The NHS Quality Premium is a financial reward paid to Clinical Commissioning Groups for improvements in the quality of the services commissioned and for associated improvements in health outcomes and reducing inequalities. The Quality Premium is awarded based on the CCG's performance against a range of nationally determined measures and rewards CCGs for improved outcomes from commissioned services against the main objectives of the NHS Outcomes Framework and the CCG Outcomes Indicator Set:

  • Reducing premature mortality
  • Enhancing quality of life for people with long-term conditions
  • Helping recovery after acute illness or injury
  • Improving patient experience
  • Ensuring patient safety

Quality premium payments can be used by the CCG to secure improvements in:
a) the quality of health services; or
b) the outcomes achieved from the provision of health services; or
c) reducing inequalities between patients in terms of their ability to access health services or the outcomes achieved.

In 2014/15 Surrey Heath CCG received £220,000 as its Quality Premium payment. The CCG invested the money in local GP Practices in the following way:

  1. Mobile Working Solutions
    GPs now have the benefit of mobile working through accessing the clinical patient record on a remote tablet device. The device can be taken out of the surgery and this is particularly important for undertaking home visits to patients in their own home or residing in residential or nursing homes. The details in the patient record can be viewed by the GP and updated to capture the information in situ. This will reduce duplication and omission and improve continuity of care for the patient.

  2. Improving Quality in GP Practices
    All providers of healthcare are assessed and rated by the Care Quality Commission (CQC) on a 3 yearly basis. CQC inspections rate whether services are safe, effective, caring, responsive and well-led. It is an important national marker of the quality of services, staff and premises. All 10 GP Practice premises in Surrey Heath have had an independent “mock” CQC review to help with identifying any potential areas for improvement. By proactively doing these reviews ensures that the quality in GP Practices continues to be high.

  3. Support for Parents and Families with Babies
    To improve support to parents and families of babies up to 2 years old GP Practices are contacting them within 24 hours if the baby has been to the Accident & Emergency Department or on discharge following an emergency inpatient stay. Parents and families may be offered a range of GP Practice services to help improve outcomes.

  4. Training & Education
    Practices will have the opportunity to improve further access to training and education for all staff. As a result clinical and administration staff will gain additional expertise and skills in order to support continued delivery of high quality care to their patients. In order to support the CCG's clinical priorities in 2015/16 training and education priorities include:
  • Diabetes
  • Stroke
  • Heart Failure
  • Anxiety & Depression
  • Dementia
  • EOLC
  • Cancer
  • Paediatrics