3 million lives

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CQUIN pre-qualification requirement
Innovation, Health and Wealth committed that:
“From April 2013, compliance with the High Impact
Innovations will become a pre-qualification requirement
for CQUIN.”
(Innovation , Health and Wealth – accelerating adoption and diffusion in the NHS, December 2011)
Six High Impact Innovations
•
3 million lives – accelerate use of assistive technologies… aiming to improve >3 million lives
over 5 years;
•
Oesophageal Doppler Monitoring (ODM) – launch a national drive to get full implementation
of ODM, or similar fluid management monitoring technology into practice;
•
Child in a chair in a day – launch a programme to transform delivery of wheelchair services
throughout the NHS;
•
International and commercial activity – require NHS organisations to work with the NHS
Improvement Body supported by UKTI to explore opportunities to increase national and
international healthcare activity;
•
Digital by default – require the NHS to work towards reducing inappropriate face-to-face
contacts and to switch to higher quality, more convenient, lower cost alternatives;
•
Carers for people with dementia – require the NHS to commission services in line with
NICE/SCIE guidance on supporting people with dementia
How will prequalification work?
• Pre-qualification applies to all providers on the NHS contract
• Providers have to meet each of the pre-qualification criteria before CQUIN payments
can be made in 2013-14 i.e. pre-qualification is different from, and separate to,
2013-14 CQUIN schemes (national, regional or local)
• The majority of organisations should ultimately achieve the prequalification criteria
• Work is on going to define the progress that commissioners need to see from all
providers on the NHS contract in implementing the 6 High Impact Innovations.
• This progress must be demonstrated before CQUIN payments may be made to those
organisations during 2013-14
Notes
1. CQUIN will account for 2.5% of budget in 2013-14
2. Deadline for establishing progress/pre-qualifying – likely to be end March 2013
3. Criteria will be sufficiently testing that organisations are obliged to work on this during 2012-13 but not so
testing that many/most fail?
4. High impact innovations may become a CQUIN in year 2- Six more innovations being identified – may
become a rolling process
Which types of organisation do the six
High Impact Innovations apply to?
Innovation
3 million lives
ODM
Acute provider
Community provider



n/a
n/a





n/a

Child in a chair in a day
International &
commercial activity
Digital by default
Carers for people with
dementia
IOFMT CQUIN
Workstream
aims
Measuring
progress –
current
thinking
• Improve uptake of Intra Operative Fluid Management Technologies for
appropriate surgical procedures and help reduce length of stay and mortality
•
Possible to track sales of probes or other kit used as a proxy for uptake
•
Possible to track reductions in length of stay for a range or basket of
appropriate procedures, effectively measuring the impact of compliance
•
Basket of procedures (OPCS codes) in which IOFMT has good evidence and
expectation of ?% implementation
•
Formulation of OPCS code for IOFMT
Timeline for implementation
April ‘12
• Establish and
hold first
meeting of
T&FG
May ‘12
• Discuss and
agree
metrics with
workstream
June ‘12
July ‘12
March ‘13
• Finalise detail of
pre-qualification
criteria
• Release prequalification
proposal to
providers
• Final proposal
included in NHS
planning
guidance for
13-14
• CQUIN
prequalification
measurement
Any questions?
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