CQUIN Scheme 2019-20

Indicator Name

Indicator Description

CCG2: Staff flu vaccinations

Flu vaccine uptake target of 80% for front line clinical staff

CCG3: Alcohol and tobacco screening/interventions

Adult patients in mental health inpatient services are screened for, and offered interventions to reduce, alcohol and tobacco use. 80% of inpatients must be screened. 90% of smokers and above low risk alcohol users must be offered an appropriate intervention.

CCG4: 72 hour follow up post discharge

80% of adult mental health inpatients receive a follow up contact within 72 hours of discharge from the inpatient service.

CCG5a: Mental Health Data Quality: MHSDS Data Quality Maturity Index

To achieve a score of 95% or greater in the Mental Health Services Data Set (MHSDS) Data Quality Maturity Index (DQMI). https://digital.nhs.uk/data-and-information/data-tools-and-services/data-services/data-quality

CCG5b: Mental Health Data Quality: Interventions

70% of mental health referrals in scope for the MHSDS with two or more attended contacts to have at least one SNOMED intervention code recorded.

CCG6: Use of Anxiety Specific Disorder Measures (ADSMs) in IAPT

65% of Improving Access to Psychological Therapies (IAPT) referrals with a specific anxiety disorder problem descriptor finishing a course of treatment having paired scores recorded on the specified ADSM.

Indicator Name

Indicator Description

PSS4: Healthy Weight in Adult Secure Mental Health Services

• To deliver a healthy service environment in adult secure services regardless of security level.
• To promote and increase healthy lifestyle choices including increased physical activity (in line with expectations set out in NHS England guidance) and healthier eating in all patients in adult secure services.
• To ensure continuity in approach and promotion of good practice across high, medium and low secure services.

PSS5: CAMHS Tier 4 Staff Training

• To improve the effectiveness of and team consistency in approaches, methods and interventions delivered in Tier 4 hospital and community setting.
• To adopt a whole team training ethos designed according to a standardised national training curriculum compliant with the CYP IAPT principles of participation, accountability, accessibility, evidence-based practice and awareness.
• To reduce unwarranted variation in access, delivery of effective treatment modalities, quality comprehensive formulations and patient outcomes in Tier 4 service settings (inpatient and community).
• To ensure clinically appropriate lengths of stay.

Indicator Name

Indicator Description

Improving awareness and uptake of screening and immunisation services in targeted groups

• Identify groups likely to benefit from promotion of immunisations.
• Design and undertake a programme of communication and awareness, including community stakeholders.
• Monitor uptake and review the success of the promotional activities.

Indicator Name

Indicator Description

CCG2: Staff flu vaccinations

Flu vaccine uptake target of 80% for front line clinical staff

CCG3: Alcohol and tobacco screening/interventions

Adult patients in community inpatient services are screened for, and offered interventions to reduce, alcohol and tobacco use. 80% of inpatients must be screened. 90% of smokers and above low risk alcohol users must be offered an appropriate intervention.

CCG7: Actions to prevent hospital falls

80% of community patients, aged 65 or older with a length of stay greater than 48 hours must receive three key falls prevention actions:

• Lying and standing blood pressure recorded at least once
• No hypnotics, antipsychotics or anxiolytics given during the stay OR rationale documented
• Mobility assessment to take place within 24 hours of admission and if required a walking aid to be provided within 24 hours of admission

Local: Falls assessment pathway

To create a network of falls assessors across a range of organisations including healthcare, housing and residential services, the emergency services and the voluntary/charitable sector

Local: Improving continence care in residential home

To improve the number of annual continence reviews undertaken for patients in residential homes who require continence products. An audit will be undertaken to assess of the quality of continence care in the homes and inform future actions.

Indicator Name

Indicator Description

CCG2: Staff flu vaccinations

Flu vaccine uptake target of 80% for front line clinical staff

CCG3: Alcohol and tobacco screening/interventions

Adult patients in community inpatient services are screened for, and offered interventions to reduce, alcohol and tobacco use. 80% of inpatients must be screened. 90% of smokers and above low risk alcohol users must be offered an appropriate intervention.

CCG7: Actions to prevent hospital falls

80% of community patients, aged 65 or older with a length of stay greater than 48 hours must receive three key falls prevention actions:

• Lying and standing blood pressure recorded at least once
• No hypnotics, antipsychotics or anxiolytics given during the stay OR rationale documented
• Mobility assessment to take place within 24 hours of admission and if required a walking aid to be provided within 24 hours of admission

Local: Falls assessment pathway

To create a network of falls assessors across a range of organisations including healthcare, housing and residential services, the emergency services and the voluntary/charitable sector

Local: Improving continence care in residential home

To improve the number of annual continence reviews undertaken for patients in residential homes who require continence products. An audit will be undertaken to assess of the quality of continence care in the homes and inform future actions.