Common use of DISAGREEMENTS AND DISPUTES Clause in Contracts

DISAGREEMENTS AND DISPUTES. 6.1 The CCG will work in collaboration with the Patient or their Representative, Third Party, providers and other allied health professionals in implementing this Agreement. The CCG recognises that there may be occasion during the life of the Agreement where disagreement occurs, relating to the Personal Health Budget. Disagreement may arise in circumstances including (but not limited to): 6.1.1 utilisation of the Personal Health Budget for purposes previously not approved by the CCG; 6.1.2 allocation of the financial value of the Personal Health Budget being considered to be no longer adequate; 6.1.3 interpretation of the CCG’s Personal Health Budgets Policy; or 6.1.4 the CCG deciding to terminate the Personal Health Budget Agreement. 6.2 In all cases the PHB Nurse will first attempt to resolve the matter through dialogue with the Patient and/or their Representative and/or the Third Party. Where necessary this will be escalated to the Senior Clinical Lead for resolution. Where the matter still remains unresolved to the satisfaction of the Patient and/or their Representative and/or the Third Party the matter can be escalated at the request of the Patient and/or their Representative and/or the Third Party or the Senior Clinical Lead to the CCG’s Senior Strategic Lead and Deputy Director of Commissioning, Partnerships and Integration (“CCG Review Team) for a considering and ruling on the disagreement. 6.3 The role of the CCG Review Team will be to determine whether this Agreement is in accordance with the CCG’s Personal Health Budgets Policy; and to give consideration to the specific issue(s) of disagreement. In doing so the CCG Review Team will consider any evidence presented to it in determining an outcome. There will be no further means of appeal, but if the Patient and/or their Representative and/or the Third Party continue to remain dissatisfied with the outcome, they will have the option to pursue the matter via the CCG’s Complaints Policy, provided that the matter is one that can be considered under the policy. Information about the CCG’s Complaints process will be provided at the time.

DISAGREEMENTS AND DISPUTES. 6.1 7.1 The CCG will work in collaboration with the Patient or their Representative, Third Party, providers and other allied health professionals in implementing this Agreement. The CCG recognises that there may be occasion during the life of the Agreement where disagreement occurs, relating to the Personal Health Budget. Disagreement may arise in circumstances including (but not limited to): 6.1.1 utilisation 7.1.1 Utilisation of the Personal Health Budget for purposes previously not approved by the CCG;. 6.1.2 allocation 7.1.2 Allocation of the financial value of the Personal Health Budget being considered to be no longer adequate;. 6.1.3 interpretation 7.1.3 Interpretation of the CCG’s Personal Health Budgets Policy; or. 6.1.4 the 7.1.4 The CCG deciding to terminate the Personal Health Budget Agreement. 6.2 7.2 In all cases the PHB Nurse will first attempt to resolve the matter through dialogue with the Patient and/or their Representative and/or the Third PartyRepresentative. Where necessary this will be escalated to the Senior Clinical Lead for resolution. Where the matter still remains unresolved to the satisfaction of the Patient and/or their Representative and/or the Third Party Representative, the matter can be escalated at the request of the Patient and/or their Representative and/or the Third Party or the Senior Clinical Lead to the CCG’s Senior Strategic Lead and Deputy Director of Commissioning, Partnerships and Integration (“CCG Review Team”) for a considering and ruling on the disagreement. 6.3 7.3 The role of the CCG Review Team will be to determine whether this the Personal Health Budget Agreement is in accordance with the CCG’s Personal Health Budgets Policy; and to give consideration to the specific issue(s) of disagreement. In doing so the CCG Review Team will consider any evidence presented to it in determining an outcome. There will be no further means of appeal, but if the Patient and/or their the Representative and/or the Third Party continue to remain dissatisfied with the outcome, they will have the option to pursue the matter via the CCG’s Complaints Policy, provided that the matter is one that can be considered under the policy. Information about the CCG’s Complaints process will be provided at the time.