Indicator 3a comprises two components:
- Inpatient wards and community health services: please find information below
- Early Intervention in Psychosis services: data collection via the National Clinical Audit of Psychosis EIP spotlight audit (pdf)
What are CQUINs?
The Commissioning for Quality and Innovation (CQUINs) payments framework was set up in 2009/2010 to encourage service providers to continually improve the quality of care provided to patients and to achieve transparency. CQUINs enable commissioners to reward excellence, by linking a proportion of service providers' income to the achievement of national and local quality improvement goals.
About the 2018/19 mental health CQUIN
Improving physical healthcare to reduce premature mortality in people with severe mental illness continued to be one of the CQUIN goals for 2018/19. Its aim is to support NHS England’s commitment to reduce the 15 to 20 year premature mortality in people with severe mental illness and improve their safety through improved assessment, treatment and communication between clinicians.
The 2018/19 CQUIN continues to focus on all patients with psychosis, including schizophrenia and bipolar affective disorder, in all inpatient beds in all NHS commissioned sectors, and in community settings.
The 2018/19 CQUIN is the final year of the 2017/19 national CQUIN, CQUIN Guidance on the 2017/19 CQUIN is available from NHSE.
Indicator 3a for inpatient wards and community health services
Services will be required to demonstrate full implementation of appropriate processes for assessing, documenting and acting on cardiometabolic risk factors in patients with psychosis, including schizophrenia.
How services will be supported to collect data for indicator 3a
Our role is to assist services to select a sample of patients for inclusion in the CQUIN and to collect and analyse the data. Services will be given access to a data collection tool and enter data online.
Data will be collected in the following cardiometabolic parameters: smoking status; lifestyle (alcohol and drugs); body mass index; blood pressure; glucose regulation and blood lipids. Services will be required to collect evidence that patients were screened for these measures and where clinically indicated, they were directly provided with, or referred onwards to other services for interventions.
Lester adaptation of the cardiometabolic heath resource
As in the previous years of the CQUIN, physical health parameters and appropriate interventions are set out in the Lester adaptation of the cardiometabolic heath resource (pdf).
Rethink Mental Illness developed a toolkit of resources to support the mental health CQUIN. It contained their Integrated Physical Health Pathway, endorsed by the Royal Colleges of GPs, Nursing and Psychiatrists, the Physical Health Check tool, the SARIT (Self-Assessment of Readiness for Implementation tool), information sheets and practical resources to help staff implementing the CQUIN.