APPENDIX 4
14.7 CONTRACT
MANAGEMENT
(a) The Provider shall produce reports sufficient
to complete the Key Performance Indicators (KPIs) as set out in
Schedule 6 (Payment Mechanism and Performance Monitoring Regime)
Part 5 Table 1 KPIs. Reports sufficient to complete KPIs table
1.
(b) The Provider shall submit Data definitions
for review within three (3) months of the date of this Agreement.
(c) For the purposes of this paragraph 14.7,
"Data Definitions" mean a description of the required
data elements to calculate the KFI in Schedule 6 (Payment Mechanism
and Performance Monitoring Regime) including a statement of
rules for excluding or including specific data values and the
method of calculating KPIs.
14.8 COMMISSIONING
DATA SETS
(a) The following Commissioning Data Sets
will be submitted by the Provider via the NWCS Service as required:
(i) Admitted Patient Care CDS TypeGeneral
Episode.
(ii) Out-Patient Attendance CDS Type.
(iii) Ward Attendance CDS Type.
(b) The following Commissioning Minimum Data
Sets will be submitted by the Provider to the NWCS Service as
required:
(i) Elective Admission List CMDS-End Of Period
Census.
(ii) Elective Admission List CMDS-Event During
Period.
(iii) GP Referral Letter CMDS.
(c) The Provider shall comply with changes
to the CRS and CMDS data sets described in Data Set Changes Notices
(DSCNs) published by the NHS Information Authority.
14.9 CLINICAL
DATA SETS
(a) The Provider shall submit the following
Clinical Data Sets as required:
(i) Acute Myocardial Infarction.
(ii) CancerNational Cancer Data Set.
(A) Breast Cancer.
(B) Colorectal Cancer.
(C) Lung Cancer.
(D) Head and Neck Cancer.
(E) Urologicai Cancer.
(F) Upper GI Cancer.
(G) Gynaecological Cancer.
(H) National Cancer Waiting Times Data
Set.
(iii) Coronary Heart Disease Data Set.
(v) National Joint Registry Minimum Data
Set.
(vi) Older Peoples Data Set.
(vii) Social Services Data Set.
(viii) National Cataract Data Set.
14.10 LOCAL PERFORMANCE
MANAGEMENT AND
COMMISSIONERS INFORMATION
(a) The local performance management and
commissioners information is defined in the IM&T Services
specification document referred to at paragraph 14.2(a) of Part
C of this Schedule 3 Part 4.
14.11 CENTRAL
MANAGEMENT INFORMATION
(a) Information will be required to be submitted
to the Healthcare-associated Infection and Antimicrobial Resistance
(HCAI & AMR) Department of the Communicable Disease Surveillance
Centre (CDSC) at the Health Protection Agency (HPA) in Colindale.
(b) Information on patient deaths will be
required to be submitted to the National Confidential Enquiry
into Patient Outcome and Death on a monthly basis according to
the format and procedure specified at http:l/www.ncepod.org.uk/reporters.htm#submission.
(c) The following information will be required
to be submitted weekly to support (including but not limited to
providing a timely report) the NHS process on reporting to the
Department of Health in relation to the Department's Strategic
Executive Information System (STETS):
(i) Completed activity in the previous four weeks.
(ii) Patients currently waiting for treatment
(and the length of time they have been waitingincluding
time on NHS Waiting lists before being referred to the Provider
for Treatment).
(iii) Cancelled operations.
(iv) Bed Occupancy.
(d) The Provider will be required to support
(including but not limited to providing a timely report) the NHS
process on reporting to the Department of Health in relation to
current central returns which the Provider is likely, to be required
to submit as follows (forms referenced can be found in the NHS
Data Dictionary):
(i) Monthly returns: the Provider is likely to
be required to provide support to submit monthly returns to the
Department on:
(A) completed activity in
the month; and
(B) patients currently waiting
for treatment.
(ii) Activity information is likely to be required
on all patients treated, by type of case (eg in-patient, day case,
outpatient) and speciality.
(iii) Quarterly returns: the Provider is likely
to be required to provide support to submit quarterly returns
to the Department on:
(A) Number, type and status
of patients waiting for admission (see form KH07 and KH07A for
current requirements).
(B) Decisions to admit patients,
and subsequent events (see form KH06).
(C) Outpatient activity (see
form QMOP).
(D) Cancelled operations
(see form QMCO).
(E) Cancer waiting times
(see form QMGW).
(iv) Annual returns: the Provider is likely to
be required to provide support to submit annual returns to the
Department of Health on:
(A) Complaints received from
or on behalf of NHS patients (see form K041(A) for present NHS
requirements).
(B) Bed availability and
occupancy (KH03).
(C) Adult intensive care
and high dependency provisions (see form KH03A).
(D) Ward attenders (ie patients
treat on an outpatient basis in wards, by staff other than doctors)
(see for KH05).
(E) Imaging and radiological
examinations (see form KH12).
(F) Specialist nursing activity
(see form KC59).
(G) Coloscopy clinic referrals
and activity (se form KC65).
(H) Occupational therapy
services (form KT27).
(I) Speech and language therapy
services (for KT29).
(J) Annual information governance
returns.
(v) Depending on the nature of their services,
Providers may be able to submitnil returns to some quarterly and
annual, returns.
(vi) The Provider will also be required to contribute
where appropriate to a number of regular surveys and censuses
including:
(A) Annual NHS medical and
dental workforce census, non-medical workforce census and NHS
vacancy survey.
(B) Annual NHS patient satisfaction
surveys.
(C) The mandatory healthcare
association infection surveillance system.
(D) The NHS Estates Agency's
ERIC Database.
Capio Healthcare UK
April 2006
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