supporting cheshire and merseyside pcts standard nhs contracts carole hodgkinson head of contracts...

Supporting Cheshire and Merseyside PCTs

STANDARDNHS CONTRACTS

Carole HodgkinsonHead of Contracts

CISSU


• Background Aims and Principals National Contract What is the Contract?

• Link to World Class Commissioning

• Key Elements

• Where do you fit in?

WHY DO YOU NEED TO KNOW ABOUT THE CONTRACT?


HOW DOES THE CONTRACT APPLY TO YOU ?


• 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?


• Acute• Community• Mental Health• Ambulance

BACKGROUND 4 STANDARD NHS CONTRACTS


• WHY?

• WHEN?

• HOW?


• Guiding Principles• Behaviours• Economics• Targets to rights

NATIONAL


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


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


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


EXPECTED BEHAVIOURS (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


• 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

WHAT IS THE CONTRACT?


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.


SecureProcurement

Skills

Managethe local

Health System

Stimulate the market

WHY IS THE CONTRACT IMPORTANT

WORLD CLASS COMMISSIONING COMPETENCIES


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

KEY ELEMENTS (1)


KEY ELEMENTS (2)PARTIES TO THE CONTRACT

• Co-ordinating Commission } Consortium• Associate Commission }

Agreements

• Partnership Arrangements }


KEY ELEMENTS (3)CONTRACT CONTROLS & LEVERS

• 18 weeks• HCAI• Excess Activity• Nationally

Specified Events• CQUIN


Option local incentive

CQUIN

Service Specification & Quality Schedule

CQC Requirements

Requirements forNon-regulated services

Baseline targets where there areconsequence for non-achievement

Stretching goals where achievementResults in incentive payments

The roles of the different contract levers:

CONTRACTS LEVERS


• Shared Responsibility• Activity Managements Plans• Prior Approval and PLCPs

KEY ELEMENTS (4)Managing Activity & Referrals


KEY ELEMENTS (5)Service Specification


• Key quality requirements• Monthly quality monitoring• CQUIN (1.5%)• Never events

KEY ELEMENTS (6) Quality Including Patient Experience


KEY ELEMENTS (7)

Price and Volume


KEY ELEMENTS (8)

Information


• Service Development and Improvement Plan

• Disputes• Safeguarding• Impact Assessment• SUI• Networks• DSSA

OTHER ELEMENTS


MONITORING

Monthly/Quarterly Performance and Quality Reviews


All the contracts and their guidance can be found at

http://www.dh.gov.uk/en/Publications/managingyourorganisation/ commissioning/systemmanagement/DH_085048


• Care Pathways• Prior Approval• Service Specifications• Demand Management• Treatment Protocols• Performance and Incentiveness• Quality Standards• Health Impact Assessment• Procurement

WHERE DO YOU FIT IN?


THANK YOU

ANY QUESTIONS?

supporting cheshire and merseyside pcts standard nhs contracts carole hodgkinson head of contracts...

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