7. EFFICIENCY AND PRODUCTIVITY
7.1.4 Commissioning for Quality and Innovation
is drawing, to varying degrees across the SHAs, on the US Premier/Centers
for Medical and Medicaid Services work. How much is this costing
the taxpayer and what is the evidence base for such investments?
(Q83)
Answer
1. The Department is not working with Premier
on commissioning for quality and innovation.
2. PCTs and SHAs can choose to work with
partners to support their commissioning, including partners from
the independent sector. The Department does not hold information
on this centrally.
3. There is a specific national mechanism
to ensure quality and innovation form part of local commissioning
discussions. The payment framework for commissioning for quality
and innovation (CQUIN) makes a small proportion of provider income
contingent on locally agreed goals for quality improvement and
innovation. This framework was designed using the evidence and
building on learning from existing schemes, including the US Premier/Centers
for Medicare and Medicaid Services work, but it is not directly
based on the Premier work. The evidence base for linking finance
to quality through the CQUIN payment framework is described in
the published impact assessment.[15]
4. The Department is commissioning an independent
academic evaluation of the CQUIN framework.
15 See: www.dh.gov.uk/en/Publicationsandstatistics/Publications/PublicationsPolicyAndGuidance/DH_091443 Back
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