2013/14 NHS STANDARD CONTRACT FOR ACUTE, AMBULANCE, COMMUNITY AND MENTAL HEALTH
AND LEARNING DISABILITY SERVICES
Particulars – DS392013/14 NHS STANDARD CONTRACT
NHS Standard Contract2014/15
Particulars
NHS ENGLAND 2014/15 NHS STANDARD CONTRACT
PARTICULARS
NHS Standard Contract2014/15Particulars
First published: December 2013
Gateway No: 00821
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Contract ReferenceCATCPALL1415
DATE OF CONTRACT 31st March 2014
SERVICE COMMENCEMENT DATE
1st April 2014
CONTRACT TERM 1 Years[Subject to extension in accordance with Schedule 1 Part C]
COMMISSIONERS NHS St Helens CCG(ODS 01X)
CO-ORDINATING COMMISSIONER
Not applicable
PROVIDER [ ] (ODS [ ])Principal and/or registered office address:[ ]
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CONTENTS
PARTICULARS
CONTRACTSERVICE COMMENCEMENT AND CONTRACT TERMSERVICESPAYMENTQUALITYGOVERNANCEREGULATORYCONTRACT MANAGEMENTPENSIONS
SCHEDULE 1 – SERVICE COMMENCEMENT AND CONTRACT TERMA. Conditions Precedent B. Commissioner Documents
C. Extension of Contract Term
SCHEDULE 2 – THE SERVICESA. Service SpecificationsB. Indicative Activity PlanC. Activity Planning AssumptionsD. Essential ServicesE. Essential Services Continuity PlanF. Clinical NetworksG. Other Local Agreements, Policies and ProceduresH. Transition ArrangementsI. Exit ArrangementsJ. Social Care ProvisionsK. Transfer of and Discharge from Care ProtocolsL. Safeguarding Policies
SCHEDULE 3 – PAYMENTA. Local PricesB. Local VariationsC Local ModificationsD. Marginal Rate Emergency Rule: Agreed Baseline ValueE. Emergency Re-admissions Within 30 Days: Agreed ThresholdF. Expected Annual Contract ValuesG Notices to Aggregate/Disaggregate PaymentsH. Timing and Amounts of Payments in First and/or Final Contract Year
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SCHEDULE 4 – QUALITY REQUIREMENTS
A. Operational StandardsB. National Quality Requirements C. Local Quality RequirementsD. Never EventsE. Commissioning for Quality and Innovation (CQUIN)F. Local Incentive SchemeG. Clostridium difficile
H. Sanction Variations I. CQUIN Variations
SCHEDULE 5 - GOVERNANCEA. Documents Relied OnB1. Provider’s Mandatory Material Sub-ContractorsB2. Provider’s Permitted Material Sub-ContractorsC. IPRD. Commissioner Roles and ResponsibilitiesE. Partnership Agreements
SCHEDULE 6 – CONTRACT MANAGEMENT, REPORTING AND INFORMATION REQUIREMENTS
A. Recorded VariationsB. Reporting RequirementsC. Data Quality Improvement PlanD. Incidents Requiring Reporting ProcedureE. Service Development and Improvement PlanF. Surveys
SCHEDULE 7 – PENSIONS
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SERVICE CONDITIONS
SC1 Compliance with the Law and the NHS ConstitutionSC2 Regulatory Requirements SC3 Service StandardsSC4 Co-operationSC5 Commissioner Requested Services/Essential Services SC6 Service User Booking and Choice and Referrals SC7 Withholding and/or Discontinuation of Service SC8 Unmet NeedsSC9 ConsentSC10 Personalised Care Planning and Shared Decision MakingSC11 Transfer of and Discharge from Care SC12 Service User Involvement SC13 Equity of Access, Equality and Non-DiscriminationSC14 Pastoral, Spiritual and Cultural CareSC15 Services Environment and Equipment SC16 Places of Safety SC17 ComplaintsSC18 Service Development and Improvement Plan SC19 HCAI Reduction PlanSC20 Venous Thromboembolism SC21 Not used SC22 Not used SC23 Service User Health RecordsSC24 NHS Counter-Fraud and Security ManagementSC25 Procedures and Protocols SC26 Clinical Networks, National Audit Programmes and Approved Research
StudiesSC27 FormularySC28 Information Requirements SC29 Managing Activity and Referrals SC30 Emergency Preparedness and Resilience Including Major IncidentsSC31 Force Majeure: Service-specific provisionsSC32 Safeguarding SC33 Incidents Requiring ReportingSC34 Death of a Service User SC35 Duty of Candour SC36 Payment TermsSC37 Local Quality Requirements and Quality Incentive Schemes SC38 Commissioning for Quality and Innovation (CQUIN)
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GENERAL CONDITIONS
GC1 Definitions and InterpretationGC2 Effective Date and DurationGC3 Service CommencementGC4 Transition Period GC5 StaffGC6 Not used GC7 Partnership Arrangements GC8 Review GC9 Contract Management GC10 Co-ordinating Commissioner and RepresentativesGC11 Liability and IndemnityGC12 Assignment and Sub-ContractingGC13 VariationsGC14 Dispute Resolution GC15 Governance, Transaction Records and Audit GC16 SuspensionGC17 TerminationGC18 Consequence of Expiry or TerminationGC19 Provisions Surviving TerminationGC20 Confidential Information of the PartiesGC21 Data Protection, Freedom of Information and TransparencyGC22 Intellectual PropertyGC23 NHS Branding, Marketing and PromotionGC24 Change in ControlGC25 WarrantiesGC26 Prohibited ActsGC27 Conflicts of InterestGC28 Force MajeureGC29 Third Party RightsGC30 Entire ContractGC31 SeverabilityGC32 WaiverGC33 RemediesGC34 Exclusion of PartnershipGC35 Non-SolicitationGC36 NoticesGC37 Costs and ExpensesGC38 CounterpartsGC39 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
Margaret Geoghegan forand on behalf ofNHS St Helens CCG
Head of Medicines Management……………………………………………………….Title31st March 2014…………………………………………………….Date
SIGNED by ……………………………………………………….Signature
……………………………………………………….Name (please print)
forand on behalf of[INSERT PROVIDER NAME]
……………………………………………………….Title
……………………………………………………….Date
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SERVICE COMMENCEMENT AND CONTRACT TERM
Effective Date 1st April 2014
Expected Service Commencement Date 1st April 2014
Longstop Date Not applicable
Commissioner Documents Set out in Schedule 1 Part B or None
Service Commencement Date 1st April 2014
Contract Term 1 Year[Subject to extension in accordance with Schedule 1 Part C]
Option to extend Contract Term YES
By 1 yearExpiry Date 31st March 2015
[Subject to extension in accordance with Schedule 1 Part C]
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SERVICES
Service Categories Tick all that apply
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)
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 Set out in Schedule 2 Part A
Indicative Activity Plan Not applicable
Activity Planning Assumptions Not applicable
Essential Services (NHS Trusts only) Not applicable
Services to which 18 Weeks applies NO
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PAYMENT
National Prices Not applicable
Local Prices Set out in Schedule 3 Part A
Local Variations Not applicable
Local Modifications Not applicableSmall Provider YES
Expected Annual Contract Value Agreed NO
Any Services not included in Expected Annual Contract Value
NO
First/Last Contract Year less than 12 months
NO
Notice given to aggregate payments Not applicable
Notice given to disaggregate payments Not applicable
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QUALITY
Sanction Variations NO
CQUIN Scheme(s) NO
CQUIN Variations NO
CQUIN Payments on Account Made Not applicable
Local Incentive Scheme NO
Provider type Community Pharmacy
Clostridium Difficile Baseline Threshold Not applicable
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GOVERNANCE AND REGULATORY
Documents Relied On Not applicableMandatory Material Sub-Contractors Not applicablePermitted Material Sub-Contractors Not applicableIPR Not applicableCommissioner Roles and Responsibilities Set out in Schedule 5 Part D
Nominated Mediation Body CEDR/Other – [ ] Not sure who this is?
Provider’s Information Governance Lead [ ]Email: [ ]Tel: [ ]
Provider’s Caldicott Guardian [ ]Email: [ ]Tel: [ ]
Provider’s Senior Information Risk Owner [ ]Email: [ ]Tel: [ ]
Provider’s Accountable Emergency Officer
[ ]Email: [ ]Tel: [ ]
Provider’s Safeguarding and Prevent Lead [ ]Email: [ ]Tel: [ ]
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CONTRACT MANAGEMENT
Addresses for service of Notices Co-ordinating Commissioner:NHS St Helens CCGSt Helens ChamberSalisbury Street (off Chalon Way)St HelensWA10 1FY
Frequency of Review Meetings Ad hoc
Commissioner Representative(s) Margaret GeogheganNHS St Helens CCGSt Helens ChamberSalisbury Street (off Chalon Way)St HelensWA10 1FYEmail: [email protected]: 01744 621844
Provider Representative [ ]Address: [ ]Email: [ ]Tel: [ ]
PENSIONS
New Fair Deal applies 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. Evidence of appropriate Professional Indemnity Arrangements
B. Commissioner DocumentsNot applicable
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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 1 year.
2. If the Commissioners wish to exercise the option to extend the Contract Term, the Co-ordinating 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.
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SCHEDULE 2 – THE SERVICES
A. Service Specifications
Service Specification No.
CP1
Service Care at the Chemist (minor ailments service)
Commissioner Lead Head of Medicines Management (Margaret Geoghegan)
Provider Lead ?Insert name of contractor
Period 1st April 2014 -30th March 2015
Date of Review 1st September 2014
1. Population Needs
1.1 National/local context and evidence base
As in local aims and service outcomes in section 2.2
2. Outcomes
2.1 NHS Outcomes Framework Domains & Indicators
Domain 1 Preventing people from dying prematurelyDomain 2 Enhancing quality of life for people with long-term
conditionsX
Domain 3 Helping people to recover from episodes of ill-health or following injury
X
Domain 4 Ensuring people have a positive experience of care XDomain 5 Treating and caring for people in safe environment and
protecting them from avoidable harmX
2.2 Local aims and intended service outcomes
Improve equity and access to NHS services for people with minor ailments.
Promote self care through community pharmacy.
Provide advice and, where appropriate, treatment without the need to visit a GP
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practice.
Operate a referral system from local medical practices or other primary care
providers.
Supply an appropriate choice of medicine, from the approved Care at the Chemist
(CatC) formulary, at NHS expense.
Improve primary care capacity by reducing medical practice workload related to
minor ailments covered by the service.
3. Scope
1. Service description
1.1. The pharmacy will provide advice and support on the management of minor
ailments to patients who would have otherwise gone to their GP for a prescription.
1.2. All patients should be offered advice on self management of minor ailments.
1.3. Treatment, where appropriate, may be offered for those ailments listed in Standard
Operating Procedure 1: Registration.
1.4. A medicine may only be supplied if it is listed on the approved formulary for
treatment of the minor ailment. Please refer to the Treatment Protocols.
1.5. The pharmacy will operate a triage system including referral to other healthcare
professionals when appropriate.
2. Service outline
2.1. The area within the pharmacy used for provision of this service must provide a
sufficient level of privacy and safety to meet the requirements of the CatC .Service
Level Agreement.
2.2. The Contractor has a duty to ensure that pharmacists and staff involved in the
provision of this service have relevant knowledge and are appropriately trained in
the operation of the service.
2.3. The Contractor has a duty to ensure that pharmacists and staff involved in the
provision of the service are aware of and operate within the CatC Standard
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Operating Procedures, Service Level Agreement and Treatment Protocols.
2.4. The pharmacy must maintain appropriate records using the Webstar electronic
system to ensure effective ongoing service delivery and audit in accordance with
CatC Standard Operating Procedures.
2.5. The CatC formulary must be adhered to when it is necessary to supply a medicine
for the treatment of a minor ailment covered by the service.
2.6. Patients from one year of age who are registered with an NHS St Helens CCG,
NHS Knowsley CCG GP, NHS Halton CCG or NHS Liverpool CCG GP are eligible
to receive advice and treatment under the CatC scheme.
2.7. Registered patients may self refer or be referred from another healthcare team
member to a participating pharmacy to access the service.
2.8. The pharmacy will provide advice and may supply a medicine from the CatC
Formulary supported by advice on its use. The pharmacy may otherwise provide
advice on the management of the ailment and a referral to an appropriate
healthcare professional.
2.9. The pharmacy will maintain a record of the consultation with details of any medicine
supplied.
2.10. The pharmacy will ensure the person’s eligibility for the service and collect NHS
charges where appropriate.
2.11. The CCG is responsible for monitoring the service and providing feedback to
stakeholders.
2.12. The CCG is responsible for the promotion of the service locally and the
development of publicity materials.
2.13. The CCG will provide information staff can use to signpost service users who
require further assistance.
4. Applicable Service Standards
4.1 Applicable national standards (eg NICE)No applicable4.2 Applicable standards set out in Guidance and/or issued by a competent body
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General Pharmaceutical Council
4.3 Applicable local standards
Pharmacists and staff involved in the provision of the service have undertaken
training in relation to this service.
The pharmacy makes full use of the promotional material made available from the
CCG.
The pharmacy participates with any CCG led review of the service.
The pharmacy participates in a CCG led audit of the service.
The pharmacy co-operates with any CCG led assessment of service user
experience.
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Service Specifications
Service Specification No.
CP2
Service On Demand Availability of Palliative Care Medicines
Commissioner Lead Head of Medicines Management (Margaret Geoghegan)
Provider Lead ?Insert name of contractor
Period 1st April 2014 -30th March 2015
Date of Review 1st September 2014
1. Population Needs
1.2 National/local context and evidence base
2. Outcomes
2.1 NHS Outcomes Framework Domains & Indicators
Domain 1 Preventing people from dying prematurelyDomain 2 Enhancing quality of life for people with long-term
conditionsx
Domain 3 Helping people to recover from episodes of ill-health or following injury
Domain 4 Ensuring people have a positive experience of care xDomain 5 Treating and caring for people in safe environment and
protecting them from avoidable harmx
3. Scope
3.1 Aims and objectives of service To improve the care of the dying in the last few days/hours of life by:
Pharmacies having sufficient stock of an appropriate range of palliative care
medicines (PCMs) during core hours.
Pharmacies signposting carers to another participating pharmacy with sufficient
stock, in the event that they are unable to immediately supply the necessary
palliative care medicines.
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3.2 Service description/care pathway1. Service Descriptions
1.1 A minimum stock of PCMs (see appendix A) must be carried at each pharmacy
premises accredited to do so.
1.2 The pharmacy must ensure their PCM stock is audited every month: to maintain the
minimum stock level of each drug, to have a shelf life sufficient to cover the period
until the next audit plus one week.
1.3 The pharmacy must ensure rotation of their PCM stock, wherever reasonably
practicable, with their existing stock to minimise wastage.
1.4 The pharmacy must ensure patients or their carers are signposted to another
participating pharmacy if their own PCM stock does not fulfil the needs of a
particular patient.
1.5 After issuing PCMs the contractor must ensure the stock is restored to the minimum
level within 24 hours.
1.5.1 The CCG recognises the difficulty in ordering replacement stock on
weekends and during holiday periods. In the event that stock cannot be
replaced, patients or their carers must be signposted to another participating
pharmacy.
1.6 The pharmacy will take part in an annual audit of the PCM stock if requested to do
so by the CCG. This may be used to ensure compliance with the specifications of
this enhanced service.
2. Supply from Pharmacies
2.1 PCMs will be supplied in accordance with the Medicines Act (1968). Prescriptions
will normally be issued by a general practitioner or non-medical prescriber on an
FP10.
3. Expired Medicines
3.1 The pharmacy should claim payment from the CCG for PCMs obtained and held for
the purposes of the ODAP service which pass their expiry date.
3.2 Reimbursement for replacement of expired PCMs will calculated at the latest Drug
Tariff price.
3.3 The pharmacy should submit an invoice to the CCG, a template invoice is
contained in Appendix B.
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4. Record Keeping
4.1 The pharmacy must keep records of their monthly audits and of any claims made to
the CCG.
5. Publicity
5.1 The lists of participating pharmacies will be circulated across St Helens Primary
Care Trust to GPs, MacMillan nurses, district nurses, hospices, the local authority,
community pharmacies, walk-in centres, other relevant PCT staff and secondary
care organisations.
4. Applicable Service Standards
4.1 Applicable national standards (eg NICE)Not applicable
4.2 Applicable standards set out in Guidance and/or issued by a competent body (eg Royal Colleges)
General Pharmaceutical Council4.3 Applicable local standards
Pharmacies wishing to offer the ODAP service must have suitable clinical
governance arrangements in place as set out in the NHS (Pharmaceutical
Services) Regulations 2005 Part 4.
Pharmacies wishing to offer the ODAP service must have their names on an
approved list kept by the CCG.
Accredited pharmacies must at all times offer the ODAP service in accordance
with the service specification.
Locum pharmacists must be prepared to offer the ODAP service in accordance
with the service specification.
B. Indicative Activity Plan
Not Applicable
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C. Activity Planning Assumptions
Not Applicable
D. Essential Services
Not Applicable
E. Essential Services Continuity Plan
Not Applicable
F. Clinical Networks
Not Applicable
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G. Other Local Agreements, Policies and Procedures
Policy Date Weblink
Not Applicable
H. Transition Arrangements
Not Applicable
I. Exit Arrangements
Not Applicable
J. Social Care Provisions
Not Applicable
K. Transfer of and Discharge from Care Protocols
Not applicable
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L. Safeguarding Policies
All pharmacies commissioned to provide locally commissioned services must have a Safeguarding policy in place.
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SCHEDULE 3 – PAYMENT
A. Local Prices
Care at the Chemist
Service Funding and Payment Mechanisma. A fee of £2.00 will be paid for each consultation undertaken as
part of the service.
b. A fee of £0.95 will be paid for each item dispensed as part of the service.
c. The Pharmacy will be reimbursed for the medication supplied under the
‘CATC’ service according to the CATC ‘drugs cost’ list.
d. Patients must declare exemption and provide evidence of exemption from
prescription charges if they do not pay for their prescriptions.
e. Where patients are not exempt from prescription charges and the cost of the
medicine exceeds the NHS levy, patients must pay the NHS levy directly to
the pharmacy. The CCG will deduct such sums from the relevant month’s
remuneration.
f. It is the responsibility of the community pharmacy contractor to ensure
appropriate VAT returns are made.
On Demand Availability of Palliative Care Medicines
Service Funding and Payment Mechanism
Payment to Participating Pharmacies
1. The accredited pharmacy may claim an annual retention fee of £400. Claim forms
should be submitted to the CCG annually.
2. It is the responsibility of the pharmacy to ensure appropriate VAT returns are made.
3. Expired medicines held under the scheme will be reimbursed at the latest Drug Tariff
price. Contractors should submit an invoice to the CCG for payment based on the
template in Appendix B.
4. Please insert the St Helens CCG name and organisational code in the “invoice to”
section:
NHS St Helens CCG, 01X Payables L475, Phoenix House, Topcliffe Lane, Wakefield, WF3 1WE
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g. Completed claim forms should be returned to
Heather LeCouteurSt Helens CCG Medicines Management TeamThe Gamble BuildingVictoria SquareSt HelensMerseyside
WA10 1DY
B. Local Variations
Not Applicable
C. Local Modifications
Not Applicable
D. Marginal Rate Emergency Rule: Agreed Baseline Value
Not Applicable
E. Emergency Re-admissions Within 30 Days: Agreed Threshold
Not Applicable
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F. Expected Annual Contract Values
Commissioner Expected Annual Contract Value
Insert text and/or attach spreadsheets or documents locally
Not applicable activity demand led
G. Notices to Aggregate / Disaggregate Payments
Not Applicable
H. Timing and Amounts of Payments in First and/or Final Contract Year
Not Applicable
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SCHEDULE 4 – QUALITY REQUIREMENTS
A. Operational Standards
Not applicable
B. National Quality Requirements
National Quality Requirement
Threshold
(2014/15)
Method of Measurement (2014/15)
Consequence of breach Monthly or annual application of consequence
Applicable Service Category
Duty of candour Each failure to notify the Relevant Person of a suspected or actual Reportable Patient Safety Incident (as per Guidance)
Pharmacies must have an “Open and Honest” policy, Report suspected or actual patient safety incidents into their Superintendent Pharmacist and the Lead Commissioner at the CCG.
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 All
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C. Local Quality Requirements
Quality Requirement Threshold Method of Measurement Consequence of breach
Monthly or annual application of consequence
Applicable Service Specific-ation
Not applicable
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D. Never Events
Never Events Threshold Method of Measurement Never Event Consequence (per occurrence) Applicability Applicable Service Category
MEDICATIONWrongly prepared high-risk injectable medication
>0 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
All Healthcare Settings
All except PT
Wrong route administration of oral/enteral treatment
>0 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
All Healthcare Settings
All except PT
Maladministration of insulin
>0 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
All Healthcare Settings
All except PT
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Opioid overdose of an opioid-naïve Service User
>0 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
All Healthcare Settings
All except PT
Inappropriate administration of daily oral methotrexate
>0 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
All Healthcare Settings
All except PT
GENERAL HEALTHCAREFailure to monitor and respond to oxygen saturation
>0 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
All Healthcare Premises
All except PT
Air embolism >0 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
All Healthcare Premises
All except PT
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or necessary care in consequence of the Never Event
Misidentification of Service Users
>0 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
All Healthcare Premises
All
Severe scalding of Service Users
>0 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
All Healthcare Premises
All
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E. Commissioning for Quality and Innovation (CQUIN)
CQUIN Table 1: CQUIN Schemes
Not Applicable
F. Local Incentive Scheme
Not Applicable
G. Clostridium difficileNot applicable
H. Sanction Variations
Not Applicable
I. CQUIN Variations
Not Applicable
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SCHEDULE 5 - GOVERNANCE
A. Documents Relied On
Documents supplied by Provider
Date Document
Not Applicable
Documents supplied by Commissioners
Date Document
1st April 2014 Care at the Chemist Formulary
1st April 2014 Care at the Chemist Protocols (via Webstar)
1st April 2014 Palliative Care drug stock list (Appendix A)
1st April 2014 Invoice template (Appendix B)
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B1. Provider’s Mandatory Material Sub-ContractorsNot applicable
B2. Provider’s Permitted Material Sub-ContractorsNot applicable
C. IPRNot applicable
D. Commissioner Roles and Responsibilities
Co-ordinating Commissioner Role/Responsibility
Not applicable
E. Partnership AgreementsNot applicable
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SCHEDULE 6 – CONTRACT MANAGEMENT, REPORTING AND INFORMATION REQUIREMENTS
A. Recorded Variations Not applicable
Variation Number
Description of Variation
Date of Variation Proposal
Party proposing the Variation
Date of Variation Agreement
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B. Reporting RequirementsNot applicable
Reporting Period Format of Report Timing and Method for delivery of Report
Application
National Requirements Reported Centrally1. As specified in the list of
assessed mandated collections published on the HSCIC website to be found at http://www.hscic.gov.uk/datacollectionsas applicable to the Provider and the Services
As set out in relevant Guidance
As set out in relevant Guidance
As set out in relevant Guidance
All
2. PROMS As set out in relevant Guidance
As set out in relevant Guidance
As set out in relevant Guidance
All
National Requirements Reported Locally
1. Monthly Activity Report Monthly Using SUS data, where applicable
All
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 that have been breached and any Never
Monthly Submit to Co-ordinating Commissioner within 10 Operational Days of the end of the month to which it relates.
All
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Events that have occurred;
2.2 details of all requirements satisfied;
2.3 details of, and reasons for, any failure to meet requirements and;
All
All
3. 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
All
4. Monthly report on performance against the HCAI Reduction Plan
Monthly All
5. Complaints monitoring report, setting out numbers of complaints received and including analysis of key themes in content of complaints
All
6. Report against performance of Service Development and Improvement Plan (SDIP)
In accordance with relevant SDIP
In accordance with relevant SDIP
In accordance with relevant SDIP
All
7. Monthly summary report of all incidents requiring reporting
Monthly All
8. Data Quality Improvement Plan: report of progress against milestones
In accordance with relevant DQIP
In accordance with relevant DQIP
In accordance with relevant DQIP
All
9. Report on outcome of reviews 6 monthly (or more All
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and evaluations in relation to Staff numbers and skill mix in accordance with General Condition 5.2 (Staff)
frequently if and as required by the Co-ordinating Commissioner from time to time)
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C. Data Quality Improvement Plan
Not applicable
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
Reported via the pharmacy Superintendent Pharmacist and the CCG must be notified.
E. Service Development and Improvement Plan
Not applicable
F. Surveys
Not applicable
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SCHEDULE 7 – PENSIONS
Not Applicable
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Appendix A
List of palliative care medicines to be stocked
Drug name Proprietary name Formulation Strength Stock
Biotène Oralbalance n/a Gel 50g 1 x 50g
Cyclizine Valoid Injection 50mg/ml (1ml ampoule) 3 x 5
Dexamethasone
sodium phosphate
n/a Injection 4mg/ml (1ml ampoule) 1 x 5
Diamorphine HCl n/a Injection 5mg 2 x 5
Diamorphine HCl n/a Injection 10mg 2 x 5
Diamorphine HCl n/a Injection 30mg 2 x 5
Diamorphine n/a Injection 100mg 2 x 5
Diazepam Stesolid Enema 10mg 2 x 5
Diclofenac n/a Suppositories 100mg 1 x 10
Fentanyl Fencino Patch 12micrograms/hour 1 x 5
Fentanyl Fencino Patch 25micrograms/hour 1 x 5
Fentanyl Fencino Patch 50micrograms/hour 1 x 5
Fentanyl Fencino Patch 75micrograms/hour 1 x 5
Fentanyl Fencino Patch 100micrograms/hour 1 x 5
Gelclair n/a Gel 15ml 1 x 21
Glycopyrronium
bromide
n/a Injection 200micrograms/ml
(1ml ampoule)
1 x 10
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Drug name Proprietary name Formulation Strength Stock
Glycopyrronium
bromide
n/a Injection 200micrograms/ml
(3ml ampoule)
1 x 10
Haloperidol Haldol Injection 5mg/ml (1ml ampoule) 2 x 5
Heparin sodium n/a Injection 10u/ml (2ml) 10 x 2ml
Heparin sodium n/a injection 10 IU/ml (5ml) 10 x 5ml
Hyoscine
butylbromide
Buscopan Injection 20mg/ml (1ml ampoule) 1 x 10
Levomepromazine Nozinan Injection 25mg/ml (1ml ampoule) 1 x 10
Metoclopramide Maxolon Injection 5mg/ml (2ml ampoule) 1 x 12
Midazolam Hypnovel Injection 5mg/ml (2ml ampoule) 2 x 10
Morphine sulphate Oramorph Oral solution 10mg/5ml 1 x
100ml
Morphine sulphate Oramorph
concentrated
Oral solution 100mg/5ml 1 x 30ml
Nystatin Nystan Suspension 100,000units/ml 1 x 30ml
Morphine sulphate n/a Injection 10mg amp 20 x 2ml
Morphine sulphate n/a Injection 30mg amp 10 x 2ml
Ondansetron Zofran Injection 2mg/ml (2ml ampoule) 1 x 5
Oxycodone Oxynorm Oral solution 5mg/5ml 1 x
250ml
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Drug name Proprietary name Formulation Strength Stock
Oxycodone
hydrochloride
Oxynorm Injection 10mg/ml (1ml ampoule) 1 x 5
Sodium chloride n/a Injection
0.9% w/v (10ml
ampoule) 2 x 10
Sodium chloride n/a Intravenous
infusion
0.9% w/v (100 ml) 20x
100ml
Sodium chloride n/a Intravenous
infusion
0.9% w/v (500ml bag) 2 x
500ml
Sodium chloride n/a Intravenous
infusion
0.9% w/v (1 litre bag) 2 x 1L
Sodium citrate Relaxit Enema 5ml 1 x 12
Water for injection n/a Injection 1ml 1 x 10
Water for injection n/a Injection 2ml 1 x 10
Water for injection n/a Injection 5ml 1 x 10
Water for injection n/a Injection 10ml 1 x 10
NB: please note pharmacies can procure additional palliative care medication within 12 hours.
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© Crown copyright 2013First published: December 2013
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Published in electronic format onlyAppendix B Invoice template
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