Agenda item

An A3 copy of Appendix 1 will be tabled at the meeting.

A report on Quality Premium Indicators (QPI) was presented for the Board’s attention. The report author was Sonia Colwill, Director of Quality and Governance, Bromley CCG, and the verbal update on the report was provided by Dr Angela Bhan.

It was explained that a QPI was a possible payment made by NHS England to Bromley CCG as a reward to reflect the quality of the services that they commission. The potential value of the QPI for Bromley CCG was £1.6m, payable non recurrently, in Q3 2016/17. The report was presented to the HWB as the Board had to agree the proposed QPI’s in conjunction with the CCG. The indicators had to be sufficiently challenging to be agreed by NHS England.

Dr Bhan directed Members’ attention to the summary section of the report (section 19). The QPIs were divided into national and local initiatives.

National Priorities:

1) Reducing Premature Mortality

2) Improvements in Urgent and Emergency Care

·  Achieving reductions in avoidable admissions

·  Increasing the level of discharges at weekends and Bank Holidays

·  Reducing NHS responsible delayed transfers of care

3) Improvements in Mental Health Care

·  Reduction in the number of patients with A&E 4 hour breaches who have mental health needs

·  Improvements in the health related quality of life for people with mental health needs

·  Reduction in the number of people with mental health needs who are smokers

·  Increase the number of adults with secondary mental health needs who are in paid employment

4) Patient Safety to be enhanced by improving antibiotic prescribing

Dr Bhan informed Members that the national priorities had been agreed.

Dr Bhan next highlighted the two local measures that had been suggested, and asked if the HWB agreed to the suggested local priorities. These were to improve the diagnosis rate for those suffering with dementia, and to enhance patients’ experience of hospital care.

The Vice Chairman enquired if dementia support pathways were in place. Dr Bhan answered that £1m had been earmarked to improve Memory Clinics and other support measures. This had been jointly agreed between the CCG and LBB. A Member stated that it would be important to utilise the resources of the voluntary sector. Another Member commented that the rate of dementia diagnosis was good, but that increasing numbers of referrals were creating pressures.

A Member queried why there was a reference to mental health and smoking. Dr Parson responded that there was a high correlation between smoking and those with mental health issues; this in turn would lead to the development of other diseases.

The Board were also reminded that due to the problems of antibiotic resistance, the prescribing of antibiotics had to be appropriate.

RESOLVED that:

1)  the report on Quality Premium Indicators 2015/16 be noted

2) the National QPI’s be agreed by the Health and Wellbeing Board

3) the two local measures be agreed by the Health and Wellbeing Board

4) the Health and Wellbeing Board agree the proposed weightings for the two composite indicators of Urgent and Emergency Care and Mental Health