Case study: Battle of the CQUINS

Ricky Gellissen
Hepatitis Clinical Nurse Specialist, Imperial College Healthcare NHS Trust, London

Commissioning for Quality and Innovation (CQUIN) national goals was introduced as a system in 2009. It made a proportion of healthcare providers’ income conditional on demonstrating improvements in quality and innovation in specified areas of patient care. This means that a proportion of your NHS trust’s income depends on achieving quality improvement and innovation goals, agreed between your trust and its commissioners. The key aim of the CQUIN framework is to secure improvements in the quality of services and better outcomes for patients.
Working with patients with HIV and hepatitis C can lead to a conflict between meeting the CQUINS and other targets set for the HIV service [1], and those set by NHS England for the treatment of patients with hepatitis C [2], especially when faced with the potential complexity of drug–drug interactions between HIV antiretroviral medications and hepatitis C direct acting antiviral agents, when the available options for both are also governed by CQUIN targets.
Edward (not his real name) is a 41 year old male. English is a foreign language for him, and in addition, he has a physical disability which creates significant communication difficulties and is usually accompanied by a patient advocate who assists with communication issues. Read more…