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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 Quarter 3
Value Performance

Health & Wellbeing a. Improvement of 5% point 0.083% £39,047 To be
health & wellbeing of improvement in evaluated in
NHS staff 2 out of 3 staff Quarter 4
survey questions

b. Healthy food for NHS Introduce required 0.083% £39,047 To be
staff, visitors & patients healthy food evaluated in
changes Quarter 4

c. Improving the uptake 70% front line 0.083% £39,047 To be
of flu vaccinations in clinical staff evaluated in
frontline clinical staff vaccinated Quarter 4
AMR & Sepsis a. Timely identification 90% 0.063% £29,285 Achieved
of sepsis in ED and
acute inpatient setting

b. Timely treatment of 90% 0.063% £29,285 Partially
sepsis in ED and acute achieved
inpatient settings

c. Antibiotic review 90% cases in 0.063% £29,285 Achieved
review

d. Reduction in Reduction 0.063% £29,285 Achieved
antibiotic consumption
per 1,000 admissions

Advice & Guidance Set up & operate A&G Submit reports 0.25% £117,140 Achieved
services for non-
urgent GP referrals,
allowing GPs to access
consultant advice prior
to referring patients in
to secondary care

Alder Hey Children’s NHS Foundation Trust 99 Annual Report & Accounts 2017/18