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CQUINs
CQUINs for 2012-13
Cygnet Health Care submits Commissioning for Quality and Innovation (CQUIN) data to many of its commissioners. The CQUIN payment framework enables commissioners to reward excellence by linking a proportion of their providers’ income to the achievement of quality improvement goals. The 2012-13 CQUIN scheme includes a number of targets covering the access process, length of stay and My Shared Pathway.
Two of the key objectives of the Shared Pathway, QIPP programme this year is to move services to be more outcome focused and ensure that service users have more choice and opportunities to drive their own outcomes. This means working more collaboratively with service users to achieve a shared understanding. The two CQUINs relating to My Shared Pathway are MH1 and MH3.
| CQUIN | Q1 Compliance | Q2 Compliance | Q3 Compliance | Q4 Compliance |
|---|---|---|---|---|
| 1. Shared Pathway - Recovery and Outcomes | 100% | 100% | - | - |
| 2. Shared Pathway - Implementing a Standard Secure Pathway | 100% | 100% | - | - |
| 3. 20 User Defined CPA Standards | 100% | 100% | - | - |
| 4. Access to Specialised Mental Health Services | 100% | 100% | - | - |
| 5. Eating Disorder Management | 100% | 100% | - | - |
| 6. Secure Forensic Care Pathway Feasibility Project | 100% | 100% | - | - |
| 7. Optimising Length of Stay | 100% | 100% | - | - |
| 8. Implementing Dashboards | 100% | 100% | - | - |
For more information on the above CQUINs please see below:
CQUIN MH1 – Shared Pathway - Recovery and Outcomes: For this indicator, services are to introduce and implement a recovery and outcomes based approach to the care pathway. This will include demonstrating recovery orientated practice in identifying, planning and achieving joint goals and outcomes with service users. Services will introduce and implement the 4 pathway steps and focus on collaborative approach to care with service users to achieve a shared understanding. Staff and service users to be trained in My Shared Pathway and pathway resources to be completed collaboratively.
CQUIN MH3 – Shared Pathway - Implementing a Standard Secure Pathway: This indicator aims to introduce a number of standard milestones across the pathway which aim to ensure the pathway is efficient, reduces delays, and improves patient experience. Services will work to achieve key milestones and reduce lengths of stay, where relevant.
CQUIN MH2 – 20 User Defined CPA Standards: this indicator requires the introduction and monitoring of the 20 User-Defined CPA Standards. It aims at ensuring service users are as involved as they choose to be in their CPA, placing collaborative working at the heart of the care planning process.
CQUIN MH7 – Access to Specialised Mental Health Services: this aims to provide scrutiny to the admission process. Providers will work with commissioners to improve current access arrangements to help deliver national consistency and improve service user experience. This CQUIN involves capturing service user feedback on the admission process via the annual service user survey.
CQUIN MH8 – Eating Disorder Management: Implementation of MARSIPAN (Management of Really Sick Patients with Anorexia Nervosa) Guidance: All services should be working to implement the guidance. Providers are required to organise or contribute to the development of a multi-agency group. It is hoped that fatalities will be avoided by clearer therapy guidelines and by clinicians with differing skills collaborating closely in the treatment of patients.
CQUIN MH9 – Secure Forensic Care Pathway Feasibility Project: this is a core CQUIN for 2012-13. The indicator involves implementation of the Secure PbR Currency Feasibility Project. This includes the implementation of the clinical toolkit for the clustering of patients and grouping into forensic care pathways, using both the PbR Mental Health Clustering Tool (MHCT) and the Five Forensic Pathways (FFP) tool.
CQUIN MH10 – Optimising Length of Stay: This indicator incentivises providers to describe the total care pathway for services users entering and leaving their service and to begin to plan how they might work differently both within the service and with partners to optimise lengths of stay.
Mandatory CQUIN – Implementing Dashboards: This indicator is aimed at ensuring that Providers implement and routinely use the required clinical dashboards for specialised services. This involves the routine completion and review of the dashboard.
CQUINs for 2011-12
Cygnet Health Care achieved 100% compliance for CQUINs in 2011/12. An overview of Cygnet’s performance in the 2011-12 contract year is given below:
| CQUIN | Q1 Compliance | Q2 Compliance | Q3 Compliance | Q4 Compliance |
|---|---|---|---|---|
| 1. EssenCES | 100% | 100% | 100% | 100% |
| 2. HoNOS | 100% | 100% | 100% | 100% |
| 3. Length of Stay | 100% | 100% | 100% | 100% |
| 4. 25hrs of Meaningful Activity | 100% | 100% | 100% | 100% |
| 5. Involvement, Choice & Responsibility | 100% | 100% | 100% | 100% |
| 6. Recovery Planning | 100% | 100% | 100% | 100% |
More information & details on key Cygnet Health Care services.
