Complex Care Forum. Monday 26 th October 2015

Transcription

1 Complex Care Forum Monday 26 th October 2015

2 Purpose of Today Brief you on the NHS Standard Contract Highlight areas of interest: Information requirements Service Specification CQUIN Finance Gain your feedback Plans for future developments

3 Context Setting CCGs are required to have a contract with all care providers Provides clarity for all parties Contracts are required to have a CQUIN element worth an additional 2.5% Guidance around invoicing and payments

4 Contract Contact Details Matthew Wilkinson Contract Manager NHS Midlands and Lancashire CSU William Farr House Mytton Oak Road Shrewsbury Shropshire SY38XL Tel: ext

5 Contract Contact Details Yuen-Ting Cheung Contract Support NHS Midlands and Lancashire CSU William Farr House Mytton Oak Road Shrewsbury Shropshire SY38XL Tel: ext

6 NHS Standard Contract 2015/16 Split into 3 Documents Particulars Service Conditions General Conditions

7 NHS Standard Contract 2015/16 - Particulars Schedule 1 Service Commencement and Contract Term Schedule 2 The Services Schedule 3 Payment Schedule 4 Quality Requirements Schedule 5 Governance Schedule 6 Contract Management, Reporting and Information Requirements Schedule 7 Pensions

8 CHC Contact Details Nikki Diamond Complex Care Lead Nurse Continuing Health Care Team Shropshire Clinical Commissioning Group William Farr House Mytton Oak Road Shrewsbury SY3 8XL Tel: Fax:

9 Finance Contact Details Mark Young Senior Finance Analyst NHS Midlands and Lancashire CSU William Farr House Mytton Oak Road Shrewsbury Shropshire SY38XL Tel: ext 8707

10 Finance - Invoicing Invoices to be submitted to: NHS Shropshire CCG, 05N Payables K805, Phoenix House, Topcliffe Lane, Wakefield, WF3 1WE Invoices must contain minimum information as shown in the example template. Broadcare ID is imperative. Invoices must not contain any patient sensitive information such as name, address, date of birth etc. Inclusion of these will result in immediate invoice rejection. Broadcare ID is the only allowable means of patient identification.

11 Finance - Invoicing Invoices should be issued on a weekly or monthly basis and show a clear breakdown of Monday to Sunday periods and amounts. Invoices received are compared to quotes that have been agreed with the Complex Care team. If there is deviation from the quotes, even small ones, this can lead to invoices being put on hold. It is therefore essential that any expected changes are communicated and agreed with Shropshire CCG before charging to avoid delays in payment.

12 Quality Requirements and CQUINS 2015/16

13 Quality Team Contact Details Susan Aucutt Clinical Quality Advisor Shropshire Clinical Commissioning Group William Farr House Shrewsbury Shropshire SY3 8XL Telephone

14 Quality Requirements Assurance framework used by the CCG underpinned by NHS England to ensure that: 1. Service users are receiving clinically commissioned, high quality services 2. Service users and the public are actively engaged and involved 3. Provider plans are delivering better outcomes for service users 4. The provider has robust governance arrangements 5. The provider is working in partnership with others 6. The provider has strong and robust leadership

15 Patient Safety and Quality Dashboard

16 CQUINS Framework The key aim of the Commissioning for Quality and Innovation (CQUIN) framework for 2015/16 is to secure improvements in quality of services and better outcomes for patients, whilst also maintaining strong financial management. CQUIN monies should be used to incentivise providers to deliver quality and innovation improvements above the baseline requirements set out in the Standard Contract. Commissioners should plan to make challenging but realistic CQUIN schemes available for providers, so that there is an expectation that a high proportion of commissioner CQUIN funding will be earned by provider s in-year.

17 Financial Framework CQUIN for 2015/16 is set at a level of 2.5% value for all healthcare services commissioned through the NHS Standard Contract Providers should only be paid where they have achieved the agreed CQUIN goals CQUIN payments should be made to providers in accordance with the detail set out in the NHS Standard Contract Commissioners must set out clearly the proportion of payment associated with each CQUIN indicator and the basis upon which payment will be made CQUIN monies remain non-recurrent

18 CQUIN Proposals 2015/16 Pressure Ulcers Reduction in the incidents of Grade 3 and 4 Sign up to the love your skin campaign Falls- Reduction in the level of service user harm

19 Feedback We want to know what you think? First thoughts Positives Concerns

20 Next Steps Finalise wording of contracts contracts to all Domiciliary Care Providers in October / November 2015 Provider to sign contract Guidance for Domiciliary Care Providers not validating schedule before requirement in October Domiciliary Care Providers to provide information as required CCG to provide update to providers via SPIC / contract meetings