Commissioning for quality and innovation (CQUIN) in England
The RCn supports initiatives which can help deliver safe, high quality care to patients. Nurses are able, as discussed in the example of pressure ulcers, to lead initiatives which are not only good for the patients, but also for the NHS to hep reduce the costs of avoidable ill health.
However, the precise role of specific financial incentives is controversial. We need to know more before we can wholeheartedly support CQUINs. This reflects the variety of CQUINs in use, as well as the limited evidence of their impact. We expect that some have enabled improvements, and rewarded those organisations and teams that have delivered those improvements.
However, there could be examples where CQUINs have not been used well. We will await to hear more from the national evaluation before we take a firm view.