nhs england update on progress - university of bristol · • nhs funded providers report against...
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NHS England update on progress
Dominic Slowie National Clinical Director, Learning Disabilities
Matthew Fagg Deputy Director, Reducing Premature Mortality
28th March 2014
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What do we know? How long have we known?
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E + R = O
Event + Response = Outcome
How much does policy and law change
things?
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It's in the outcomes framework.....so what?
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• Payment to CCGs
for improvement
in quality of
services
commissioned
• Four national,
three local
measures
Standard
contract
• Set nationally
• Used by
commissioners as
basis for provider
contracts
NICE Quality
Standards • Define high quality
care
• Based on evidence-
based guidelines
Quality Accounts • NHS funded providers
report against set of
quality indicators
Quality
Premium
Commissioning guidance
and resources
• Statutory commissioning
guidance
• Best practice
commissioning advice
• Practical commissioning
tools
QOF
• Payment
mechanism
to GPs for
quality care
against set
of indicators
• 2.5% of
contract
income for
providers
• Small number
set nationally;
more set locally
CQUINs Tariff (and best
practice tariff)
•Fixed prices for
hospital procedures
•Best practice – to
incentivise high
quality care
Clinical audit • Measures care against
clinical best practice
standards
CCG Outcomes Indicator
Set • Allows CCG to benchmark
against others and assess
progress
Levers
available to NHS England
to influence NHS
outcomes
Bringing clarity to quality Measuring and publishing
quality
Rewarding quality
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Improving the Evidence Base
• LD Mortality Review Function – making case for funding
• We need to make links to:
• Planned case note review of hospital deaths – from 2015;
• Quality Surveillance Groups
• Data linkage.......Professor Gyles Glover and Netta Hollings have a plan.
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Coalition for Collaborative Care
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Progress
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Katie Waring
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"We do absolutely everything in
our power to safeguard and
provide the highest quality of care
that we possibly can.....
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Are we protecting Mia?
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What can you influence?
• CCG
• Learning Disability Self Assessment Framework
• Health and Well-being Board
• Trust Boards and Governors
How?
• Ask questions
• Letters, emails, phone calls
• Learning Disability Self Assessment Framework
• Health and Well-being Board
• Trust Boards and Governors