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2013/14 NHS STANDARD CONTRACT FOR ACUTE, AMBULANCE, COMMUNITY AND MENTAL HEALTH AND LEARNING DISABILITY SERVICES Particulars – DS39 2013/14 NHS STANDARD CONTRACT NHS Standard Contract 2014/15 Particulars
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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

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NHS ENGLAND 2014/15 NHS STANDARD CONTRACT

PARTICULARS

NHS Standard Contract2014/15Particulars

First published: December 2013

Gateway No: 00821

Particulars 2014/15 NHS STANDARD CONTRACT

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NHS ENGLAND 2014/15 NHS STANDARD CONTRACT

PARTICULARS

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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NHS ENGLAND 2014/15 NHS STANDARD CONTRACT

PARTICULARS

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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NHS ENGLAND 2014/15 NHS STANDARD CONTRACT

PARTICULARS

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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NHS ENGLAND 2014/15 NHS STANDARD CONTRACT

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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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NHS ENGLAND 2014/15 NHS STANDARD CONTRACT

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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

Particulars 2014/15 NHS STANDARD CONTRACT

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NHS ENGLAND 2014/15 NHS STANDARD CONTRACT

PARTICULARS

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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NHS ENGLAND 2014/15 NHS STANDARD CONTRACT

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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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NHS ENGLAND 2014/15 NHS STANDARD CONTRACT

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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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NHS ENGLAND 2014/15 NHS STANDARD CONTRACT

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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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NHS ENGLAND 2014/15 NHS STANDARD CONTRACT

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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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NHS ENGLAND 2014/15 NHS STANDARD CONTRACT

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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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NHS ENGLAND 2014/15 NHS STANDARD CONTRACT

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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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NHS ENGLAND 2014/15 NHS STANDARD CONTRACT

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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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NHS ENGLAND 2014/15 NHS STANDARD CONTRACT

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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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NHS ENGLAND 2014/15 NHS STANDARD CONTRACT

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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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