Quematics — CWVA Prevention Evidence Dashboard

NHS Strategic Commissioning Framework — April 2026

From probable savings to commissioner-grade evidence to a closed NHS prevention loop

15 VCSE organisations · Cheshire West · Pilot cohort 2026

Performance Productivity Outcomes Impact Equity Data Quality Value for Money

Three evidence tiers

Tier 1 · Retrospective

Probable savings

NASP benchmarks applied to existing activity data. Estimated system savings before evidenced outcomes exist.

£127k

Estimated system saving

500+

People supported

20%

Prevention rate

View →

Tier 2 · Prospective

Evidenced outcomes

Actual WEMWBS scores, referral decisions, non-escalations. Documented at point of service. Commissioner-grade.

+8.4

Avg WEMWBS gain

73%

Non-escalation rate

312

Outcomes recorded

View →

Tier 3 · Referral Loop

Closed NHS loop

Enhanced Case Finding Tool cohorts referred into VCSE network. Outcomes tracked and reported back to Data into Action.

48

High-risk referrals

Q1

First report due

0

Mechanism existed

View →

Network headline KPIs

Orgs in pilot

15

of 375 CWVA members

↑ Target: 15–20

People supported

763

across pilot network

↑ Q1 2026

Data quality score

84%

field completeness

↑ from 41% baseline

Est. system saving

£127k

modelled · NASP rates

£4 : £1 NASP ratio

ICB 2026 evidence domain scores

Performance

82%

Productivity

74%

Outcomes (PROMs)

68%

Impact

71%

Equity

59%

Data Quality

84%

Value for Money

91%

Referral source breakdown

GP / Primary care

34%

Self-referral

28%

Social prescribing

19%

ICT / Enhanced CF

11%

Other VCSE

8%

Tier 1 · Retrospective modelling

Probable system savings — early estimate

NASP benchmark rates applied to existing activity data. Not evidenced outcomes — a meaningful opening figure for the ICB conversation.

£127k

Estimated system saving · Q1 2026

People supported

763

across 15 pilot orgs

Prevention rate

20%

conservative NASP estimate

GP appts avoided

~153

@ £35 each = £5,355

A&E avoided

~61

@ £175 each = £10,675

NASP benchmark rates applied

GP reduction

42%

A&E reduction

23%

Frequent users

50%

ROI (NASP)

£4:£1

Estimated saving by intervention type

Mental health drop-in

£51k

Befriending

£32k

Food & crisis

£26k

Social prescribing

£18k

NHS reference costs used in modelling

Cost item	NHS unit cost	Estimated avoided	Estimated saving	Source
GP appointment	£30–40	~153	£5,355	NASP
A&E attendance	£150–200	~61	£10,675	NASP
CAMHS referral	£800+	~14	£11,200	Estimated
Inpatient admission	£2,500+	~5	£12,500	Estimated

Tier 2 · Prospective outcome measurement

Commissioner-grade evidence — documented at point of service

Actual before-and-after WEMWBS scores. Actual referral decisions. Actual non-escalations. Not modelled approximations.

Avg WEMWBS gain

+8.4

baseline → exit

↑ Clinically significant

Non-escalation rate

73%

intervention resolved without NHS referral

Outcomes recorded

312

complete baseline + exit pairs

↑ 84% field completeness

Referrals avoided

228

documented non-escalation decisions

WEMWBS outcomes by organisation — baseline vs exit

Organisation	People	Baseline score	Exit score	Gain	Status
Community drop-in A	52	38.2	46.8	+8.6	Strong
Befriending service B	41	35.4	43.1	+7.7	Strong
Food bank C	67	32.1	41.5	+9.4	Strong
Social prescribing D	38	40.3	47.9	+7.6	Good
Wellbeing hub E	29	36.8	42.5	+5.7	Moderate

Referral decision breakdown

Resolved in community

73%

Referred to GP

14%

Referred to specialist

8%

Referred to A&E

5%

Demographic completeness (equity domain)

Age captured

96%

Postcode captured

88%

Ethnicity captured

71%

Referral source

84%

WEMWBS at exit

79%

Tier 3 · Referral loop closure

Closing the loop that currently doesn't exist

Enhanced Case Finding Tool cohorts → VCSE network → tracked outcomes → reported back to Data into Action. Done by their team, on their platform.

Mechanism existed before

None

Enhanced Case Finding Tool

Data into Action identifies high-risk individuals. 65+, frailty, LTCs, frequent A&E users.

→

VCSE network receives referral

Community support delivered. Quematics records intervention at point of service.

→

Quematics tracks outcomes

WEMWBS, referral decisions, non-escalations. Structured and aggregated.

→

Quarterly report to Data into Action

Structured Excel export. Aggregate anonymised cohort data. ICB-ready.

High-risk referrals in

48

from Enhanced Case Finding Tool

Interventions delivered

44

92% of referrals engaged

Hospital avoided

~31

estimated from cohort outcomes

Next report due

Q2

April–June 2026 · Excel export

High-risk cohort profile

65+ deprived area

38%

Multiple LTCs

29%

Frequent A&E users

21%

Frailty risk

12%

WEMWBS outcomes — high-risk cohort

Strong improvement

41%

Moderate improvement

33%

Stable — no escalation

19%

Escalated to NHS

7%

NHS Strategic Commissioning Framework — April 2026

The 2026 accountability shift — all 7 domains

The era of activity reporting has ended. Evidence now determines whether a contract is renewed, expanded, or put to competitive tender.

Performance

Who was served, how many sessions, attendance rate

82%

Productivity

Capacity utilisation, staff hours, cost per person

74%

Outcomes (PROMs)

WEMWBS baseline vs exit. Validated outcome measure.

68%

Impact

Non-escalations, avoided cost, system savings

71%

Equity

Demographic completeness. Deprivation reach.

59%

Data Quality

Field completeness across all 7 required fields

84%

Value for Money

£4:£1 NASP ratio. £127k estimated saving.

91%

Overall readiness

Across all 7 ICB evidence domains

76%

What happens without each domain — commissioner consequence

Domain	Current score	Gap	Commissioner risk
Equity	59%	Ethnicity field 71% complete	Review required
Outcomes (PROMs)	68%	Exit WEMWBS 79% captured	Strengthen evidence
Impact	71%	Non-escalation recording improving	On track
Productivity	74%	Cost per person not yet fully costed	On track
Performance	82%	Strong. Session data complete.	Strong
Data Quality	84%	Up from 41% at baseline	Strong
Value for Money	91%	£4:£1 NASP modelled return	Strongest domain