTIVE SCHEMES 2011/12 Schedule 4 Part 1: Nationally Mandated Incentive Schemes Schedule 4 Part 2: National Incentive Framework for Commissioning for Quality and Innovation

More information

17. Dementia: John s Campaign

17. Dementia: John s Campaign 17. Dementia: John s Campaign name weighting (% of CQUIN scheme available) Description of indicator Numerator Implementing a policy on welcoming carers and family members of people with dementia according

More information

Bristol CCG North Somerset CGG South Gloucestershire CCG. Draft Commissioning Intentions for 2017/2018 and 2018/2019

Bristol CCG North Somerset CGG South Gloucestershire CCG. Draft Commissioning Intentions for 2017/2018 and 2018/2019 Bristol CCG North Somerset CGG South Gloucestershire CCG Draft Commissioning Intentions for 2017/2018 and 2018/2019 Programme Area Key intention Primary and community care Sustainable primary care Implement

More information

Numerator. Denominator Rationale for inclusion

Numerator. Denominator Rationale for inclusion Goal number Goal name Indicator number Indicator name Goal weighting (% of CQUIN scheme Indicator weighting (% of goal Description of indicator Numerator Denominator Rationale for inclusion Data source

More information

REQUIREMENT. Identify a minimum of 4 theme areas which are considered to have caused concern for patients during 2012/13

REQUIREMENT. Identify a minimum of 4 theme areas which are considered to have caused concern for patients during 2012/13 2012/13 SSOTP CQUIN INDICATOR TARGETS INDICATOR REQUIREMENT 1. Patient Experience Milestone 1 (15th working day of April 2012) Identify a minimum of 4 theme areas which are considered to have caused concern

More information

Competencies for NHS Health Check Enhanced Service using the General Level Framework & Service Specification

Competencies for NHS Health Check Enhanced Service using the General Level Framework & Service Specification Competencies for NHS Health Check Enhanced Service using the General Level Framework & Service Specification This is a comprehensive mapping of the GLF against the enhanced service specification (where

More information

South London and Maudsley NHS Foundation Trust. Quality Account 2014 /15

South London and Maudsley NHS Foundation Trust. Quality Account 2014 /15 South London and Maudsley NHS Foundation Trust Quality Account 2014 /15 Part 1: Statement on quality from the Chief Executive of the NHS Foundation Trust The annual quality account report is an important

More information

CA1 Enhanced Supportive Care for Advanced Cancer Patients

CA1 Enhanced Supportive Care for Advanced Cancer Patients CA1 Enhanced Supportive Care for Advanced Cancer Patients Scheme Name QIPP Reference Eligible Providers CA1 Enhanced Supportive Care (ESC) Access for Advanced Cancer Patients QIPP 16-17 S23- Cancer Cancer

More information

WELCOME. To our first Annual General Meeting (AGM) Local clinicians working with local people for a healthier future

WELCOME. To our first Annual General Meeting (AGM) Local clinicians working with local people for a healthier future WELCOME To our first Annual General Meeting (AGM) AGM agenda 1:00pm TIME ITEM LEAD Welcome and Governing Body introductions Liz Wise, Chief Officer 1:05pm 1:25pm 1:35pm 1:50pm Presentation of the Annual

More information

SCHEDULE 2 THE SERVICES Service Specifications

SCHEDULE 2 THE SERVICES Service Specifications SCHEDULE 2 THE SERVICES Service Specifications Service Specification No Service ParaDoc Commissioner City and Hackney CCG Commissioner Lead Leah Herridge Provider CHUHSE Provider Lead Date of Review September

More information

Policy: P15 Physical Healthcare Policy

Policy: P15 Physical Healthcare Policy Policy: P15 Physical Healthcare Policy Version: P15/04 Ratified by: Trust Management Team Date ratified: 15 th April 2015 Title of originator/author: Director of Primary Care Title of responsible Director

More information

Improving physical health outcomes for patients with Serious Mental Illness

Improving physical health outcomes for patients with Serious Mental Illness Improving physical health outcomes for patients with Serious Mental Illness The Primary Care role Dr Sian Roberts GP Chiltern and Aylesbury Vale CCG Mental Health Clinical Lead What is a Serious Mental

More information

Northumberland, Tyne and Wear NHS Foundation Trust. Board of Directors Meeting. Meeting Date: 25 October Executive Lead: Rajesh Nadkarni

Northumberland, Tyne and Wear NHS Foundation Trust. Board of Directors Meeting. Meeting Date: 25 October Executive Lead: Rajesh Nadkarni Agenda item 9 ii) Northumberland, Tyne and Wear NHS Foundation Trust Board of Directors Meeting Meeting Date: 25 October 2017 Title and Author of Paper: Clinical Effectiveness (CE) Strategy update Simon

More information

Mental health and crisis care. Background

Mental health and crisis care. Background briefing February 2014 Issue 270 Mental health and crisis care Key points The Concordat is a joint statement, written and agreed by its signatories, that describes what people experiencing a mental health

More information

This SLA covers an enhanced service for care homes for older people and not any other care category of home.

This SLA covers an enhanced service for care homes for older people and not any other care category of home. Care Homes for Older People Service Level Agreement 2016-2019 All practices are expected to provide essential and those additional services they are contracted to provide to all their patients. This service

More information

Strategic Risk Report 4 July 2016

Strategic Risk Report 4 July 2016 Strategic Report 4 July 20 Haringey CCG Register Introduction The Strategic Report (historically known as the Board Assurance Framework) evidences Haringey Clinical Group s control over the delivery of

More information

Improving Quality of Life of Long-Term Patient - From the Community Perspective

Improving Quality of Life of Long-Term Patient - From the Community Perspective Improving Quality of Life of Long-Term Patient - From the Community Perspective Dr Caz Sayer, Camden CCG Chair Working with the people of Camden to achieve the best health for all Context The Health and

More information

Preparing to implement the new access and waiting time standard for early intervention in psychosis

Preparing to implement the new access and waiting time standard for early intervention in psychosis Preparing to implement the new access and waiting time standard for early intervention in psychosis Sarah Khan Deputy Head of Mental Health (Policy & Strategy) 1. Context for the introduction of access

More information

Improvement and Assessment Framework Q1 performance and six clinical priority areas

Improvement and Assessment Framework Q1 performance and six clinical priority areas Governing Body 30 th September 2016 Improvement and Assessment Framework Q1 performance and six clinical priority areas Agenda item 16 Paper 10 Summariser: Authors and contributors: Executive Lead(s):

More information

17. Updates on Progress from Last Year s JSNA

17. Updates on Progress from Last Year s JSNA 17. Updates on Progress from Last Year s JSNA 3. The Health of People in Bromley NHS Health Checks The previous JSNA reported that 35 (0.5%) patients were identified through NHS Health Checks with non-diabetic

More information

QUALITY ACCOUNTS 2015/16 CAMDEN AND ISLINGTON NHS FOUNDATION TRUST

QUALITY ACCOUNTS 2015/16 CAMDEN AND ISLINGTON NHS FOUNDATION TRUST CAMDEN AND ISLINGTON NHS FOUNDATION TRUST Contents 1.0 Quality Account... 3 Part 1.0: Statement on quality from the Chief Executive... 3 1.1 Introduction... 6 1.2 Quality highlights for 2015/16... 8 Part

More information

Mental Health Financial Planning Frequently asked questions

Mental Health Financial Planning Frequently asked questions Mental Health Financial Planning Frequently asked questions 1. What is Mental Health Investment Standard (MHIS)? How is it calculated? The Mental Health Investment Standard (MHIS) was previously known

More information

National Primary Care Cluster Event ABMU Health Board 13 th October 2016

National Primary Care Cluster Event ABMU Health Board 13 th October 2016 National Primary Care Cluster Event ABMU Health Board 13 th October 2016 1 National Primary Care Cluster Event - ABMU Health Board Introduction The development of primary and community services is a fundamental

More information

Academic Health Science Network for the North East and North Cumbria Mental Health Programme. Elaine Readhead AHSN NENC Mental Health Programme Lead

Academic Health Science Network for the North East and North Cumbria Mental Health Programme. Elaine Readhead AHSN NENC Mental Health Programme Lead Academic Health Science Network for the North East and North Cumbria Mental Health Programme Elaine Readhead AHSN NENC Mental Health Programme Lead Background No health without mental health Five Year

More information

You said We did. Care Closer to home Acute and Community Care services. Commissioning Intentions Engagement for 2017/18

You said We did. Care Closer to home Acute and Community Care services. Commissioning Intentions Engagement for 2017/18 Commissioning Intentions Engagement for 2017/18 You said We did Care Closer to home Acute and Community Care services Top three priorities were: Shifting hospital services into the community Community

More information

The Yorkshire & Humber Improvement Academy Clinical Leadership Training Programme

The Yorkshire & Humber Improvement Academy Clinical Leadership Training Programme The Yorkshire & Humber Improvement Academy Clinical Leadership Training Programme The Improvement Academy (IA) is one of the leading quality and safety improvement networks in the UK. The IA works across

More information

Strategic Risk Report 12 September 2016

Strategic Risk Report 12 September 2016 Strategic Report September 20 Haringey CCG Register Introduction The Strategic Report (historically known as the Board Assurance Framework) evidences Haringey Clinical Commissioning Group s control over

More information

National Health Promotion in Hospitals Audit

National Health Promotion in Hospitals Audit National Health Promotion in Hospitals Audit Acute & Specialist Trusts Final Report 2012 www.nhphaudit.org This report was compiled and written by: Mr Steven Knuckey, NHPHA Lead Ms Katherine Lewis, NHPHA

More information

Clinical Strategy

Clinical Strategy Clinical Strategy 2012-2017 www.hacw.nhs.uk CLINICAL STRATEGY 2012-2017 Our Clinical Strategy describes how we are going to deliver high quality care in response to patient and carer feedback and commissioner

More information

Vale of York Clinical Commissioning Group Governing Body Public Health Services. 2 February Summary

Vale of York Clinical Commissioning Group Governing Body Public Health Services. 2 February Summary Vale of York Clinical Commissioning Group Governing Body Public Health Services 2 February 2017 Summary 1. The purpose of this report is to provide the Vale of York Clinical Commissioning Group (CCG) with

More information

THE SERVICES. A. Service Specifications (B1) Ian Diley (Suffolk County Council)

THE SERVICES. A. Service Specifications (B1) Ian Diley (Suffolk County Council) THE SERVICES A. Service Specifications (B1) Service Specification No. Service Early Supported Discharge for Stroke Patients v5.0 Commissioner Lead Dr Mark Lim, T Woor (Suffolk Stroke Review Project Board)

More information

HOME TREATMENT SERVICE OPERATIONAL PROTOCOL

HOME TREATMENT SERVICE OPERATIONAL PROTOCOL HOME TREATMENT SERVICE OPERATIONAL PROTOCOL Document Type Unique Identifier To be set by Web and Systems Development Team Document Purpose This protocol sets out how Home Treatment is provided by Worcestershire

More information

NHS Bradford Districts CCG Commissioning Intentions 2016/17

NHS Bradford Districts CCG Commissioning Intentions 2016/17 NHS Bradford Districts CCG Commissioning Intentions 2016/17 Introduction This document sets out the high level commissioning intentions of NHS Bradford Districts Clinical Commissioning Group (BDCCG) for

More information

Marginal Rate Emergency Threshold. Executive Summary

Marginal Rate Emergency Threshold. Executive Summary Part 1 meeting of the Castle Point and Rochford CCG Governing Body held on 29 th September 2016 Agenda item 16 Marginal Rate Emergency Threshold Submitted by: Prepared by: Status: Robert Shaw, Joint Director

More information

Mental Health Social Work: Community Support. Summary

Mental Health Social Work: Community Support. Summary Adults and Safeguarding Commitee 8 th June 2015 Title Mental Health Social Work: Community Support Report of Dawn Wakeling Adults and Health Commissioning Director Wards All Status Public Enclosures Appendix

More information

Milton Keynes CCG Strategic Plan

Milton Keynes CCG Strategic Plan Milton Keynes CCG Strategic Plan 2012-2015 Introduction Milton Keynes CCG is responsible for planning the delivery of health care for its population and this document sets out our goals over the next three

More information

The North Central London Sustainability and Transformation Plan. and. Camden Local Care Strategy. Caz Sayer Chair, Camden CCG

The North Central London Sustainability and Transformation Plan. and. Camden Local Care Strategy. Caz Sayer Chair, Camden CCG The North Central London Sustainability and Transformation Plan and Camden Local Care Strategy Caz Sayer Chair, Camden CCG About the Sustainability & Transformation Plan (STP) N C L North Central London

More information

Final. Andrew McMylor / Dr Nicola Jones

Final. Andrew McMylor / Dr Nicola Jones NHS Standard Contract - Service Specification Service Specification Service Final 24hour Ambulatory Blood Pressure Monitoring (24hrABPM) Commissioner Lead Lead Andrew McMylor / Dr Nicola Jones Jeremy Fenwick,

More information

Strategic Risk Report 1 March 2018

Strategic Risk Report 1 March 2018 Strategic Report 1 March 2018 Haringey CCG Register Introduction The Strategic Report (historically known as the Board Assurance Framework) evidences Haringey Clinical Commissioning Group s control over

More information

21 March NHS Providers ON THE DAY BRIEFING Page 1

21 March NHS Providers ON THE DAY BRIEFING Page 1 21 March 2018 NHS Providers ON THE DAY BRIEFING Page 1 2016-17 (Revised) 2017-18 (Revised) 2018-19 2019-20 (Indicative budget) 2020-21 (Indicative budget) Total revenue budget ( m) 106,528 110,002 114,269

More information

Integrated Care in North Central London

Integrated Care in North Central London Integrated Care in North Central London 5 th July 2012 Sylvia Kennedy AD Strategy & Planning Strategic context Many of our frailest and sickest groups receive care in a fragmented and disorganised way

More information

Operational Focus: Performance

Operational Focus: Performance Operational Focus: Performance Sandra Iskander Changes for 2015/16 Change of focus of 18-weeks and A&E 4-hour wait targets as recommended by Sir Bruce Keogh, Medical Director, NHS England. 18-weeks to

More information

GE1 Clinical Utilisation Review

GE1 Clinical Utilisation Review GE1 Clinical Utilisation Review Scheme Name QIPP Reference Eligible Providers GE1 Clinical Utilisation Review QIPP 16-17 S40-Commercial 17/18 QIPP reference to be added locally. This CQUIN is supported

More information

Better Healthcare in Bucks Reconfiguring acute services

Better Healthcare in Bucks Reconfiguring acute services service redesign case study March 2013 No. 3 Reconfiguring acute services Key points Reach a shared understanding of the case for change across the local health economy. Start public engagement as early

More information

Integrated heart failure service working across the hospital and the community

Integrated heart failure service working across the hospital and the community Integrated heart failure service working across the hospital and the community Lynne Ruddick Professional Lead (South) British Heart Foundation 31st October 2017 Heart Failure is an epidemic. NICE has

More information

Guideline scope Intermediate care - including reablement

Guideline scope Intermediate care - including reablement NATIONAL INSTITUTE FOR HEALTH AND CARE EXCELLENCE Guideline scope Intermediate care - including reablement Topic The Department of Health in England has asked NICE to produce a guideline on intermediate

More information

August Planning for better health and care in North London. A public summary of the NCL STP

August Planning for better health and care in North London. A public summary of the NCL STP August 2017 Planning for better health and care in North London A public summary of the NCL STP Planning for better health and care in North London North London NHS organisations are working together with

More information

Commissioning Intentions 2019 / 20

Commissioning Intentions 2019 / 20 Commissioning Intentions 2019 / 20 September 2018 Version 1.1 Final version. Approved at JCC on 26th September (by Jon Singfield - 24/09/18) 1) Introduction Introduction The development of commissioning

More information

THE ROLE OF COMMUNITY MENTAL HEALTH TEAMS IN DELIVERING COMMUNITY MENTAL HEALTH SERVICES

THE ROLE OF COMMUNITY MENTAL HEALTH TEAMS IN DELIVERING COMMUNITY MENTAL HEALTH SERVICES THE ROLE OF COMMUNITY MENTAL HEALTH TEAMS IN DELIVERING COMMUNITY MENTAL HEALTH SERVICES Interim Policy Implementation Guidance and Standards [July 2010] - 1 - CONTENTS 1. Introduction... 3 2. The guiding

More information

Emergency admissions to hospital: managing the demand

Emergency admissions to hospital: managing the demand Report by the Comptroller and Auditor General Department of Health Emergency admissions to hospital: managing the demand HC 739 SESSION 2013-14 31 OCTOBER 2013 4 Key facts Emergency admissions to hospital:

More information

Our next phase of regulation A more targeted, responsive and collaborative approach

Our next phase of regulation A more targeted, responsive and collaborative approach Consultation Our next phase of regulation A more targeted, responsive and collaborative approach Cross-sector and NHS trusts December 2016 Contents Foreword...3 Introduction...4 1. Regulating new models

More information

Draft Commissioning Intentions

Draft Commissioning Intentions The future for Luton s primary care services Draft Commissioning Intentions 2013-14 The NHS will have less money to spend over the next three years. Overall, it has to make 20 billion of efficiency savings

More information

OUTLOOK FOR THE NEXT 5 YEARS OUR PLANS. September 2014

OUTLOOK FOR THE NEXT 5 YEARS OUR PLANS. September 2014 OUTLOOK FOR THE NEXT 5 YEARS OUR PLANS September 2014 1 SUMMARY Our vision for the City and Hackney health economy is: Patients in control of their health and wellbeing; A joined-up system which is safe,

More information

A thematic review of six independent investigations. A report for NHS England, North Region

A thematic review of six independent investigations. A report for NHS England, North Region A thematic review of six independent investigations A report for NHS England, North Region November 2014 Authors: Chris Brougham Liz Howes Verita 2014 Verita is a management consultancy that works with

More information

Improving Access To Psychological Therapies for People in Early Intervention in Psychosis Services. Alison Brabban Sarah Khan

Improving Access To Psychological Therapies for People in Early Intervention in Psychosis Services. Alison Brabban Sarah Khan Improving Access To Psychological Therapies for People in Early Intervention in Psychosis Services Alison Brabban Sarah Khan What Service Users Want To be listened to. To have experiences and feelings

More information

Transforming Clinical Services. Our developing clinical strategy

Transforming Clinical Services. Our developing clinical strategy Transforming Clinical Services Our developing clinical strategy Transforming clinical services A developing clinical strategy for the new Foundation Trust Since 1 April 2011, County Durham and Darlington

More information

Our five year plan to improve health and wellbeing in Portsmouth

Our five year plan to improve health and wellbeing in Portsmouth Our five year plan to improve health and wellbeing in Portsmouth Contents Page 3 Page 4 Page 5 A Message from Dr Jim Hogan Who we are What we do Page 6 Page 7 Page 10 Who we work with Why do we need a

More information

Engagement Summary. North London Partners Urgent and Emergency Care Programme. Camden Barnet Enfield Haringey Islington

Engagement Summary. North London Partners Urgent and Emergency Care Programme. Camden Barnet Enfield Haringey Islington Engagement Summary North London Partners Urgent and Emergency Care Programme Camden Barnet Enfield Haringey Islington Introduction This report summarises a year-long programme of engagement undertaken

More information

Early Intervention in Psychosis Network Self-Assessment Tool

Early Intervention in Psychosis Network Self-Assessment Tool Early Intervention in Psychosis Network Self-Assessment Tool Please complete one self-assessment form per Early Intervention in Psychosis team. All data must be collected and submitted by 30 September

More information

NHS Ayrshire and Arran. 1. Which of the following performance frameworks has the most influence on your budget decisions:

NHS Ayrshire and Arran. 1. Which of the following performance frameworks has the most influence on your budget decisions: A: Budget setting process Performance budgeting 1. Which of the following performance frameworks has the most influence on your budget decisions: National Performance Framework Quality Measurement Framework

More information

Delivering Local Health Care

Delivering Local Health Care Delivering Local Health Care Accelerating the pace of change Contents Joint foreword by the Minister for Health and Social Services and the Deputy Minister for Children and Social Services Foreword by

More information

Enhanced service specification. Avoiding unplanned admissions: proactive case finding and patient review for vulnerable people

Enhanced service specification. Avoiding unplanned admissions: proactive case finding and patient review for vulnerable people Enhanced service specification Avoiding unplanned admissions: proactive case finding and patient review for vulnerable people 1 Enhanced service specification Avoiding unplanned admissions: proactive case

More information

Plans for urgent care in west Kent:

Plans for urgent care in west Kent: Plans for urgent care in west Kent: Introduction and background A summary of our draft strategy NHS West Kent Clinical Commissioning Group (CCG) is working to improve urgent care services and we would

More information

Crisis Care The National Context and Crisis Care Concordat.

Crisis Care The National Context and Crisis Care Concordat. 1 NHS Presentation to [XXXX Company] [Type Date] Crisis Care The National Context and Crisis Care Concordat. Dr. Geraldine Strathdee, National Clinical Director for Mental Health..@DrG_NHS CORC April 2015

More information

Urgent and emergency mental health care pathways

Urgent and emergency mental health care pathways Urgent and emergency mental health care pathways Initial guidance for improving data quality in the Mental Health Services Dataset (MHSDS) Published August 2018 Copyright 2018 NHS Digital Contents Who

More information

We plan. We achieve.

We plan. We achieve. We plan. We achieve. Salford Royal NHS Foundation Trust has a lot to tell you... l Achievements of 2008/09 l Our plans for 2009/10 l Our commitments for the next five years. We are committed to providing

More information

ANEURIN BEVAN HEALTH BOARD Stroke Delivery Plan Template for 2009/2010

ANEURIN BEVAN HEALTH BOARD Stroke Delivery Plan Template for 2009/2010 ANEURIN BEVAN HEALTH BOARD Stroke Delivery Plan Template for 2009/2010 Objective Action Desired Output / Monitor and manage all those at risk of stroke and, refer as appropriate to smoking cessation services,

More information

SERVICE SPECIFICATION FOR THE PROVISION OF NHS HEALTH CHECKS IN BOURNEMOUTH, DORSET AND POOLE

SERVICE SPECIFICATION FOR THE PROVISION OF NHS HEALTH CHECKS IN BOURNEMOUTH, DORSET AND POOLE Revised for: 1 April 2014 APPENDIX 2.4 SERVICE SPECIFICATION FOR THE PROVISION OF NHS HEALTH CHECKS IN BOURNEMOUTH, DORSET AND POOLE DORSET COUNTY COUNCIL Page 2 of 12 1. INTRODUCTION 1.1. This Specification

More information

COPD SERVICE RE-DESIGN

COPD SERVICE RE-DESIGN COPD SERVICE RE-DESIGN Dr Mukesh Singh GP Principal & GPwSI Respiratory Medicine, Horse Fair Practice, Rugeley Clinical Lead LTC & Governing Body member Cannock Chase CCG COPD DRIVERS FOR RE-DESIGN DOH

More information

Appendix 2: Public Health Contracts transferring to the London Borough of Barnet from 1 st April 2013 and contracting approach.

Appendix 2: Public Health Contracts transferring to the London Borough of Barnet from 1 st April 2013 and contracting approach. Appendix 2: Public Health Contracts transferring to the London Borough of Barnet from 1 st April 2013 and contracting approach. 1. Contract Values The table below shows the total value of contracts to

More information

Delivering the transformation of children and young people s mental health services

Delivering the transformation of children and young people s mental health services Delivering the transformation of children and young people s mental health services Simon Medcalf Head of Mental Health, NHS England 4 October 2016 1 Context: Implementing the Five Year Forward View for

More information

Developing and Delivering an Integrated Clinical Assessment Service

Developing and Delivering an Integrated Clinical Assessment Service Developing and Delivering an Integrated Clinical Assessment Service David Merriweather Project Manager NE&NCUECN Petrina Smith Strategic Head of Integrated Urgent Care NEAS Ed Hutton Service Improvement

More information

SERVICE SPECIFICATION FOR THE PROVISION OF NHS HEALTH CHECKS IN BOURNEMOUTH, DORSET AND POOLE

SERVICE SPECIFICATION FOR THE PROVISION OF NHS HEALTH CHECKS IN BOURNEMOUTH, DORSET AND POOLE Revised for: 1 April 2014 Appendix 2.3 SERVICE SPECIFICATION FOR THE PROVISION OF NHS HEALTH CHECKS IN BOURNEMOUTH, DORSET AND POOLE DORSET COUNTY COUNCIL Page 2 of 14 1. INTRODUCTION 1.1. This Service

More information

Oldham Council Provision of NHS Health Checks Programme in Partnership with Local GP Practices

Oldham Council Provision of NHS Health Checks Programme in Partnership with Local GP Practices Oldham Council Provision of NHS Health Checks Programme in Partnership with Local GP Practices 1. Population Needs 1. NATIONAL AND LOCAL CONTEXT 1.1 NATIONAL CONTEXT 1.1.1 Overview of commissioning responsibilities

More information

SCHEDULE 2 THE SERVICES

SCHEDULE 2 THE SERVICES SCHEDULE 2 THE SERVICES A. Service Specifications Mandatory headings 1 4. Mandatory but detail for local determination and agreement Optional headings 5-7.Optional to use, detail for local determination

More information

Quality and Leadership: Improving outcomes

Quality and Leadership: Improving outcomes Quality and Leadership: Improving outcomes Podiatry Managers/Allied Health Managers and Leaders 5 March 2014 Shelagh Morris OBE Acting Chief Allied Health Professions Officer 2 http://www.nhsemployers.org/aboutus/latest-news/pages/the-new-nhs-in-2013-infographic.aspx

More information

PUBLIC HEALTH IN HALTON. Eileen O Meara Director of Public Health & Public Protection

PUBLIC HEALTH IN HALTON. Eileen O Meara Director of Public Health & Public Protection PUBLIC HEALTH IN HALTON Eileen O Meara Director of Public Health & Public Protection Aim of Presentation What we do. How we do it. What are the service outputs. What are the outcomes. How can we help.

More information

THE FIVE YEAR FORWARD VIEW FOR MENTAL HEALTH

THE FIVE YEAR FORWARD VIEW FOR MENTAL HEALTH THE FIVE YEAR FORWARD VIEW FOR MENTAL HEALTH A Policy Unit briefing on the findings of the independent Mental Health Taskforce and the implications for psychiatrists and the wider NHS workforce Holly Taggart

More information

The Five Year Forward View and Commissioning Mental Health Services in 2015 and Beyond

The Five Year Forward View and Commissioning Mental Health Services in 2015 and Beyond The Five Year Forward View and Commissioning Mental Health Services in 2015 and Beyond Thames Valley Strategic Clinical Networks February 2015 Table of Contents Introduction & Context pp 3-11 SCN recommendations

More information

Alison Jamson, Head of Quality & Clinical Standards NHSMK&N Commissioning Support Hub

Alison Jamson, Head of Quality & Clinical Standards NHSMK&N Commissioning Support Hub Enc 11/10f Subject: Meeting: NHSMK CQUIN Schemes MK Commissioning Board Date of Meeting: 13 December 2011 Report of: Alison Jamson, Head of Quality & Clinical Standards NHSMK&N Commissioning Support Hub

More information

Measuring and monitoring quality in mental health: preparing to implement the new access & waiting time standards

Measuring and monitoring quality in mental health: preparing to implement the new access & waiting time standards Measuring and monitoring quality in mental health: preparing to implement the new access & waiting time standards Sarah Khan Deputy Head of Mental Health NHS England This presentation 1. Context for the

More information

The North West London health and care partnership

The North West London health and care partnership The North West London health and care partnership Sept 2017 The North West London health and care partnership Introduction In 2016, over 30 NHS organisations and local authorities came together to develop

More information

SCOTTISH BORDERS HEALTH & SOCIAL CARE INTEGRATED JOINT BOARD UPDATE ON THE DRAFT COMMISSIONING & IMPLEMENTATION PLAN

SCOTTISH BORDERS HEALTH & SOCIAL CARE INTEGRATED JOINT BOARD UPDATE ON THE DRAFT COMMISSIONING & IMPLEMENTATION PLAN Appendix-2016-59 Borders NHS Board SCOTTISH BORDERS HEALTH & SOCIAL CARE INTEGRATED JOINT BOARD UPDATE ON THE DRAFT COMMISSIONING & IMPLEMENTATION PLAN Aim To bring to the Board s attention the Scottish

More information

Mental Health Crisis Care Programme Update: Clinical Senate Council 24 th May 2016

Mental Health Crisis Care Programme Update: Clinical Senate Council 24 th May 2016 Mental Health Crisis Care Programme Update: Clinical Senate Council 24 th May 2016 1 Mental Health Crisis Care Programme: Summary The state of mental health crisis care needs to improve across London.

More information

#NeuroDis

#NeuroDis Each and Every Need A review of the quality of care provided to patients aged 0-25 years old with chronic neurodisability, using the cerebral palsies as examples of chronic neurodisabling conditions Recommendations

More information

Within both PCTs, smokers were referred directly to the local stop smoking service at the time of the health check.

Within both PCTs, smokers were referred directly to the local stop smoking service at the time of the health check. Improving Healthy Lifestyles Pilot Site Evaluation Report Key findings The health check is a good opportunity to deliver brief lifestyle behaviour advice to patients, most of which is recalled three months

More information

Welcome to. Northern England and the Five Year Forward View for Mental Health. Thursday 2 February 2017 at the Radisson Blu, Durham

Welcome to. Northern England and the Five Year Forward View for Mental Health. Thursday 2 February 2017 at the Radisson Blu, Durham Welcome to. Northern England and the Five Year Forward View for Mental Health Thursday 2 February 2017 at the Radisson Blu, Durham Introductions Chairs: Catherine Haigh, Chair of North East together and

More information