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It s critical that providers join up with colleagues in the local authority to establish what is going to be available for patients when they need to follow a pathway into a local service It is a part of Functional Testing The one that s available on the National Centre for Smoking Cessation Training NCSCT website is excellent but geared towards primary care Are there plans to produce a more ward based or hospital based video and training Furthermore in our supplementary guidance to the CQUIN we strongly advised collaborative working across the health and care system including local government I was just wondering on this sort of training package side of things whether there are any opportunities or plans for creating a training package that covers our requirements for CQUIN 8 as well as for CQUIN 9 But we would prescribe nicotine replacement therapy NRT to help with withdrawal and then perhaps later they might be more receptive because they have gained that personal confidence that they ve gone without smoking because we re a smoke free site Thank you for being complimentary about the NCSCT VBA training for smoking cessation PHE aims to be responsive to what people need and will find helpful That s a very good point the Preventing ill health CQUIN CQUIN 9 and the Physical healthcare for people with serious mental illness CQUIN 8 do complement each other We will prescribe NRT but that wouldn t be seen as a positive outcome on the CQUIN I think it does have to be referral and medication not just one or the other to be compliant with Indicator 9C does the panel have any thoughts or comments on that If you found this blog helpful please view other Health Matters blogs So your advice on that is welcome The public health grant is ring fenced for public health but not for any particular topic within public health My question is around the VBA training for smoking cessation The objective is not to perform exhaustive testing the tester needs to check the navigation s adding simple things tester needs to ask simple questions Can tester able to access software application Does user navigates from one window to other Check that the GUI is responsive etc This strikes me as a very high emphasis on the Identification and Brief Advice IBA bit which is going to be quite a challenge I think You are also right that there is a challenge in getting this up to scale which is where your learning and development people creating the time to support staff to get the skills to be able to do this is going to be critical There s a key role for you arthovix meridian для суставов terms of looking at training plans and we know that some providers have started to mandate training around doing brief interventions for alcohol and tobacco So we were looking particularly at post discharge telephone support using the Ottawa model that s been so successful over in Canada But that does require additional resource and I think the fundamental issue that we have here is that obviously the NHS trusts are being incentivised to a degree to adopt the CQUIN and take the measures internally and then refer onwards So there are number of development builds planned in any given project It will be critical that discussions fugicar fc8 видеорегистратор local partners start early and that the agreed pathways for patients are as smooth as possible It s not only induction but it s also looking to annual training refresher training and also targeting particular project and audit work for example and quality improvement work across all members of staff To achieve full payment for the Preventing ill health CQUIN providers must meet three milestones in quarter one and then meet set thresholds from quarter two and onwards One Region is also trialling phone based smoking cessation support Sometimes developers also test the application after the deployment before handing it over to QA to test The key issue that we have is the post discharge support Obviously most patients aren t in hospital very long and the difficulty we have locally and I m sure it s reflected from colleagues around the country is that the cut back to the public health grant to local authorities means that many stop smoking services have been cut back in some cases completely One of the key things is that for many people who are discharged they wouldn t necessarily be physically able to attend say a stop smoking group in the community I work for a Mental Health Trust and I m responsible for leading on both CQUIN 9 and CQUIN 8 both of which impact on mental health and physical healthcare and are very linked for our service users This professional resource makes the case for why NHS providers should implement the preventing ill health by risky behaviours alcohol and tobacco CQUIN A set of very high level test cases are prepared which are meant to execute before any proper testing So you have identified something that s close to our hearts and something that is critical to the success of the Preventing Ill Health CQUIN There is the potential for some real cultural shifts here as well You re absolutely correct that the intent here is to find people who aren t alcohol dependent and that the real push here is to deliver IBA in these settings If you are having trouble with that do come back to us because we are happy to help by supporting that engagement and conversations at the local level MyMemory is the world s largest Translation Memory built by collecting TMs from the European Union and the United Nations and by aligning high quality domain specific multilingual websites Health Matters Health Matters is a resource for professionals which brings together the latest data and evidence makes the case for effective public health interventions and highlights tools and resources that can facilitate local or national action Now let s jump into What is Smoke Testing We hope our latest edition of Health Matters on the subject of Preventing ill health from alcohol and tobacco will help you and other health professionals by compiling key facts figures and evidence of effective interventions As there can культиватор садовый электрический numerous of reasons like configuration issues code issues regression issues or environmental issues There are time pressures and in terms of efficiencies and effectiveness across NHS providers it would be really useful to have something created centrally that we could all use Each time a developer fix anything in the code or write a new code for different functionality it goes again through the same process CQUIN 8 is around cardio metabolic assessments for all people in our mental health services both community and in patients and obviously includes alcohol and smoking assessments and brief advice Or sometimes QA team Smoke Test the application before accepting any new build from the developers to avoid any time wastage Locally we ve been working very closely with the NHS with our trust with our CCG and we ve put forward a business case which has been well received by clinicians but it hasn t got funding Recently we ve developed specific modules for midwifery This training will help in terms of getting people skilled up We haven t looked into developing training module that would cover both modules but we can consider whether this is feasible and appropriate as we look forward to providing ongoing support to providers implementing both of these CQUINs The Preventing ill health CQUIN is worth a minimum weighting of 5 75 and is applicable to Mental Health and Community providers between 7567 to 7569 and Acute providers in 7568 7569 It may be that evidence based support can be made available in settings other than just a local stop smoking service as we ve known them It s also looking then at whether they are being delivered in the best and most optimised way in order to get the best outcomes that we can We re now looking a bit more around what we can learn from behavioural insights and checking whether we are having the impact that we re trying to achieve If you are using electronic patient records it s likely that this small change could be logged as a change request Local system level partners need to agree on a local solution and areas will differ in terms the type and level of support that is provided The 85 target is consistent with evidence that of those who are offered a referral 85 are likely to accept this offer The main requisite is that there is agreement between providers and the local public health department on referral pathways to quitting support Download this and the full set of Health Matters infographics for this edition It is executed before any detailed functional or regression tests are executed on the software build It is always a risk that the build does not work properly on the environment Where we can we re also committed to answering your questions and taking on your feedback There s work to be done in supporting clinicians to start treating tobacco dependency Most of the questions have been around smoking cessation so far Is this being addressed at the national level The 7567 7569 CQUIN scheme applies to commissioners and providers using the NHS Standard Contract What we re learning is that it s not only about setting up the baseline training to make sure that people can have confidence in delivering these interventions These test cases can be 65 or 655 or more than that The purpose is to reject a badly broken application so that the QA team does not waste time installing and testing the software application The value of this CQUIN is relatively low compared to the other CQUIN targets that are coming out and it s sometimes difficult to get boards to pay attention to this compared to setting up other services especially when an acute trust is looking at training up all members of staff to provide very brief advice it s quite a big undertaking and a large piece of work for us but the tariffs don t seem to really reflect that especially given the importance of smoking cessation Our data system will collect that initial assessment which may well be a decline on offered referral to the stop smoking service I know it s early days but I d be interested to see if there s any response on how that s going and if there s any good practice that we can pick up on We read every piece of feedback and take your input very seriously The official blog of the UK Health Security Agency providing expert insight on the organisation s work and all aspects of health security We are acutely aware that providers that are implementing the Preventing ill health CQUIN will want to assure themselves that patients receive the right interventions and treatments PHE is interested in maximizing the impact of the CQUIN and the provision of evidence based quitting support for smokers is central to that whether that support is provided on site or in https://firstnow.ru community One of the things that needs to be in place to make this work is for there to be agreement at a local level about how referrals to specialist stop smoking support can be implemented To accurately reflect your current good practice and to allow you to capture this information for CQUIN purposes it would be ideal if your information systems could be updated to capture this information You re correct that the indicator 9c requires both an active referral for further support to be made and the offer of stop smoking medication Every QA Team always prepares a set of functional test cases to test any functionality This requirement is based on the evidence that people are more likely to quit if they are supported with pharmacotherapy and behavioural support I m a public health specialist and I ve been doing lots of work on trying to bring forward a hospital stop smoking service For example different approaches include jointly commissioned services sometimes hospital based and minimum provision of pharmacotherapy and behavioural support provided by a trained member of staff Visit the Health Matters area of GOV UK or sign up to receive the latest updates through our e bulletin My clinical experience is that quite often when people are initially admitted to hospital they might not be particularly receptive to stopping smoking it can feel like a really big thing The idea behind Smoke Testing is to enable a tester to execute these test cases Smoke Testing is performed after software build to ascertain that the critical functionalities of the program is working fine I work in an acute trust and I noticed that the numerator for indicator 9C is about eligible patients being referred and offered stop smoking medication Alcohol Care Teams in hospitals will also be a useful resource in terms of providing peer to peer support and helping staff in different roles across the organisation to take this on Both of these actions need to be met in order to achieve 9c It is critical that the NHS and local authorities join up to ensure that there is appropriate support for people to enable this CQUIN to really fly Now we have this CQUIN which potentially delivers very large numbers of smokers into those services which simply will not have the capacity to cope with the numbers that are coming through The Scheme is worth a maximum of 7 5 that is payable in addition to the Actual Annual Value depending on provider performance Enjoy best qsstcirsversion xxcalgomezsmoketest movies of gay community on thisvid com It s great to hear that you are following up with patients who initially turn down further support to stop smoking to ensure that if these patients feel more prepared to quit at a later date then they are given support to do so We will take your comment on board about developing hospital tailored training as well In terms of the tariff values we appreciate that there s a lot of work involved for the tariff that s being offered To engage Boards in addition the minimum of 5 75 of the value of the annual contract it s useful to focus on the longer term outcomes that are achievable from commitment to delivering IBA and VBA well So far we understood that how the development cycles work Nationally we seem to have a mismatch with the public health grant to local authorities being cut at the same time as NHS England is seeking to push a lot more business towards those local authority services which may not have the capacity Many providers are now on block contracts and it s unclear how the CQUINs interact with that Is there an expectation then when we put this into contracts that there will be an additional cost for those contracts How is Public Health England supporting public health departments in councils either to ring fence funding or to make it a high priority so that funding is applied to smoking cessation services locally We re from an acute trust in London and we work in a learning development department which is a centralised corporate function What role would you see a function such as ours having in relation to this We deliver staff training predominantly on soft skills personal development etc You asked about best practice and we have published a case study from the South London and Maudsley NHS Foundation Trust which is very much focused on what they ve done to embed and deliver alcohol IBA for this CQUIN