Supplementary envidence submitted by Capio
(ISTC 35A)
1. What data you are contractually obliged
to provide to the Department of Health
Capio is required to provide the Department
of Health with relevant data to satisfy 26 key performance indicators
(KPIs). These KPls are listed and detailed in appendix 1.[11]
An example of the KPI data Capio produces monthly for each ISTC
is given in appendix 2 (please also see the appendix 2 explanation
sheet).[12]
Capio shares further information about each KPIs with both the
PCT contractor and Department of Health. For example if a patient
is returned to theatre after their original procedure (KPI 4),
Capio would provide information on when and where this happened,
the reason the patient Iwas returned to theatre and the subsequent
procedure details.
Capio is also required to provide patient tracker
information to both the PCT contractor and Department of Health.
This gives specific information on when a patient was referred,
their appointment and procedure dates and when their operation
was completed. An example of a tracker report for the Capio Woodlands
NHS Treatment Centre is given in appendix 3 (please note this
has been desensitised to remove patient confidential information).[13]
Additionally, Capio is required to supply data
to, a number of other governmental organisations when requested
such as the National Protection Agency. Further information about
this can be found in appendix 4; showing the part of the contract
which details the information Capio is required to supply.
2. What data you collect on a monthly basis,
and whether you collect more than is contractually required
Appendices 2 and 3 demonstrate the type of data
Capio shares with the commissioning PCT and the Department of
Health each month. As previously stated, Capio provides further
information relating to specific KPIs or incidents at the Joint
Committee Review (see 3).
In a number of incidences, Capio has been asked
by the commissioning PCT to collect additional information and
Capio has been happy to oblige. For example Northumberland, Tyne
and Wear SHA is operating under the Choose and Book system and
needed Capio to record which GP arid GP surgery had referred each
patient in order to track payments.
Information relating to accidents
and incidents.
Patient feedback and comments.
Certain surgical speciality outcome
data (eg for colonoscopy procedures: the completion rate).
Infection control data.
Human resource information including
staff satisfaction, sickness absenteeism, turnover and continuing
professional development.
Information on anaesthetic standards.
A regular audit of patient clinical
notes.
3. The minutes of the reviews of monthly data
Attached in appendix 5 is a sample selection
Of the minutes from the Steering Group meetings and the Joint
Committee Review held for each of Capio's ISTCs.[14]
Capio can supply further examples of minutes if the Health Select
Committee requires these.
Steering Group: meet biweekly to
review progress with the contract and exchange information about
the ISTC. The Steering Group includes representatives from the
sponsor PCT and Capio and the meeting is facilitated by the Contract
Manager from the Central Contract Management Unit, Department
of Health.
Joint Committee Review: meet every
quarter to review the ISTC KPI data. The Joint Committee Review
includes representatives from the sponsor PCTs and Capio and the
meeting is facilitated by the Contract Manager from the Central
Contract Management Unit, Department of Health.
4. The range of NHS prices for procedures
(mentioned in Q180 of the transcript)
The National Tariff is a weighted average of
the procedures within an Health Related Group (HRG) and within
each HRG national tariff the only variation is the Market Forces
Factor.
The tariff is based on the reference cost fob
the HRG (from the 2003-04 Reference Costs for TELIP (Trust Elective
Inpatient) and TDC (Trust Daycase)). This reference cost data
is presented in appendix 6 for three common procedures and shows
the average cost, the upper quartile cost and the lower quartile
cost. The full range of costs for 2004 and 2003 is wider than
the interquartile range. Capio has asked for the maximum and minimum
figures from the Department of Health and these figures will provided
to the Select Committee upon receipt.
11 Not printere here. These KPIs are the same as listed
in the DoH submission on page Ev 107. Back
12
Not printed here. Back
13
Not printed here. Back
14
This data is sourced from the Department of Health. Back
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