Care and Resource Utilisation Sample Clauses

Care and Resource Utilisation. The Commissioner shall: manage demand for all the Services to the forecast thresholds set out in the Specifications and will use reasonable endeavours to notify the Provider within 10 Operational Days of receiving any confirmed information demonstrating any anticipated changes in such numbers of referrals; and require their agents and practitioners to adhere to any referral and treatment protocols as may be agreed with the Provider. The Provider shall manage demand and associated costs for all the Services in accordance with the Specifications, the Commissioning Intentions and the provisions of this Schedule, and shall in particular, but without limitation: comply with the reasonable requests of the Commissioner to assist the Commissioner in understanding and managing referrals; and require its agents, sub-contractors and employees to adhere to any referral and treatment protocols that may be agreed between the Parties. Prior Approval For treatments and services that may form part of the secondary care Services required by Service Users following referral, the Commissioner and the Provider shall agree the terms of the Prior Approval Scheme, and when the terms of a Prior Approval Scheme have been agreed the Commissioner shall give to the Provider one month’s notice in writing of the date on which the Prior Approval Scheme is to be implemented by the Provider. The Provider shall manage Service Users in accordance with the terms of any relevant Prior Approval Scheme. The Commissioner shall respond in accordance with its Prior Approval Scheme to any Provider request for Prior Approval that complies with the terms of such Prior Approval Scheme. Failure by the Commissioner to respond to a request for Prior Approval within the appropriate time period specified in such Prior Approval Scheme shall be deemed to be an approval for the purposes of that Prior Approval Scheme. In the event of urgent clinical need or risk to patient safety, the Commissioner shall grant retrospective approval for activity performed on a Service User by the Provider which would otherwise have required Prior Approval, subject to approval by the medical director of the Commissioner, such approval not to be unreasonably withheld or delayed. If the Commissioner requires any amendment to be made to a Prior Approval Scheme, then the Commissioner shall consult with the Provider on the proposed amendment, and when the amendment has been agreed by the Commissioner and the Provider, the Commissioner...
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Care and Resource Utilisation. 2.1 The Commissioner shall:
Sample 1

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