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

Transcription

1 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 (CQUIN) Payment Framework 1. CQUIN Indicators In 2011/12, 1.5% of the total contract value will be paid in the form of CQUIN incentives. The table below sets out the measures agreed by Mental Health Directors of Commissioning and Avon & Wiltshire Mental Health Partnership NHS Trust for inclusion in the 2011/12 Operating Plan. Gateway Indicators will apply as in 2010/11, without achievement of which no CQUIN payments will be made. These are: Achievement of a maximum 13 week waiting time for referral to treatment (RTT), 95% by Q3 and to be maintained in Q4 (NB Progress with data collection will be reviewed at Q1 and Q2 in light of acknowledged RIO transition issues) Achievement of Tier 2 Vital Signs indicators: o 95% of people under adult mental illness specialties on CPA followed up within 7 days of discharge from psychiatric in-patient care during each quarter (assessed at quarter end, per PCT) o 98% of inpatient admissions have been gate kept by crisis resolution/home treatment team (assessed at quarter end, per PCT) o 535 people on the Assertive Outreach caseload (PCT shares, assessed at each quarter end) o 182 new cases of FEP taken on to Early Intervention Caseloads (PCT shares achieved, assessed at quarter end)

2 Goals and Indicators Goal no. Description of goal Quality Domain(s) 1 Indicator Indicator name National or number 2 Regional indicator 3 Indicator weighting 1 Implementation and Accreditation of Mencap Charter 2 Reduce death, disability and chronic ill health from Venous Thromboembolism, through risk assessment for all inpatients Discharge and transfer letters to GP and service users audit of quality and timeliness Carers experience survey Management of community serial DNAs Patient Experience Safety 2 1 Mencap charter VTE Risk Assessment Effectiveness 3 Discharge letters Effectiveness and innovation 4 Cares experience Local 0.3% Nationally Mandated 0.1% Regional 0.2% Local 0.3% Safety 5 DNA Regional 0.3% 6 Refocusing care: recovery and empowerment Effectiveness /Experience 6 Recovery Local 0.3% CQUIN: detailed definition contract Implementation and Accreditation of Mencap Charter Number of Getting It Right Mencap Charter standards complied with on all wards. All Nine Getting It Right Mencap Charter Standards complied with on all wards. The Getting it Right Charter follows the recommendations from the Michael report Death by Indifference. The Charter is designed to ensure that people with a learning disability have fair access to healthcare services, and that services are capable of supporting people with a learning disability. The Charter is recognised nationally and locally 1 Safety / Effectiveness / Experience / Innovation 2 May be several for each goal 3 Nationally mandated/regionally mandated

3 as an indicator of good practice. AWP has a responsibility to ensure that people with a learning disability have fair access to its services, and that the trust contributes to improving the health outcomes for this vulnerable client group. Data source and frequency of collection Frequency of reporting to the Commissioners Action Plan and trajectory to be agreed with Commissioners by end of April assurance reports to MH DoCs Quality Sub-Group in June, September with summative report in January 2012 (and end of project summative report in March 2012). Supplied by NCAS (Deputy Director of Nursing). AWP Baseline period / date March 2011 Final indicator period / date (on which payment is based) Final indicator reporting date Rules for partial achievement of indicator at year-end Rules for any agreed in-year milestones that result in payment Rules for delayed achievement against final indicator period/date and/or in-year milestones Nil (no accreditation/assessment has taken place) End of Q3 A total of seven out nine Getting It Right standards adhered to by Q3, with nine out of nine achieved by year end. Q3 assurance report from AWP to NHS South Gloucestershire by the 10 th working day of January To be negotiated at Q3 for year end... VTE & Physical Health check Screening on IP admission Data source and frequency of collection Frequency of reporting to the Commissioners Number of patients admitted with a VTE check on admission and a full physical health check completed within 7 days of admission Number of admissions to all wards 2011/12 National Operating Framework requirement Rolling 3 months AWP Monthly via NHS Contract Balanced Scorecard

4 Baseline period / date Q3 2010/11 96% Final indicator period / date (on which payment is based) Q3, % of contract value to be paid on achievement of 98%, representing a 2% stretch over existing Trust performance Final indicator reporting date 10 th working day of January 2012 Rules for partial achievement of indicator at year-end Rules for any agreed in-year milestones that result in payment Rules for delayed achievement against final indicator period/date and/or in-year milestones Data source and frequency of collection Frequency of reporting to the Commissioners Baseline period / date Final indicator period / date (on which payment is based) Discharge and transfer letters to GP and Service Users: audit of quality and timeliness 85% of discharge letters received in GP practice within 48 hours discharge/transfer which meet 100% of agreed quality requirements Total number of discharge/transfer letters The current contract requires AWP to ensure GPs and patients receive discharge letter within 48 hours, 100% of the time. In order to ensure the discharge letters are effective and support on-going management of the patient an audit of the content and quality will be carried out. In addition, the audit supports the National Operating Framework for 2011/12 requirement for services to focus on reducing admissions in mental health while maintaining high quality care and delivering efficiency savings AWP/Primary care quarterly audit AWP Timeliness PCT/GP consortia - Quality audit Baseline audit to be completed by end Q1 audit criteria to be agreed with Commissioners by May 31 st % at Q3 Q3 2011/12 0.2% of contract value to be paid on achievement of 85% compliance

5 Final indicator reporting date 10 th working day of January 2012 Rules for partial achievement of indicator at year-end Rules for any agreed in-year milestones that result in payment Rules for delayed achievement against final indicator period/date and/or in-year milestones Carers Experience: survey to establish baseline satisfaction in Q1, with agreed improvement trajectory to end December Number of carers expressing agreed level of satisfaction Total number of responses (n =< 100) Data source and frequency of collection Frequency of reporting to the Commissioners The 2011/12 contract requires AWP to undertake initial carers assessments and ensure an initial carer s care plan is in place within 4 weeks. Despite improvement, carers targets in 2010/11 were not met. The survey will assess the effectiveness of the Trusts engagement with carers and identify areas for improvement in support of the 2011/12 National Operating framework emphasis on better collection of and timely action on carer experience and feedback. First survey carried out during Q1. Follow up survey completed during Q3 AWP Baseline period / date Q1 2011/12 Final indicator period / date (on which payment is based) Survey questions to be with agreed with commissioners by May 30th Baseline survey to be carried out during Q1 and satisfaction/action plan to be shared with commissioners no later than 1 st September 2011 % improvement to be agreed with Commissioners by 1 st October 2011 TBC % improvement by end December % of contract value to be paid on achievement of agreed %improvement Final indicator reporting date 13 th January 2012 Rules for partial achievement of indicator at year-end Rules for any agreed in-year milestones that result in 0.15% of contract value for achievement of agreed % improvement by end December 2012

6 payment Rules for delayed achievement against final indicator period/date and/or in-year milestones Data source and frequency of collection Frequency of reporting to the Commissioners Baseline period / date Management of community serial DNAs: % of service users DNA-ing twice whose GPs are notified within 48 hours of the second DNA by letter. Number of service users who have DNA d twice in a row without contact with service, whose GP is sent a letter within 48 hours of the second DNA. Total number of service users who have DNA d twice in a row without contact with service. Under the current AWP General Access Policy, developed as part of the contract, clients who serially DNA should be pro-actively engaged with to ensure they reengage with treatment or are returned to their GP. At all times, the importance of clear communication with GPs, as shared care partners, is essential. This is a key patient safety and risk management safeguard, highlighted as an issue in thematic analysis of homicides and SUIs, and is also in line with the spirit of Recovery. 3 month rolling, from MHIS/RiO reported monthly, via NHS Contract Scorecard AWP Monthly. Baseline to be established in Q1, , with improvement targets set to Q3, agreed with Commissioners by the end of Q1. Access policy to be reviewed and updated by March 31 st TBC end of Q1. Final indicator period / date (on which payment is based) TBC end of Q1. 0.3%, assessed at the end of Q3. Final indicator reporting date 10 th working day of January 2012 Rules for partial achievement of indicator at year-end Rules for any agreed in-year milestones that result in payment Rules for delayed achievement against final indicator period/date and/or in-year milestones

7 Re-focussing care: recovery and empowerment 1. The total number of services users who complete a patient-reported outcome/recovery measure (e.g. recovery star) 3 month rolling from Q1. 2. The total number of new care plans in the Trust written in the first person (I). 1. The total number of services users who have received an annual review in the period 3 month rolling 2. The total number of new care plans in the period. The Trust s engagement with users and carers during quality accounts development has indicated a growing desire among service users for success measures for the Trust s shift to Recovery to be more visible among KPIs. These two indicators address issues of service user involvement in their care, definition of what constitutes recovery and re-ablement, and ownership and responsibility for their care. They provide a counterbalance to other clinically-driven and process measures of quality. Data source and frequency of collection Frequency of reporting to the Commissioners Baseline period / date Final indicator period / date (on which payment is based) 1. Care plan audits, quarterly 2. Care plan audits, quarterly. AWP.. Baseline audit to be complete by end of Q1 for both, with improvement trajectory set no later than 31 July 2011, agreed with Commissioners. TBC following audit. 1. Q1 = XX%; Q2 = XX%; Q3 = XX%; Q4 = XX% 2. XX% to be agreed with Commissioners, based on % of new referrals in one team per PCT area by Q3. Both targets to be agreed by end of July %, assessed at the end of Q3 trajectory, maintained and improved to the Q4 by year end, for achievement of both Part 1 and 2 of this CQUIN. Final indicator reporting date 10 working days following end of Q3. Rules for partial achievement of indicator at year-end Failure to maintain Q3 performance at year end nonpayment of any of this CQUIN. Failure to achieve Q4 trajectory, payment of only 0.15% for this CQUIN. Achievement of only one half of this two part CQUIN

8 0.15% Rules for any agreed in-year milestones that result in payment Rules for delayed achievement against final indicator period/date and/or in-year milestones.. South West Specialised Commissioning Group Commissioning for Quality and Innovation (CQUIN) Payment Framework Table 1: National Secure Services CQUIN Scheme The Co-ordinating Commissioner South West Specialised Commissioning Group (Hosted by NHS Bristol) The Associate Commissioners Total financial value of Scheme NHS South West PCTs The value of CQUIN will be calculated as the (total no of patient bed days in ) X (Agreed bed day rate/s exc CQUIN) X 1.5% The value of CQUIN will be 1.5% of the total value of accommodation charges invoiced in (additional charges are not eligible for CQUIN). Payment will be made if all CQUIN targets or partial achievements have been met as per schedule 4 Goals and Indicators Goal no. Description of goal Quality Domain(s) 4 Indicator number Indicator name National or Regional Indicator weighting 1 Medium and low secure providers will use HONOS secure and HCR 20 Innovation and Safety 1 Secure outcome measures Nationally agreed indicator for use by SCGs 10% 2 Medium and low Secure Providers will meet the Quality Standard A81 Best Practice Guidance for Medium Secure Units- DH Health Offender Partnerships 2007: Effectiveness 2 25 hour programmed activity Nationally agreed indicator for use by SCGs 10% Continued development of 25 hours of structured activity per week per patient linked to the activity /bench marking tool and demonstrating 4 Safety / Effectiveness / Experience / Innovation

9 links to personalization and recovery and service user outcomes Providers are required to develop, where appropriate, on their work of 2010/2011 in regard to the implementation of the ESSEN Scale and improve outcomes for patients A fundamental element of both the national and regional QIPP schemes for secure services relates to reducing the current length of stay within secure hospitals. This CQUIN is intended to incentivise providers to better understand their current lengths of stay and develop strategies to reduce them. Aims to help prepare services to build on and develop strong involvement infrastructure which will assist in implementing the national QIPP work stream in relation to improving the quality of the pathway within services. Its aim is to develop a shared understanding of the pathway between service users and staff, where service users take an increasing role in meeting outcomes, and responsibility in relation to choice and lifestyle. This CQUIN aims to help prepare services to build on and develop strong recovery planning processes which will assist in implementing the national QIPP work stream in relation to improving the quality of the pathway within services. Providers will continue to use and develop joint working and a shared understanding of recovery. User experience 3 Essen Climate scale Nationally agreed indicator for use by SCGs Length of stay 4 Patient Pathway Nationally agreed indicator for use by SCGs User experience 5 Involvement choice and responsibility Nationally agreed indicator for use by SCGs Effectiveness 5 Recovery tool Nationally agreed indicator for use by SCGs 10% 20% 25% 25%

10 Indicator number 1 Indicator name Indicator weighting (% of CQUIN scheme available) HONOS 10% For the provider to continue to use the HONOS outcome measure appropriate to their service user group. The provider will be required to submit data in a manner and format that will enhance both provider and commissioner understanding of groups of service users through their care pathways. The data submitted through this CQUIN will inform the future process of agreeing an appropriate tariff for secure mental health services. HONOS scores for patients completed at CPA 3 and or 6 monthly review meetings as a % of total number by the following groups which demonstrate show 1 an improvement in score 2 Maintain same score 3 Show a worsening score Grouped also by cluster of new admissions, long stay etc Data source Frequency of data collection Frequency of reporting to commissioner Baseline period/date Final indicator period/date (on which payment is based) Rules for calculation of payment due at final indicator period/date (including evidence to be supplied to commissioner) All patients subject to 3 or 6 monthly reviews (CPA) within each quarter (as per process in provider) HONOS is a recognised clinical outcome measure. Data collected will demonstrate a service user s journey through their care pathway. Aggregate data will assist the future development of tariff for secure mental health services By NHS/Framework provider NHS/Framework provider Q4 2011/12 Where all requirements have been met, pay 25% of annual CQUIN monies associated with this indicator at each quarter No payment will be made for partial or late achievement, of an indicator. % of quarterly payments will be as set out in the achievement threshold. Final indicator reporting date In quarterly monitoring for Q4 (end 31 st March 2012)

11 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? Yes Yes Rules for partial achievement at final indicator period/date (only complete if the indicator has rules for partial achievement at final indicator period/date) Enter the final indicator value for the part achievement threshold % of CQUIN scheme available Enter the percentage of the total CQUIN scheme available for meeting the final indicator value Indicative targets for end Q1: (list) Q1. By the end of quarter 1 the provider will have developed a recording/reporting system that identifies the percentage of service users per unit who, Where all Quarter requirements have been met, pay 1.5% of that Quarters CQUIN monies associated with this indicator No payment will be made for partial or late achievement, of an indicator, Show an improvement in score Maintain same score Show a worsening score To record for each group characteristics which may include for example those service users recently admitted or those identified as being long term or treatment resistive. Reporting should be via six month CPA reviews. Indicative targets for end Q2: (list) Q2. Provider to submit scores to commissioners by percentage of service users in the above three categories. As above Indicative targets for end Q3: (list) Q 3. Provider to submit scores to commissioners by percentage of service users in the above three categories. Above Indicative targets for end Q4: (list) As above Q4. Provider to submit report giving overall percentage of service users within the three categories. Report should demonstrate analysis of data in order to describe the characteristics of the service users within the three categories. Characteristics may include for example those service users recently admitted or those identified as being long term or treatment resistive. Indicator number 2 Indicator name Indicator weighting (% of CQUIN scheme available) 25 Hours Meaningful Activity 10%

12 Data source Frequency of data collection Frequency of reporting to commissioner Baseline period/date Final indicator period/date (on which payment is based) Rules for calculation of payment due at final indicator period/date (including evidence to be supplied to commissioner) Providers will continue to embed the development of service user defined activity plans within services ensuring that these link to the shared pathway work stream, in relation to recovery and service user outcomes. Number of approved 25 hour programmes Every patient weekly 25 hours cross matched against the National Reference codes Evidence suggests that boredom and reduced motivation results in poorer clinical outcomes for service users within secure care. This CQUIN promotes a balanced and structured day involving meaningful activity linked to service users agreed care plans that promote recovery. Implementation of the CQUIN will enhance the experience of care and enhance clinical outcomes. By NHS/Framework provider NHS/Framework provider Q4 2011/12 Where all Quarter requirements have been met, pay 25% of annual CQUIN monies associated with this indicator No payment will be made for partial or late achievement, of an indicator; quarterly payments will be as set out in the achievement threshold. All service users must have a minimum of 25 hours of programmed activity to pay this CQUIN Final indicator reporting date In quarterly monitoring for Q4 (end 31 st March 2012) Are there rules for any agreed in-year milestones that result in payment? Yes Are there any rules for partial achievement of the indicator at the final indicator period/date? Yes Rules for partial achievement at final indicator period/date (only complete if the indicator has rules for partial achievement at final indicator period/date) Enter the final indicator value for the part achievement threshold % of CQUIN scheme available Enter the percentage of the total CQUIN scheme available for meeting the final indicator value Indicative targets for end Q1: (list) Q1. Using the agreed national definition of Meaningful Activity services will assess their 25hr a week activity plans and recording systems against this definition. Where all Quarter requirements have been met, pay 1.5% of that Quarters CQUIN monies associated with this indicator No payment will be made for partial or late achievement, Indicator Provider to submit feedback report Indicative targets for end Q2: (list) Q2. Services will audit their services using the national agreed bench marking tool S:\Mental Health Team\Provider P&G\C

13 Indicator Provider to submit audit Report Indicative targets for end Q3: (list) Q3. Services will develop a work plan to address needs identified in Audit Report Indicator Provider to submit work plan Indicative targets for end Q4: (list) Q4. Services will implement their work plan Indicator Provider to submit update report on work plan implementation Indicator number 3 Indicator name Indicator weighting (% of CQUIN scheme available) Essen Scale 10% Data source Frequency of data collection Frequency of reporting to commissioner Baseline period/date Final indicator period/date (on which payment is based) Rules for calculation of payment due at final indicator period/date (including evidence to be supplied to commissioner) Providers are required to develop, where appropriate, on their work of 2010/2011 in regard to the implementation of the ESSEN Scale. It is expected that the ESSEN Scale, or similar, will continue to be implemented during 2011/2012. This CQUIN is designed to encourage the development of service developments/improvements informed by the output from previous use of the ESSEN Scale. Service developments should aim to improve the service user experience and clinical outcomes. Baseline Essen scale report for each ward but unit? If providers already have a baseline then they move onto CQUIN. All secure units and wards accessed by south west patients within organization The ESSEN Scale is a tool designed to assess the therapeutic climate within a care setting. It is explores the degree to which service users feel safe and supported by both their peers and care staff. Evidence suggests that service users respond better and engage more in treatment, and thus reduced length of stay, where they feel safe and comfortable. Service developments informed by feedback from this tool will enhance the therapeutic climate of care settings. By NHS/Framework provider NHS/Framework provider Q4 2011/12 Enter any rules for how to calculate the payment due at the final indicator period/date. E.g. Payment to be based on achievement of in-year milestones/payment to be based on achievement throughout Q4/Payment to be based on percentage achieved on 31st March 2010 etc. Include details of how achievement should be evidenced to commissioner. Final indicator reporting date In quarterly monitoring for Q4 (end 31 st March 2012)

14 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? Yes Yes Rules for partial achievement at final indicator period/date (only complete if the indicator has rules for partial achievement at final indicator period/date) Enter the final indicator value for the part achievement threshold % of CQUIN scheme available Enter the percentage of the total CQUIN scheme available for meeting the final indicator value Indicative targets for end Q1: (list) Q1. By the end of quarter 1 provider will have identified a service development/improvement informed by the output from 2010/2011 ESSEN surveys, or a similar survey tool. Provider will provide an implementation plan that delivers the service development/improvement by quarter 4. Where all Quarter requirements have been met, pay 1.5% of that Quarters CQUIN monies associated with this indicator No payment will be made for partial or late achievement, of an indicator Indicative targets for end Q2: (list) Q2/3. Provider to submit written update on progress against implementation plan including any slippage against plan. Indicative targets for end Q3: (list) Q2/3. Provider to submit written update on progress against implementation plan including any slippage against plan. Indicative targets for end Q4: (list) Q4. Provider to demonstrate implementation of agreed service development/improvement, articulating the intended improved outcomes in service user experience and clinical outcomes. Indicator number 4 Indicator name Indicator weighting (% of CQUIN scheme available) Length of Stay 20% A fundamental element of both the national and regional QIPP schemes for secure services relates to reducing the current length of stay within secure hospitals. This CQUIN is intended to incentivise providers to better understand their current lengths of stay and develop strategies to reduce them. Length of stay is to be recorded from admission to discharge, where an episode of care is completed i.e., discharge from the hospital to a different level of security. Providers to report source of admission and destination on discharge. Length of stay of all incomplete episodes of care should also be included. Expectation that patients will be grouped by emerging PbR cluster when available.

15 Data source Frequency of data collection Frequency of reporting to commissioner Baseline period/date Final indicator period/date (on which payment is based) Rules for calculation of payment due at final indicator period/date (including evidence to be supplied to commissioner) All patients This CQUIN will assist in the delivery of the Specialised Commissioning Team s QIPP. By NHS/Framework provider NHS/Framework provider Q4 2011/12 Enter any rules for how to calculate the payment due at the final indicator period/date. E.g. Payment to be based on achievement of in-year milestones/payment to be based on achievement throughout Q4/Payment to be based on percentage achieved on 31st March 2010 etc. Include details of how achievement should be evidenced to commissioner. Final indicator reporting date In quarterly monitoring for Q4 (end 31 st March 2012) Are there rules for any agreed in-year milestones that result in payment? Yes Are there any rules for partial achievement of the indicator at the final indicator period/date? Targets for Q3 and Q4 are dependent on the Pbr development work identifying clusters. In the event of this work being delayed providers will not be penalised for non completion. Rules for partial achievement at final indicator period/date (only complete if the indicator has rules for partial achievement at final indicator period/date) Enter the final indicator value for the part achievement threshold % of CQUIN scheme available Enter the percentage of the total CQUIN scheme available for meeting the final indicator value Indicative targets for end Q1: (list) Q1. Provider to develop systems for recording and reporting length of stay of all service users within the hospital. Length of stay is to be recorded from admission to, where an episode of care is completed, discharge from the hospital to a different level of security. Providers will be required to report source of admission and destination on discharge. Length of stay of all incomplete episodes of care should also be included. Where all Quarter requirements have been met, pay 1.5% of that Quarters CQUIN monies associated with this indicator No payment will be made for partial or late achievement, of an indicator Q2. Provider to submit length of stay data as above to commissioner for all service users for whom the commissioner has commissioning responsibility within the hospital. Q3. By Q3 the output from the Pbr development work for secure services should have identified a number of specific clusters. Providers are required to develop systems that will capture

16 length of stay for service users in each cluster. Indicative targets for end Q4: (list) Q4. Provider to submit a report demonstrating how they will positively impact on current length of stay of service users within their hospital. To submit a report that describes the length of stay by cluster. Indicator number 5 Indicator name Indicator weighting (% of CQUIN scheme available) Involvement, Choice and Responsibility 25% Data source Frequency of data collection Organisation responsible for data collection Frequency of reporting to commissioner Baseline period/date Final indicator period/date (on which payment is based) Rules for calculation of payment due at final indicator period/date (including evidence to be supplied to commissioner) This CQUIN aims to help prepare services to build on and develop strong involvement infrastructure which will assist in implementing the national QIPP work stream in relation to improving the quality of the pathway within services. Its aim is to develop a shared understanding of the pathway between service users and staff, where service users take an increasing role in meeting outcomes, and responsibility in relation to choice and lifestyle n/a n/a The CQUIN promotes the notion of service users and care staff working in real partnership in order that service users can move through a shared pathway in a timely manner. It is assumed that in doing so length of stay can be reduced and the experience of care improved. By NHS/Framework provider NHS/Framework provider Q4 2011/12 Where all Quarter requirements have been met, pay 1.5% of that Quarters CQUIN monies associated with this indicator No payment will be made for partial or late achievement, of an indicator that is a result of the providers act or omission Final indicator reporting date In quarterly monitoring for Q4 (end 31 st March 2012) Are there rules for any agreed in-year milestones that result in payment? Yes Are there any rules for partial achievement of the indicator at the final indicator period/date? Achievement of this CQUIN is dependent on the output from the shared pathway QIPP work stream being available to providers in a timely way. Providers will not be penalised if non completion is due to the unavailability of this output.

17 Rules for partial achievement at final indicator period/date (only complete if the indicator has rules for partial achievement at final indicator period/date) Enter the final indicator value for the part achievement threshold % of CQUIN scheme available Enter the percentage of the total CQUIN scheme available for meeting the final indicator value Indicative targets for end Q1: (list) Q1. Services will identify service user and staff involvement leads whose roles are to involve service users and staff to work jointly and introduce, discuss, and understand the underpinning objectives of the Shared Pathway QIPP work stream. Where all Quarter requirements have been met, pay 1.5% of that Quarters CQUIN monies associated with this indicator No payment will be made for partial or late achievement, of an indicator that is a result of the providers act or omission Indicator Provider to submit joint staff/service user report outlining process and feedback Indicative targets for end Q2: (list) Q2. Staff and service user leads will involve service users and staff in discussing, thinking about and understanding the proposed outline of the Shared Pathway. This will include specific areas around choice, lifestyle and responsibility. Indicator Provider to submit joint staff/service user report outlining feedback Indicative targets for end Q3: (list) Q3. Staff and service users will jointly identify priorities that services need to develop to be able to deliver on the Shared Pathway. Indicator Provider to submit report on priorities Indicative targets for end Q4: (list) Q4. Staff and service users will jointly develop a work plan which outlines the underpinning work required to implement the Shared Pathway in 2012/13, including milestones, outcomes and timeframes Indicator Provider to submit implementation Plan

18 Indicator number 6 Indicator name Indicator weighting (% of CQUIN scheme available) Recovery Planning 25% Data source Frequency of data collection Organisation responsible for data collection Frequency of reporting to commissioner Baseline period/date Final indicator period/date (on which payment is based) Rules for calculation of payment due at final indicator period/date (including evidence to be supplied to commissioner) This CQUIN aims to help prepare services to build on and develop strong recovery planning processes which will assist in implementing the national QIPP work stream in relation to improving the quality of the pathway within services. Providers will continue to use and develop joint working and a shared understanding of recovery. n/a n/a The CQUIN promotes the notion of service users and care staff working in real partnership in order that service users and care staff can work to a shared understanding of recovery. It is assumed that in doing so length of stay can be reduced and the experience of care improved. By NHS/Framework provider NHS/Framework provider Q4 2011/12 Where all Quarter requirements have been met, pay 1.5% of that Quarters CQUIN monies associated with this indicator No payment will be made for partial or late achievement, of an indicator that is a result of the providers act or omission Final indicator reporting date In quarterly monitoring for Q4 (end 31 st March 2012) Are there rules for any agreed in-year milestones that result in payment? Yes Are there any rules for partial achievement of the indicator at the final indicator period/date? Achievement of this CQUIN is dependent on the output from the shared pathway QIPP work stream being available to providers in a timely way. Providers will not be penalised if non completion is due to the unavailability of this output. Rules for partial achievement at final indicator period/date (only complete if the indicator has rules for partial achievement at final indicator period/date) Enter the final indicator value for the part achievement threshold % of CQUIN scheme available Enter the percentage of the total CQUIN scheme available for meeting the final indicator value Indicative targets for end Q1: (list) Q1. Services to identify service user and staff recovery leads that will organise a workshop/group within their unit to share and explore learning from the use of recovery tools and approaches from 2010/11. From this group Where all Quarter requirements have been met, pay 1.5% of that Quarters CQUIN monies associated with this indicator No payment will be made for partial or late achievement, of an indicator that is a result of the providers act or omission

19 they will identify key areas for development. Indicator Provider to submit joint service user/staff report on key areas for development and joint work plan Indicative targets for end Q2: (list) Q2. Implement joint work programme Indicator Provider to submit update report on progress Indicative targets for end Q3: (list) Q3. Service user and staff recovery leads to introduce discuss and understand with service users and staff the priority areas of development as identified within the Shared Pathway QIPP work stream. Indicator Provider to submit joint service user/staff feedback Report Indicative targets for end Q4: (list) Q4. Service user and staff recovery leads to develop a joint service user/staff underpinning service development programme which will support the introduction of the Shared Pathway in relation to recovery for the following year. Indicator Provider to submit joint development programme with milestones and timeframes.