CQUIN - Commissioning for Quality and Innovation

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'CQUIN should be scrapped or overhauled', say local leaders

A national payment system which rewards improvements in clinical quality and transformation should be scrapped or radically overhauled, local leaders have argued.

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Hospitals must use new 'early warning score' or risk losing income

NHS hospitals must roll out a new “early warning score” across all their wards following a change to a key national target – or they risk losing income.

Heart monitor

Trust income tied to adoption of new early warning system

NHS hospitals will have a proportion of their income tied to the adoption of a new national early warning score, which could help save thousands of lives, HSJ has learned.

York Hospital

Regional leaders plan hospital contract shake-up

Regional health leaders are drawing up plans to abandon payment by results based on national tariffs and move to a cost and risk based contract for acute providers, along with an STP-level control total.

money efficiency

Extra mental health cash 'must not be used to bail out other services'

New funding for transforming mental health services must not be used to balance the books in other services or plug deficits and savings need to be reinvested back into the sector, NHS England has said.

CT scanner

'Block payment' plan for outpatients scaled back

Plans to reduce inappropriate outpatient follow-ups by introducing a block payment system from 2017-18 have been scaled back by NHS England.

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Planning guidance: Funding to shore up NHS deficits will continue until 2019

A further £3.6bn of “sustainability funding” will be used to plug NHS provider deficits over the next two financial years, according to NHS planning guidance published today.

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NHS Improvement alert aims to improve acute kidney injury care

A patient safety alert has been issued by NHS Improvement to help NHS providers better recognise and treat acute kidney injury, which causes more than 13,000 preventable deaths a year.

Calendar

Two-year operational plans to be submitted by December

Local NHS organisations will be expected to agree two-year operational plans by the end of December, national leaders have said.

Jim Mackey

Exclusive: Mackey intervenes in escalating contracts row

The chief executive of NHS Improvement has stepped into the burgeoning row over contracting for 2016-17, saying commissioners that have made “unrealistic” offers have until Friday to come up with new proposals.

Deficit

Exclusive: NHS England puts provider rescue plan at risk, teaching hospitals warn

Angry teaching hospitals have warned that new conditions imposed by NHS England on quality incentive payments put efforts to bring the provider sector into the black at risk.

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CCGs to be paid for improving GP appointment access

Financial incentives for commissioners to improve mental health care will be dropped next year and replaced partly by a new measure aimed at improving GP access.

Stressed office worker

Trusts must reduce staff stress to get bonus payments

NHS providers will be expected to reduce stress and musculoskeletal problems among their staff to access incentive payments next year.

Imperial College London

Updated: Rollover tariff trusts expect massive deficits

Several large hospital trusts that rejected the voluntary tariff agreement have predicted huge swings in their financial position for 2015-16.

Money

Monitor readies itself to refer tariff row to CMA

Monitor’s pricing team are readying themselves to be able to refer rejected tariff proposals for 2015-16 to the Competition and Markets Authority as soon as next month, should the regulator’s board decide to do so.

Surgery

Tougher penalties under new NHS contract

Penalties for breaching referral to treatment targets have been toughened up to try to bring down waiting lists, in the final standard contract issued by NHS England, but sanctions for accident and emergency and elective treatment breaches have been reduced.

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Exclusive: NHS England offered £124m fund to tariff objectors

NHS England offered a group of trusts access to a £124m fund on the condition they dropped their opposition to its latest tariff offer, HSJ can reveal.

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Trusts mull legal challenge against CQUIN cut, sources say

A number of trusts are taking legal advice about the potential to challenge Monitor and NHS England’s decision to withhold their commissioning for quality and innovation payments.

Cardiac surgery

Updated: Majority of providers opt for 'voluntary' tariff option

The vast majority of NHS providers have accepted NHS England and Monitor’s offer of a ‘voluntary’ tariff for 2015-16, it has been announced, but the country’s biggest teaching hospital trusts have rejected the deal.

Savings must be found without any additional transitional finance to help establish new services

Trusts go to the wire on voluntary tariff offer

A significant number of providers are still yet to decide whether to accept NHS England and Monitor’s offer of a ‘voluntary’ tariff for 2015-16, with just a day to go until the offer expires, HSJ has been told.