CQUIN - NHS staff health and wellbeing

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CQUIN - NHS staff health and wellbeing
Commissioning for quality and innovation
June 2016
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What is a CQUIN?

• The CQUIN payment framework enables commissioners
  to reward excellence, by linking a proportion of
  English healthcare providers' income to the
  achievement of local quality improvement goals.
• The framework aims to embed quality within
  commissioner-provider discussions and to create a
  culture of continuous quality improvement, with
  stretching goals agreed in contracts on an annual
  basis.
• It makes a proportion of provider income
  conditional on the achievement of ambitious
  quality improvement goals and innovations agreed
  between commissioner and provider, with active
  clinical engagement.

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• Simon Stevens, chief executive of NHS England,
  saysAs the largest employer in Europe, the
  NHS needs to practice what it preaches by
  offering better support for the health and
  wellbeing of our own 1.3 million staff. A good
  place to start, is by tackling the sources of
  staff sickness absence, including mental health
  and musculoskeletal injuries, while doing our bit
  to end the nations obesity epidemic by ditching
  junk food and sugary drinks in place of tasty,
  healthy and affordable alternatives. If we can do
  this well, we hope that more parts of the public
  and private sector will see the sense of it and
  also take the plunge.
• NHS England 2016

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Why is there an increasing national focus on
health and wellbeing?

• The benefits of a healthier workforce to the NHS
  and to individual trusts are becoming
  increasingly clear.
• Improved patient safety and experience.
• Improved staff retention.
• Reinforced public health and prevention messages.
• Setting an example for other industries and
  employers to follow.
• Reduced costs currently sickness absence costs
  the NHS 2.4bn annually.
• NHS England 2016

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The Health and Wellbeing CQUIN

• In March 2016 NHS England announced a health and
  wellbeing CQUIN, linking 0.75 per cent of
  provider income to improving staff health and
  wellbeing.

Introduction of health and wellbeing initiatives
0.25

• Introducing improved mental health initiatives
  using NICE guidance.
• Introducing physical activity schemes.
• Improving access to physiotherapy for those with
  MSK issues.

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Healthy food for NHS staff, visitors and patients

• Submitting data on food suppliers operating on
  NHS premises.
• Banning price promotions on foods high in fat
  sugar and salt (HFSS).
• Banning advertising on HFSS foods.
• Stopping the sale of HFSS foods at checkouts.
• Ensuring healthier meals are available out of
  hours.

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Improving uptake of flu vaccinations

• Achieving an uptake of flu vaccinations by
  frontline healthcare workers of 75 per cent by
  December 2016.

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What is the CQUIN aiming to achieve?

• The CQUIN encourages organisations to
• offer frontline nurses, therapists, doctors, care
  assistants and other staff access to workplace
  physio, mental health support and healthy
  workplace options.
• take action on junk food and obesity by ensuring
  that healthy food options are available for their
  staff and visitors, including those working night
  shifts
• increase the uptake of the flu vaccine for their
  frontline healthcare workers so as to reduce
  sickness absence and protect vulnerable patients
  from infection.
• increase staff vaccination rates from around 50
  per cent to 75 per cent by the end of December
  2016.
• To qualify for the scheme, trusts will be
  required to submit information on their current
  fast food franchises, vending machines and retail
  outlets in preparation for the NHS sugar tax.

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What is the incentive for trusts to participate?

• Trusts will be able to receive a percentage of
  CQUIN funds, which have been allocated to each of
  the three key improvement areas.
• Specifically for flu, this is linked to the
  percentage of frontline healthcare workers that
  have been vaccinated
• If 75 per cent of frontline healthcare workers
  are vaccinated by December 2016, trusts will
  receive 100 per cent of the funds allocated for
  flu.
• If 65-74 per cent of frontline healthcare workers
  are vaccinated, trusts will receive 50 per cent
  of funds allocated for flu.
• The funds allocated to flu will not be paid to
  trusts where vaccination uptake is 64 per cent or
  less.

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Support and resources
A range of tools and resources on developing ways
to support staff health and wellbeing are
available to view on our health and wellbeing
webpages. Examples of health and wellbeing good
practice across England can be found on our case
studies webpage.

• The flu fighter webpages provide advice and
  resources to support a successful flu campaign
  including the seven areas of good practice.
• You can also listen to a recording of the flu
  fighter CQUIN webinar here.

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Contact us

• Jennifer Gardner
• Programme Lead
• E healthworkandwellbeing_at_nhsemployers.og
• W www.nhsemployers.org/healthandwellbeing
• T _at_NHSE_wellbeing

Helen Bogan Programme Lead E
flufighter_at_nhsemployers.org W
www.nhsemployers.org/flu
T _at_NHSflufighter