AH ANNUAL REPORT 2018

2.2.6 Use of the Commissioning for Quality and Innovation (CQUIN) Payment
Framework
A proportion of Alder Hey Children’s NHS Foundation Trust’s income in 2017/18 was conditional on achieving quality
improvement and innovation (CQUIN) goals agreed between Alder Hey and any person or body they entered into a
contract, agreement or arrangement with for the provision of relevant health services through the Commissioning for
Quality and Innovation payment framework. During 2017/18, these commissioning bodies were Liverpool CCG and
consortia North West CCG partners for non-specialist services and NHS England for specialist services.
For 2017/18 the baseline value of CQUIN was £3.4 million which was 2.0% of our NHS England and CCG contract.
This means that if Alder Hey did not achieve an agreed quality goal, a percentage of the total CQUIN money would
be withheld. For 2017/18, Alder Hey expects to receive 97.2% CCG contract CQUIN money, with the amount withheld
reflective of failure to deliver full compliance with part 2b of the sepsis CQUIN for Quarters 1-4. The Trust has agreed
a contract settlement with NHS England within which no money was withheld for CQUIN failed targets. However there
are a number of NHS England CQUIN targets which carry significant risk that will need to be managed in 2018/19.
The tables below reflect the position as at Quarter 3, as the Quarter 4 position is not fully validated at the time of
publication, although this is not expected to change in Quarter 4.
National / Local Commissioner CQUINs 2017/18
Indicator Indicator Description Target Weighting Financial
Value
Health & Wellbeing
a. Improvement of
health & wellbeing of
NHS staff
5% point
improvement in
2 out of 3 staff
survey questions
Quarter 3
Performance
0.083% £39,047 To be
evaluated in
Quarter 4
b. Healthy food for NHS
staff, visitors & patients
c. Improving the uptake
of flu vaccinations in
frontline clinical staff
Introduce required
healthy food
changes
70% front line
clinical staff
vaccinated
0.083% £39,047 To be
evaluated in
Quarter 4
0.083% £39,047 To be
evaluated in
Quarter 4
AMR & Sepsis
a. Timely identification
of sepsis in ED and
acute inpatient setting
b. Timely treatment of
sepsis in ED and acute
inpatient settings
90% 0.063% £29,285 Achieved
90% 0.063% £29,285 Partially
achieved
c. Antibiotic review 90% cases in
review
0.063% £29,285 Achieved
Advice & Guidance
d. Reduction in
antibiotic consumption
per 1,000 admissions
Set up & operate A&G
services for nonurgent
GP referrals,
allowing GPs to access
consultant advice prior
to referring patients in
to secondary care
Reduction 0.063% £29,285 Achieved
Submit reports 0.25% £117,140 Achieved
Alder Hey Children’s NHS Foundation Trust 99
Annual Report & Accounts 2017/18