Case Studies

National review into maternity care, children and young people’s services using Commissioning for Quality and Innovation schemes (CQUINs)


CHALLENGE

NHS Five Year Forward View sets out NHS England’s ambition to shift the NHS from a service led model of delivery to a patient centred model. Simon Stevens, Chief Executive of NHS England, wants to see a proportion of the payments made to NHS providers based on how children, young people and adults describe the quality of the service that they have received.

Commissioning for Quality and Innovation schemes (CQUINs) and other financial incentives have been used at a national and local level to incentivise providers to deliver improvement in maternity, children and young people’s services over a number of years. NHS England was keen to understand how effective they had been in improving experience in maternity, children and young people’s services.

We were commissioned to undertake a review across England and publish the findings in a national report to inform a wider review into the use of CQUINs to improve both the quality and experience of services.

SOLUTION

Our team engaged with CCGs, NHS Providers and NHS England Regional and Area Teams across England to understand how CQUINs and other financial incentives were being used and their impact on improving experience in maternity, children and young people’s services. The review included commissioning the University of Kent’s Centre for Health Services Studies to undertake a literature review on the use of CQUINS and other financial incentives.

RESULT

We published “Using incentives to improve experience in maternity, children and young people’s services” in July 2015 and NHS England used the national report along with others relating to adult mental health services and adult learning disability services to inform their national review into the use of CQUINs at a national and local level. NHS England also used the national report as part of the evidence to support the national review into maternity care.

Stacey McCann, Assistant Head of Commissioning at NHS England, said: “It is a really easy read and a very informative and useful piece of work.

“I like the approach that they have taken and particularly like the focus on the future on the development of new ways of working. It sets the scene for the future commissioning of children, young people and maternity services supported by CQUINs.”

Download as PDF »