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Quality Account 2010/11 - James Paget University Hospitals

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No<br />

Commissioning for<br />

<strong>Quality</strong> and Innovation<br />

(CQUIN)<br />

CQUIN GOAL<br />

CQUIN INDICATOR<br />

Achieving<br />

Not Currently Achieving<br />

On Plan to Achieve<br />

Area of Concern<br />

19 Preventable strokes<br />

20<br />

21<br />

Stroke - managing high<br />

risk TIA patients<br />

Stroke - Direct<br />

admissions to stroke<br />

ward<br />

22 Stroke - Access to CT<br />

23 Demand Management<br />

The number of these patients who were<br />

discharged on anticoagulation or with a<br />

date to commence anticoagulation via<br />

anticoagulation team documented on<br />

discharge summary<br />

Management of high risk TIA patients -<br />

Clinic Appointment<br />

Timely access to acute stroke units<br />

prevents death and increases<br />

independence<br />

Access to timely imaging for eligible<br />

patients admitted having had a stroke<br />

Development and implementation of<br />

demand management initiatives and<br />

pathway redesign across primary,<br />

secondary, community and social care<br />

sectors<br />

Proportion of patients<br />

presenting with stroke with<br />

AF anti-coagulated on<br />

discharge or with clear<br />

plans documented in the<br />

discharge communication<br />

to commence<br />

anticoagulation at a<br />

clinically appropriate time<br />

post discharge<br />

Number of High Risk TIA<br />

patients investigated and<br />

treated within 24 hours of<br />

first NHS contact excluding<br />

those admitted<br />

Patients admitted within 4<br />

hours to the stroke unit<br />

Eligible patients admitted<br />

having had a stroke who<br />

receive CT within 60<br />

minutes of admission<br />

Leading and working on<br />

acute trust elements of the<br />

pathway in partnership with<br />

all key stakeholders<br />

A proportion of <strong>James</strong> <strong>Paget</strong> <strong>University</strong> <strong>Hospitals</strong> NHS Foundation Trust’s income in<br />

<strong>2010</strong>/<strong>11</strong> was conditional on achieving quality improvement and innovation goals<br />

agreed between <strong>James</strong> <strong>Paget</strong> <strong>University</strong> <strong>Hospitals</strong> NHS Foundation Trust and any<br />

person or body entered into a contract, agreement or arrangement with for the<br />

provision of NHS services, through the Commissioning for <strong>Quality</strong> and Innovation<br />

payment framework.<br />

<strong>James</strong> <strong>Paget</strong> <strong>University</strong> <strong>Hospitals</strong> NHS Foundation Trust<br />

<strong>Quality</strong> <strong>Account</strong> <strong>2010</strong>/<strong>11</strong> Page 16 of 62

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