Follow the money: financial incentives for CCGs

If you’re curious about what incentives might be guiding the new health system, this update from the NHS Commissioning Board provides some essential context:

“Financial incentives (quality premium) will be paid to all CCGs that improve or achieve on four national measures and three locally-agreed measures, set with Health and Wellbeing Boards. National measures include: potential years of life lost from causes considered amenable to healthcare; avoidable emergency admissions; the friends and family test; and incidence of healthcare associated infections.”

The ‘friends and family test’ is about whether individuals would recommend services to friends – in other words, a form of customer satisfaction. You can read concerns about it here, and analysis here.

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Hospital blunders investigated by Melanie Hall

Help Me Investigate user Melanie Hall has been using Freedom of Information requests to look at ‘hospital blunders’: serious untoward incidents (SUIs) and ‘never events’. She reports:

“Surgeons operating on the wrong side of the body, swabs left inside patients after surgery and the wrong implant being used were among the blunders happening at NHS health services across England last year”

Overall, her investigation reveals at least 6,000 serious untoward incidents (SUIs) and more than 100 ‘never events’.  Continue reading