Primary Care Trust (1)

2012/13 NHS STANDARD CONTRACT

FOR ACUTE, AMBULANCE, COMMUNITY AND MENTAL HEALTH

AND LEARNING DISABILITY SERVICES

(BILATERAL)

[] PRIMARY CARE TRUST (1)

AS COMMISSIONER

AND

[] (2)

AS PROVIDER

AGREEMENT FOR THE
PROVISION OF SERVICES

1

2012/13 NHS STANDARD CONTRACT - BILATERAL)

THE INDEX

GATEWAY REFERENCE:

2012/13 NHS STANDARD CONTRACT

FOR ACUTE, AMBULANCE, COMMUNITY AND MENTAL HEALTH

AND LEARNING DISABILITY SERVICES

(BILATERAL)

SECTION A- THE PARTICULARS

1: AGREEMENT...... A1

2: EFFECTIVE DATE...... A1

3: DURATION...... A1

4: SERVICE COMMENCEMENT...... A1

5: LONGSTOP DATE...... A2

6. FREQUENCY OF REVIEW MEETINGS...... A2

7: NOT USED...... A2

8: NOTICES...... A2

SECTION B - THE SERVICES

PART 1: SERVICE SPECIFICATIONS...... B1

PART 2: ESSENTIAL SERVICES...... B3

PART 3: INDICATIVE ACTIVITY PLAN...... B4

PART 4: ACTIVITY PLANNING ASSUMPTIONS...... B5

PART 5: ACTIVITY MANAGEMEMENT PLAN...... B6

PART 6: NON-TARIFF ANDVARIATIONS TO TARIFF PRICES...... B7

PART 6.1: NON-TARIFF PRICES...... B7

PART 6.2: VARIATIONS TO TARIFF PRICES...... B7

PART 7: EXPECTED ANNUAL CONTRACT VALUES...... B8

PART 8: QUALITY...... B9

PART 8.1: QUALITY REQUIREMENTS...... B9

PART 8.2: NATIONALLY SPECIFIED EVENTS...... B14

PART 8.3: NEVER EVENTS...... B18

PART 8.4: 18 WEEK REFERRAL-TO-TREATMENT STANDARD FOR CONSULTANT-LED SERVICES FINANCIAL ADJUSTMENTS TABLE B23

PART 8.5: CLOSTRIDIUM DIFFICILE ADJUSTMENTS TABLES...... B24

PART 9: QUALITY INCENTIVE SCHEMES...... B27

PART 9.1: NATIONALLY MANDATED INCENTIVE SCHEMES...... B27

PART 9.2: COMMISSIONING FOR QUALITY AND INNOVATION (CQUIN)...... B28

PART 9.3: LOCALLY AGREED INCENTIVE SCHEMES...... B35

PART 10: ELIMINATING MIXED SEX ACCOMMODATION PLAN...... B36

PART 11: SERVICE DEVELOPMENT AND IMPROVEMENT PLAN...... B37

PART 12: SERVICE USER, CARER AND STAFF SURVEYS...... B38

PART 13: CLINICAL NETWORKS AND SCREENING PROGRAMMES...... B39

PART 14: REPORTING AND INFORMATION MANAGEMENT...... B40

PART 14.1: NATIONAL REQUIREMENTS REPORTED CENTRALLY...... B40

PART 14.2: NATIONAL REQUIREMENTS REPORTED LOCALLY...... B41

PART 14.3: LOCAL REQUIREMENTS REPORTED LOCALLY...... B43

PART 14.4: DATA QUALITY IMPROVEMENT PLAN...... B44

SECTION C - SERVICE MATTERS

PART 1: CONDITIONS PRECEDENT ...... C1

PART 2: DOCUMENTS TO BE DELIVERED BY THE COMMISSIONER...... C2

PART 3: TRANSITION ARRANGEMENTS...... C3

PART 4: DOCUMENTS RELIED ON...... C4

PART 5: PROVIDER’S MATERIAL SUB-CONTRACTORS ...... C5

PART 5.1: MATERIAL SUB-CONTRACTS...... C5

PART 5.2: MATERIAL SUB-CONTRACTORS...... C5

PART 6: TRANSFER OF AND DISCHARGE FROM CARE OBLIGATIONS...... C6

PART 6A: TRANSFER OF AND DISCHARGE FROM CARE OBLIGATIONS FOR ACUTE SERVICES...... C6

PART 6B:TRANSFER OF AND DISCHARGE FROM CARE OBLIGATIONS FOR MENTAL HEALTH AND LEARNING DISABILITY SERVICES C7

PART 6C: TRANSFER OF AND DISCHARGE FROM CARE OBLIGATIONS FOR COMMUNITY SERVICES...... C10

PART 6D: TRANSFER OF AND DISCHARGE FROM CARE OBLIGATIONS FOR AMBULANCE SERVICES.....C11

PART 7: POLICIES ...... C12

PART 7.1: TRANSFER OF AND DISCHARGE FROM CARE PROTOCOLS...... C12

PART 7.2: SAFEGUARDING POLICIES...... C13

PART 7.3: INCIDENTS REQUIRING REPORTING PROCEDURE...... C14

PART 7.4: EMERGENCY AND CRISIS CARE PROCEDURE...... C15

PART 7.5: MAJOR INCIDENTS FOR ACUTE SERVICES PROVIDER...... C16

PART 8: INTELLECTUAL PROPERTY ...... C18

PART 8.1: COMMISSIONER IPR...... C18

PART 8.2: PROVIDER IPR...... C18

PART 9: NOT USED...... C19

PART 10: LOCAL COMMISSIONING PLANS...... C20

PART 11: EXIT ARRANGEMENTS...... C21

PART 12: SOCIAL CARE PROVISIONS...... C22

SECTION D - RECORDED VARIATIONS, DISPUTES AND CHANGE IN CONTROL

PART 1: RECORDED VARIATIONS ...... D1

PART 2: NOT USED...... D2

PART 3: DISPUTES...... D3

PART 3.1: RECORDED DISPUTE RESOLUTIONS...... D3

PART 3.2: DETAILS OF MEDIATOR AND INDEPENDENT BINDING PENDULUM ADJUDICATOR...... D4

PART 3.3: PROCEDURE FOR DISPUTES BETWEEN DIVISIONS OF THE SAME NHS BODY...... D5

PART 4: CHANGE IN CONTROL NOTIFICATION...... D6

PART 5: RISK SHARE AGREEMENT...... D9

SECTION E - CORE LEGAL CLAUSES AND DEFINITIONS

1.DEFINITIONS AND INTERPRETATION...... E1

2.CONDITIONS PRECEDENT...... E1

3.DOCUMENTS TO BE DELIVERED BY THE COMMISSIONER...... E1

4.TRANSITION PERIOD...... E1

5.SERVICE PROVISION...... E2

6.REGULATORY AND QUALITY IMPROVEMENTS...... E2

7.PRICES AND PAYMENT...... E3

8.SERVICE USER INVOLVEMENT...... E9

9.EVIDENCE OF SERVICE USER INVOLVEMENT...... E10

10.SERVICE USER BOOKING AND CHOICE AND REFERRALS...... E10

11.UNMET NEEDS...... E10

12.OTHER SERVICES...... E11

13.SERVICE USER HEALTH RECORDS...... E11

14.PLACES OF SAFETY...... E11

15.CARE PLANNING...... E11

16.ESSENTIAL SERVICES CONTINUITY...... E12

17.TRANSFER OF AND DISCHARGE FROM CARE OBLIGATIONS...... E12

18.CO-OPERATION ...... E12

19.EQUITY OF ACCESS, EQUALITY AND NO DISCRIMINATION...... E13

20.PASTORAL, SPIRITUAL AND CULTURAL CARE...... E14

21.WITHHOLDING AND/OR DISCONTINUATION OF SERVICE...... E14

22.SERVICES ENVIRONMENT AND EQUIPMENT...... E15

23.STAFF...... E16

24.SAFEGUARDING CHILDREN AND VULNERABLE ADULTS...... E18

25.INCIDENTS REQUIRING REPORTING...... E18

26.CONSENT...... E19

27.COMPLAINTS...... E19

28.DEATH OF A SERVICE USER...... E19

29.SERVICE DEVELOPMENT AND IMPROVEMENT PLAN...... E19

30.ELIMINATING MIXED SEX ACCOMMODATION...... E19

31.TRANSFERS PURSUANT TO LOCAL COMMISSIONING PLANS...... E20

32.VENOUS THROMBOEMBOLISM...... E20

33.HCAI REDUCTION PLAN...... E20

34.PROCEDURES ANDPROTOCOLS...... E20

35.NETWORKS AND SCREENING PROGRAMMES...... E21

36.EMERGENCY PREPAREDNESS AND RESILIENCE INCLUDING MAJOR INCIDENTS...... E21

37.NHS COUNTER-FRAUD AND SECURITY MANAGEMENT ...... E22

38.PARTNERSHIP ARRANGEMENTS...... E23

39.INFORMATION REQUIREMENTS...... E24

40.SERVICE STANDARDS...... E26

41.MANAGING ACTIVITY AND REFERRALS...... E27

42.WAITING TIMES...... E30

43.18 WEEKS REFERRAL-TO-TREATMENT STANDARD FOR CONSULTANT-LED SERVICES AND FINANCIAL ADJUSTMENTS E30

44.FINANCIAL ADJUSTMENTS FOR PERFORMANCE IN REDUCING CLOSTRIDIUM DIFFICILE.E31

45.SERVICE QUALITY REVIEW...... E32

46.REVIEW...... E32

47.CONTRACT MANAGEMENT...... E33

48.COMMISSIONER AND REPRESENTATIVES...... E37

49.BUSINESS CONTINUITY...... E37

50.LIABILITY AND INDEMNITY...... E38

51.ASSIGNMENT ANDSUB-CONTRACTING...... E39

52.VARIATIONS...... E40

53.DISPUTE RESOLUTION...... E42

54.GOVERNANCE, TRANSACTION RECORDS AND AUDIT...... E45

55.SUSPENSION...... E46

56.TERMINATION...... E48

57. CONSEQUENCE OF EXPIRY OR TERMINATION...... E52

58.PROVISIONS SURVIVING TERMINATION...... E54

59.CONFIDENTIAL INFORMATION OF THE PARTIES...... E54

60.DATA PROTECTION, FREEDOM OF INFORMATION AND TRANSPARENCY...... E55

61.NHS BRANDING, MARKETING AND PROMOTION...... E57

62.INTELLECTUAL PROPERTY...... E58

63.CHANGE IN CONTROL...... E58

64.WARRANTIES...... E61

65.PROHIBITED ACTS...... E62

66.CONFLICTS OF INTEREST...... E62

67.FORCE MAJEURE...... E62

68.THIRD PARTY RIGHTS...... E63

69.ENTIRE AGREEMENT...... E64

70.SEVERABILITY...... E64

71.WAIVER...... E64

72.REMEDIES...... E64

73.EXCLUSION OF PARTNERSHIP...... E64

74.NON-SOLICITATION...... E65

75.NOTICES...... E65

76.COMPLIANCE WITH THE LAW...... E65

77.COSTS AND EXPENSES...... E65

78.COUNTERPARTS...... E65

79.GOVERNING LAWAND JURISDICTION...... E66

SCHEDULE 1: DEFINITIONS AND INTERPRETATION...... E67

2012/13 NHS STANDARD CONTRACT - (BILATERAL)

THE INDEX

GATEWAY REFERENCE: 16953

2012/13 NHS STANDARD CONTRACT

FOR ACUTE, AMBULANCE, COMMUNITY AND MENTAL HEALTH

AND LEARNING DISABILITY SERVICES

(BILATERAL)

2012/13 NHS STANDARD CONTRACT - (BILATERAL)

SECTION A – THE PARTICULARS

GATEWAY REFERENCE: 16953

2012/13 NHS STANDARD CONTRACT

FOR ACUTE, AMBULANCE, COMMUNITY AND MENTAL HEALTH

AND LEARNING DISABILITY SERVICES

(BILATERAL)

SECTION A
THE PARTICULARS

2012/13 NHS STANDARD CONTRACT - (BILATERAL)

SECTION A – THE PARTICULARS

GATEWAY REFERENCE: 16953

2012/13 NHS STANDARD CONTRACT

FOR ACUTE, AMBULANCE, COMMUNITY AND MENTAL HEALTH

AND LEARNING DISABILITY SERVICES

(BILATERAL)

THIS AGREEMENT is made on the [] day of [] 20[]

BETWEEN

(1)[] Primary Care Trust[,in its capacity as host Primary Care Trust to the [ ] Specialised Commissioning Group,] [or Local Authority]whose principal office is at [ ](the "Commissioner");

(2)[]whose principaland/or registered office address is at [] (the "Provider").

BACKGROUND

This Agreement is made by the Commissioner with the Provider to secure the provision of the Services by the Provider.

The Commissioner has a responsibility to commission a range of healthcare and/or social care services to meet the needs of the population for which it is responsible.In order to fulfil this responsibility, the Commissioner wishesto secure the provision of the Services from the Provider and the Provider wishes to provide the Services to the Commissioner on the terms of this Agreement.

IT IS AGREED

1.AGREEMENT

1.1This Agreement comprises of:

1.1.1these Particulars (Section A);

1.1.2the Services (Section B);

1.1.3Service Matters (Section C);

1.1.4Recorded Variations, Disputes and Change in Control (Section D); and

1.1.5Core Legal Clauses andDefinitions (Section E),

as completed and agreed by the Parties and as varied from time to time in accordance with Clause 52 of the Core Legal Clauses (Section E) (“Agreement”).

2.EFFECTIVE DATE

2.1This Agreement shall take effect on the date it is executed by, or on behalf of, the Parties (the “Effective Date”).

3.DURATION

3.1This Agreement shall expire on31 March 2013(the “Expiry Date”), unless it is terminated earlier in accordance with the provisionsof this Agreement.

4.SERVICE COMMENCEMENT

4.1Subject to satisfaction of the Conditions Precedent, set out in Section C Part 1, the Provider shall commence delivery of the Services on [PLEASE INSERT DATE] (the “Expected Service Commencement Date”).

4.2If the Conditions Precedent (set out in Section C Part 1) are not satisfied in full by the Expected Service Commencement Date or Longstop Date where applicable, then, subject to the termination right in Clause 56.5.7 of theCore Legal Clauses not being exercised, the Provider shall commence delivery of the Services on but not before the date that the Conditions Precedent (set out in Section C Part 1) are satisfied and such date shall be recorded in section 4.3 of these Particulars (below) (the “Delayed Service Commencement Date”).

4.3Where applicable, the Delayed Service Commencement Date is/was[INSERT DATE WHERE APPLICABLE].

4.4Subject to the terms of this Agreement, the Provider shall provide the Services from the Service Commencement Date until and including the Expiry Date (unless an earlier expiry date for any Service is expressly stated in any Service Specification in Section B of this Agreement, in which case the expiry date for such Services shall be as set out in the relevant Service Specification).

5.LONGSTOP DATE

5.1The Longstop Date is the date [PLEASE INSERT PERIOD – suggestion: 3 months] after the Expected Service Commencement Date.

6.FREQUENCY OF REVIEW MEETINGS

6.1Pursuant to Clause 46.1 of the Core Legal Clauses, the Commissioner and the Provider have agreed to jointly review and monitor performance under this Agreement and discuss any matters that either considers necessary in relation to it.Such review meetings shall be held [each month/Quarterly/every six months – PLEASE INSERT AS AGREED].

7.NOT USED

8.NOTICES

8.1For the purposes of Clause 75(Notices)of the Core Legal Clauses, the address for service of notices on theCommissioner is:

Commissioner

[for local insertion]

[insert name of Commissioner]

[insert name of contact person]

[insert postal address]

[insert email address]

8.2For the purposes of clause 75(Notices)of the Core Legal Clauses, the address for service of notices on the Provider is:

Provider

[for local insertion]

[insert name of Provider]

[insert name of contact person]

[insert postal address]

[insert email address]

IN WITNESS WHEREOF the Parties have signed this Agreement on the date shown below

1SIGNED by [insert name]

for and on behalf

of the…………………………………………………………..

COMMISSIONERSignature

…………………………………..

Title

…………………………………………………………..

Date

2SIGNED by[insert name]

for and on behalf of

the PROVIDER

…………………………………………………………..

Signature

…………………………………………………………..

Title

…………………………………………………………..

Date

A1

2012/13 NHS STANDARD CONTRACT - (BILATERAL)

SECTION A – THE PARTICULARS

GATEWAY REFERENCE: 16953