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Trusts offered bonuses for good performance on pressure ulcers

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NHS trusts will be able to earn payments next year based on their performance against a “bundle” of nursing indicators on preventable harm, with particular focus on pressure ulcers.

The DH today published its operating framework for the NHS in England during the next financial year, beginning in April. The document sets out the government’s priorities for the health service during 2012-13 and how they should be achieved.

The framework provides details on how the Commissioning for Quality and Innovation payment framework will change next year. CQUIN was introduced in 2009-10 and links a proportion of trusts’ income to the achievement of both national and locally agreed quality improvement goals.

At present, the payment framework includes two national goals on venous thromboembolism risk assessment and on responsiveness to personal needs of patients. Both of these will remain in place next year, the operating framework said.

But it said they would be joined by two more national goals – one on improving diagnosis of dementia in hospitals and one to incentivise use of the “NHS safety thermometer”.

The safety thermometer is a tool that allows trusts to measure harm in four key areas – pressure ulcers, urine infection in patients with catheters, falls and VTE – and the proportion of patients that are “harm free”.

The framework said: “The CQUIN scheme will reward submission of data generated from use of the NHS Safety Thermometer. While all data collected through the Safety Thermometer will be published, there will be a particular emphasis on pressure ulcer prevalence data, which will be presented alongside pressure ulcer data from Hospital Episode Statistics and national incident reporting for all providers.”

In 2012-13 trusts will be able to earn CQUIN payments worth up to 2.5% of their budget, compared with 2% this year. The incentive payment is on top of the money they receive to run services.

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Readers' comments (1)

  • Ooh, why just trusts? Can I get a nice bonus in my pay packet for saving a life? How about a few hundred quid for comforting a grieving relative?


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