EXIT Route To be agreed locally Milestones Date/period milestone relates to Rules for achievement of milestones (including evidence to be supplied to commissioner) Date milestone to be reported Milestone weighting (% of CQUIN scheme available) Quarter 1 Review and develop Protocols for Screening, Assessment and Pathways for Depression in Older Adults. End Q1 10% Quarter 2 Protocols for Screening, Assessment and Pathways for Depression in Older Adults are in use End Q2 10% Quarter 3 Undertake Audit End Q3 10% Quarter 4 Review outcome of the Audit, develop an action plan and implement; results of audit and report on action plan to be shared with commissioners End Q4 10%
12. Mental health of people with long term conditions Indicator name Improvement of screening for common mental health disorders among inpatient admissions of people with long-term conditions (LTCs) Indicator weighting (% of CQUIN scheme available) To be agreed locally Description of indicator There are three parts to the indicator: Proportion of patients admitted to hospital with an LTC and known depression OR to whom depression screening is applied; Proportion of patients with known depression OR identified as potentially having depression, who are appropriately assessed; Proportion of appropriately assessed LTC patients with a positive or inconclusive diagnosis of depression, who are subsequently given further appropriate care Numerator Screen The number of service users with LTC and known depression or to whom depression screening is applied following admission to hospital Assess
Involving a family from the moment of admission to hospital until the moment of discharge has been proved to give better quality of care and improved outcomes. The family Carer can provide insight, facilitate communication (and informed consent) and ensure continuity of care. Data source Data will be collected through records maintained on local systems (please refer to Guidance Notes below). Frequency of data collection Survey of carers will be undertaken in line with the requirements of the Standard Contract. Frequency of the data on the proportion of carers who have been provided with information on John’s Campaign policy is to be determined locally. Organisation responsible for data collection Provider organisations - Acute hospital and Mental Health hospital providers. Frequency of reporting to commissioner Survey of carers will be undertaken in line with the requirements of the Standard Contract. Frequency of the data on the proportion of carers who have been provided with information on John’s Campaign policy is to be determined locally. Baseline period/date Q1 2016/17 Baseline value To be determined on baseline collection in Q1 2016/17 Final indicator period/date (on which payment is based) End of Q4 2016/17 Final indicator value (payment threshold) To be agreed locally on a stretching but realistic level of improvement from the baseline value. Final indicator reporting date April 2017
Are there rules for any agreed in-year milestones that result in payment? Yes; Milestones covering appropriate steps taken by providers to tackle key issues shown to be determinants of clinical outcome; see below Are there any rules for partial achievement of the indicator at the final indicator period/date? Only for 3b – IAPT recovery rate. See partial payments table below Milestones Date/period milestone relates to Rules for achievement of milestones (including evidence to be supplied to commissioner) Date milestone to be reported Milestone weighting (% of CQUIN scheme available) Quarter 1 Board-level sign off of implementation plan to ensure that requirements of CQUIN are met, including: appropriate steps necessary to ensure that treatments offered are NICE recommended and evidence based, offered in the appropriate dosage by a trained and accredited workforce End Q1 5%
appropriate steps necessary to ensure that the needs of service users may be appropriately identified and captured as problem descriptors; proactive management of DNA rate. Implementation plan to be shared with Commissioners Quarter 2 Sustainable delivery of implementation plan to ensure that requirements of are met to commence. Progress to be shared with Commissioner; Satisfactory progress to be made towards goals within implementation plan. Start Q2 End Q2 5% Quarter 3 Sample Period for CQUIN metrics End Q3 N/A Quarter 4 Reporting Period for CQUIN metrics Provider Performance against CQUIN Access and Recovery metrics to be assessed in line with CQUIN business rules End Q4 90% Rules for Partial Achievement at Final Indicator Period/ Date Final indicator value for the partial achievement threshold % of CQUIN scheme available for meeting final indicator value