3.1.2 Could the Department
provide a list of all Independent Sector Treatment Centres (ISTCs)
currently in operation, or with contracts already signed, including
(a) name and location (b) company running the ISTC (c) services
contracted for, by type and volume (by Healthcare Resource Group
if possible) (d) value of contract per year, the period of the
contract and whether it is on a "take or pay" basis,
(e) the amount paid, and the relevant activity level, on "take
or pay" contracts and (f) a comparison with the cost at national
tariff prices of providing the same type and volume of services?
(Q17)
Answer
1. The information requested is shown in
Table 17a for agreed wave 1 independent sector treatment centres
(ISTCs) and Table 17b for agreed phase 2 ISTCs.
2. All wave 1 ISTC contracts are on a "take
or pay" basis. All phase 2 contracts include a guaranteed
fixed value (GFV) which is a percentage of the total contract
value. The GFV is contracted on a "take or pay" basis.
3. A range of indicators were considered
to ensure that the Department could measure and report on value
for money secured. This included as reference points, both NHS
tariff and historic prices the NHS had achieved when spot purchasing.
4. It is not possible to directly compare
the ISTC prices to tariff. To the extent that prices can be compared,
the Department estimates that across the full period of wave 1
contracts, the average cost above the NHS equivalent cost of all
wave 1 ISTCs is approximately 12.2%. The Department estimates
that across the full period of currently signed phase 2 contracts,
the average cost below the NHS equivalent cost of all phase 2
ISTCs is 7.3%.
Table 17a
ISTC WAVE 1 CONTRACTUAL INFORMATION (AS AT
31 MAY 2008)
| |
| | | |
| | | |
| Total contracted procedures broken down by Health Resource Group (HRG) Chapter
|
Contract | Location
| Hospital name | Provider name
| Contract
term | Interim site
commencement
| Full service
commencement
| Total nominal
contract value
(£ million)
| Contract
utilisation
to date
(31/05/08)
| Total
contracted
diagnostics
| Total
contracted
procedures
| General
surgery | Orthopaedics
| Nervous
system | Ophthalmology
| ENT | Thoracic
procedures
| Digestive
system | Urology
| Gynaecology |
| LP2 | Bradford | Eccleshill NHS Treatment Centre
| Nations Healthcare | 58 Months
| | 4/1/2005 | 38
| 86% | 88,583 | 28,564
| 4,703 | 4,530 | -
| 407 | 1,015 | -
| 10,567 | 4,168 | 3,175
|
| LP3 | Burton | Midlands NHS Treatment Centre
| Nations Healthcare | 60 Months
| | 7/10/2006 | 78
| 77% | - | 64,814
| 6,673 | 11,908 | 6,168
| 16,477 | 3,590 | 109
| 5,405 | 11,631 | 2,853
|
| LP4 | Trent and South Yorkshire
| Barlborough NHS Treatment Centre | PHG
| 60 Months | | 4/1/2005
| 98 | 89% | - |
21,579 | - | 21,579
| - | - | - |
- | - | - | -
|
| LP5 | Daventry | The Birkdale Clinic
| | Terminated |
| 10/1/2003 | 5 | 97%
| - | 5,155 | 144
| 392 | 319 | 3,841
| 217 | - | 242
| - | - |
| LP7 | Shepton Mallet | Shepton Mallet NHS Treatment Centre
| UKSH | 60 Months |
| 7/15/2005 | 110 | 98%
| - | 56,242 | 2,000
| 22,242 | - | 12,000
| - | - | 20,000
| - | - |
| LP8 | Greater Manchester |
Greater Manchester Surgical Centre | Netcare Healthcare
| 60 Months | | 5/19/2005
| 86 | 63% | - |
44,863 | 5,782 | 20,667
| - | - | 14,351
| - | 3,267 | 796
| - |
| LP9 | Plymouth | Peninsula NHS Treatment Centre
| PHG | 60 Months |
| 5/3/2005 | 59 | 101%
| - | 16,512 | -
| 16,512 | - | -
| - | - | - |
- | - |
| GC4 | East Cornwall | Bodmin NHS Treatment Centre
| Ramsay | 51 Months | 10/1/2005
| 1/1/2006 | 25 | 62%
| - | 26,495 | 215
| 40 | - | 7,148
| - | - | 14,984
| 182 | 3,926 |
| GC4 | East Lincolnshire | Boston NHS Treatment Centre
| Ramsay | 59 Months |
| 4/20/2005 | 9 | 80%
| 2,259 | 6,955 | 572
| - | - | 3,401
| - | - | 2,392
| 590 | - |
| GC4 | North East Yorkshire and North Lincolnshire
| Clifton Park NHS Treatment Centre | Ramsay
| 50 Months | 4/1/2005 | 1/25/2006
| 42 | 85% | - |
8,638 | 581 | 7,621
| - | - | - |
- | 436 | - | -
|
| GC4 | Northumberland, Tyne and Wear
| The Cobalt NHS Treatment Centre | Ramsay
| 58 Months | | 5/25/2005
| 11 | 85% | - |
9,706 | 2,221 | - |
- | - | - | -
| 7,485 | - | -
|
| GC4 | West Lincolnshire | Gainsborough NHS Treatment Centre
| Ramsay | 60 Months |
| 4/1/2005 | 6 | 77%
| 200 | 5,647 | 447
| 996 | - | 1,574
| - | - | 1,464
| 1,166 | - |
| GC4 | Southampton | New Hall NHS Treatment Centre
| Ramsay | 60 Months |
| 4/1/2005 | 43 | 74%
| - | 13,737 | -
| 13,737 | - | -
| - | - | - |
- | - |
| GC4 | North Oxford | Horton NHS Treatment Centre
| Ramsay | 65 Months |
| 8/1/2006 | 81 | 69%
| - | 15,970 | -
| 15,970 | - | -
| - | - | - |
- | - |
| GC4 | Thames Valley (Milton Keynes)
| Blakelands NHS Treatment Centre | Ramsay
| 45 Months | 4/1/2005 | 7/3/2006
| 12 | 68% | |
8,292 | 260 | 4,185
| - | - | - |
- | 3,384 | 321
| 142 |
| GC4 | Thames Valley (Reading)
| Reading NHS Treatment Centre | Ramsay
| 60 Months | | 4/1/2005
| 15 | 93% | -
| 5,935 | 28 | 3,024
| - | - | - |
- | 2,141 | 271
| 471 |
| GC5E | Nottingham | Nottingham NHS Treatment Centre at QMC
| Nations Healthcare | 60 Months
| | In Mobilisation | 208
| N/A | - | 110,683
| 29,556 | 10,481 | 10,634
| 704 | 4,452 | 1,274
| 40,332 | 203 | 13,048
|
| GC5 W | Cheshire and Merseyside
| Cheshire and Merseyside NHS Treatment Centre
| Interhealth | 60 Months |
| 6/1/2006 | 112 |
95% | - | 24,819
| - | 24,819 | -
| - | - | - |
- | - | - |
| GC5 W | Kidderminster | Kidderminster NHS Treatment Centre
| Interhealth | 60 Months |
| 2/1/2005 | 27 |
88% | - | 9,002
| 10 | 8,347 | 645
| - | - | - |
- | - | - |
| GC6 | Maidstone | Mid Kent NHS Treatment Centre
| PHG | 59 Months |
| 11/6/2006 | 38 | 98%
| - | 44,742 | 2,458
| 4,142 | 334 | 90
| 270 | 2,276 | 29,690
| 112 | 5,370 |
| GC7 | North East London | North East London NHS Treatment Centre
| PHG | 60 Months |
| 12/27/2006 | 109 | 77%
| - | 56,030 | 1,580
| 15,495 | - | 8,040
| 9,415 | - | 5,590
| 15,910 | - |
| GC8 | Brighton | Sussex Orthopaedic NHS Treatment Centre
| Care UK | 60 Months |
| 6/1/2006 | 103 | 98%
| - | 26,438 | 141
| 26,297 | - | -
| - | - | - |
- | - |
| GC8 | Havant | Havant NHS Diagnostic Centre
| Care UK | 30 Months |
| 14/01/2008 | 6 | 43%
| 54,117 | 554 | -
| 554 | - | -
| - | - | - |
- | - |
| GC8 | Medway | Will Adams NHS Treatment Centre
| Care UK | 60 Months |
| 10/3/2005 | 27 | 49%
| - | 19,770 | 400
| 6,235 | - | -
| - | - | 6,065
| 7,070 | - |
| GC8 | Portsmouth | St Mary's NHS Treatment Centre
| Care UK | 59 Months |
| 12/19/2005 | 66 | 67%
| 135,117 | 31,688 | 6,926
| 4,010 | - | 8,160
| - | - | 12,592
| - | - |
| GC8 | Wycombe | Mid & South Buckinghamshire NHS Diagnostic Centre
| Care UK | 60 Months |
| 8/8/2005 | 11 | 86%
| 74,880 | - | -
| - | - | - |
- | - | - | -
| - |
| OC123 | Ophthalmic Chain |
Cataract Initiative | Netcare Healthcare
| 64 Months | | 1/25/2004
| 42 | 78% | |
44,735 | - | -
| | 44,735 |
| | | |
|
| | Contractual total
| | | |
| £1,469 | | 355,156
| 707,565 | 64,696
| 243,784 | 18,100
| 106,576 | 33,310
| 3,659 | 166,036
| 42,419 | 28,985
|
| | ISTC utilisation to date
| | | |
| | | 85%
| | | |
| | | |
| |
Source:
Central Contract Management Unit, DH
Footnotes:
1. The information provided has been based on the most up
to date information at May 2008.
2. The total nominal contract value represents the total real
contract value, adjusted for actual inflation to date, and forecast
inflation for the remaining contract years.
3. The contracted activity is indicative only and can vary
significantly from actual activity through substitution of higher
or lower value procedures across the contract term.
4. Utilisation represents the value of the activity delivered
under each contract as a percentage of the value paid to the provider
from contract commencement to 31 May 2008.
5. Utilisation percentage may change following contract reconciliation
which occurs at the end of each contract quarter and each contract
year.
6. The specialties are referenced to HRG Chapter. "General
Surgery" includes HRG Chapters E, G, J, K, P, Q and S. HRG
information is available at www.ic.nhs.uk/casemix.
7. This information is expected to be updated on a quarterly
basis.
8. The Department works with the local health economy and
providers to ensure optimum utilisation of the contracts. This
includes changing the case mix to respond to local need and working
with providers and primary care trusts to recover previous under-utilised
activity where possible.
Table 17b
ISTC PHASE 2 CONTRACTUAL INFORMATION
| |
| | | |
| | | | Total contracted procedures broken down by Health Resource Group (HRG) Chapter
|
Contract | Location
| Hospital name | Interim site commencement
| Full service commencement | Contract end date
| Total nominal
contract value
(£ million)
| Contract
utilisation
to date
(31/05/08)
| Total
contracted
diagnostics
| Total
contracted
procedures
| General
surgery | Nervous
system
| Eyes
and
periorbita
| Mouth,
head,
neck
and
ears
| Digestive
system | Musculoskeletal
system
| Urinary
tract
and
male
reproductive
system
| Female
reproductive
system
| Spinal
surgery
and
primary
spinal
conditions
| Renal
dialysis |
D01 | London |
Various Sites | | 4/1/2007
| 4/2/2012 | 108.2 | 17%
| 969,863 | |
| | | |
| | | |
| |
| D8N | National | Various Sites
| | 4/7/2008 | 4/6/2013
| 50.3 | 74% | 48,148
| - | | |
| | |
| | | |
|
| D8S | National | Various Sites
| | 4/7/2008 | 3/31/2013
| 47.0 | 91% | 42,678
| - | | |
| | |
| | | |
|
| D05 | West Midlands | Various Sites
| | 6/28/2007 | Terminated
| 20.2 | 11% | 120,099
| - | | |
| | |
| | | |
|
| E05 | Cumbria & Lancashire
| Various Sites | | 11/1/2007
| 11/1/2012 | 115.3 | 100%
| - | 51,925 | 4,085
| - | 19 | 3,430
| 11,347 | 33,044 | -
| - | - | |
| E06 | Cheshire & Merseyside
| Various Sites | | 6/1/2007
| 5/31/2011 | 42.8 | 78%
| - | 22,339 | 5,981
| 39 | - | 5,189
| 3,363 | 1,879 | 4,517
| 1,095 | 275 |
|
| E15 | Northumberland, Tyne and Wear
| BUPA HOSPITAL WASHINGTON | |
7/2/2007 | 6/30/2012 | 75.3
| 43% | - | 28,057
| 6,164 | - | -
| 1,851 | 2,359 | 14,497
| - | 2,075 | 1,111
| |
| E16 | Various Main Renal Units
| Various Sites | | 2/4/2008
| 3/31/2017 | 110.2 | 100%
| - | 853,615 | -
| - | - | - |
- | - | - | -
| - | 853,615 |
| E08 | Greater Manchester |
Various Sites | | In Mobilisation
| 1/14/2016 | 201.8 | N/A
| | 30,611 | -
| - | - | - |
29,379 | - | 1,232
| - | - | |
| E09 | Hampshire & Isle of Wight
| Various Sites | | In Mobilisation
| 12/1/2015 | 179.8 | N/A
| | 113,313 | 8,546
| 630 | 6,094 | 20,802
| 18,724 | 23,641 | 25,095
| 9,781 | - |
|
| Contractual total
| | | | 950.9
| | 1,180,788 | 1,099,860
| 24,776 | 669 |
6,113 | 31,272 |
65,172 | 73,061 |
30,844 | 12,951 |
1,386 | 853,615 |
| ISTC utlisation to date (diagnostics)
| | | |
| 16% | |
| | | |
| | | |
| | |
| ISTC utilisation to date (electives)
| | | |
| 81% | |
| | | |
| | | |
| | |
Source:
Central Contract Management Unit, DH
Footnotes:
1. All information provided has been based on the most up
to date information at the end of May 2008.
2. The total contract value represents the estimated nominal
value of the contract, inclusive of actual inflation to date and
forecast inflation for the remaining contract years.
3. The contracted activity is indicative only and can vary
significantly from actual activity through substitution of higher
or lower value procedures across the contract term.
4. Utilisation represents the value of the activity delivered
under each contract as a % of the value paid to the provider from
contract commencement to 31 May 2008.
5. The specialties are referenced to HRG Chapter. "General
Surgery" includes HRG Chapters E, G, J, K, P, Q and S. HRG
information is available at www.ic.nhs.uk/casemix.
6. The Department works with sponsors and providers to ensure
optimum utilisation of the contracts. This includes changing the
case mix to respond to local need and working with providers and
primary care trusts to recover previous under-utilised activity
where possible.
|
