Transcript Primary Care CQUIN

Primary Care CQUIN
PPG Chairs Meeting – 20th April, 2015
Chester  Ellesmere Port & Neston  Rural
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What is a CQUIN?
 The standard GP Contract is commissioned by NHS
England (although CCGs are now looking to do this in
partnership with the advent of co-commissioning)
 The CCG can commission additional services over and
above what is considered standard practice
 One of these schemes is the Primary Care CQUIN (or
Commissioning for Quality and Innovation Scheme)
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What was in the previous CQUIN?
 In the past, the CQUIN asked GP Practices to carry out
additional tasks for certain long-term conditions:
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Cancer
Respiratory conditions
Recording incidents
Dementia Friends
 The requirements often meant GP Practices had to
make additional administrative submissions in addition
to clinical input
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Why is the CQUIN changing?
 Patient feedback has told us that care needs to be
more integrated, so that the patient does not need to
tell their story multiple times to different health care
professionals, especially when they are feeling
vulnerable
 GP Practices are telling us that they are increasingly
busy, due to an ageing population and the need to
move care into the community
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The CQUIN in 2015/16
 The CQUIN in 2015/16 aims to meet the challenges and
feedback given to the CCG by patients and GP
Practices
 It does this by improving the integration of care for
those patients that are at most need and use our local
health care services the most
 By asking GP Practices to work in partnership with
other health care providers, the most vulnerable
patients can be cared for in the community, and
supported to return home when they have been into
hospital
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Outcomes
 The Primary Care CQUIN aims to achieve the overall NHS
outcomes that have been translated into 7 local
“Deliverables”
NHS Strategic Outcomes
Preventing people from dying prematurely (additional
years of life for those with treatable mental and physical
conditions)
Keeping patients in our care protected from avoidable
harm (eliminating avoidable deaths in our hospitals)
People with LTCs getting the best quality of life (for those
with one or more LTC including mental health)
West Cheshire CCG Deliverables
Safer Services and Avoidable Mortality
Increasing patient empowerment and self-care
Increase provision of care closer to home
Patients are able to recover quickly and successfully
(reducing time people spend in hospital, integrating
community care and increasing proportion of elderly
people living independently following discharge from
hospital)
Reducing avoidable admissions and readmission to
hospital
Integrated care (through case management, care
planning and risk stratification)
Improved continuity of care
Patients have a great experience of all their care
(increasing the number of people having a positive
experience of hospital care and care outside the hospital)
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Improved patient experience
The Whole System
 The CCG will not require GP Practices to make
administrative submissions to evidence that they
have achieved these outcomes
 Instead, the CCG will use available data across the
whole system to see that outcomes are being
achieved by all Providers
 The outcomes are the same for Community Services,
the Countess of Chester Hospital and local GP
Practices working together in Clusters via their
Integrated Teams
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Milestones
 Practices are asked to implement evidence based
interventions that have been proven to improve
patient outcomes
 E.g. to ensure that visits to patient’s homes take place
in the morning – evidence shows that by doing this,
patients can stay in their own home for longer, or if
they do need to be admitted to hospital, are more
likely to be able to come home earlier
 Practices are asked to follow a timetable (or
“Milestones”) over the next 12 months
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How can patients get involved?
 As part of these milestones, Practices are asked to speak
to their patients and PPG about their plans and ensure the
services they implement reflect patient need and
experience
 The CCG will be talking to each Cluster of Practices every
quarter to ensure they have engaged with their patients
and are implementing services in the right way
 Also, Clusters will be measured by their patient satisfaction
rates and responses to the GP survey (in addition to other
quantitative data sources)
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Next steps and further information
 The Patient Leader for Primary Care (Ken Salter) has
already been involved with the development of this
scheme
 However, Ken felt that PPGs may have additional
ideas of how patients can get involved with the
Primary Care CQUIN and ensure feedback is received
throughout the year
 If you have any comments, please share these with us
today or contact:
 [email protected]
 01244 650300
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Thank you
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