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Bedfordshire and Luton Mental Health and Social Care Partnership NHS Trust CQUIN scheme PATIENT SAFETY

[Performance] Risk assessment tool - Use of recommended Risk Assessment tool by DH (Best Practice in Managing Risk June 2007) [Data] Safeguarding of vulnerable adults - Data collection on pts referred to SOVA panel: Outcome; Postcode; Ethnicity; Reported by.

PATIENT EXPERIENCE [Data] Increase patient satisfaction and patient experience - increase in lowest scoring area by Q4; improved percentile and above on hospitals aggregate scores for NPSA; 2 wards participating in Releasing time to care The Productive Ward programme to improve in all areas and achieve all metrics

EFFECTIVENESS OF CARE [Performance] Crisis Resolution and Home Treatment Teams Early Intervention Access - 4 hr referral and 14 day access achievement [Data] Compulsory/voluntary admission data - collect baseline data to establish numbers of service users by ward area;

INNOVATION [Other] Physical needs - Assessment of the extent to which patients' physical care needs are met [Performance] Care programme approach - used for all CAMH service users who are admitted as an inpatient to a ward.

NOTES 1. CQUIN goals have been classified under Patient Safety, Patient Experience, Effectiveness and Innovation for consistency and convenience of comparison, but it is acknowledged that this is to some extent subjective in a number of cases, and that some CQUINs address more than one quality aspect, particularly: i. PROMs - classified under Effectiveness, but also contribute to Patient Experience ii. Contributing to national databases - classified under Effectiveness but also contribute to Safety etc Some goals do not easily fit into a quality dimension category, but have generally been considered to contribute to effectiveness of care. 2. Where innovative schemes that also address other quality aspects have been included, these are all classified under Innovation to aid identification of innovative practice. What constitutes "innovative" practice may be open to debate, and thus classification may differ from PCTs' own. 3. Grouping and presentation of individual schemes may differ from the way they are presented in contracts in order to achieve consistency across all schemes. 4. CQUIN schemes have been divided into i. [Performance] those setting performance targets ii. [Data] those incentivising data collection only iii. [Other] other quality initiatives Some schemes include multiple initiatives, and the overall scheme has been classified as setting performance targets if a subset of the initiatives do. Proportions setting targets should thus be regarded as approximate. 5. CQUIN scheme content based on version forwarded by PCTs during April and May 09. Some schemes were still draft at this point, but have not been amended where no update on the finalised version was received.

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