CQUIN Table 3: Detail of indicator (to be completed for each indicator) Indicator number Indicator name Indicator weighting (% of CQUIN scheme available) Description of indicator Numerator Denominator Rationale for inclusion

5

Frequent attendees to ED known to mental health services (CPA) 0.129% Reviewing care plans for frequent attendees to ED who are under the care programme approach A local pilot project on crisis models of care identified a number of issues relating to people presenting with mental health problems at A+E without a physical health need People with severe mental health problems frequently using A+E should be identified, and supported to develop alternative sources of help when experiencing mental health crisis where appropriate

Data source Frequency of data collection Organization responsible for data collection Frequency of reporting to Commissioner Baseline period/date Baseline value Final indicator period/date (on which payment is based) Final indicator value (payment threshold) Rules for calculation of payment due at final indicator period/date (including evidence to be supplied to Commissioner)

NELFT Quarterly NELFT Quarterly Q1 13/14 Q4 13/14

Q1- Mental health trusts agree with Acute Trust a process for identifying those who use their services who also frequently attend ED departments with mental health issues on a monthly basis. To agree definition of frequent attendees with Commissioner. Report and data to be provided to the commissioners Mental Health Trust to liaise with Acute Trusts

around provision of A&E data from their PAS systems Q2 Mental health trusts to agree a process for appropriate sharing of crisis plans with partner agencies, with the service user agreement, agreed confidentiality and governance safeguards, to sign off with commissioners Mental health trusts to review the crisis plans of 20% of the identified service users and negotiate and agree appropriate future crisis management, and share with Acute trust where agreed appropriate to do so.. Q3- Mental health trusts to review the crisis plans of 70% of the identified service users and negotiate and agree appropriate future crisis management, and share with Acute trust where agreed appropriate to do so. Q4- Mental health trusts to review the crisis plans of 90% of the identified service users and negotiate and agree appropriate future crisis management, and share with Acute trust where agreed appropriate to do so. To produce report outlining impact of crisis plan review on further presentation to ED for patients reviewed, including service user characteristics, socio demographics…age, gender, ethnicity, the nature of the crisis presentations number of crises and times i.e. mostly day/ night/ weekend Final indicator reporting date Are there rules for any agreed in-year milestones that result in payment Are there any rules for partial achievement of the indicator at the final indicator period/date?

yes no

CQUINTable 4: Milestones (only to be completed for indicators that contain in-year milestones) Goal No.

Indicator No.

Date/period milestone relates to

Rules for achievement of milestones (including evidence to be supplied to Commissioner)

Date milestone to be reported

5

Q1

Q1- Mental health trusts agree with Acute Trust a process for identifying those who use their services who also frequently attend ED departments with mental health issues on a monthly basis.

July 31st

Milestone weighting (% of CQUIN scheme available) 25%

To agree definition of frequent attendees with Commissioner. Report and data to be provided to the commissioners Mental Health Trust to liaise with Acute Trusts around provision of A&E data from their PAS systems Q2

Mental health trusts to agree a process for appropriate sharing of crisis plans with partner agencies, with the service user agreement, agreed confidentiality and governance safeguards, to sign off with commissioners

October 30th

25%

Q3

Q4

Mental health trusts to review the crisis plans of 20% of the identified service users and negotiate and agree appropriate future crisis management, and share with Acute trust where agreed appropriate to do so. Mental health trusts to review the crisis plans of 70% of the identified service users and negotiate and agree appropriate future crisis management, and share with Acute trust where agreed appropriate to do so.. Mental health trusts to review the crisis plans of 90% of the identified service users and negotiate and agree appropriate future crisis management, and share with Acute trust where agreed appropriate to do so.

January 30th

25%

April 30th

25%

Total:

100%

To produce report outlining impact of crisis plan review on further presentation to ED for patients reviewed

CQUIN Table 5: Rules for partial achievement at final indicator period/date (only complete if the indicator has rules for partial achievement at final indicator period/date) Goal No.

   

Indicator No.

Final indicator value for the part achievement threshold

% of CQUIN scheme available for meeting final indicator value