Huddersfield's NHS has been offered a £1.2m bonus to improve local health services.
But Greater Huddersfield Clinical Commissioning Group may have already lost a quarter of the cash after its hospitals missed their A&E turnover target.
The CCG, which commissions NHS services in Huddersfield, has been offered a £1.2m ‘quality premium’ – equivalent to £5 per head – for 2016/17.
To earn 70% of this cash the trust must:
- diagnose 60% of cancer patients at stage one and two;
- achieve 85% satisfaction rate in GP patient survey;
- make 80% of referrals by email and other electronic means;
- reduce the amount of antibiotics prescribed.
To earn the other 30% the CCG has also agreed to improve three areas in which it is performing below average.
The CCG must:
- reduce fall-related admissions by 5% (58 admissions);
- admit 15% more people to mental health services and ensure 90% of those patients finish their treatment;
- reduce avoidable admissions by 3.5% (100 admissions).
But CCG chiefs revealed concern that a quarter of the bonus payment could be lost because Huddersfield Royal Infirmary and Calderdale Royal Hospital, Halifax, had failed to meet their A&E turnover targets.
Hospitals must admit, transfer or discharge 95% of A&E patients within four hours of their arrival at the department.
In February, just 89.4% of patients at both hospitals were seen within four hours, according to figures from NHS England.
Introducing the report at a CCG board meeting, performance manager Natalie Ackroyd, said: “There is concern the 95% threshold won’t be confirmed for 2016/17.”
And the CCG may lose the remainder of its quality premium if providers:
- fail to treat cancer patients within 62 days of their referral;
- fail to treat patients within planned care within 18 weeks of their referral;
- miss ‘red 1’ ambulance targets; ambulances must reach top-level emergencies within eight minutes.
The premium may also be forfeited if a provider is the subject of enforcement action by the Care Quality Commission or other regulators.
Some of the cash may, however, be awarded to fix a ‘serious quality failure’.