2013/14 NHS STANDARD CONTRACT
FOR ACUTE, AMBULANCE, COMMUNITY AND MENTAL HEALTH
AND LEARNING DISABILITY SERVICES
Particulars – DS39
2013/14 NHS STANDARD CONTRACT
NHS ENGLAND
2014/15 NHS STANDARD CONTRACT
PARTICULARS
First published: December 2013
Gateway No: 00821
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Contract Reference
DATE OF CONTRACT
SERVICE
COMMENCEMENT
DATE
CONTRACT TERM
COMMISSIONERS
CO-ORDINATING
COMMISSIONER
PROVIDER
[ ] Years/Months
[Subject to extension in accordance with Schedule 1
Part C]
[ ] CCG (ODS [ ])
[ ] CCG (ODS [ ])
[ ] CCG (ODS [ ])
[NHS England]
[Local Authority]
[ ]
[ ] (ODS [ ])
Principal and/or registered office address:
[ ]
[Company number: [ ] ]
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PARTICULARS
PARTICULARS
CONTRACT
SERVICE COMMENCEMENT AND CONTRACT TERM
SERVICES
PAYMENT
QUALITY
GOVERNANCE
REGULATORY
CONTRACT MANAGEMENT
PENSIONS
SCHEDULE 1 – SERVICE COMMENCEMENT AND CONTRACT TERM
C. Extension of Contract Term
C. Activity Planning Assumptions
E. Essential Services Continuity Plan
G. Other Local Agreements, Policies and Procedures
I.
J.
K. Transfer of and Discharge from Care Protocols
SCHEDULE 3 – PAYMENT
A. Local Prices
B. Local Variations
_Toc343591396
C Local Modifications
D. Marginal Rate Emergency Rule: Agreed Baseline Value
E. Emergency Re-admissions Within 30 Days: Agreed Threshold
F. Expected Annual Contract Values
G Notices to Aggregate/Disaggregate Payments
H. Timing and Amounts of Payments in First and/or Final Contract Year
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SCHEDULE 4
– QUALITY REQUIREMENTS
A. Operational Standards
B. National Quality Requirements
C. Local Quality Requirements
E. Commissioning for Quality and Innovation (CQUIN)
G. Clostridium difficile
H. Sanction Variations
I. CQUIN Variations
SCHEDULE 5 - GOVERNANCE
A. Documents Relied On
B1.
Provider’s Mandatory Material Sub-Contractors
B2. Provider’s Permitted Material Sub-Contractors
D. Commissioner Roles and Responsibilities
SCHEDULE 6 – CONTRACT MANAGEMENT, REPORTING AND
INFORMATION REQUIREMENTS
C. Data Quality Improvement Plan
D. Incidents Requiring Reporting Procedure
E. Service Development and Improvement Plan
SCHEDULE 7 – PENSIONS
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SERVICE CONDITIONS
SC1 Compliance with the Law and the NHS Constitution
SC2 Regulatory Requirements
SC3 Service Standards
SC4 Co-operation
SC5 Commissioner Requested Services/Essential Services
SC6 Service User Booking and Choice and Referrals
SC7 Withholding and/or Discontinuation of Service
SC8 Unmet Needs
SC9 Consent
SC10 Personalised Care Planning and Shared Decision Making
SC11 Transfer of and Discharge from Care
SC12 Service User Involvement
SC13 Equity of Access, Equality and Non-Discrimination
SC14 Pastoral, Spiritual and Cultural Care
SC15 Services Environment and Equipment
SC16 Places of Safety
SC17 Complaints
SC18 Service Development and Improvement Plan
SC19 HCAI Reduction Plan
SC20 Venous Thromboembolism
SC21 Not used
SC22 Not used
SC23 Service User Health Records
SC24 NHS Counter-Fraud and Security Management
SC25 Procedures and Protocols
SC26 Clinical Networks, National Audit Programmes and Approved Research
SC27
Studies
Formulary
SC28 Information Requirements
SC29 Managing Activity and Referrals
SC30 Emergency Preparedness and Resilience Including Major Incidents
SC31 Force Majeure: Service-specific provisions
SC32 Safeguarding
SC33 Incidents Requiring Reporting
SC34 Death of a Service User
SC35 Duty of Candour
SC36 Payment Terms
SC37 Local Quality Requirements and Quality Incentive Schemes
SC38 Commissioning for Quality and Innovation (CQUIN)
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GENERAL CONDITIONS
GC1 Definitions and Interpretation
GC2 Effective Date and Duration
GC3 Service Commencement
GC4 Transition Period
GC5 Staff
GC6
GC7
Not used
Partnership Arrangements
GC8 Review
GC9 Contract Management
GC10
GC11
Co-ordinating Commissioner and Representatives
Liability and Indemnity
GC12
GC13
GC14
GC15
Assignment and Sub-Contracting
Variations
Dispute Resolution
Governance, Transaction Records and Audit
GC16
GC17
GC18
GC19
GC20
GC21
GC22
GC23
GC24
GC25
GC26
GC27
GC28
GC29
GC30
GC31
GC32
GC33
GC34
GC35
GC36
GC37
GC38
GC39
Suspension
Termination
Consequence of Expiry or Termination
Provisions Surviving Termination
Confidential Information of the Parties
Data Protection, Freedom of Information and Transparency
Intellectual Property
NHS Branding, Marketing and Promotion
Change in Control
Warranties
Prohibited Acts
Conflicts of Interest
Force Majeure
Third Party Rights
Entire Contract
Severability
Waiver
Remedies
Exclusion of Partnership
Non-Solicitation
Notices
Costs and Expenses
Counterparts
Governing Law and Jurisdiction
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CONTRACT
This Contract records the agreement between the Commissioners and the Provider and comprises
1. the Particulars ;
2. the Service Conditions ;
3. the General Conditions , as completed and agreed by the Parties and as varied from time to time in accordance with
General Condition 13 ( Variations ).
IN WITNESS OF WHICH the Parties have signed this Contract on the date(s) shown below
……………………………………………………….
SIGNED by
Signature
[INSERT AUTHORISED
SIGNATORY’S
NAME] for and on behalf of
[INSERT COMMISSIONER NAME]
……………………………………………………….
Title
……………………………………………………….
Date
[INSERT AS ABOVE FOR
EACH COMMISSIONER]
SIGNED by
[INSERT AUTHORISED
SIGNATORY’S
NAME] for and on behalf of
[INSERT PROVIDER NAME]
……………………………………………………….
Signature
……………………………………………………….
Title
……………………………………………………….
Date
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Effective Date
Expected Service Commencement Date
Longstop Date
Commissioner Documents
Service Commencement Date
Contract Term
Option to extend Contract Term
Expiry Date
Set out in Schedule 1 Part B or None
[ ] Years/Months
[Subject to extension in accordance with
Schedule 1 Part C]
YES/NO
By [ ] months/years
[ ]
[Subject to extension in accordance with
Schedule 1 Part C]
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Service Categories
Accident and Emergency (A+E)
Acute Services (A)
Ambulance Services (AM)
Cancer Services (CR)
Care Home Services (CH)
Community Pharmaceutical Services (Ph)
Community Services (CS)
Diagnostic, Screening and/or Pathology
Services (D)
Hospice Services (H)
Mental Health and Learning Disability
Services (MH)
Tick all that apply
Mental Health Secure Services (MHSS)
Patient Transport Services (PT)
Radiotherapy Services (R)
Substance Misuse Services (SM)
Surgical Services in a Community Setting
(S)
Urgent Care/Walk-in Centre
Services/Minor Injuries Unit (U)
Service Requirements
Service Specifications
Indicative Activity Plan
Activity Planning Assumptions
Essential Services (NHS Trusts only)
Services to which 18 Weeks applies
Set out in Schedule 2 Part A
Set out in Schedule 2 Part B or Not applicable
Set out in Schedule 2 Part C or Not applicable
Set out in Schedule 2 Part D or Not applicable
YES/NO
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National Prices
Local Prices
Local Variations
Local Modifications
Small Provider
Expected Annual Contract Value Agreed
YES [List Services, by Specification No. if desired] or
Not applicable
Set out in Schedule 3 Part A or Not applicable
Set out in Schedule 3 Part B or
Not applicable
Set out in Schedule 3 Part C
Or
Not applicable
YES/NO
YES/NO
YES/NO Any Services not included in Expected
Annual Contract Value
First/Last Contract Year less than 12 months
Notice given to aggregate payments
Notice given to disaggregate payments
YES/NO
YES/NO
YES/NO
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Sanction Variations
CQUIN Scheme(s)
CQUIN Variations
CQUIN Payments on Account Made
YES/NO
YES/NO
YES/NO
Local Incentive Scheme
Provider type
Clostridium Difficile Baseline Threshold
Monthly/Other (Specify)
YES/NO
NHS Foundation Trust/NHS Trust
Other
[ ] or Nil or Not applicable
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Documents Relied On
Mandatory Material Sub-Contractors
Set out in Schedule 5 Part A or Not applicable
Set out in Schedule 5 Part B1 or Not applicable
Set out in Schedule 5 Part B2 or Not applicable
Permitted Material Sub-Contractors
IPR Set out in Schedule 5 Part C or Not applicable
Commissioner Roles and Responsibilities Set out in Schedule 5 Part D
Nominated Mediation Body CEDR/Other
Provider’s Information Governance Lead [ ]
– [ ]
Email: [ ]
Tel: [ ]
Provider’s Caldicott Guardian
Provider’s Senior Information Risk Owner
[ ]
Email: [ ]
Tel: [ ]
[ ]
Email: [ ]
Tel: [ ]
Provider’s Accountable Emergency
Officer
Provider’s Safeguarding and Prevent Lead
[ ]
Email: [ ]
Tel: [ ]
[ ]
Email: [ ]
Tel: [ ]
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Addresses for service of Notices
Frequency of Review Meetings
Commissioner Representative(s)
Provider Representative
Co-ordinating Commissioner: [ ]
Address: [ ]
Email: [ ]
Commissioner: [ ]
Address: [ ]
Email: [ ]
Provider: [ ]
Address: [ ]
Email: [ ]
Ad hoc/Monthly/Quarterly/Six Monthly
[ ]
Address: [ ]
Email: [ ]
Tel: [ ]
[ ]
Address: [ ]
Email: [ ]
Tel: [ ]
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New Fair Deal applies
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YES/NO
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A. Conditions Precedent
The Provider must provide the Co-ordinating Commissioner with the following documents:
1.
2.
Evidence of appropriate Indemnity Arrangements
Evidence of CQC registration in respect of Provider and Material Sub-
Contractors (where required)
3. Evidence of Monitor’s Licence in respect of Provider and Material Sub-
Contractors (where required)
4. [Copies of all Mandatory Material Sub-Contracts, signed and dated and in a form approved by the Co-ordinating Commissioner]
5. [Copies of all Permitted Material Sub-Contracts, signed and dated and in a form approved by the Co-ordinating Commissioner]
6. [A copy of the/each Direction Letter]
7. 7. [Insert text locally as required ]
The Provider must complete the following actions:
[ Insert text locally as required ]
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B. Commissioner Documents
Date
Insert text locally or state
Not Applicable
Document Description
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C. Extension of Contract Term
1. As advertised to all prospective providers during the competitive tendering exercise leading to the award of this Contract, the Commissioners may opt to extend the Contract
Term by [ ] months/year(s).
2. If the Commissioners wish to exercise the option to extend the Contract Term, the Coordinating Commissioner must give written notice to that effect to the Provider no later than 6 months before the original Expiry Date.
3. The option to extend the Contract Term may be exercised:
3.1 only once, and only on or before the date referred to in paragraph 2 above;
3.2 only by all Commissioners; and
3.3 only in respect of all Services
4. If the Co-ordinating Commissioner gives notice to extend the Contract Term in accordance with paragraph 2 above, the Contract Term will be extended by the period specified in that notice and the Expiry Date will be deemed to be the date of expiry of that period.
Or
NOT USED
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A. Service Specifications
Mandatory headings 1 – 4: mandatory but detail for local determination and agreement
Optional headings 5-7: optional to use, detail for local determination and agreement.
All subheadings for local determination and agreement
Service Specification
No.
Service Provision of Emergency Hormonal Contraception under
Patient Group Direction and Chlamydia Screening
David Walker/Barbara Watt Commissioner Lead
Provider Lead
Period
Community Pharmacist
April 2014 – March 2015
Date of Review October 2014
1. Population Needs
1.1 National/local context and evidence base
2. Outcomes
2.1 NHS Outcomes Framework Domains & Indicators
Domain 1 Preventing people from dying prematurely
Domain 2 Enhancing quality of life for people with long-term conditions
Domain 3 Helping people to recover from episodes of ill-health or following injury
Domain 4 Ensuring people have a positive experience of care
Domain 5 Treating and caring for people in safe environment and protecting them from avoidable harm
√
√
2.2 Local defined outcomes
2.3 Other national strategic objectives
The service will support the Local Authority contribute to domains 2 and 3 of the
Public Health Outcomes Framework-Health Improvement-Under 18 conceptions and Health Protection (Chlamydia diagnoses (15-24 year olds)).
The service is in line with recommendations in the sexual health commissioning
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PARTICULARS guidelines that community pharmacies should be key local providers of sexual health care.
3. Scope
3.1 Aims and objectives of service
1.
To increase the knowledge, especially among young people, of the availability of emergency contraception and contraception available from pharmacies.
2.
To improve access to emergency contraception and sexual health advice.
3.
To increase the use of EHC by women who have had unprotected sex and help contribute to a reduction in the number of unplanned pregnancies in the client group.
4.
To refer clients, especially those from hard to reach groups, into mainstream contraceptive services.
5.
To increase awareness of the risks of unprotected sex and of the risks associated with STI’s.
6.
To improve clients’ access to Chlamydia testing in primary care settings by actively providing the client with a test kit, thereby increasing uptake of the
National Chlamydia Screening programme. This will help to reduce the spread of Chlamydia infection in the population and reduce the numbers of untreated chlamydial infections in women and help reduce complications such as PID, and fertility problems
7.
To signpost clients who may have been at risk of Chlamydia and other STIs to an appropriate service.
3.2 Service description/care pathway
Responsibility of the Pharmacist
1.
The service will be accessible to Walsall residents only, the postcode of each client must be recorded on the client record form and claim form.
(Walsall post codes : B43; B74; WS1; WS2; WS3; WS4; WS5; WS6; WS7; WS8;
WS9; WS10; WV11; WV12 and WV13)
2.
The pharmacy will provide the service in an area that ensures confidentiality
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PARTICULARS for the client and will communicate with clients appropriately and sensitively.
3.
Understand the aims of an EHC service and its place in contraception and sexual health services overall.
4.
Understands the different types and methods of hormonal contraception and non-hormonal contraception.
5.
Understand medico-legal aspects of a PGD.
6.
Understand the issues regarding safeguarding children and vulnerable adults. The pharmacist will have knowledge of national and local child protection guidelines and will ensure that up to date contact details are held in the pharmacy
7.
The Pharmacist will assess the need and suitability for a client to receive
EHC- levonorgestrel, in line with the Patient Group Directive (PGD); with reference to the Fraser guidance; Working Together to Safeguard Children and the Sexual Offences Act 2003 (Appendices 2 and 5).
8.
The pharmacist will exclude pregnancy, if the woman is pregnant, the pharmacist will not supply emergency contraception.
9.
Where appropriate a supply of EHC will be made and provide follow up and aftercare advice and complete appendix 1 for each client ; where a supply of
EHC is not appropriate, advice and referral to other sources of assistance, if appropriate, should be provided. Clients who have exceeded the time limit for
EHC will be informed about the possibility of use of an IUD and should be referred to a local service as soon as possible (See appendices 3 and 4).
10.
Advise on the use of condoms and provide an initial supply of six condoms to the client .
This should be supplemented by a referral to a service that can provide further contraceptive treatment and further advice and care. Women requiring contraception should be given information about and offered a choice of all methods, including long-acting reversible contraception (LARC) methods.
11.
The pharmacy contractor will work with the Young People’s Health Advisor team to embed within the pharmacy the ‘You’re Welcome Quality Criteria’ in order to make health services young people friendly.
12.
The pharmacist will give verbal and written advice on the risks of contracting
Chlamydia in line with national guidelines, other common sexually transmitted infections including signs and symptoms.
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11. The pharmacy will supply a Chlamydia screening test to any asymptomatic sexually active patient aged 15-24 who requests EHC under PGD as follows:
Clients should be asked to provide a urine sample on site.
Provision of a postal Chlamydia testing kit should be reserved only for
clients where on-site provision of a sample is not practicable (i.e. no toilet in vicinity). This is because return rates for postal kits are generally poor. If a postal kit is given to a client it is important that an explanation of it’s use and return arrangements is provided.
12. If a non EHC client requests a Chlamydia kit and is aged 15-24years they are to be issued with a kit and it is to be recorded on the tracking form.
14.
If in the opinion of the pharmacist the client is outside the scope of this service, they should be referred to an appropriate sexual health service.
Inclusion Criteria for Chlamydia Screening
Women aged 15-24 on day of screen who have been sexually active
Exclusion Criteria for Chlamydia Screening
Women over the age of 25
Women requesting or those who have been advised to have a diagnostic
Chlamydia test
Those who cannot give consent to being screened
Those not willing to give any means of contact for their results
Not deemed to be competent using Fraser Guidelines
16. A referral must be made for follow up advice on contraception to
COMMUNITY SEXUAL HEALTH SERVICES (fax Appendix 1 to C&SH, Willenhall
Health Centre, 01922 604823 on date of EHC supply). Please ensure the client’s full name is given if the client consents to the referral.
If the client refuses to consent for referral, then a supply of EHC should still be made.
17. The pharmacist must understand how and when to refer clients
(signposting) and when to ask for support and advice. Pharmacists may need to share relevant information with other health care professionals and agencies.
Where appropriate they may need to obtain consent from the client to share the information.
18.
The pharmacy contractor has a duty to ensure that pharmacists and staff involved in the provision of the service are aware of, operate within and have
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PARTICULARS signed that they comply with the pharmacy’s Standard Operating Procedure.
19.
The pharmacy must maintain appropriate records to ensure effective ongoing service delivery and audit. Records must be kept confidential and stored in line with Local Authority and national information governance requirements.
Responsibility of Pharmacy Staff
Signpost clients to other providers (see appendix 4). Ensure that the service will be available to the client by prior contact.
Responsibility of the Local Authority
1.
Chlamydia pack supply
The Chlamydia Screening Programme Manager will ensure that all pharmacists involved in the scheme will initially receive sufficient screening packs to meet the needs of their service.
For further Chlamydia Screening stocks please contact Sharon Green (Black
Country Chlamydia Screening programme, Willenhall Health Centre) 01922
604824
2.
Condom supply
Condoms will be supplied by Walsall Condoms and Sexual Health, Field Street,
Willenhall. Order forms can be obtained from the office, telephone 01922
604824 or fax: 01922 604823
3. Evaluation and monitoring
The Local Authority will determine that all aspects of the Service Level agreement are being met. The Chlamydia screening programme will review pharmacies performance at quarterly intervals. Performance of Chlamydia screening activity will be by analysing completed claims forms and monitoring the number of test kits given out against the number of EHC consultations to eligible clients.
3.
Training
The Local Authority will provide training and information to promote service development and to keep pharmacy contractors and their staff updated on new developments, knowledge and evidence. Further support and updates may be on premises or at specifically arranged events.
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4.
Health Promotion and Signposting
The Local Authority will support pharmacy contractors in providing up to date details of other services pharmacy staff can use to refer service users who require further assistance.
3.3 Population covered
The service will be accessible to Walsall residents only and age restrictions will apply to as stated in service description.
3.4 Any acceptance and exclusion criteria and thresholds
See service description
3.5 Interdependence with other services/providers
GP’s;
Walsall Condoms and Sexual Health services;
See also Appendices 4 and 5
4. Applicable Service Standards
4.1 Applicable national standards (eg NICE)
4.2 Applicable standards set out in Guidance and/or issued by a competent body (eg Royal Colleges)
Sexual Health Commissioning Guidelines
4.3 Applicable local standards
1.
The Centre for Pharmacy Postgraduate Education (CPPE) learning packs provide pharmacists with the necessary knowledge to underpin the provision of
EHC as an enhanced service:
CPPE Emergency Hormonal Contraception Learning Pack
CPPE Child Protection Open Learning Programme (1.5 Hours)
Records of completion of these packs must be kept with the EHC PGD and copies sent to the accrediting Local Authority.
Current versions of learning programmes must be completed every 3 years.
The latest versions of CPPE Open Learning Programmes can be confirmed by accessing www.cppe.ac.uk
.
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2.
Two CPPE open learning programmes provide pharmacists with the necessary knowledge to underpin the provision of the Chlamydia screening as an enhanced service,:
CPPE Sexual Health: testing and treating Open Learning Programme (8 hrs)
CPPE Dealing with difficult discussions Open Learning Programme (8 hrs)
Completion of these two open learning programmes is not mandatory.
3.
Attend a commissioned Local Authority workshop
4.
The accredited pharmacist(s) will organise and undertake a Disclosure and
Barring Service (DBS) check every 3 years. The cost of a DBS check will be reimbursed on receipt of an invoice to the Local Authority after 5 valid
Chlamydia screens have been received by the screening office.
5.
The pharmacy contractor will need to ensure that all pharmacists and staff involved in the provision of the service have relevant knowledge and are appropriately trained in the operation of the service.
6.
Training updates as arranged by the Local Authority is a mandatory requirement for delivery of this service.
Local Authority Workshop a) Aims
To enable Community Pharmacists to become competent to provide an EHC service in accordance with a Patient Group Direction and distribute Chlamydia screening kits, understanding the clinical, ethical, cultural and legal aspects of this work. b) Objectives
The workshop should review the underpinning clinical knowledge required to provide an EHC service and should ensure that the pharmacist:
I.
Understands the aims of an EHC service, its place in Family Planning Services and a CS service and how it is integrated within local Sexual Health Services.
II.
Understands confidentiality issues and has an awareness of child protection issues.
III.
Understands and is able to apply the medico-legal aspects of EHC provision - especially as applied to under-age females i.e. under 16yrs (Fraser Ruling).
IV.
Understands and is able to use the Patient Group Direction and associated paperwork.
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V.
Is aware of the details of when to carry out a pregnancy test, and the actions to be taken following the result.
VI.
Understands the risks of contracting Chlamydia, other common sexually transmitted infections including signs and symptoms and is able to counsel and advise clients of the Chlamydia screening programme.
VII.
Understands how and when to refer clients and when to ask for support and advice from the local Sexual Health services.
VIII.
Is able to counsel and advise clients appropriately and sensitively, and refer as necessary.
IX.
Experiences problematic situations through role play, and gains confidence in dealing with them.
X.
Undertake the administration of the scheme, including all paperwork.
XI.
Describe local signposting arrangements and sources of information (see appendices 4 and 5).
XII.
Review their own and their staff competencies against roles.
Summary of Assessment & Accreditation
Each pharmacist must have attended the Local Authority Commissioned
Workshop session(s) and successfully completed the CPPE programmes and accompanying assessments.
Local Authorities are recommended to maintain records of pharmacists accredited or re-accredited for a minimum of three years.
Maintenance of Accreditation
Where changes are introduced to the commissioned service, relevant information must be provided by the Local Authority; pharmacists and staff will need to update themselves as part of their usual continuing professional development
Where there are concerns regarding poor performance, this will be addressed separately as a clinical governance matter.
5. Applicable quality requirements and CQUIN goals
5.1 Applicable Quality Requirements (See Schedule 4 Parts [A-D])
Applicable CQUIN goals (See Schedule 4 Part [E]) 5.2
6. Location of Provider Premises
The Provider’s Premises are located at: Named registered pharmacy premises within
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N/A
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PARTICULARS the borough of Walsall
7. Individual Service User Placement
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B. Indicative Activity Plan
Insert text locally or state Not Applicable
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C.
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Activity Planning Assumptions
1.
The pharmacist will submit each month a claim form to the Local Authority which will be used for payment and audit purposes.
2.
The pharmacy reviews its Standard Operating Procedure and the referral pathways for the service on an annual basis.
3.
The pharmacy participates in an annual Local Authority organised audit of service provision.
4.
The pharmacy co-operates with any locally agreed Local Authority led assessment of service user experience i.e. conduct an annual patient satisfaction survey.
5.
Pharmacist and other staff involved in delivering the service attend training updates organised by the Local Authority.
6.
The pharmacy will offer Chlamydia screening to all eligible clients as part of the consultation and this will be monitored by the number of test kits given out against the number of EHC consultations to eligible clients. If a pharmacy fails to meet 50% of eligible clients accepting kits then a site visit will be undertaken by the Chlamydia screening team to explore how this can be improved.
7.
In the event of any incidents, issues or complaints, please contact David
Walker Senior Programme Development & Commissioning Manager (Sexual
Health), 01922 653729 walkerdav@walsall.gov.uk
or Hema Patel,
Community Pharmacy Facilitator, 07904 752207 hema.patel1@nhs.net
8.
The Local Authority will undertake an annual review of the service operated within the pharmacy.
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See Service Description
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D. Essential Services
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PARTICULARS
E. Essential Services Continuity Plan
Particulars
2014/15 NHS STANDARD CONTRACT
31
NHS ENGLAND
2014/15 NHS STANDARD CONTRACT
PARTICULARS
F. Clinical Networks
Insert text locally or state Not Applicable
Particulars
2014/15 NHS STANDARD CONTRACT
32
Policy
NHS ENGLAND
2014/15 NHS STANDARD CONTRACT
PARTICULARS
G. Other Local Agreements, Policies and Procedures
Date Weblink
Particulars
2014/15 NHS STANDARD CONTRACT
33
NHS ENGLAND
2014/15 NHS STANDARD CONTRACT
PARTICULARS
H. Transition Arrangements
Insert text locally or state Not Applicable
Particulars
2014/15 NHS STANDARD CONTRACT
34
NHS ENGLAND
2014/15 NHS STANDARD CONTRACT
PARTICULARS
I. Exit Arrangements
If the accredited pharmacist leaves the pharmacy, the pharmacy must notify the commissioner and the pharmacy must arrange for the new pharmacist to accredit themselves.
Particulars
2014/15 NHS STANDARD CONTRACT
35
NHS ENGLAND
2014/15 NHS STANDARD CONTRACT
PARTICULARS
J. Social Care Provisions
Insert text locally or state Not Applicable
Particulars
2014/15 NHS STANDARD CONTRACT
36
NHS ENGLAND
2014/15 NHS STANDARD CONTRACT
PARTICULARS
K. Transfer of and Discharge from Care Protocols
Insert text locally
Particulars
2014/15 NHS STANDARD CONTRACT
37
NHS ENGLAND
2014/15 NHS STANDARD CONTRACT
PARTICULARS
L. Safeguarding Policies
The pharmacy contractor has a duty to safeguard vulnerable adults & children, and should have robust safeguarding policies and procedures in place. The Pharmacy contractor should also comply with the policies, practice and protocols and Walsall safeguarding adults and children boards.
Particulars
2014/15 NHS STANDARD CONTRACT
38
NHS ENGLAND
2014/15 NHS STANDARD CONTRACT
PARTICULARS
A. Local Prices
Enter text below which, for each separately priced Service:
identifies the Service;
describes any agreement to depart from an applicable national currency (in respect of which the appropriate summary template (available at: http://www.monitor.gov.uk/locallydeterminedprices ) should be copied or attached)
describes any currencies (including national currencies) to be used to measure activity
describes the basis on which payment is to be made (that is, whether dependent on activity, quality or outcomes (and if so how), a block payment, or made on any other basis)
sets out any agreed regime for adjustment of prices for the second and any subsequent
Contract Year(s) .
Assessment, advice and administration of EHC £12.50
+ DT cost of EHC
Pregnancy testing – cap set at per test £ 5.99
Advice, signposting and Chlamydia pack administration and receipt of a valid screen at laboratory £ 10.00
PLEASE NOTE: The accredited pharmacist(s) will organise and undertake a Disclosure and Barring Service (DBS) check every 3 years. The cost of a DBS check will be reimbursed on receipt of an invoice to the Local Authority after 5 valid Chlamydia screens have been received by the screening office.
There is an electronic claim form which must be returned by the end of the 2nd day of the following month, claims submitted after this date will be processed in the following month. Payments will be made to the participating pharmacy by the Local
Authority, itemising the payment made for that month and the date the payment was made into the bank account. If any form is incomplete i.e. columns not completed or incorrectly completed, all forms relating to that month will be returned to the Pharmacy and payment delayed until the forms are submitted with all details correctly completed. Pharmacists are advised to retain a copy of the reimbursement form.
Claims must be sent on a monthly basis. Claims for payments MUST be received within 3 months of the consultation. Forms received after this time period WILL NOT be paid.
Particulars
2014/15 NHS STANDARD CONTRACT
39
NHS ENGLAND
2014/15 NHS STANDARD CONTRACT
PARTICULARS
B. Local Variations
For each Local Variation which has been agreed for this Contract, copy or attach the completed publication template required by Monitor (available at: http://www.monitor.gov.uk/locallydeterminedprices ) – or state Not Applicable. Additional locally-agreed detail may be included as necessary by attaching further documents or spreadsheets.
Particulars
2014/15 NHS STANDARD CONTRACT
40
NHS ENGLAND
2014/15 NHS STANDARD CONTRACT
PARTICULARS
Insert template; insert any additional text and/or attach spreadsheets or documents locally – or state Not Applicable
Particulars
2014/15 NHS STANDARD CONTRACT
41
NHS ENGLAND
2014/15 NHS STANDARD CONTRACT
PARTICULARS
C. Local Modifications
For each Local Modification Agreement (as defined in the National Tariff) which applies to this
Contract, copy or attach the completed submission template required by Monitor (available at: http://www.monitor.gov.uk/locallydeterminedprices ). For each Local Modification application granted by Monitor, copy or attach the decision notice published by Monitor. Additional locally-agreed detail may be included as necessary by attaching further documents or spreadsheets .
Or state Not Applicable
Insert template; insert any additional text and/or attach spreadsheets or documents locally – or state Not Applicable
Particulars
2014/15 NHS STANDARD CONTRACT
42
NHS ENGLAND
2014/15 NHS STANDARD CONTRACT
PARTICULARS
D. Marginal Rate Emergency Rule: Agreed Baseline Value
In line with the requirements set out in the National Tariff Guidance, insert text and/or attach spreadsheets or documents locally – or state Not Applicable
Particulars
2014/15 NHS STANDARD CONTRACT
43
NHS ENGLAND
2014/15 NHS STANDARD CONTRACT
PARTICULARS
E. Emergency Re-admissions Within 30 Days: Agreed Threshold
In line with the requirements set out in the National Tariff Guidance, insert text and/or attach spreadsheets or documents locally – or state Not Applicable
Particulars
2014/15 NHS STANDARD CONTRACT
44
NHS ENGLAND
2014/15 NHS STANDARD CONTRACT
PARTICULARS
F. Expected Annual Contract Values
Commissioner
Insert text and/or attach spreadsheets or documents locally
Expected Annual Contract Value
(Where applicable, specify Expected Annual Contract Value including and excluding anticipated values of any high cost drugs, devices and procedures (as listed in the National
Tariff) expected to be used in connection with the relevant
Services)
Total
Particulars
2014/15 NHS STANDARD CONTRACT
45
NHS ENGLAND
2014/15 NHS STANDARD CONTRACT
PARTICULARS
G. Notices to Aggregate / Disaggregate Payments
Insert text locally as and when required or state Not Applicable
Particulars
2014/15 NHS STANDARD CONTRACT
46
NHS ENGLAND
2014/15 NHS STANDARD CONTRACT
PARTICULARS
H. Timing and Amounts of Payments in First and/or Final Contract Year
Insert text and/or attach spreadsheets or documents locally – or state Not Applicable
Particulars
2014/15 NHS STANDARD CONTRACT
47
NHS ENGLAND
2014/15 NHS STANDARD CONTRACT
PARTICULARS
Ref
CB_B1
CB_B2
CB_B3
A. Operational Standards
Operational Standards Threshold
(2014/15)
Method of Measurement
(2014/15)
Percentage of Service
Users on incomplete RTT pathways (yet to start treatment) waiting no
Operating standard of
92% at specialty level
Review of monthly Service
Quality Performance
Report
Consequence of breach Timing of application of consequence
RTT waiting times for non-urgent consultantled treatment
Percentage of admitted
Service Users starting treatment within a maximum of 18 weeks from Referral
Operating standard of
90% at specialty level
(as reported on Unify)
Review of monthly Service
Quality Performance
Report
Percentage of nonadmitted Service Users starting treatment within a maximum of 18 weeks from Referral
Operating standard of
95% at specialty level
(as reported on Unify)
Review of monthly Service
Quality Performance
Report
Where the number of breaches in the month exceeds the tolerance permitted by the threshold, £400 in respect of each excess breach above that threshold
Monthly
Where the number of breaches in the month exceeds the tolerance permitted by the threshold, £100 in respect of each excess breach above that threshold
Monthly
Where the number of breaches in the month exceeds the tolerance permitted by the
Monthly
Particulars
2014/15 NHS STANDARD CONTRACT
Applicable
Service
Category
Services to which 18
Weeks applies
Services to which 18
Weeks applies
Services to which 18
Weeks applies
40
Ref
CB_B4
CB_B5
Operational Standards Threshold
(2014/15) more than 18 weeks from
Referral
Diagnostic test waiting times
Percentage of Service
Users waiting less than 6 weeks from Referral for a diagnostic test
(as reported on Unify)
Operating standard of
>99%
NHS ENGLAND
2014/15 NHS STANDARD CONTRACT
PARTICULARS
Method of Measurement
(2014/15)
Consequence of breach Timing of application of consequence threshold, £100 in respect of each excess breach above that threshold
A&E waits
Percentage of A & E attendances where the
Service User was admitted, transferred or discharged within 4 hours of their arrival at an A&E department
Operating standard of
95%
Review of monthly Service
Quality Performance
Report
Review of monthly Service
Quality Performance
Report
Where the number of breaches in the month exceeds the tolerance permitted by the threshold, £200 in respect of each excess breach above that threshold
Monthly
Where the number of breaches in the month exceeds the tolerance permitted by the threshold, £200 in respect of each excess breach above that threshold. To the extent that the number of breaches exceeds 8% of A&E attendances in the relevant month, no further consequence will be applied in respect of the month
Monthly
Particulars
2014/15 NHS STANDARD CONTRACT
Applicable
Service
Category
A
C
CR
D
A+E
U
41
Ref Operational Standards Threshold
(2014/15)
CB_B6
CB_B7
CB_B8
CB_B9
Cancer waits - 2 week wait
Percentage of Service
Users referred urgently with suspected cancer by a GP waiting no more than two weeks for first outpatient appointment
Percentage of Service
Users referred urgently with breast symptoms
(where cancer was not initially suspected) waiting no more than two weeks for first outpatient appointment
Cancer waits – 31 days
Percentage of Service
Users waiting no more than one month (31 days) from diagnosis to first definitive treatment for all cancers
Operating standard of
93%
Operating standard of
93%
Operating standard of
96%
Percentage of Service
Users waiting no more than 31 days for
Operating standard of
94%
Particulars
2014/15 NHS STANDARD CONTRACT
NHS ENGLAND
2014/15 NHS STANDARD CONTRACT
PARTICULARS
Method of Measurement
(2014/15)
Consequence of breach Timing of application of consequence
Review of monthly Service
Quality Performance
Report
Review of monthly Service
Quality Performance
Report
Where the number of breaches in the Quarter exceeds the tolerance permitted by the threshold, £200 in respect of each excess breach above that threshold
Where the number of breaches in the Quarter exceeds the tolerance permitted by the threshold, £200 in respect of each excess breach above that threshold
Quarterly
Quarterly
Review of monthly Service
Quality Performance
Report
Review of monthly Service
Quality Performance
Report
Where the number of breaches in the Quarter exceeds the tolerance permitted by the threshold, £1,000 in respect of each excess breach above that threshold
Where the number of breaches in the Quarter exceeds the tolerance
Quarterly
Quarterly
A
CR
R
A
CR
R
A
CR
R
Applicable
Service
Category
A
CR
R
42
Ref Operational Standards Threshold
(2014/15) subsequent treatment where that treatment is surgery
CB_B10 Percentage of Service
Users waiting no more than 31 days for subsequent treatment where that treatment is an anti-cancer drug regimen
Operating standard of
98%
Operating standard of
94%
CB_B11 Percentage of Service
Users waiting no more than 31 days for subsequent treatment where the treatment is a course of radiotherapy
Cancer waits – 62 days
CB_B12 Percentage of Service
Users waiting no more than two months (62 days) from urgent GP referral to first definitive treatment for cancer
Operating standard of
85%
NHS ENGLAND
2014/15 NHS STANDARD CONTRACT
PARTICULARS
Method of Measurement
(2014/15)
Review of monthly Service
Quality Performance
Report
Review of monthly Service
Quality Performance
Report
Consequence of breach Timing of application of consequence permitted by the threshold, £1,000 in respect of each excess breach above that threshold
Where the number of breaches in the Quarter exceeds the tolerance permitted by the threshold, £1,000 in respect of each excess breach above that threshold
Quarterly
Where the number of breaches in the Quarter exceeds the tolerance permitted by the threshold, £1,000 in respect of each excess breach above that threshold
Quarterly
Quarterly Review of monthly Service
Quality Performance
Report
Where the number of breaches in the Quarter exceeds the tolerance permitted by the threshold, £1,000 in respect of each excess breach above that threshold
Particulars
2014/15 NHS STANDARD CONTRACT
Applicable
Service
Category
A
CR
R
A
CR
R
A
CR
R
43
Ref Operational Standards
CB_B13 Percentage of Service
Users waiting no more than 62 days from referral from an NHS screening service to first definitive treatment for all cancers
CB_B14 Percentage of Service
Users waiting no more than 62 days for first definitive treatment following a consultant’s decision to upgrade the priority of the Service
User (all cancers)
Category A ambulance calls
CB_B15_
01
Percentage of Category A
Red 1 ambulance calls resulting in an emergency response arriving within 8 minutes
Operating standard of
75%
Threshold
(2014/15)
Operating standard of
90%
[Insert as per local determination]
NHS ENGLAND
2014/15 NHS STANDARD CONTRACT
PARTICULARS
Method of Measurement
(2014/15)
Review of monthly Service
Quality Performance
Report
Review of monthly Service
Quality Performance
Report
Consequence of breach Timing of application of consequence
Quarterly Where the number of breaches in the Quarter exceeds the tolerance permitted by the threshold, £1,000 in respect of each excess breach above that threshold
[Insert as per local determination]
Quarterly
Performance measured monthly with annual reconciliation
Monthly withholding of 2% of Actual Monthly Value with an end of year reconciliation with 2% of the Actual Annual Value retained if annual performance is not met, or the withheld sums
Monthly withholding, annual reconciliation
Applicable
Service
Category
A
CR
R
A
CR
R
AM
Particulars
2014/15 NHS STANDARD CONTRACT
44
Ref Operational Standards Threshold
(2014/15)
CB_B15_
02
Percentage of Category A
Red 2 ambulance calls resulting in an emergency response arriving within 8 minutes
Operating standard of
75%
CB_B16 Percentage of Category A calls resulting in an ambulance arriving at the scene within 19 minutes
Operating standard of
95%
Mixed sex accommodation breaches
CB_B17 Sleeping Accommodation
Breach
>0
Particulars
2014/15 NHS STANDARD CONTRACT
NHS ENGLAND
2014/15 NHS STANDARD CONTRACT
PARTICULARS
Method of Measurement
(2014/15)
Performance measured monthly with annual reconciliation
Performance measured monthly with annual reconciliation
Consequence of breach Timing of application of consequence returned (with no interest) if annual performance is met
Monthly withholding of 2% of Actual Monthly Value
Monthly withholding, annual reconciliation with an end of year reconciliation with 2% of the Actual Annual Value retained if annual performance is not met, or the withheld sums returned (with no interest) if annual performance is met
Monthly withholding, annual reconciliation
Monthly withholding of 2% of Actual Monthly Value with an end of year reconciliation with 2% of the Actual Annual Value retained if annual performance is not met, or the withheld sums returned (with no interest) if annual performance is met
Applicable
Service
Category
AM
AM
Verification of the monthly data provided pursuant to
£250 per day per Service
User affected
Monthly A
CR
45
Ref Operational Standards Threshold
(2014/15)
Cancelled operations
CB_B18 All Service Users who have operations cancelled, on or after the day of admission
(including the day of surgery), for non-clinical reasons to be offered another binding date within 28 days, or the
Service User’s treatment to be funded at the time and hospital of the
Service User’s choice
Mental health
CB_B19 Care Programme
Approach (CPA): The percentage of Service
Users under adult mental illness specialties on CPA who were followed up within 7 days of discharge from psychiatric in-patient care
Number of
Service Users who are not offered another binding date within 28 days
>0
Operating standard of
95%
NHS ENGLAND
2014/15 NHS STANDARD CONTRACT
PARTICULARS
Method of Measurement
(2014/15)
Consequence of breach Timing of application of consequence
Schedule 6 Part C in accordance with the
Professional Letter
Review of monthly Service
Quality Performance
Report
Review of monthly Service
Quality Performance
Reports
Non-payment of costs associated with cancellation and non- payment or reimbursement (as applicable) of rescheduled episode of care
Monthly
Where the number of breaches in the Quarter exceeds the tolerance permitted by the threshold, £200 in respect of each excess breach above that threshold
Quarterly
Particulars
2014/15 NHS STANDARD CONTRACT
Applicable
Service
Category
MH
A
CR
S
MH
MHSS
46
NHS ENGLAND
2014/15 NHS STANDARD CONTRACT
PARTICULARS
National Quality
Requirement
CB_A15 Zero tolerance MRSA
Threshold
(2014/15)
>0
CB_A16 Minimise rates of
CB_S6
Clostridium difficile
Zero tolerance RTT waits over 52 weeks for incomplete pathways
[Insert
Baseline
Threshold identified for
Provider]
>0
CB_S7a All handovers between ambulance and A & E must take place within 15
Particulars
2014/15 NHS STANDARD CONTRACT
>0
B. National Quality Requirements
Method of Measurement
(2014/15)
Review of monthly Service
Quality Performance
Report
Review of monthly Service
Quality Performance
Report
Review of monthly Service
Quality Performance
Report
Review of monthly Service
Quality Performance
Report
Consequence of breach Monthly or annual application of consequence
Applicable
Service
Category
£10,000 in respect of each incidence in the relevant month
As set out in Schedule 4
Part G, in accordance with applicable Guidance
Monthly
Annual
£5,000 per Service User with an incomplete RTT pathway waiting over 52 weeks at the end of the relevant month
£200 per Service User waiting over 30 minutes in the relevant month
Monthly
Monthly
A
A
Services to which 18
Weeks applies
A+E
47
National Quality
Requirement
Threshold
(2014/15) minutes with none waiting more than 30 minutes
CB_S7b All handovers between ambulance and A & E must take place within 15 minutes with none waiting more than 60 minutes
>0
NHS ENGLAND
2014/15 NHS STANDARD CONTRACT
PARTICULARS
Method of Measurement
(2014/15)
Consequence of breach Monthly or annual application of consequence
Applicable
Service
Category
Review of monthly Service
Quality Performance
Report
Review of monthly Service
Quality Performance
Report
£1,000 per Service User waiting over 60 minutes
(in total, not aggregated with CB_S7a consequence) in the relevant month
£20 per event where > 30 minutes in the relevant month
Monthly
Monthly
A+E
AM CB_S8a Following handover between ambulance and
A & E, ambulance crew should be ready to accept new calls within 15 minutes
CB_S8b Following handover between ambulance and
A & E, ambulance crew should be ready to accept
CB_S9 new calls within 15 minutes
Trolley waits in A&E not longer than 12 hours
>0
>0
>0
CB_S10 No urgent operation should be cancelled for a second time
VTE risk assessment: all inpatient Service Users undergoing risk
>0
95%
Particulars
2014/15 NHS STANDARD CONTRACT
Review of monthly Service
Quality Performance
Report
Review of monthly Service
Quality Performance
Report
Review of monthly Service
Quality Performance
Report
Review of monthly Service
Quality Performance
Report
£100 per event where >
60 minutes (in total, not aggregated with CB_S8a consequence) in the relevant month
£1,000 per incidence in the relevant month
£5,000 per incidence in the relevant month
Where the number of breaches in the month exceeds the tolerance
Monthly
Monthly
Monthly
Monthly
AM
A+E
A
CR
A
48
National Quality
Requirement assessment for VTE, as defined in Contract
Technical Guidance
Publication of Formulary
Duty of candour
Completion of a valid
NHS Number field in mental health and acute commissioning data sets submitted via SUS, as defined in Contract
Technical Guidance
Threshold
(2014/15)
Continuing failure to publish
Completion of a valid
NHS Number field in A&E commissioning data sets
95%
NHS ENGLAND
2014/15 NHS STANDARD CONTRACT
PARTICULARS
Method of Measurement
(2014/15)
Consequence of breach Monthly or annual application of consequence
Applicable
Service
Category
Publication on Provider’s website permitted by the threshold, £200 in respect of each excess breach above that threshold
Withholding of up to 1% of the Actual Monthly Value per month until publication
Monthly A
MH
MHSS
CR
R
All Each failure to notify the
Relevant
Person of a suspected or actual
Reportable
Patient Safety
Incident (as per Guidance)
99%
[Insert as per local determination]
Review of monthly Service
Quality Performance
Report
Review of monthly Service
Quality Performance
Report
Recovery of the cost of the episode of care, or
£10,000 if the cost of the episode of care is unknown or indeterminate
Monthly
Where the number of breaches in the month exceeds the tolerance permitted by the threshold, £10 in respect of each excess breach above that threshold
Where the number of breaches in the month exceeds the tolerance
Monthly
Monthly
A
MH
MHHS
A&E
Particulars
2014/15 NHS STANDARD CONTRACT
49
National Quality
Requirement submitted via SUS, as defined in Contract
Technical Guidance
Threshold
(2014/15)
Completion of Mental
Health Minimum Data Set ethnicity coding for all detained and informal
Service Users, as defined in Contract Technical
Guidance
Operating standard of
90%
Operating standard of
90%
Completion of IAPT
Minimum Data Set outcome data for all appropriate Service
Users, as defined in
Contract Technical
Guidance
Particulars
2014/15 NHS STANDARD CONTRACT
NHS ENGLAND
2014/15 NHS STANDARD CONTRACT
PARTICULARS
Method of Measurement
(2014/15)
Consequence of breach Monthly or annual application of consequence
Applicable
Service
Category
Review of monthly Service
Quality Performance
Reports
Review of monthly Service
Quality Performance
Reports permitted by the threshold, £10 in respect of each excess breach above that threshold
Where the number of breaches in the month exceeds the tolerance permitted by the threshold, £10 in respect of each excess breach above that threshold
Where the number of breaches in the month exceeds the tolerance permitted by the threshold, £10 in respect of each excess breach above that threshold
Monthly
Monthly
MH
MHSS
MH
MHSS
50
Quality Requirement
Insert text and/or attach spreadsheet or documents locally
Threshold
NHS ENGLAND
2014/15 NHS STANDARD CONTRACT
PARTICULARS
C. Local Quality Requirements
Method of Measurement Consequence of Monthly or annual breach application of consequence
Applicable
Service
Specification
Particulars
2014/15 NHS STANDARD CONTRACT
51
2014/15 NHS STANDARD CONTRACT
PARTICULARS
D. Never Events
Never Events
Wrong site surgery >0
Wrong implant/prosthesis
Retained foreign object postoperation
Threshold
>0
>0
Method of Measurement
Review of reports submitted to NRLS/Serious Incidents reports and monthly Service
Quality Performance Report
Review of reports submitted to NRLS/Serious Incidents reports and monthly Service
Quality Performance Report
Review of reports submitted to NRLS/Serious Incidents reports and monthly Service
Quality Performance Report
Never Event Consequence (per occurrence) Applicability Applicable
Service
Category
SURGICAL
In accordance with Never Events Guidance, recovery by the Responsible Commissioner of the costs to that Commissioner of the procedure or episode (or, where these cannot be accurately established, £2,000) plus any additional charges incurred by that Commissioner (whether under this
Contract or otherwise) for any corrective procedure or necessary care in consequence of the Never
Event
In accordance with Never Events Guidance, recovery by the Responsible Commissioner of the costs to that Commissioner of the procedure or episode (or, where these cannot be accurately established, £2,000) plus any additional charges incurred by that Commissioner (whether under this
Contract or otherwise) for any corrective procedure or necessary care in consequence of the Never
Event
In accordance with Never Events Guidance, recovery by the Responsible Commissioner of the costs to that Commissioner of the procedure or episode (or, where these cannot be accurately established, £2,000) plus any additional charges incurred by that Commissioner (whether under this
Contract or otherwise) for any corrective procedure or necessary care in consequence of the Never
Event
All
Healthcare
Premises
All
Healthcare
Premises
All
Healthcare
Premises
A
S
A
S
A
S
Particulars
2014/15 NHS Standard Contract – v11
54
Wrongly prepared high-risk injectable medication
>0
Maladministration of potassiumcontaining solutions
>0
Wrong route administration of chemotherapy
>0
Wrong route administration of oral/enteral treatment
>0
Particulars
2014/15 NHS Standard Contract – v11
2014/15 NHS STANDARD CONTRACT
PARTICULARS
Review of reports submitted to NRLS/Serious Incidents reports and monthly Service
Quality Performance Report
Review of reports submitted to NRLS/Serious Incidents reports and monthly Service
Quality Performance Report
Review of reports submitted to NRLS/Serious Incidents reports and monthly Service
Quality Performance Report
Review of reports submitted to NRLS/Serious Incidents reports and monthly Service
Quality Performance Report
MEDICATION
In accordance with Never Events Guidance, recovery by the Responsible Commissioner of the costs to that Commissioner of the procedure or episode (or, where these cannot be accurately established, £2,000) plus any additional charges incurred by that Commissioner (whether under this
Contract or otherwise) for any corrective procedure or necessary care in consequence of the Never
Event
In accordance with Never Events Guidance, recovery by the Responsible Commissioner of the costs to that Commissioner of the procedure or episode (or, where these cannot be accurately established, £2,000) plus any additional charges incurred by that Commissioner (whether under this
Contract or otherwise) for any corrective procedure or necessary care in consequence of the Never
Event
In accordance with Never Events Guidance, recovery by the Responsible Commissioner of the costs to that Commissioner of the procedure or episode (or, where these cannot be accurately establishe d, £2,000) plus any additional charges incurred by that Commissioner (whether under this
Contract or otherwise) for any corrective procedure or necessary care in consequence of the Never
Event
In accordance with Never Events Guidance, recovery by the Responsible Commissioner of the costs to that Commissioner of the procedure or episode (or, where these cannot be accurately established, £2,000) plus any additional charges incurred by that Commissioner (whether under this
Contract or otherwise) for any corrective procedure
All
Healthcare
Settings
All
Healthcare
Settings
All
Healthcare
Premises
All
Healthcare
Settings
All except
PT
A
A
CR
All except
PT
55
Intravenous administration of epidural medication
>0
Maladministration of insulin
>0
Overdose of midazolam during conscious sedation
>0
Opioid overdose of an opioidnaïve
Service User
>0
Particulars
2014/15 NHS Standard Contract – v11
2014/15 NHS STANDARD CONTRACT
PARTICULARS
Review of reports submitted to NRLS/Serious Incidents reports and monthly Service
Quality Performance Report
Review of reports submitted to NRLS/Serious Incidents reports and monthly Service
Quality Performance Report
Review of reports submitted to NRLS/Serious Incidents reports and monthly Service
Quality Performance Report
Review of reports submitted to NRLS/Serious Incidents reports and monthly Service
Quality Performance Report or necessary care in consequence of the Never
Event
In accordance with Never Events Guidance, recovery by the Responsible Commissioner of the costs to that Commissioner of the procedure or episode (or, where these cannot be accurately established, £2,000) plus any additional charges incurred by that Commissioner (whether under this
Contract or otherwise) for any corrective procedure or necessary care in consequence of the Never
Event
In accordance with Never Events Guidance, recovery by the Responsible Commissioner of the costs to that Commissioner of the procedure or episode (or, where these cannot be accurately established, £2,000) plus any additional charges incurred by that Commissioner (whether under this
Contract or otherwise) for any corrective procedure or necessary care in consequence of the Never
Event
In accordance with Never Events Guidance, recovery by the Responsible Commissioner of the costs to that Commissioner of the procedure or episode (or, where these cannot be accurately established, £2,000) plus any additional charges incurred by that Commissioner (whether under this
Contract or otherwise) for any corrective procedure or necessary care in consequence of the Never
Event
In accordance with Never Events Guidance, recovery by the Responsible Commissioner of the costs to that Commissioner of the procedure or episode (or, where these cannot be accurately established, £2,000) plus any additional charges incurred by that Commissioner (whether under this
All
Healthcare
Premises
All
Healthcare
Settings
All
Healthcare
Premises
All
Healthcare
Settings
All except
PT, Ph
All except
PT
A
S
All except
PT
56
2014/15 NHS STANDARD CONTRACT
PARTICULARS
Inappropriate administration of daily oral methotrexate
>0
Suicide using noncollapsible rails
>0
Escape of a transferred prisoner
>0
Falls from unrestricted windows
>0
Particulars
2014/15 NHS Standard Contract – v11
Review of reports submitted to NRLS/Serious Incidents reports and monthly Service
Quality Performance Report
Contract or otherwise) for any corrective procedure or necessary care in consequence of the Never
Event
In accordance with Never Events Guidance, recovery by the Responsible Commissioner of the costs to that Commissioner of the procedure or episode (or, where these cannot be accurately established, £2,000) plus any additional charges incurred by that Commissioner (whether under this
Contract or otherwise) for any corrective procedure or necessary care in consequence of the Never
Event
Review of reports submitted to NRLS/Serious Incidents reports and monthly Service
Quality Performance Report
MENTAL HEALTH
In accordance with Never Events Guidance, recovery by the Responsible Commissioner of the costs to that Commissioner of the procedure or episode (or, where these cannot be accurately establis hed, £2,000) plus any additional charges incurred by that Commissioner (whether under this
Contract or otherwise) for any corrective procedure or necessary care in consequence of the Never
Event
In accordance with Never Events Guidance, Review of reports submitted to NRLS/Serious Incidents reports and monthly Service
Quality Performance Report recovery by the Responsible Commissioner of the costs to that Commissioner of the procedure or episode (or, where these cannot be accurately established, £2,000) plus any additional charges incurred by that Commissioner (whether under this
Contract or otherwise) for any corrective procedure or necessary care in consequence of the Never
Event
GENERAL HEALTHCARE
Review of reports submitted to NRLS/Serious Incidents reports and monthly Service
In accordance with Never Events Guidance, recovery by the Responsible Commissioner of the costs to that Commissioner of the procedure or
All
Healthcare
Settings
All mental health inpatient premises
All medium and high secure mental health inpatient premises
All
Healthcare
Premises
All except
PT
MH
MHSS
MH
MHSS
All except
AM, PT, Ph
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Entrapment in bedrails
>0
Transfusion of
ABO incompatible blood components
>0
Transplantation of
ABO incompatible organs as a result of error
>0
Misplaced naso- or oro-gastric tubes
>0
Particulars
2014/15 NHS Standard Contract – v11
Quality Performance Report episode (or, where these cannot be accurately established, £2,000) plus any additional charges incurred by that Commissioner (whether under this
Contract or otherwise) for any corrective procedure or necessary care in consequence of the Never
Event
Review of reports submitted to/Serious Incidents reports and monthly Service Quality
Performance Report
In accordance with Never Events Guidance, recovery by the Responsible Commissioner of the costs to that Commissioner of the procedure or episode (or, where these cannot be accurately established, £2,000) plus any additional charges incurred by that Commissioner (whether under this
Contract or otherwise) for any corrective procedure or necessary care in consequence of the Never
Event
Review of reports submitted to NRLS/Serious Incidents reports and monthly Service
Quality Performance Report
In accordance with Never Events Guidance, recovery by the Responsible Commissioner of the costs to that Commissioner of the procedure or episode (or, where these cannot be accurately established, £2,000) plus any additional charges incurred by that Commissioner (whether under this
Contract or otherwise) for any corrective procedure or necessary care in consequence of the Never
Event
Review of reports submitted to NRLS/Serious Incidents reports and monthly Service
Quality Performance Report
Review of reports submitted to NRLS/Serious Incidents
In accordance with Never Events Guidance, recovery by the Responsible Commissioner of the costs to that Commissioner of the procedure or episode (or, where these cannot be accurately established, £2,000) plus any additional charges incurred by that Commissioner (whether under this
Contract or otherwise) for any corrective procedure or necessary care in consequence of the Never
Event
In accordance with Never Events Guidance, recovery by the Responsible Commissioner of the
All adult inpatient premises
All
Healthcare
Premises
All
Healthcare
Premises
All
Healthcare
A
MH
MHSS
A&E
A
AM
CR
R
SM
S
U
A
All except
PT, Ph
58
Wrong gas administered
>0
Failure to monitor and respond to oxygen saturation
>0
Air embolism >0
Particulars
2014/15 NHS Standard Contract – v11
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PARTICULARS reports and monthly Service
Quality Performance Report
Review of reports submitted to NRLS/Serious Incidents reports and monthly Service
Quality Performance Report
Review of reports submitted to NRLS/Serious Incidents reports and monthly Service
Quality Performance Report
Review of reports submitted to NRLS/Serious Incidents reports and monthly Service
Quality Performance Report costs to that Commissioner of the procedure or episode (or, where these cannot be accurately established, £2,000) plus any additional charges incurred by that Commissioner (whether under this
Contract or otherwise) for any corrective procedure or necessary care in consequence of the Never
Event
In accordance with Never Events Guidance, recovery by the Responsible Commissioner of the costs to that Commissioner of the procedure or episode (or, where these cannot be accurately established, £2,000) plus any additional charges incurred by that Commissioner (whether under this
Contract or otherwise) for any corrective procedure or necessary care in consequence of the Never
Event
In accordance with Never Events Guidance, recovery by the Responsible Commissioner of the costs to that Commissioner of the procedure or episode (or, where these cannot be accurately established, £2,000) plus any additional charges incurred by that Commissioner (whether under this
Contract or otherwise) for any corrective procedure or necessary care in consequence of the Never
Event
In accordance with Never Events Guidance, recovery by the Responsible Commissioner of the costs to that Commissioner of the procedure or episode (or, where these cannot be accurately established, £2,000) plus any additional charges incurred by that Commissioner (whether under this
Contract or otherwise) for any corrective procedure or necessary care in consequence of the Never
Event
Premises
All
Healthcare
Premises
All
Healthcare
Premises
All
Healthcare
Premises
All except
PT, Ph, CH
All except
PT
All except
PT
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Misidentification of
Service Users
>0
Severe scalding of
Service Users
>0
Maternal death due to post-partum haemorrhage after elective caesarean section
>0
2014/15 NHS STANDARD CONTRACT
PARTICULARS
Review of reports submitted to NRLS/Serious Incidents reports and monthly Service
Quality Performance Report
Review of reports submitted to NRLS/Serious Incidents reports and monthly Service
Quality Performance Report
Review of reports submitted to NRLS/Serious Incidents reports and monthly Service
Quality Performance Report
In accordance with Never Events Guidance, recovery by the Responsible Commissioner of the costs to that Commissioner of the procedure or episode (or, where these cannot be accurately established, £2,000) plus any additional charges incurred by that Commissioner (whether under this
Contract or otherwise) for any corrective procedure or necessary care in consequence of the Never
Event
In accordance with Never Events Guidance, recovery by the Responsible Commissioner of the costs to that Commissioner of the procedure or episode (or, where these cannot be accurately estab lished, £2,000) plus any additional charges incurred by that Commissioner (whether under this
Contract or otherwise) for any corrective procedure or necessary care in consequence of the Never
Event
MATERNITY
In accordance with Never Events Guidance, recovery by the Responsible Commissioner of the costs to that Commissioner of the procedure or episode (or, where these cannot be accurately established, £2,000) plus any additional charges incurred by that Commissioner (whether under this
Contract or otherwise) for any corrective procedure or necessary care in consequence of the Never
Event
All
Healthcare
Premises
All
Healthcare
Premises
All
Healthcare
Premises
All
All
A
Particulars
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E. Commissioning for Quality and Innovation (CQUIN)
CQUIN Table 1: CQUIN Schemes
Insert completed CQUIN template spreadsheet(s) or state Not Applicable
CQUIN Table 2 : CQUIN Payments on Account
Commissioner Payment Frequency/Timing Agreed provisions for adjustment of CQUIN
Payments on Account based on performance
Particulars
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F. Local Incentive Scheme
Insert text locally or state Not Applicable
Particulars
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G. Clostridium difficile
Y
Z
Clostridium difficile adjustment: NHS Foundation Trust/NHS Trust
The financial adjustment (£) is the sum which is the greater of Y and Z, where:
=
=
0
((A – B) x 10,000) x C where:
A = the actual number of cases of Clostridium difficile in respect of
C
B = all NHS patients treated by the Provider in the Contract Year the Baseline Threshold (the figure as notified to the Provider and recorded in the Particulars, being the Provider’s threshold for the number of cases of
Clostridium difficile for the Contract Year, in accordance with Guidance)
= no. of inpatient bed days in respect of Service Users in the Contract Year no. of inpatient bed days in respect of all NHS patients treated by the
Provider in the Contract Year
The financial adjustment is calculated on the basis of annual performance. For the purposes of Service Condition 36.47 ( Operational Standards, National Quality Requirements and Local
Quality Requirements ), any repayment or withholding in respect of Clostridium difficile performance will be made in respect of the final quarter of the Contract Year.
Clostridium difficile adjustment: Other Providers
The f inancial adjustment (£) is the sum equal to A x 10,000, where:
A = the actual number of cases of Clostridium difficile in respect of Service Users in the Contract Year.
The financial adjustment is calculated on the basis of annual performance. For the purposes of Service Condition 36.47 ( Operational Standards, National Quality Requirements and Local
Quality Requirements ), any repayment or withholding in respect of Clostridium difficile performance will be made in respect of the final quarter of the Contract Year.
Particulars
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H. Sanction Variations
Insert completed template (available via contract Technical Guidance); insert any additional text and/or attach spreadsheets or documents locally - or state Not
Applicable
Particulars
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I. CQUIN Variations
Insert completed template (available via CQUIN Guidance); insert any additional text and/or attach spreadsheets or documents locally - or state Not Applicable
Particulars
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A. Documents Relied On
Documents supplied by Provider
Document Date
Insert text locally or state
Not Applicable
Date
Documents supplied by Commissioners
Document
Insert text locally or state
Not Applicable
Particulars
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B1.
Provider’s Mandatory Material Sub-Contractors
Mandatory Material
Sub-Contractor
[Name]
[Registered Office]
[Company number]
Insert text locally or state Not Applicable
Service Description Start date/expiry date
Processing data –
Yes/No
Particulars
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B2.
Provider’s Permitted Material Sub-Contractors
Permitted Material
Sub-Contractor
[Name]
[Registered Office]
[Company number]
Insert text locally or state Not Applicable
Service Description Start date/expiry date
Processing data –
Yes/No
Particulars
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C. IPR
Commissioner IPR
Commissioner
Insert text locally or state Not Applicable
Document/Data/Process
Provider IPR
Provider/Sub-Contractor
Insert text locally or state Not Applicable
Document/Data/Process
Particulars
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D. Commissioner Roles and Responsibilities
Co-ordinating Commissioner
Insert text locally
Role/Responsibility
Particulars
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E. Partnership Agreements
To which the Provider is a party:
Date
Insert text locally or state
Not Applicable
Parties
To which a Commissioner is a party:
Date
Insert text locally or state
Not Applicable
Parties
Description
Description
Particulars
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A. Recorded Variations
Variation
Number
Description of
Variation
Date of
Variation
Proposal
Party proposing the
Variation
Date of
Variation
Agreement
Particulars
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Reporting Period
B. Reporting Requirements
Format of Report Timing and Method for delivery of Report
National Requirements Reported
Centrally
1. As specified in the list of assessed mandated collections published on the
HSCIC website to be found at http://www.hscic.gov.uk/dataco llections
2. as applicable to the Provider and the Services
PROMS
As set out in relevant
Guidance
3. NDTMS
National Requirements Reported
Locally
1. Monthly Activity Report
2. Service Quality Performance
Report, detailing performance against Operational
Standards, National Quality
Requirements, Local Quality
Requirements, Never Events, including, without limitation:
2.1 details of any thresholds
As set out in relevant
Guidance
As set out in NTA
Guidance
Monthly
Monthly
As set out in relevant
Guidance
As set out in relevant
Guidance
As set out in NTA
Guidance
As set out in relevant
Guidance
As set out in relevant
Guidance
All
As set out in NTA Guidance SM
Using SUS data, where applicable
Submit to Co-ordinating
Commissioner within 10
Operational Days of the end of the month to which it relates.
Application
All
All
All
Particulars
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3.
4.
5. that have been breached and any Never
Events that have occurred;
2.2 details of all requirements satisfied;
2.3 details of, and reasons for, any failure to meet requirements and;
2.4 the outcome of all Root
Cause Analyses and audits performed pursuant to Service
Condition 20 ( Venous
Thromboembolism ).
CQUIN Performance Report and details of progress towards satisfying any Quality
Incentive Scheme Indicators, including details of all Quality
Incentive Scheme Indicators satisfied or not satisfied
Monthly report on performance against the HCAI Reduction
Plan
Complaints monitoring report, setting out numbers of complaints received and including analysis of key themes in content of complaints
Monthly
Particulars
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PARTICULARS
All
A
All
All
All
All
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6.
7.
8.
9.
10.
Report against performance of
Service Development and
Improvement Plan (SDIP)
Cancer Registration dataset reporting (ISN): report on staging data in accordance with Guidance
Monthly summary report of all incidents requiring reporting
Data Quality Improvement
Plan: report of progress against milestones
Report and provide monthly data and detailed information relating to violence-related injury resulting in treatment being sought from Staff in A&E departments, urgent care and walk-in centres, and from ambulance services paramedics (where the casualties do not require A&E department, urgent care and walk-in centre attendance), to the local community safety partnership and the relevant police force, in accordance with applicable Guidance
(College of Emergency
Medicine Clinical Guidance
Information Sharing to Reduce
Community Violence (July
2009))
In accordance with relevant SDIP
As set out in relevant
Guidance
Monthly
In accordance with relevant DQIP
Monthly
In accordance with relevant
SDIP
In accordance with relevant
SDIP
All
As set out in relevant
Guidance
As set out in relevant
Guidance
CR
R
All
In accordance with relevant
DQIP
In accordance with relevant
DQIP
All
As set out in relevant
Guidance
As set out in relevant
Guidance
A
A+E
AM
U
Particulars
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PARTICULARS
11. Report on outcome of reviews and evaluations in relation to
Staff numbers and skill mix in accordance with General
Condition 5.2 ( Staff )
Local Requirements Reported
Locally
Insert as agreed locally
6 monthly (or more frequently if and as required by the Coordinating Commissioner from time to time)
All
Particulars
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Data Quality
Indicator
Insert text locally
C.
Data Quality
Threshold
Data Quality Improvement Plan
Method of
Measurement
Milestone Date Consequence
Particulars
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D. Incidents Requiring Reporting Procedure
Procedure(s) for reporting, investigating, and implementing and sharing lessons learned from: (1)
Serious Incidents (2) Reportable Patient Safety Incidents (3) Other Patient Safety Incidents
Insert text locally
Particulars
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Insert text locally
E. Service Development and Improvement Plan
Milestones Timescales Expected
Benefit
Consequence of Achievement/
Breach
[Subject to General Condition 9
( Contract Management )] or [locally agreed]
Particulars
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Type of Survey Frequency
Friends and
Family Test
(where required in accordance with
FFT Guidance)
Service User
Survey
[ Insert further description locally ]
Staff Surveys
[ Insert further description locally ]
Carer Survey
[ Insert further description locally ]
[Other insert locally]
As required by FFT
Guidance
[NHS Staff Survey: where required by
Guidance]
[Other]
F. Surveys
Method of Reporting Method of Publication
As required by FFT
Guidance
As required by FFT Guidance
[NHS Staff Survey: where required by
Guidance]
[Other]
[NHS Staff Survey: where required by
Guidance]
[Other]
Particulars
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Insert text locally (template drafting available via http://www.england.nhs.uk/nhs-standardcontract/ ) or state Not Applicable
Particulars
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PARTICULARS
© Crown copyright 2013
First published: December 2013
Published in electronic format only
Particulars
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