Quality Account 2010/11 - James Paget University Hospitals
Quality Account 2010/11 - James Paget University Hospitals
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