1. Supporting Cheshire and Merseyside PCTs STANDARD NHS CONTRACTS Carole Hodgkinson Head of Contracts CISSU

2. Supporting Cheshire and Merseyside PCTs 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?

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

4. Supporting Cheshire and Merseyside PCTs 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?

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

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

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

8. Supporting Cheshire and Merseyside PCTs 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

9. Supporting Cheshire and Merseyside PCTs 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

10. Supporting Cheshire and Merseyside PCTs 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

11. Supporting Cheshire and Merseyside PCTs 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

12. Supporting Cheshire and Merseyside PCTs 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?

13. Supporting Cheshire and Merseyside PCTs 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.

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

15. Supporting Cheshire and Merseyside PCTs 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)

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

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

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

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

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

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

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

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

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

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

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

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

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

29. Supporting Cheshire and Merseyside PCTs