NHS sec-a-part-1415 EHC and Chlamydia Screening v2

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2013/14 NHS STANDARD CONTRACT

FOR ACUTE, AMBULANCE, COMMUNITY AND MENTAL HEALTH

AND LEARNING DISABILITY SERVICES

NHS Standard Contract

2014/15

Particulars

Particulars – DS39

2013/14 NHS STANDARD CONTRACT

NHS ENGLAND

2014/15 NHS STANDARD CONTRACT

PARTICULARS

NHS Standard Contract

2014/15

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

CONTENTS

PARTICULARS

CONTRACT

SERVICE COMMENCEMENT AND CONTRACT TERM

SERVICES

PAYMENT

QUALITY

GOVERNANCE

REGULATORY

CONTRACT MANAGEMENT

PENSIONS

SCHEDULE 1 – SERVICE COMMENCEMENT AND CONTRACT TERM

A. Conditions Precedent

B. Commissioner Documents

C. Extension of Contract Term

SCHEDULE 2

– THE SERVICES

A. Service Specifications

B. Indicative Activity Plan

C. Activity Planning Assumptions

D. Essential Services

E. Essential Services Continuity Plan

F. Clinical Networks

G. Other Local Agreements, Policies and Procedures

H. Transition Arrangements

I.

Exit Arrangements

J.

Social Care Provisions

K. Transfer of and Discharge from Care Protocols

L. Safeguarding Policies

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

D. Never Events

E. Commissioning for Quality and Innovation (CQUIN)

F. Local Incentive Scheme

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

C. IPR

D. Commissioner Roles and Responsibilities

E. Partnership Agreements

SCHEDULE 6 – CONTRACT MANAGEMENT, REPORTING AND

INFORMATION REQUIREMENTS

A. Recorded Variations

B. Reporting Requirements

C. Data Quality Improvement Plan

D. Incidents Requiring Reporting Procedure

E. Service Development and Improvement Plan

F. Survey s

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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SERVICE COMMENCEMENT

AND CONTRACT TERM

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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SERVICES

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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PAYMENT

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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QUALITY

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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PARTICULARS

GOVERNANCE AND

REGULATORY

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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CONTRACT MANAGEMENT

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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PENSIONS

New Fair Deal applies

NHS ENGLAND

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YES/NO

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SCHEDULE 1 – SERVICE COMMENCEMENT

AND CONTRACT TERM

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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SCHEDULE 2 – THE SERVICES

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.

Particulars

2014/15 NHS STANDARD CONTRACT

29

See Service Description

NHS ENGLAND

2014/15 NHS STANDARD CONTRACT

PARTICULARS

D. Essential Services

Particulars

2014/15 NHS STANDARD CONTRACT

30

NHS ENGLAND

2014/15 NHS STANDARD CONTRACT

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

SCHEDULE 3 – PAYMENT

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

SCHEDULE 4 – QUALITY REQUIREMENTS

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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2014/15 NHS STANDARD CONTRACT

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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

2014/15 NHS STANDARD CONTRACT

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

59

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

2014/15 NHS Standard Contract – v11

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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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SCHEDULE 5 - GOVERNANCE

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

2014/15 NHS Standard Contract – v11

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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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PARTICULARS

SCHEDULE 6 – CONTRACT MANAGEMENT, REPORTING AND

INFORMATION REQUIREMENTS

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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2014/15 NHS STANDARD CONTRACT

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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

2014/15 NHS Standard Contract – v11

71

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

2014/15 NHS Standard Contract – v11

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PARTICULARS

All

A

All

All

All

All

72

2014/15 NHS STANDARD CONTRACT

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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

2014/15 NHS Standard Contract – v11

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2014/15 NHS STANDARD CONTRACT

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

2014/15 NHS Standard Contract – v11

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PARTICULARS

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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PARTICULARS

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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PARTICULARS

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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SCHEDULE 7 – PENSIONS

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

2014/15 NHS Standard Contract – v11

80

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