Maternity. Maternal death due to post-partum haemorrhage after elective caesarean section >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 A Commissioning for Quality and Innovation (CQUIN) Section B Part 9.2 Commissioning for Quality and Innovation (CQUIN) CQUIN Table 1: CQUIN Schemes Insert completed CQUIN template spreadsheet(s) or state Not Applicable CQUIN Table 2: CQUIN Payments on Account Commissioner Payment Frequency/Timing Agreed provisions for adjustment of CQUIN Payments on Account based on performance Clostridium Difficile Section B Part 8.5 Clostridium difficile adjustment: NHS Foundation Trust/NHS Trust The financial adjustment (£) is the sum which is the greater of Y and Z, where: Y = 0 Z = ((A – B) x 10,000) x C where: A = the actual number of cases of Clostridium difficile in respect of all NHS patients treated by the Provider in the Contract Year B = the Baseline Threshold (the figure as notified to the Provider and recorded in the Particulars, being the Provider’s threshold for the number of cases of Clostridium difficile for the Contract Year, in accordance with Guidance) C = no. of inpatient bed days in respect of Service Users in the Contract Year no. of inpatient bed days in respect of all NHS patients treated by the Provider in the Contract Year The financial adjustment is calculated on the basis of annual performance. For the purposes of Clause 7.47 (Operational Standards, National Quality Requirements and Local Quality Requirements), any repayment or withholding in respect of Clostridium difficile performance will be made in respect of the final quarter of the Contract Year. Clostridium difficile adjustment: Other Providers The financial adjustment (£) is the sum equal to A x 10,000, where: A = the actual number of cases of Clostridium difficile in respect of Service Users in the Contract Year. The financial adjustment is calculated on the basis of annual performance. For the purposes of Clause 7.47 (Operational Standards, National Quality Requirements and Local Quality Requirements), any repayment or withholding in respect of Clostridium difficile performance will be made in respect of the final quarter of the Contract Year. Sanction Variations and CQUIN Variations
Appears in 2 contracts
Samples: National Variation Agreement, National Variation Agreement
Maternity. Maternal death due to post-partum haemorrhage after elective caesarean section >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 A Commissioning for Quality and Innovation (CQUIN) Section B Schedule 4 Part 9.2 2 Commissioning for Quality and Innovation (CQUIN) CQUIN Table 1: CQUIN Schemes Insert completed CQUIN template spreadsheet(s) or state Not Applicable CQUIN Table 2: CQUIN Payments on Account Commissioner Payment Frequency/Timing Agreed provisions for adjustment of CQUIN Payments on Account based on performance Clostridium Difficile Section B Schedule 3 Part 8.5 5 Clostridium difficile adjustment: NHS Foundation Trust/NHS Trust The financial adjustment (£) is the sum which is the greater of Y and Z, where: Y = 0 Z = ((A – B) x 10,000) x C where: A = the actual number of cases of Clostridium difficile in respect of all NHS patients treated by the Provider in the Contract Year B = the Baseline Threshold (the figure as notified to the Provider and recorded in the Particulars, being the Provider’s threshold for the number of cases of Clostridium difficile for the Contract Year, in accordance with Guidance) C = no. of inpatient bed days in respect of Service Users in the Contract Year no. of inpatient bed days in respect of all NHS patients treated by the Provider in the Contract Year The financial adjustment is calculated on the basis of annual performance. For the purposes of Clause 7.47 (Operational Standards, National Quality Requirements and Local Quality Requirements), any repayment or withholding in respect of Clostridium difficile performance will be made in respect of the final quarter of the Contract Year. Clostridium difficile adjustment: Other Providers The financial adjustment (£) is the sum equal to A x 10,000, where: A = the actual number of cases of Clostridium difficile in respect of Service Users in the Contract Year. The financial adjustment is calculated on the basis of annual performance. For the purposes of Clause 7.47 (Operational Standards, National Quality Requirements and Local Quality Requirements), any repayment or withholding in respect of Clostridium difficile performance will be made in respect of the final quarter of the Contract Year. Sanction Variations and CQUIN VariationsVariations Schedule 3 Part 4 Sanction Variations Insert completed template (available via contract Technical Guidance); insert any additional text and/or attach spreadsheets or documents locally - or state Not Applicable Schedule 4 Part 4 CQUIN Variations Insert completed template (available via CQUIN Guidance); insert any additional text and/or attach spreadsheets or documents locally - or state Not Applicable Reporting Requirements Schedule 5 Part 1 Information Requirements National Requirements Reported Centrally and National Requirements Reported Locally Reporting Period Format of Report Timing and Method for delivery of Report Application National Requirements Reported Centrally As specified in the list of assessed mandated collections published on the HSCIC website to be found at xxxx://xxx.xxxxx.xxx.xx/datacollections as 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 PROMS As set out in relevant Guidance As set out in relevant Guidance As set out in relevant Guidance All NDTMS As set out in NTA Guidance As set out in NTA Guidance As set out in NTA Guidance SM National Requirements Reported Locally Monthly Activity Report Monthly Using SUS data, where applicable All Service Quality Performance Report, detailing performance against Operational Standards, National Quality Requirements, Local Quality Requirements, Never Events, including, without limitation: details of any thresholds that have been breached and any Never Events that have occurred; details of all requirements satisfied; details of, and reasons for, any failure to meet requirements and; the outcome of all Root Cause Analyses and audits performed pursuant to Service Condition 20 (Venous Thromboembolism). Monthly Submit to Co-ordinating Commissioner within 10 Operational Days of the end of the month to which it relates. All All All A 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 Monthly report on performance against the HCAI Reduction Plan Monthly All Complaints monitoring report, setting out numbers of complaints received and including analysis of key themes in content of complaints All 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 Cancer Registration dataset reporting (ISN): report on staging data in accordance with Guidance As set out in relevant Guidance As set out in relevant Guidance As set out in relevant Guidance CR R Monthly summary report of all incidents requiring reporting Monthly All 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 Report and provide monthly data and detailed information relating to violence-related injury resulting in treatment being sought from Staff in A&E departments, urgent care and walk-in centres, and from ambulance services paramedics (where the casualties do not require A&E department, urgent care and walk-in centre attendance), to the local community safety partnership and the relevant police force, in accordance with applicable Guidance (College of Emergency Medicine Clinical Guidance Information Sharing to Reduce Community Violence (July 2009)) Monthly As set out in relevant Guidance As set out in relevant Guidance A A+E AM U Report on outcome of reviews and evaluations in relation to Staff numbers and skill mix in accordance with Clause 11.2 (Staff) 6 monthly (or more frequently if and as required by the Co-ordinating Commissioner from time to time) All Local Requirements Reported Locally
Appears in 1 contract
Samples: National Variation Agreement
Maternity. Maternal death due to post-partum haemorrhage after elective caesarean section >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 A Commissioning for Quality and Innovation (CQUIN) Section B Schedule 4 Part 9.2 2 Commissioning for Quality and Innovation (CQUIN) CQUIN Table 1: CQUIN Schemes Insert completed CQUIN template spreadsheet(s) or state Not Applicable CQUIN Table 2: CQUIN Payments on Account Commissioner Payment Frequency/Timing Agreed provisions for adjustment of CQUIN Payments on Account based on performance Clostridium Difficile Section B Schedule 3 Part 8.5 5 Clostridium difficile adjustment: NHS Foundation Trust/NHS Trust The financial adjustment (£) is the sum which is the greater of Y and Z, where: Y = 0 Z = ((A – B) x 10,000) x C where: A = the actual number of cases of Clostridium difficile in respect of all NHS patients treated by the Provider in the Contract Year B = the Baseline Threshold (the figure as notified to the Provider and recorded in the Particulars, being the Provider’s threshold for the number of cases of Clostridium difficile for the Contract Year, in accordance with Guidance) C = no. of inpatient bed days in respect of Service Users in the Contract Year no. of inpatient bed days in respect of all NHS patients treated by the Provider in the Contract Year The financial adjustment is calculated on the basis of annual performance. For the purposes of Clause 7.47 (Operational Standards, National Quality Requirements and Local Quality Requirements), any repayment or withholding in respect of Clostridium difficile performance will be made in respect of the final quarter of the Contract Year. Clostridium difficile adjustment: Other Providers The financial adjustment (£) is the sum equal to A x 10,000, where: A = the actual number of cases of Clostridium difficile in respect of Service Users in the Contract Year. The financial adjustment is calculated on the basis of annual performance. For the purposes of Clause 7.47 (Operational Standards, National Quality Requirements and Local Quality Requirements), any repayment or withholding in respect of Clostridium difficile performance will be made in respect of the final quarter of the Contract Year. Sanction Variations and CQUIN VariationsVariations Schedule 3 Part 4 Sanction Variations Insert completed template (available via contract Technical Guidance); insert any additional text and/or attach spreadsheets or documents locally - or state Not Applicable Schedule 4 Part 4 CQUIN Variations Insert completed template (available via CQUIN Guidance); insert any additional text and/or attach spreadsheets or documents locally - or state Not Applicable Reporting Requirements Schedule 5 Part 1 Information Requirements National Requirements Reported Centrally and National Requirements Reported Locally Reporting Period Format of Report Timing and Method for delivery of Report Application National Requirements Reported Centrally As specified in the list of assessed mandated collections published on the HSCIC website to be found at xxxx://xxx.xxxxx.xxx.xx/datacollections as 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 PROMS As set out in relevant Guidance As set out in relevant Guidance As set out in relevant Guidance All NDTMS As set out in NTA Guidance As set out in NTA Guidance As set out in NTA Guidance SM National Requirements Reported Locally Monthly Activity Report Monthly Using SUS data, where applicable All Service Quality Performance Report, detailing performance against Operational Standards, National Quality Requirements, Local Quality Requirements, Never Events, including, without limitation: details of any thresholds that have been breached and any Never Events that have occurred; details of all requirements satisfied; details of, and reasons for, any failure to meet requirements and; the outcome of all Root Cause Analyses and audits performed pursuant to Service Condition 20 (Venous Thromboembolism). Monthly Submit to Commissioner within 10 Operational Days of the end of the month to which it relates. All All All A 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 Monthly report on performance against the HCAI Reduction Plan Monthly All Complaints monitoring report, setting out numbers of complaints received and including analysis of key themes in content of complaints All 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 Cancer Registration dataset reporting (ISN): report on staging data in accordance with Guidance As set out in relevant Guidance As set out in relevant Guidance As set out in relevant Guidance CR R Monthly summary report of all incidents requiring reporting Monthly All 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 Report and provide monthly data and detailed information relating to violence-related injury resulting in treatment being sought from Staff in A&E departments, urgent care and walk-in centres, and from ambulance services paramedics (where the casualties do not require A&E department, urgent care and walk-in centre attendance), to the local community safety partnership and the relevant police force, in accordance with applicable Guidance (College of Emergency Medicine Clinical Guidance Information Sharing to Reduce Community Violence (July 2009)) Monthly As set out in relevant Guidance As set out in relevant Guidance A A+E AM U Report on outcome of reviews and evaluations in relation to Staff numbers and skill mix in accordance with Clause 11.2 (Staff) 6 monthly (or more frequently if and as required by the Commissioner from time to time) All Local Requirements Reported Locally
Appears in 1 contract
Samples: National Variation Agreement
Maternity. Maternal death due to post-partum haemorrhage after elective caesarean section >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 A Commissioning for Quality and Innovation (CQUIN) Section B Schedule 4 Part 9.2 E: Commissioning for Quality and Innovation (CQUIN) CQUIN Table 1: CQUIN Schemes Insert completed CQUIN template spreadsheet(s) or state Not Applicable CQUIN Table 2: CQUIN Payments on Account Commissioner Payment Frequency/Timing Agreed provisions for adjustment of CQUIN Payments on Account based on performance Clostridium Difficile Section B Schedule 4 Part 8.5 H Clostridium difficile adjustment: NHS Foundation Trust/NHS Trust The financial adjustment (£) is the sum which is the greater of Y and Z, where: Y = 0 Z = ((A – B) x 10,000) x C where: A = the actual number of cases of Clostridium difficile in respect of all NHS patients treated by the Provider in the Contract Year B = the Baseline Threshold (the figure as notified to the Provider and recorded in the Particulars, being the Provider’s threshold for the number of cases of Clostridium difficile for the Contract Year, in accordance with Guidance) C = no. of inpatient bed days in respect of Service Users in the Contract Year no. of inpatient bed days in respect of all NHS patients treated by the Provider in the Contract Year The financial adjustment is calculated on the basis of annual performance. For the purposes of Clause 7.47 Service Condition 36.47 (Operational Standards, National Quality Requirements and Local Quality Requirements), any repayment or withholding in respect of Clostridium difficile performance will be made in respect of the final quarter of the Contract Year. Clostridium difficile adjustment: Other Providers The financial adjustment (£) is the sum equal to A x 10,000, where: A = the actual number of cases of Clostridium difficile in respect of Service Users in the Contract Year. The financial adjustment is calculated on the basis of annual performance. For the purposes of Clause 7.47 Service Condition 36.47 (Operational Standards, National Quality Requirements and Local Quality Requirements), any repayment or withholding in respect of Clostridium difficile performance will be made in respect of the final quarter of the Contract Year. Sanction Variations and CQUIN VariationsVariations Schedule 4 Part I Sanction Variations Insert completed template (available via contract Technical Guidance); insert any additional text and/or attach spreadsheets or documents locally - or state Not Applicable Schedule 4 Part J CQUIN Variations Insert completed template (available via CQUIN Guidance); insert any additional text and/or attach spreadsheets or documents locally - or state Not Applicable Reporting Requirements Schedule 6 Part C: Reporting Requirements Reporting Period Format of Report Timing and Method for delivery of Report Application National Requirements Reported Centrally As specified in the list of assessed mandated collections published on the HSCIC website to be found at xxxx://xxx.xxxxx.xxx.xx/datacollections as 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 PROMS As set out in relevant Guidance As set out in relevant Guidance As set out in relevant Guidance All NDTMS As set out in NTA Guidance As set out in NTA Guidance As set out in NTA Guidance SM National Requirements Reported Locally Monthly Activity Report Monthly Using SUS data, where applicable All Service Quality Performance Report, detailing performance against Operational Standards, National Quality Requirements, Local Quality Requirements, Never Events, including, without limitation: details of any thresholds that have been breached and any Never Events that have occurred; details of all requirements satisfied; details of, and reasons for, any failure to meet requirements and; the outcome of all Root Cause Analyses and audits performed pursuant to Service Condition 20 (Venous Thromboembolism). Monthly Submit to Co-ordinating Commissioner within 10 Operational Days of the end of the month to which it relates. All All All A 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 Monthly report on performance against the HCAI Reduction Plan Monthly All Complaints monitoring report, setting out numbers of complaints received and including analysis of key themes in content of complaints All 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 Cancer Registration dataset reporting (ISN): report on staging data in accordance with Guidance As set out in relevant Guidance As set out in relevant Guidance As set out in relevant Guidance CR R Monthly summary report of all incidents requiring reporting Monthly All 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 Report and provide monthly data and detailed information relating to violence-related injury resulting in treatment being sought from Staff in A&E departments, urgent care and walk-in centres, and from ambulance services paramedics (where the casualties do not require A&E department, urgent care and walk-in centre attendance), to the local community safety partnership and the relevant police force, in accordance with applicable Guidance (College of Emergency Medicine Clinical Guidance Information Sharing to Reduce Community Violence (July 2009)) Monthly As set out in relevant Guidance As set out in relevant Guidance A A+E AM U Report on outcome of reviews and evaluations in relation to Staff numbers and skill mix in accordance with General Condition 5.2 (Staff) 6 monthly (or more frequently if and as required by the Co-ordinating Commissioner from time to time) All Local Requirements Reported Locally Insert as agreed locally
Appears in 1 contract
Samples: National Variation Agreement
Maternity. Maternal death due to post-partum haemorrhage after elective caesarean section >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 A Commissioning for Quality and Innovation (CQUIN) Section B Schedule 4 Part 9.2 2 Commissioning for Quality and Innovation (CQUIN) CQUIN Table 1: CQUIN Schemes Insert completed CQUIN template spreadsheet(s) or state Not Applicable CQUIN Table 2: CQUIN Payments on Account Commissioner Payment Frequency/Timing Agreed provisions for adjustment of CQUIN Payments on Account based on performance Clostridium Difficile Section B Sanction Variations and CQUIN Variations Schedule 3 Part 8.5 Clostridium difficile adjustment: NHS Foundation Trust/NHS Trust The financial adjustment 4 Sanction Variations Insert completed template (£) is the sum which is the greater available via contract Technical Guidance); insert any additional text and/or attach spreadsheets or documents locally - or state Not Applicable Schedule 4 Part 4 CQUIN Variations Insert completed template (available via CQUIN Guidance); insert any additional text and/or attach spreadsheets or documents locally - or state Not Applicable Reporting Requirements Schedule 5 Part 1 Information Requirements National Requirements Reported Centrally and National Requirements Reported Locally Reporting Period Format of Y Report Timing and Z, where: Y = 0 Z = ((A – B) x 10,000) x C where: A = the actual number Method for delivery of cases of Clostridium difficile in respect of all NHS patients treated by the Provider Report Application National Requirements Reported Centrally As specified in the Contract Year B = list of assessed mandated collections published on the Baseline Threshold (the figure HSCIC website to be found at xxxx://xxx.xxxxx.xxx.xx/datacollections as notified applicable to the Provider and recorded the Services As set out in the Particularsrelevant Guidance As set out in relevant Guidance As set out in relevant Guidance All PROMS As set out in relevant Guidance As set out in relevant Guidance As set out in relevant Guidance All NDTMS As set out in NTA Guidance As set out in NTA Guidance As set out in NTA Guidance SM National Requirements Reported Locally Monthly Activity Report Monthly Using SUS data, being the Provider’s threshold for the number of cases of Clostridium difficile for the Contract Yearwhere applicable All Service Quality Performance Report, in accordance with Guidance) C = no. of inpatient bed days in respect of Service Users in the Contract Year no. of inpatient bed days in respect of all NHS patients treated by the Provider in the Contract Year The financial adjustment is calculated on the basis of annual performance. For the purposes of Clause 7.47 (detailing performance against Operational Standards, National Quality Requirements and Requirements, Local Quality Requirements, Never Events, including, without limitation: details of any thresholds that have been breached and any Never Events that have occurred; details of all requirements satisfied; details of, and reasons for, any failure to meet requirements and; the outcome of all Root Cause Analyses and audits performed pursuant to Service Condition 20 (Venous Thromboembolism). Monthly Submit to Commissioner within 10 Operational Days of the end of the month to which it relates. All All All A 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 Monthly report on performance against the HCAI Reduction Plan Monthly All Complaints monitoring report, setting out numbers of complaints received and including analysis of key themes in content of complaints All 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 Cancer Registration dataset reporting (ISN): report on staging data in accordance with Guidance As set out in relevant Guidance As set out in relevant Guidance As set out in relevant Guidance CR R Monthly summary report of all incidents requiring reporting Monthly All 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 Report and provide monthly data and detailed information relating to violence-related injury resulting in treatment being sought from Staff in A&E departments, urgent care and walk-in centres, and from ambulance services paramedics (where the casualties do not require A&E department, urgent care and walk-in centre attendance), any repayment to the local community safety partnership and the relevant police force, in accordance with applicable Guidance (College of Emergency Medicine Clinical Guidance Information Sharing to Reduce Community Violence (July 2009)) Monthly As set out in relevant Guidance As set out in relevant Guidance A A+E AM U Report on outcome of reviews and evaluations in relation to Staff numbers and skill mix in accordance with Clause 11.2 (Staff) 6 monthly (or withholding in respect of Clostridium difficile performance will be made in respect of more frequently if and as required by the final quarter of the Contract Year. Clostridium difficile adjustment: Other Providers The financial adjustment (£Commissioner from time to time) is the sum equal to A x 10,000, where: A = the actual number of cases of Clostridium difficile in respect of Service Users in the Contract Year. The financial adjustment is calculated on the basis of annual performance. For the purposes of Clause 7.47 (Operational Standards, National Quality All Local Requirements and Local Quality Requirements), any repayment or withholding in respect of Clostridium difficile performance will be made in respect of the final quarter of the Contract Year. Sanction Variations and CQUIN VariationsReported Locally
Appears in 1 contract
Samples: National Variation Agreement
Maternity. Maternal death due to post-partum haemorrhage after elective caesarean section >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 A Commissioning for Quality and Innovation (CQUIN) Section B Schedule 4 Part 9.2 2 Commissioning for Quality and Innovation (CQUIN) CQUIN Table 1: CQUIN Schemes Insert completed CQUIN template spreadsheet(s) or state Not Applicable CQUIN Table 2: CQUIN Payments on Account Commissioner Payment Frequency/Timing Agreed provisions for adjustment of CQUIN Payments on Account based on performance Clostridium Difficile Section B Sanction Variations and CQUIN Variations Schedule 3 Part 8.5 Clostridium difficile adjustment: NHS Foundation Trust/NHS Trust The financial adjustment 4 Sanction Variations Insert completed template (£) is the sum which is the greater available via contract Technical Guidance); insert any additional text and/or attach spreadsheets or documents locally - or state Not Applicable Schedule 4 Part 4 CQUIN Variations Insert completed template (available via CQUIN Guidance); insert any additional text and/or attach spreadsheets or documents locally - or state Not Applicable Reporting Requirements Schedule 5 Part 1 Information Requirements National Requirements Reported Centrally and National Requirements Reported Locally Reporting Period Format of Y Report Timing and Z, where: Y = 0 Z = ((A – B) x 10,000) x C where: A = the actual number Method for delivery of cases of Clostridium difficile in respect of all NHS patients treated by the Provider Report Application National Requirements Reported Centrally As specified in the Contract Year B = list of assessed mandated collections published on the Baseline Threshold (the figure HSCIC website to be found at xxxx://xxx.xxxxx.xxx.xx/datacollections as notified applicable to the Provider and recorded the Services As set out in the Particularsrelevant Guidance As set out in relevant Guidance As set out in relevant Guidance All PROMS As set out in relevant Guidance As set out in relevant Guidance As set out in relevant Guidance All NDTMS As set out in NTA Guidance As set out in NTA Guidance As set out in NTA Guidance SM National Requirements Reported Locally Monthly Activity Report Monthly Using SUS data, being the Provider’s threshold for the number of cases of Clostridium difficile for the Contract Yearwhere applicable All Service Quality Performance Report, in accordance with Guidance) C = no. of inpatient bed days in respect of Service Users in the Contract Year no. of inpatient bed days in respect of all NHS patients treated by the Provider in the Contract Year The financial adjustment is calculated on the basis of annual performance. For the purposes of Clause 7.47 (detailing performance against Operational Standards, National Quality Requirements and Requirements, Local Quality Requirements, Never Events, including, without limitation: details of any thresholds that have been breached and any Never Events that have occurred; details of all requirements satisfied; details of, and reasons for, any failure to meet requirements and; the outcome of all Root Cause Analyses and audits performed pursuant to Service Condition 20 (Venous Thromboembolism). Monthly Submit to Co-ordinating Commissioner within 10 Operational Days of the end of the month to which it relates. All All All A 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 Monthly report on performance against the HCAI Reduction Plan Monthly All Complaints monitoring report, setting out numbers of complaints received and including analysis of key themes in content of complaints All 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 Cancer Registration dataset reporting (ISN): report on staging data in accordance with Guidance As set out in relevant Guidance As set out in relevant Guidance As set out in relevant Guidance CR R Monthly summary report of all incidents requiring reporting Monthly All 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 Report and provide monthly data and detailed information relating to violence-related injury resulting in treatment being sought from Staff in A&E departments, urgent care and walk-in centres, and from ambulance services paramedics (where the casualties do not require A&E department, urgent care and walk-in centre attendance), any repayment to the local community safety partnership and the relevant police force, in accordance with applicable Guidance (College of Emergency Medicine Clinical Guidance Information Sharing to Reduce Community Violence (July 2009)) Monthly As set out in relevant Guidance As set out in relevant Guidance A A+E AM U Report on outcome of reviews and evaluations in relation to Staff numbers and skill mix in accordance with Clause 11.2 (Staff) 6 monthly (or withholding in respect of Clostridium difficile performance will be made in respect of more frequently if and as required by the final quarter of the Contract Year. Clostridium difficile adjustment: Other Providers The financial adjustment (£Co-ordinating Commissioner from time to time) is the sum equal to A x 10,000, where: A = the actual number of cases of Clostridium difficile in respect of Service Users in the Contract Year. The financial adjustment is calculated on the basis of annual performance. For the purposes of Clause 7.47 (Operational Standards, National Quality All Local Requirements and Local Quality Requirements), any repayment or withholding in respect of Clostridium difficile performance will be made in respect of the final quarter of the Contract Year. Sanction Variations and CQUIN VariationsReported Locally Insert as agreed locally
Appears in 1 contract
Samples: National Variation Agreement
Maternity. Maternal death due to post-partum haemorrhage after elective caesarean section >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 A Module B Section 3 Part 3: Operational Standards Ref Operational Standards Threshold (2014/15) Method of Measurement (2014/15) Consequence of breach Timing of application of consequence Applicable Service Category RTT waiting times for non-urgent consultant-led treatment CB_B1 Percentage of admitted Service Users starting treatment within a maximum of 18 weeks from Referral Operating standard of 90% at specialty level (as reported on Unify) Review of monthly Service Quality Performance Report Where the number of breaches in the month exceeds the tolerance permitted by the threshold, £400 in respect of each excess breach above that threshold Monthly Services to which 18 Weeks applies CB_B2 Percentage of non-admitted Service Users starting treatment within a maximum of 18 weeks from Referral Operating standard of 95% at specialty level (as reported on Unify) Review of monthly Service Quality Performance Report Where the number of breaches in the month exceeds the tolerance permitted by the threshold, £100 in respect of each excess breach above that threshold Monthly Services to which 18 Weeks applies CB_B3 Percentage of Service Users on incomplete RTT pathways (yet to start treatment) waiting no more than 18 weeks from Referral Operating standard of 92% at specialty level (as reported on Unify) Review of monthly Service Quality Performance Report Where the number of breaches in the month exceeds the tolerance permitted by the threshold, £100 in respect of each excess breach above that threshold Monthly Services to which 18 Weeks applies Diagnostic test waiting times CB_B4 Percentage of Service Users waiting less than 6 weeks from Referral for a diagnostic test Operating standard of >99% Review of monthly Service Quality Performance Report Where the number of breaches in the month exceeds the tolerance permitted by the threshold, £200 in respect of each excess breach above that threshold Monthly A C CR D A&E waits CB_B5 Percentage of A & E attendances where the Service User was admitted, transferred or discharged within 4 hours of their arrival at an A&E department Operating standard of 95% Review of monthly Service Quality Performance Report Where the number of breaches in the month exceeds the tolerance permitted by the threshold, £200 in respect of each excess breach above that threshold. To the extent that the number of breaches exceeds 8% of A&E attendances in the relevant month, no further consequence will be applied in respect of the month Monthly A+E U Cancer waits - 2 week wait CB_B6 Percentage of Service Users referred urgently with suspected cancer by a GP waiting no more than two weeks for first outpatient appointment Operating standard of 93% Review of monthly Service Quality Performance Report Where the number of breaches in the Quarter exceeds the tolerance permitted by the threshold, £200 in respect of each excess breach above that threshold Quarterly A CR R CB_B7 Percentage of Service Users referred urgently with breast symptoms (where cancer was not initially suspected) waiting no more than two weeks for first outpatient appointment Operating standard of 93% Review of monthly Service Quality Performance Report Where the number of breaches in the Quarter exceeds the tolerance permitted by the threshold, £200 in respect of each excess breach above that threshold Quarterly A CR R Cancer waits – 31 days CB_B8 Percentage of Service Users waiting no more than one month (31 days) from diagnosis to first definitive treatment for all cancers Operating standard of 96% Review of monthly Service Quality Performance Report Where the number of breaches in the Quarter exceeds the tolerance permitted by the threshold, £1,000 in respect of each excess breach above that threshold Quarterly A CR R CB_B9 Percentage of Service Users waiting no more than 31 days for subsequent treatment where that treatment is surgery Operating standard of 94% Review of monthly Service Quality Performance Report Where the number of breaches in the Quarter exceeds the tolerance permitted by the threshold, £1,000 in respect of each excess breach above that threshold Quarterly A CR R CB_B10 Percentage of Service Users waiting no more than 31 days for subsequent treatment where that treatment is an anti-cancer drug regimen Operating standard of 98% Review of monthly Service Quality Performance Report Where the number of breaches in the Quarter exceeds the tolerance permitted by the threshold, £1,000 in respect of each excess breach above that threshold Quarterly A CR R CB_B11 Percentage of Service Users waiting no more than 31 days for subsequent treatment where the treatment is a course of radiotherapy Operating standard of 94% Review of monthly Service Quality Performance Report Where the number of breaches in the Quarter exceeds the tolerance permitted by the threshold, £1,000 in respect of each excess breach above that threshold Quarterly A CR R Cancer waits – 62 days CB_B12 Percentage of Service Users waiting no more than two months (62 days) from urgent GP referral to first definitive treatment for cancer Operating standard of 85% Review of monthly Service Quality Performance Report Where the number of breaches in the Quarter exceeds the tolerance permitted by the threshold, £1,000 in respect of each excess breach above that threshold Quarterly A CR R CB_B13 Percentage of Service Users waiting no more than 62 days from referral from an NHS screening service to first definitive treatment for all cancers Operating standard of 90% Review of monthly Service Quality Performance Report Where the number of breaches in the Quarter exceeds the tolerance permitted by the threshold, £1,000 in respect of each excess breach above that threshold Quarterly A CR R CB_B14 Percentage of Service Users waiting no more than 62 days for first definitive treatment following a consultant’s decision to upgrade the priority of the Service User (all cancers) [Insert as per local determination] Review of monthly Service Quality Performance Report [Insert as per local determination] Quarterly A CR R Category A ambulance calls CB_B15_01 Percentage of Category A Red 1 ambulance calls resulting in an emergency response arriving within 8 minutes Operating standard of 75% Performance measured monthly with annual reconciliation Monthly withholding of 2% of Actual Monthly Value with an end of year reconciliation with 2% of the Actual Annual Value retained if annual performance is not met, or the withheld sums returned (with no interest) if annual performance is met Monthly withholding, annual reconciliation AM CB_B15_02 Percentage of Category A Red 2 ambulance calls resulting in an emergency response arriving within 8 minutes Operating standard of 75% Performance measured monthly with annual reconciliation Monthly withholding of 2% of Actual Monthly Value with an end of year reconciliation with 2% of the Actual Annual Value retained if annual performance is not met, or the withheld sums returned (with no interest) if annual performance is met Monthly withholding, annual reconciliation AM CB_B16 Percentage of Category A calls resulting in an ambulance arriving at the scene within 19 minutes Operating standard of 95% Performance measured monthly with annual reconciliation Monthly withholding of 2% of Actual Monthly Value with an end of year reconciliation with 2% of the Actual Annual Value retained if annual performance is not met, or the withheld sums returned (with no interest) if annual performance is met Monthly withholding, annual reconciliation AM Mixed sex accommodation breaches CB_B17 Sleeping Accommodation Breach >0 Verification of the monthly data provided pursuant to Module B Section 6 Part 1 in accordance with the Professional Letter £250 per day per Service User affected Monthly A CR MH Cancelled operations CB_B18 All Service Users who have operations cancelled, on or after the day of admission (including the day of surgery), for non-clinical reasons to be offered another binding date within 28 days, or the Service User’s treatment to be funded at the time and hospital of the Service User’s choice Number of Service Users who are not offered another binding date within 28 days >0 Review of monthly Service Quality Performance Report Non-payment of costs associated with cancellation and non- payment or reimbursement (as applicable) of re-scheduled episode of care Monthly A CR S Mental health CB_B19 Care Programme Approach (CPA): The percentage of Service Users under adult mental illness specialties on CPA who were followed up within 7 days of discharge from psychiatric in-patient care Operating standard of 95% Review of monthly Service Quality Performance Reports Where the number of breaches in the Quarter exceeds the tolerance permitted by the threshold, £200 in respect of each excess breach above that threshold Quarterly MH MHSS Commissioning for Quality and Innovation (CQUIN) Module B Section B 5 Part 9.2 2 Commissioning for Quality and Innovation (CQUIN) CQUIN Table 1: CQUIN Schemes Insert completed CQUIN template spreadsheet(s) or state Not Applicable CQUIN Table 2: CQUIN Payments on Account Commissioner Payment Frequency/Timing Agreed provisions for adjustment of CQUIN Payments on Account based on performance Clostridium Difficile Sanction Variations and CQUIN Variations Module B Section 3 Part 4 Sanction Variations Insert completed template (available via contract Technical Guidance); insert any additional text and/or attach spreadsheets or documents locally - or state Not Applicable Module B Section 5 Part 8.5 Clostridium difficile adjustment: NHS Foundation Trust/NHS Trust The financial adjustment 4 CQUIN Variations Insert completed template (£) is the sum which is the greater available via CQUIN Guidance); insert any additional text and/or attach spreadsheets or documents locally - or state Not Applicable Information Requirements Module B Section 6 Part 1 Information Requirements National Requirements Reported Centrally and National Requirements Reported Locally Reporting Period Format of Y Report Timing and Z, where: Y = 0 Z = ((A – B) x 10,000) x C where: A = the actual number Method for delivery of cases of Clostridium difficile in respect of all NHS patients treated by the Provider Report Application National Requirements Reported Centrally As specified in the Contract Year B = list of assessed mandated collections published on the Baseline Threshold (the figure HSCIC website to be found at xxxx://xxx.xxxxx.xxx.xx/datacollections as notified applicable to the Provider and recorded the Services As set out in the Particularsrelevant Guidance As set out in relevant Guidance As set out in relevant Guidance All PROMS As set out in relevant Guidance As set out in relevant Guidance As set out in relevant Guidance All NDTMS As set out in NTA Guidance As set out in NTA Guidance As set out in NTA Guidance SM National Requirements Reported Locally Monthly Activity Report Monthly Using SUS data, being the Provider’s threshold for the number of cases of Clostridium difficile for the Contract Yearwhere applicable All Service Quality Performance Report, in accordance with Guidance) C = no. of inpatient bed days in respect of Service Users in the Contract Year no. of inpatient bed days in respect of all NHS patients treated by the Provider in the Contract Year The financial adjustment is calculated on the basis of annual performance. For the purposes of Clause 7.47 (detailing performance against Operational Standards, National Quality Requirements and Requirements, Local Quality Requirements, Never Events, including, without limitation: details of any thresholds that have been breached and any Never Events that have occurred; details of all requirements satisfied; details of, and reasons for, any failure to meet requirements and; the outcome of all Root Cause Analyses and audits performed pursuant to Service Condition 20 (Venous Thromboembolism). Monthly Submit to Commissioner within 10 Operational Days of the end of the month to which it relates. All All All A 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 Monthly report on performance against the HCAI Reduction Plan Monthly All Complaints monitoring report, setting out numbers of complaints received and including analysis of key themes in content of complaints All 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 Cancer Registration dataset reporting (ISN): report on staging data in accordance with Guidance As set out in relevant Guidance As set out in relevant Guidance As set out in relevant Guidance CR R Monthly summary report of all incidents requiring reporting Monthly All 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 Report and provide monthly data and detailed information relating to violence-related injury resulting in treatment being sought from Staff in A&E departments, urgent care and walk-in centres, and from ambulance services paramedics (where the casualties do not require A&E department, urgent care and walk-in centre attendance), any repayment to the local community safety partnership and the relevant police force, in accordance with applicable Guidance (College of Emergency Medicine Clinical Guidance Information Sharing to Reduce Community Violence (July 2009)) Monthly As set out in relevant Guidance As set out in relevant Guidance A A+E AM U Report on outcome of reviews and evaluations in relation to Staff numbers and skill mix in accordance with Clause 11.2 (Staff) 6 monthly (or withholding in respect of Clostridium difficile performance will be made in respect of more frequently if and as required by the final quarter of the Contract Year. Clostridium difficile adjustment: Other Providers The financial adjustment (£Commissioner from time to time) is the sum equal to A x 10,000, where: A = the actual number of cases of Clostridium difficile in respect of Service Users in the Contract Year. The financial adjustment is calculated on the basis of annual performance. For the purposes of Clause 7.47 (Operational Standards, National Quality All Local Requirements and Local Quality Requirements), any repayment or withholding in respect of Clostridium difficile performance will be made in respect of the final quarter of the Contract Year. Sanction Variations and CQUIN VariationsReported Locally
Appears in 1 contract
Samples: National Variation Agreement
Maternity. Maternal death due to post-partum haemorrhage after elective caesarean section >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 A Commissioning for Quality and Innovation (CQUIN) Module B Section B 4 Part 9.2 2 Commissioning for Quality and Innovation (CQUIN) CQUIN Table 1: CQUIN Schemes Insert completed CQUIN template spreadsheet(s) or state Not Applicable CQUIN Table 2: CQUIN Payments on Account Commissioner Payment Frequency/Timing Agreed provisions for adjustment of CQUIN Payments on Account based on performance Clostridium Difficile Module B Section B 3 Part 8.5 5 Clostridium difficile adjustment: NHS Foundation Trust/NHS Trust The financial adjustment (£) is the sum which is the greater of Y and Z, where: Y = 0 Z = ((A – B) x 10,000) x C where: A = the actual number of cases of Clostridium difficile in respect of all NHS patients treated by the Provider in the Contract Year B = the Baseline Threshold (the figure as notified to the Provider and recorded in the Particulars, being the Provider’s threshold for the number of cases of Clostridium difficile for the Contract Year, in accordance with Guidance) C = no. of inpatient bed days in respect of Service Users in the Contract Year no. of inpatient bed days in respect of all NHS patients treated by the Provider in the Contract Year The financial adjustment is calculated on the basis of annual performance. For the purposes of Clause 7.47 (Operational Standards, National Quality Requirements and Local Quality Requirements), any repayment or withholding in respect of Clostridium difficile performance will be made in respect of the final quarter of the Contract Year. Clostridium difficile adjustment: Other Providers The financial adjustment (£) is the sum equal to A x 10,000, where: A = the actual number of cases of Clostridium difficile in respect of Service Users in the Contract Year. The financial adjustment is calculated on the basis of annual performance. For the purposes of Clause 7.47 (Operational Standards, National Quality Requirements and Local Quality Requirements), any repayment or withholding in respect of Clostridium difficile performance will be made in respect of the final quarter of the Contract Year. Sanction Variations and CQUIN VariationsVariations Module B Section 3 Part 4 Sanction Variations Insert completed template (available via contract Technical Guidance); insert any additional text and/or attach spreadsheets or documents locally - or state Not Applicable Module B Section 4 Part 4 CQUIN Variations Insert completed template (available via CQUIN Guidance); insert any additional text and/or attach spreadsheets or documents locally - or state Not Applicable Reporting Requirements Module B Section 5 Part 1 Information Requirements National Requirements Reported Centrally and National Requirements Reported Locally Reporting Period Format of Report Timing and Method for delivery of Report Application National Requirements Reported Centrally As specified in the list of assessed mandated collections published on the HSCIC website to be found at xxxx://xxx.xxxxx.xxx.xx/datacollections as 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 PROMS As set out in relevant Guidance As set out in relevant Guidance As set out in relevant Guidance All NDTMS As set out in NTA Guidance As set out in NTA Guidance As set out in NTA Guidance SM National Requirements Reported Locally Monthly Activity Report Monthly Using SUS data, where applicable All Service Quality Performance Report, detailing performance against Operational Standards, National Quality Requirements, Local Quality Requirements, Never Events, including, without limitation: details of any thresholds that have been breached and any Never Events that have occurred; details of all requirements satisfied; details of, and reasons for, any failure to meet requirements and; the outcome of all Root Cause Analyses and audits performed pursuant to Service Condition 20 (Venous Thromboembolism). Monthly Submit to Commissioner within 10 Operational Days of the end of the month to which it relates. All All All A 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 Monthly report on performance against the HCAI Reduction Plan Monthly All Complaints monitoring report, setting out numbers of complaints received and including analysis of key themes in content of complaints All 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 Cancer Registration dataset reporting (ISN): report on staging data in accordance with Guidance As set out in relevant Guidance As set out in relevant Guidance As set out in relevant Guidance CR R Monthly summary report of all incidents requiring reporting Monthly All 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 Report and provide monthly data and detailed information relating to violence-related injury resulting in treatment being sought from Staff in A&E departments, urgent care and walk-in centres, and from ambulance services paramedics (where the casualties do not require A&E department, urgent care and walk-in centre attendance), to the local community safety partnership and the relevant police force, in accordance with applicable Guidance (College of Emergency Medicine Clinical Guidance Information Sharing to Reduce Community Violence (July 2009)) Monthly As set out in relevant Guidance As set out in relevant Guidance A A+E AM U Report on outcome of reviews and evaluations in relation to Staff numbers and skill mix in accordance with Clause 11.2 (Staff) 6 monthly (or more frequently if and as required by the Commissioner from time to time) All Local Requirements Reported Locally
Appears in 1 contract
Samples: National Variation Agreement
Maternity. Maternal death due to post-partum haemorrhage after elective caesarean section >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 A Module B Section 3 Part 3: Operational Standards Ref Operational Standards Threshold (2014/15) Method of Measurement (2014/15) Consequence of breach Timing of application of consequence Applicable Service Category RTT waiting times for non-urgent consultant-led treatment CB_B1 Percentage of admitted Service Users starting treatment within a maximum of 18 weeks from Referral Operating standard of 90% at specialty level (as reported on Unify) Review of monthly Service Quality Performance Report Where the number of breaches in the month exceeds the tolerance permitted by the threshold, £400 in respect of each excess breach above that threshold Monthly Services to which 18 Weeks applies CB_B2 Percentage of non-admitted Service Users starting treatment within a maximum of 18 weeks from Referral Operating standard of 95% at specialty level (as reported on Unify) Review of monthly Service Quality Performance Report Where the number of breaches in the month exceeds the tolerance permitted by the threshold, £100 in respect of each excess breach above that threshold Monthly Services to which 18 Weeks applies CB_B3 Percentage of Service Users on incomplete RTT pathways (yet to start treatment) waiting no more than 18 weeks from Referral Operating standard of 92% at specialty level (as reported on Unify) Review of monthly Service Quality Performance Report Where the number of breaches in the month exceeds the tolerance permitted by the threshold, £100 in respect of each excess breach above that threshold Monthly Services to which 18 Weeks applies Diagnostic test waiting times CB_B4 Percentage of Service Users waiting less than 6 weeks from Referral for a diagnostic test Operating standard of >99% Review of monthly Service Quality Performance Report Where the number of breaches in the month exceeds the tolerance permitted by the threshold, £200 in respect of each excess breach above that threshold Monthly A C CR D A&E waits CB_B5 Percentage of A & E attendances where the Service User was admitted, transferred or discharged within 4 hours of their arrival at an A&E department Operating standard of 95% Review of monthly Service Quality Performance Report Where the number of breaches in the month exceeds the tolerance permitted by the threshold, £200 in respect of each excess breach above that threshold. To the extent that the number of breaches exceeds 8% of A&E attendances in the relevant month, no further consequence will be applied in respect of the month Monthly A+E U Cancer waits - 2 week wait CB_B6 Percentage of Service Users referred urgently with suspected cancer by a GP waiting no more than two weeks for first outpatient appointment Operating standard of 93% Review of monthly Service Quality Performance Report Where the number of breaches in the Quarter exceeds the tolerance permitted by the threshold, £200 in respect of each excess breach above that threshold Quarterly A CR R CB_B7 Percentage of Service Users referred urgently with breast symptoms (where cancer was not initially suspected) waiting no more than two weeks for first outpatient appointment Operating standard of 93% Review of monthly Service Quality Performance Report Where the number of breaches in the Quarter exceeds the tolerance permitted by the threshold, £200 in respect of each excess breach above that threshold Quarterly A CR R Cancer waits – 31 days CB_B8 Percentage of Service Users waiting no more than one month (31 days) from diagnosis to first definitive treatment for all cancers Operating standard of 96% Review of monthly Service Quality Performance Report Where the number of breaches in the Quarter exceeds the tolerance permitted by the threshold, £1,000 in respect of each excess breach above that threshold Quarterly A CR R CB_B9 Percentage of Service Users waiting no more than 31 days for subsequent treatment where that treatment is surgery Operating standard of 94% Review of monthly Service Quality Performance Report Where the number of breaches in the Quarter exceeds the tolerance permitted by the threshold, £1,000 in respect of each excess breach above that threshold Quarterly A CR R CB_B10 Percentage of Service Users waiting no more than 31 days for subsequent treatment where that treatment is an anti-cancer drug regimen Operating standard of 98% Review of monthly Service Quality Performance Report Where the number of breaches in the Quarter exceeds the tolerance permitted by the threshold, £1,000 in respect of each excess breach above that threshold Quarterly A CR R CB_B11 Percentage of Service Users waiting no more than 31 days for subsequent treatment where the treatment is a course of radiotherapy Operating standard of 94% Review of monthly Service Quality Performance Report Where the number of breaches in the Quarter exceeds the tolerance permitted by the threshold, £1,000 in respect of each excess breach above that threshold Quarterly A CR R Cancer waits – 62 days CB_B12 Percentage of Service Users waiting no more than two months (62 days) from urgent GP referral to first definitive treatment for cancer Operating standard of 85% Review of monthly Service Quality Performance Report Where the number of breaches in the Quarter exceeds the tolerance permitted by the threshold, £1,000 in respect of each excess breach above that threshold Quarterly A CR R CB_B13 Percentage of Service Users waiting no more than 62 days from referral from an NHS screening service to first definitive treatment for all cancers Operating standard of 90% Review of monthly Service Quality Performance Report Where the number of breaches in the Quarter exceeds the tolerance permitted by the threshold, £1,000 in respect of each excess breach above that threshold Quarterly A CR R CB_B14 Percentage of Service Users waiting no more than 62 days for first definitive treatment following a consultant’s decision to upgrade the priority of the Service User (all cancers) [Insert as per local determination] Review of monthly Service Quality Performance Report [Insert as per local determination] Quarterly A CR R Category A ambulance calls CB_B15_01 Percentage of Category A Red 1 ambulance calls resulting in an emergency response arriving within 8 minutes Operating standard of 75% Performance measured monthly with annual reconciliation Monthly withholding of 2% of Actual Monthly Value with an end of year reconciliation with 2% of the Actual Annual Value retained if annual performance is not met, or the withheld sums returned (with no interest) if annual performance is met Monthly withholding, annual reconciliation AM CB_B15_02 Percentage of Category A Red 2 ambulance calls resulting in an emergency response arriving within 8 minutes Operating standard of 75% Performance measured monthly with annual reconciliation Monthly withholding of 2% of Actual Monthly Value with an end of year reconciliation with 2% of the Actual Annual Value retained if annual performance is not met, or the withheld sums returned (with no interest) if annual performance is met Monthly withholding, annual reconciliation AM CB_B16 Percentage of Category A calls resulting in an ambulance arriving at the scene within 19 minutes Operating standard of 95% Performance measured monthly with annual reconciliation Monthly withholding of 2% of Actual Monthly Value with an end of year reconciliation with 2% of the Actual Annual Value retained if annual performance is not met, or the withheld sums returned (with no interest) if annual performance is met Monthly withholding, annual reconciliation AM Mixed sex accommodation breaches CB_B17 Sleeping Accommodation Breach >0 Verification of the monthly data provided pursuant to Module B Section 6 Part 1 in accordance with the Professional Letter £250 per day per Service User affected Monthly A CR MH Cancelled operations CB_B18 All Service Users who have operations cancelled, on or after the day of admission (including the day of surgery), for non-clinical reasons to be offered another binding date within 28 days, or the Service User’s treatment to be funded at the time and hospital of the Service User’s choice Number of Service Users who are not offered another binding date within 28 days >0 Review of monthly Service Quality Performance Report Non-payment of costs associated with cancellation and non- payment or reimbursement (as applicable) of re-scheduled episode of care Monthly A CR S Mental health CB_B19 Care Programme Approach (CPA): The percentage of Service Users under adult mental illness specialties on CPA who were followed up within 7 days of discharge from psychiatric in-patient care Operating standard of 95% Review of monthly Service Quality Performance Reports Where the number of breaches in the Quarter exceeds the tolerance permitted by the threshold, £200 in respect of each excess breach above that threshold Quarterly MH MHSS Commissioning for Quality and Innovation (CQUIN) Module B Section B 5 Part 9.2 2 Commissioning for Quality and Innovation (CQUIN) CQUIN Table 1: CQUIN Schemes Insert completed CQUIN template spreadsheet(s) or state Not Applicable CQUIN Table 2: CQUIN Payments on Account Commissioner Payment Frequency/Timing Agreed provisions for adjustment of CQUIN Payments on Account based on performance Clostridium Difficile Sanction Variations and CQUIN Variations Module B Section 3 Part 4 Sanction Variations Insert completed template (available via contract Technical Guidance); insert any additional text and/or attach spreadsheets or documents locally - or state Not Applicable Module B Section 5 Part 8.5 Clostridium difficile adjustment: NHS Foundation Trust/NHS Trust The financial adjustment 4 CQUIN Variations Insert completed template (£) is the sum which is the greater available via CQUIN Guidance); insert any additional text and/or attach spreadsheets or documents locally - or state Not Applicable Information Requirements Module B Section 6 Part 1 Information Requirements National Requirements Reported Centrally and National Requirements Reported Locally Reporting Period Format of Y Report Timing and Z, where: Y = 0 Z = ((A – B) x 10,000) x C where: A = the actual number Method for delivery of cases of Clostridium difficile in respect of all NHS patients treated by the Provider Report Application National Requirements Reported Centrally As specified in the Contract Year B = list of assessed mandated collections published on the Baseline Threshold (the figure HSCIC website to be found at xxxx://xxx.xxxxx.xxx.xx/datacollections as notified applicable to the Provider and recorded the Services As set out in the Particularsrelevant Guidance As set out in relevant Guidance As set out in relevant Guidance All PROMS As set out in relevant Guidance As set out in relevant Guidance As set out in relevant Guidance All NDTMS As set out in NTA Guidance As set out in NTA Guidance As set out in NTA Guidance SM National Requirements Reported Locally Monthly Activity Report Monthly Using SUS data, being the Provider’s threshold for the number of cases of Clostridium difficile for the Contract Yearwhere applicable All Service Quality Performance Report, in accordance with Guidance) C = no. of inpatient bed days in respect of Service Users in the Contract Year no. of inpatient bed days in respect of all NHS patients treated by the Provider in the Contract Year The financial adjustment is calculated on the basis of annual performance. For the purposes of Clause 7.47 (detailing performance against Operational Standards, National Quality Requirements and Requirements, Local Quality Requirements, Never Events, including, without limitation: details of any thresholds that have been breached and any Never Events that have occurred; details of all requirements satisfied; details of, and reasons for, any failure to meet requirements and; the outcome of all Root Cause Analyses and audits performed pursuant to Service Condition 20 (Venous Thromboembolism). Monthly Submit to Co-ordinating Commissioner within 10 Operational Days of the end of the month to which it relates. All All All A 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 Monthly report on performance against the HCAI Reduction Plan Monthly All Complaints monitoring report, setting out numbers of complaints received and including analysis of key themes in content of complaints All 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 Cancer Registration dataset reporting (ISN): report on staging data in accordance with Guidance As set out in relevant Guidance As set out in relevant Guidance As set out in relevant Guidance CR R Monthly summary report of all incidents requiring reporting Monthly All 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 Report and provide monthly data and detailed information relating to violence-related injury resulting in treatment being sought from Staff in A&E departments, urgent care and walk-in centres, and from ambulance services paramedics (where the casualties do not require A&E department, urgent care and walk-in centre attendance), any repayment to the local community safety partnership and the relevant police force, in accordance with applicable Guidance (College of Emergency Medicine Clinical Guidance Information Sharing to Reduce Community Violence (July 2009)) Monthly As set out in relevant Guidance As set out in relevant Guidance A A+E AM U Report on outcome of reviews and evaluations in relation to Staff numbers and skill mix in accordance with Clause 11.2 (Staff) 6 monthly (or withholding in respect of Clostridium difficile performance will be made in respect of more frequently if and as required by the final quarter of the Contract Year. Clostridium difficile adjustment: Other Providers The financial adjustment (£Co-ordinating Commissioner from time to time) is the sum equal to A x 10,000, where: A = the actual number of cases of Clostridium difficile in respect of Service Users in the Contract Year. The financial adjustment is calculated on the basis of annual performance. For the purposes of Clause 7.47 (Operational Standards, National Quality All Local Requirements and Local Quality Requirements), any repayment or withholding in respect of Clostridium difficile performance will be made in respect of the final quarter of the Contract Year. Sanction Variations and CQUIN VariationsReported Locally
Appears in 1 contract
Samples: National Variation Agreement
Maternity. Maternal death due to post-partum haemorrhage after elective caesarean section >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 A Commissioning for Quality and Innovation (CQUIN) Section B Schedule 18 Part 9.2 2 Commissioning for Quality and Innovation (CQUIN) CQUIN Table 1: CQUIN Schemes Insert completed CQUIN template spreadsheet(s) or state Not Applicable CQUIN Table 2: CQUIN Payments on Account Commissioner Payment Frequency/Timing Agreed provisions for adjustment of CQUIN Payments on Account based on performance Clostridium Difficile Section B Schedule 3 Part 8.5 4E Clostridium difficile adjustment: NHS Foundation Trust/NHS Trust The financial adjustment (£) is the sum which is the greater of Y and Z, where: Y = 0 Z = ((A – B) x 10,000) x C where: A = the actual number of cases of Clostridium difficile in respect of all NHS patients treated by the Provider in the Contract Year B = the Baseline Threshold (the figure as notified to the Provider and recorded in the Particulars, being the Provider’s threshold for the number of cases of Clostridium difficile for the Contract Year, in accordance with Guidance) C = no. of inpatient bed days in respect of Service Users in the Contract Year no. of inpatient bed days in respect of all NHS patients treated by the Provider in the Contract Year The financial adjustment is calculated on the basis of annual performance. For the purposes of Clause 7.47 (Operational Standards, National Quality Requirements and Local Quality Requirements), any repayment or withholding in respect of Clostridium difficile performance will be made in respect of the final quarter of the Contract Year. Clostridium difficile adjustment: Other Providers The financial adjustment (£) is the sum equal to A x 10,000, where: A = the actual number of cases of Clostridium difficile in respect of Service Users in the Contract Year. The financial adjustment is calculated on the basis of annual performance. For the purposes of Clause 7.47 (Operational Standards, National Quality Requirements and Local Quality Requirements), any repayment or withholding in respect of Clostridium difficile performance will be made in respect of the final quarter of the Contract Year. Sanction Variations and CQUIN VariationsVariations Schedule 3 Part 4D Sanction Variations Insert completed template (available via contract Technical Guidance); insert any additional text and/or attach spreadsheets or documents locally - or state Not Applicable Schedule 18 Part 4 CQUIN Variations Insert completed template (available via CQUIN Guidance); insert any additional text and/or attach spreadsheets or documents locally - or state Not Applicable Reporting Requirements Schedule 5 Part 1 Information Requirements National Requirements Reported Centrally and National Requirements Reported Locally Reporting Period Format of Report Timing and Method for delivery of Report Application National Requirements Reported Centrally As specified in the list of assessed mandated collections published on the HSCIC website to be found at xxxx://xxx.xxxxx.xxx.xx/datacollections as 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 PROMS As set out in relevant Guidance As set out in relevant Guidance As set out in relevant Guidance All NDTMS As set out in NTA Guidance As set out in NTA Guidance As set out in NTA Guidance SM National Requirements Reported Locally Monthly Activity Report Monthly Using SUS data, where applicable All Service Quality Performance Report, detailing performance against Operational Standards, National Quality Requirements, Local Quality Requirements, Never Events, including, without limitation: details of any thresholds that have been breached and any Never Events that have occurred; details of all requirements satisfied; details of, and reasons for, any failure to meet requirements and; the outcome of all Root Cause Analyses and audits performed pursuant to Clause 4.23 (Venous Thromboembolism). Monthly Submit to Co-ordinating Commissioner within 10 Operational Days of the end of the month to which it relates. All All All A 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 Monthly report on performance against the HCAI Reduction Plan Monthly All Complaints monitoring report, setting out numbers of complaints received and including analysis of key themes in content of complaints All 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 Cancer Registration dataset reporting (ISN): report on staging data in accordance with Guidance As set out in relevant Guidance As set out in relevant Guidance As set out in relevant Guidance CR R Monthly summary report of all incidents requiring reporting Monthly All 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 Report and provide monthly data and detailed information relating to violence-related injury resulting in treatment being sought from Staff in A&E departments, urgent care and walk-in centres, and from ambulance services paramedics (where the casualties do not require A&E department, urgent care and walk-in centre attendance), to the local community safety partnership and the relevant police force, in accordance with applicable Guidance (College of Emergency Medicine Clinical Guidance Information Sharing to Reduce Community Violence (July 2009)) Monthly As set out in relevant Guidance As set out in relevant Guidance A A+E AM U Report on outcome of reviews and evaluations in relation to Staff numbers and skill mix in accordance with Clause 11.2 (Staff) 6 monthly (or more frequently if and as required by the Co-ordinating Commissioner from time to time) All Local Requirements Reported Locally Insert as agreed locally
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Samples: National Variation Agreement