Radical changes to provider quality obligations

NHS England is proposing a root-and-branch overhaul of the incentives, rewards and sanctions currently imposed on providers of NHS services under the NHS Standard Contract. This review will inform the 2014–15 planning round and may lead to more radical changes being introduced in the 2015–16 contract such as the scrapping of sanctions and Commissioning for Quality and Innovation (CQUIN) and their replacement by a new ‘pay-for-performance’ regime.

NHS England has circulated to NHS commissioners and providers a discussion paper on improving the existing incentives to support providers and commissioners to get the best value out of their commissioning contracts in the context of tighter financial constraints.

It is not just about the NHS Standard Contract though, it is also about how that document works in the wider context of the national tariff (ie, Payment by Results) the Quality Premium and the Quality and Outcomes Framework…

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