Several different quality incentive schemes operate in the National Health Service.<\/p>
<\/p>
The Quality and Outcomes Framework is a voluntary pay for performance scheme within the general practitioner contract. It focuses upon improving the care of patients with one or more of 25 long term conditions. In 2018, NHS England undertook and published a Review of the Quality and Outcomes Framework which drew upon published evidence to evaluate its effectiveness and identify opportunities for reform. The recommendations made in the report are the subject of ongoing discussions with the General Practitioners Committee of the British Medical Association.<\/p>
<\/p>
The Commissioning for Quality and Innovation (CQUIN) and Quality Premium schemes are intended to drive improvement by providers, and are administered by clinical commissioning groups and NHS England. The indicators in both are routinely reviewed as part of the NHS Planning Round to ensure that the schemes reflect the latest clinical priorities.<\/p>
<\/p>
CQUIN has demonstrably helped secure improvements in certain areas: e.g. sepsis and venous thromboembolism management, hepatitis C treatment and staff flu vaccinations. However, we are also aware that some indicators have been less impactful, for example where we have pursued complex service changes or goals without a standard implementation method. The schemes are being reviewed with a view to changes in 2019/20.<\/p>"} , "answeringMember" : {"_about" : "http://data.parliament.uk/members/4008", "label" : {"_value" : "Biography information for Dame Caroline Dinenage"} } , "answeringMemberConstituency" : {"_value" : "Gosport"} , "answeringMemberPrinted" : {"_value" : "Caroline Dinenage"} , "dateOfAnswer" : {"_value" : "2018-11-21", "_datatype" : "dateTime"} , "isMinisterialCorrection" : {"_value" : "false", "_datatype" : "boolean"} , "questionFirstAnswered" : [{"_value" : "2018-11-21T14:43:31.11Z", "_datatype" : "dateTime"} ]} , "answeringDeptId" : {"_value" : "17"} , "answeringDeptShortName" : {"_value" : "Health and Social Care"} , "answeringDeptSortName" : {"_value" : "Health and Social Care"} , "date" : {"_value" : "2018-11-13", "_datatype" : "dateTime"} , "hansardHeading" : {"_value" : "Health Services: Standards"} , "houseId" : {"_value" : "1"} , "legislature" : [{"_about" : "http://data.parliament.uk/terms/25259", "prefLabel" : {"_value" : "House of Commons"} } ], "questionText" : "To ask the Secretary of State for Health and Social Care, what assessment his Department has made of the potential effectiveness of quality incentive schemes in improving the quality of care to patients.", "registeredInterest" : {"_value" : "false", "_datatype" : "boolean"} , "tablingMember" : {"_about" : "http://data.parliament.uk/members/4657", "label" : {"_value" : "Biography information for Anneliese Dodds"} } , "tablingMemberConstituency" : {"_value" : "Oxford East"} , "tablingMemberPrinted" : [{"_value" : "Anneliese Dodds"} ], "uin" : "190931"} , {"_about" : "http://data.parliament.uk/resources/41947", "AnsweringBody" : [{"_value" : "Speaker's Committee for Independent Parliamentary Standards Authority"} ], "answer" : {"_about" : "http://data.parliament.uk/resources/41947/answer", "answerText" : {"_value" : "
The information requested falls within the responsibility of the Independent Parliamentary Standards Authority. I have asked IPSA to reply.<\/p>
Letter from Andrew McDonald, 3/10/2014 2013:<\/em><\/p> As Chief Executive of the Independent Parliamentary Standards Authority, I have been asked to reply to your Parliamentary Question asking about IPSA's Contingency Panel.<\/p> In 2012/13 the highest uplift approved by the Contingency Panel was £13,909 and the lowest was £600.<\/p> In 2013/14 to date, the highest has been £17,900 and the lowest £600.<\/p> <\/p> These figures do not include other uplifts to provide cover for staff on maternity, paternity, adoption and long term sick leave.<\/p><\/blockquote> <\/p>"}
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], "questionText" : "To ask the hon. Member for Broxbourne, representing the Speaker's Committee for the Independent Parliamentary Standards Authority, what the (a) highest and (b) lowest uplift allocated to hon. Members' staff expenditure budgets was in (i) 2012-13 and (ii) 2013-14 to date.", "registeredInterest" : {"_value" : "false", "_datatype" : "boolean"}
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