SCHEDULE 4 – QUALITY REQUIREMENTS Guidance: these are the standards required of the Head Provider, and should be included or amended according to their relevance to the Service requirements and service categories. Where an Operational Standard or National Quality Requirement does not apply directly to the Sub-Contract, but a related or amended quality indicator is agreed, that should be entered as a Local Quality Requirement in Schedule 4C. A. Operational Standards and National Quality Requirements Ref Operational Standards/National Quality Requirements Threshold Method of Measurement Consequence of breach Timing of application of consequence Applicable Service Category E.B.4 Percentage of Service Users waiting 6 weeks or more from Referral for a diagnostic test* Operating standard of no more than 1% Review of Service Quality Performance Reports Where the number of Service Users waiting for 6 weeks or more at the end of the month exceeds the tolerance permitted by the threshold, £200 in respect of each such Service User above that threshold Monthly CS D E.B.S.3 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 Service Quality Performance Reports Where the number of Service Users in the Quarter not followed up within 7 days exceeds the tolerance permitted by the threshold, £200 in respect of each such Service User above that threshold Quarterly MH Contract
Duty of candour Each failure to notify the Relevant Person of a suspected or actual Notifiable Safety Incident in accordance with Regulation 20 of the 2014 Regulations Review of Service Quality Performance Reports Recovery of the cost of the episode of care, or £10,000 if the cost of the episode of care is unknown or indeterminate Monthly All Completion of a NHS Number field in mental health commissioning data sets submitted via SUS, as defined in Contract Technical Guidance 99% Review of Service Quality Performance Reports the number of breaches in the month exceeds the tolerance permitted by the threshold, £10 in respect of each excess breach above that threshold Monthly MH Completion of Mental Health Minimum Data Set ethnicity coding for all detained and informal Service Users, as defined in Contract Technical Guidance Operating standard of 90% Review of Service Quality Performance Reports Where the number of breaches in the month exceeds the tolerance permitted by the threshold, £10 in respect of each excess breach above that threshold Monthly MH Completion of IAPT Minimum Data Set outcome data for all appropriate Service Users, as defined in Contract Technical Guidance Operating standard of 90% Review of Service Quality Performance Reports Where the number of breaches in the month exceeds the tolerance permitted by the threshold, £10 in respect of each excess breach above that threshold Monthly MH E.H.4 Early Intervention in Psychosis programmes: the percentage of Service Users experiencing a first For the period 1 April 2017 to 31 March 2018, operating standard of 50%. Review of Service Quality Performance Reports of Contract Performance Notice and subsequent process in accordance with GC9 Quarterly MH
Response Plan, etc.) SC 36.29 20 Operational Days (for the Head Provider to reimburse statutory benefits) 24 Operational Days GC 11.4 and 11.5 5 Operational Days (for Sub-Contractor to provide information about Indemnity Arrangements) and 10 Operational Days (to provide evidence of post-termination cover) 4 Operational Days and 8 Operational Days respectively GC 17.5.4 20 Operational Days (for Sub-Contractor to remedy breach) 16 Operational Days GC 21.17.3 and 21.17.4 2 Operational Days (for Sub-Contractor to provide a copy of or transfer an FOIA request) 1 Operational Day in each case GC 21.17.6 5 Operational Days (for Sub-Contractor to provide relevant information) 4 Operational Days