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 i.e. pre-qualification is different from, and separate to, 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 Notes 1.CQUIN will account for 2.5% of budget in Deadline for establishing progress/pre-qualifying – likely to be end March Criteria will be sufficiently testing that organisations are obliged to work on this during 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? InnovationAcute providerCommunity provider 3 million lives ODM n/a Child in a chair in a day n/a International & commercial activity Digital by default Carers for people with dementia n/a

Workstream aims Improve uptake of Intra Operative Fluid Management Technologies for appropriate surgical procedures and help reduce length of stay and mortality Measuring progress – current thinking 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 IOFMT CQUIN

Timeline for implementation April ‘12May ‘12 June ‘12July ‘12 Establish and hold first meeting of T&FG Discuss and agree metrics with workstream Finalise detail of pre-qualification criteria Release pre- qualification proposal to providers Final proposal included in NHS planning guidance for Release pre- qualification proposal to providers Final proposal included in NHS planning guidance for CQUIN prequalification measurement March ‘13

Any questions?