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STANDARD NHS CONTRACTS Carole Hodgkinson Head of Contracts CISSU

STANDARD NHS CONTRACTS Carole Hodgkinson Head of Contracts CISSU. WHY DO YOU NEED TO KNOW ABOUT THE CONTRACT?. Background Aims and Principals National Contract What is the Contract ? Link to World Class Commissioning Key Elements

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STANDARD NHS CONTRACTS Carole Hodgkinson Head of Contracts CISSU

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  1. STANDARDNHS CONTRACTSCarole HodgkinsonHead of ContractsCISSU Supporting Cheshire and Merseyside PCTs

  2. WHY DO YOU NEED TO KNOW ABOUT THE CONTRACT? • Background • Aims and Principals • National Contract • What is the Contract? • Link to World Class Commissioning • Key Elements • Where do you fit in? Supporting Cheshire and Merseyside PCTs

  3. HOW DOES THE CONTRACT APPLY TO YOU ? Supporting Cheshire and Merseyside PCTs

  4. How can I use the contract to improve healthcare? • How can the contract help me deliver my organisation’s objectives? • How do I fit into the process? Supporting Cheshire and Merseyside PCTs

  5. BACKGROUND 4 STANDARD NHS CONTRACTS • Acute • Community • Mental Health • Ambulance Supporting Cheshire and Merseyside PCTs

  6. WHY? • WHEN? • HOW? Supporting Cheshire and Merseyside PCTs

  7. NATIONAL • Guiding Principles • Behaviours • Economics • Targets to rights Supporting Cheshire and Merseyside PCTs

  8. GUIDING PRINCIPLES • Reflect vision, long term planning and change • Recognise the community interest • Provide clarity on commitments that need to be made to stakeholders • Clarify and define respective roles and responsibilities • Recognise that open information is required to manage the contract • Underpin a relationship between equals • Understand mutual dependency and benefit of the parties in aiming for a partnership approach Supporting Cheshire and Merseyside PCTs

  9. GUIDING PRINCIPLES (cont’d) • Support co-operation and collaborative behaviours that benefit all parties and cement the positive relationship between them • Be based on terms that are deliverable in practice Supporting Cheshire and Merseyside PCTs

  10. EXPECTED BEHAVIOURS • Find and support win-win solutions • Achieve appropriate risk sharing and sharing of any benefits that are realised by mutual effort • Maintain mature, regular dialogue within a professional code of conduct • Ensure flexibility where there are genuine problems in delivery Supporting Cheshire and Merseyside PCTs

  11. EXPECTEDBEHAVIOURS (cont’d) • Provide incentives as well as penalties • Recognise investment required to achieve requirements over a reasonable time period • Support providers to change their service officer over time in relation to changes brought about through patient choices • Maintain honesty and transparency – across both parties and with patients and the public Supporting Cheshire and Merseyside PCTs

  12. WHAT IS THE CONTRACT? • Covers all agreement for services between PCTs, L.A and service providers • Is a ‘standard’ not a model • Supports achievement of key standards and targets • Legally binding Supporting Cheshire and Merseyside PCTs

  13. WHAT IS THE CONTRACT? (cont’d) • Within principles and rules for co-operation and completion • Goal to achieve genuine agreement about services & payment • Should support and encourage providers to innovate and improve services and patient experience. Supporting Cheshire and Merseyside PCTs

  14. WHY IS THE CONTRACT IMPORTANT WORLD CLASS COMMISSIONING COMPETENCIES Stimulate the market Secure Procurement Skills Manage the local Health System Supporting Cheshire and Merseyside PCTs

  15. KEY ELEMENTS (1) Structure • Elements which are mandatory (Red) • Elements which must be identified but the details is for local agreement (Amber) • Additional elements added locally (Green) • Community Modular Supporting Cheshire and Merseyside PCTs

  16. KEY ELEMENTS (2) PARTIES TO THE CONTRACT • Co-ordinating Commission } Consortium • Associate Commission } Agreements • Partnership Arrangements } Supporting Cheshire and Merseyside PCTs

  17. KEY ELEMENTS (3) CONTRACT CONTROLS & LEVERS • 18 weeks • HCAI • Excess Activity • Nationally Specified Events • CQUIN Supporting Cheshire and Merseyside PCTs

  18. CONTRACTS LEVERS The roles of the different contract levers: Option local incentive Stretching goals where achievement Results in incentive payments CQUIN Service Specification & Quality Schedule CQC Requirements Baseline targets where there are consequence for non-achievement Requirements for Non-regulated services Supporting Cheshire and Merseyside PCTs

  19. KEY ELEMENTS (4) Managing Activity & Referrals • Shared Responsibility • Activity Managements Plans • Prior Approval and PLCPs Supporting Cheshire and Merseyside PCTs

  20. KEY ELEMENTS (5) Service Specification Supporting Cheshire and Merseyside PCTs

  21. KEY ELEMENTS (6) Quality Including Patient Experience • Key quality requirements • Monthly quality monitoring • CQUIN (1.5%) • Never events Supporting Cheshire and Merseyside PCTs

  22. KEY ELEMENTS (7) Price and Volume Supporting Cheshire and Merseyside PCTs

  23. KEY ELEMENTS (8) Information Supporting Cheshire and Merseyside PCTs

  24. OTHER ELEMENTS • Service Development and Improvement Plan • Disputes • Safeguarding • Impact Assessment • SUI • Networks • DSSA Supporting Cheshire and Merseyside PCTs

  25. MONITORING Monthly/Quarterly Performance and Quality Reviews Supporting Cheshire and Merseyside PCTs

  26. All the contracts and their guidance can be found at http://www.dh.gov.uk/en/Publications/managingyourorganisation/ commissioning/systemmanagement/DH_085048 Supporting Cheshire and Merseyside PCTs

  27. WHERE DO YOU FIT IN? • Care Pathways • Prior Approval • Service Specifications • Demand Management • Treatment Protocols • Performance and Incentiveness • Quality Standards • Health Impact Assessment • Procurement Supporting Cheshire and Merseyside PCTs

  28. THANK YOU ANY QUESTIONS? Supporting Cheshire and Merseyside PCTs

  29. Supporting Cheshire and Merseyside PCTs

  30. Supporting Cheshire and Merseyside PCTs

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