E.B.7 Percentage of Service Users referred urgently with breast symptoms (where cancer was not initially suspected) waiting no more than two weeks for first outpatient appointment* Operating standard of 93% Review of Service Quality Performance Reports the number of Service Users who have waited more than two weeks during the Quarter exceeds the tolerance permitted by the threshold, £200 in respect of each such Service User above that threshold Quarterly A CR R Cancer waits – 31 days E.B.8 Percentage of Service Users waiting no more than one month (31 days) from diagnosis to first definitive treatment for all cancers* Operating standard of 96% Review of Service Quality Performance Reports Where the number of Service Users who have waited more than 31 days during the Quarter exceeds the tolerance permitted by the threshold, £1,000 in respect of each such Service User above that threshold Quarterly A CR R E.B.9 Percentage of Service Users waiting no more than 31 days for subsequent treatment where that treatment is surgery* Operating standard of 94% Review of Service Quality Performance Reports the number of Service Users who have waited more than 31 days during the Quarter exceeds the tolerance permitted by the threshold, £1,000 in respect of each such Service User above that threshold Quarterly A CR R
E.B.10 Percentage of Service waiting no more than 31 days for subsequent treatment where that treatment is an drug regimen* Operating standard of 98% Review of Service Quality Performance Reports the number of Service Users who have waited more than 31 days during the Quarter exceeds the tolerance permitted by the threshold, £1,000 in respect of each such Service User above that threshold Quarterly A CR R E.B.11 Percentage of Service Users waiting no more than 31 days for subsequent treatment where the treatment is a course of radiotherapy* Operating standard of 94% Review of Service Quality Performance Reports Where the number of Service Users who have waited more than 31 days during the Quarter exceeds the tolerance permitted by the threshold, £1,000 in respect of each such Service User above that threshold Quarterly A CR R Cancer waits – 62 days E.B.12 Percentage of Service Users waiting no more than two months (62 days) from urgent GP referral to first definitive treatment for cancer* Operating standard of 85% Review of Service Quality Performance Reports Where the number of Service Users who have waited more than 62 days during the Quarter exceeds the tolerance permitted by the threshold, £1,000 in respect of each such Service User above that threshold Quarterly A CR R
E.B.13 Percentage of Service waiting no more than 62 days from referral from an NHS screening service to first definitive treatment for all cancers* Operating standard of 90% Review of Service Quality Performance Reports Where the number of Service Users in the Quarter who have waited more than 62 days during the Quarter exceeds the tolerance permitted by the threshold, £1,000 in respect of each such Service User above that threshold Quarterly A CR R Category A ambulance calls E.B.15.i Percentage of Category A Red 1 ambulance calls resulting in an emergency response arriving within 8 minutes* Operating standard of 75% Review of Service Quality Performance Reports Where, for the Contract Year as a whole, the number of Red 1 calls where the emergency response did not arrive within 8 minutes exceeds the tolerance permitted by the threshold, £300 in respect of each call above that threshold Annual AM E.B.15.ii Percentage of Category A Red 2 ambulance resulting in an emergency response arriving within 8 minutes* Operating standard of 75% Review of Service Quality Performance Reports Where, for the Contract Year as a whole, the number of Red 2 calls where the emergency response did not arrive within 8 minutes exceeds the tolerance permitted by the threshold, £100 in respect of each call above that threshold** Annual AM
E.B.16 Percentage of Category A resulting in an ambulance arriving at the scene within 19 minutes* Operating standard of 95% Review of Service Quality Performance Reports Where, for the Contract Year as a whole, the number of calls where the response did not arrive within 19 minutes exceeds the tolerance permitted by the threshold, £100 in respect of each call above that threshold** Annual AM Mixed sex accommodation breaches E.B.S.1 Mixed sex accommodation breach* >0 Review of Service Quality Performance Reports £250 per day per Service User affected Monthly A CR MH Cancelled operations E.B.S.2 All Service Users who have operations cancelled, on or after the day of admission (including the day of surgery), for non-clinical reasons to be offered another binding date within 28 days, or the Service User’s treatment to be funded at the time and hospital of the Service User’s choice* Number of Service Users who are not offered another binding date within 28 days >0 Review of Service Quality Performance Reports Non-payment of costs associated with cancellation and non- payment or reimbursement (as applicable) of re-scheduled episode of care Monthly A CR Mental health
E.A.S.5 Minimise rates of Clostridium difficile* [Insert baseline threshold identified for Provider: see Schedule 4F (2015/16 Contract: 4G)] Review of Service Quality Performance Reports As set out in Schedule 4F (2015/16 Contract: 4G), in accordance with applicable Guidance Annual A E.B.S.4 Zero tolerance RTT waits over 52 weeks for incomplete pathways* >0 Review of Service Quality Performance Reports £5,000 per Service User with an incomplete RTT pathway waiting over 52 weeks at the end of the relevant month Monthly Services to which 18 Weeks applies E.B.S.7a All handovers between ambulance and A&E must take place within 15 minutes with none waiting more than 30 minutes* >0 Review of Service Quality Performance Reports £200 per Service User waiting over 30 minutes in the relevant month Monthly A+E E.B.S.7b All handovers between ambulance and A&E must take place within 15 minutes with none waiting more than 60 minutes* >0 Review of Service Quality Performance Reports £1,000 per Service User waiting over 60 minutes (in total, not aggregated with E.B.S.7a consequence) in the relevant month Monthly A+E E.B.S.8a Following handover between ambulance and A & E, ambulance crew should be ready to accept new calls within 15 minutes and no longer than 30 minutes* >0 Review of Service Quality Performance Reports £20 per where > 30 minutes in the relevant month Monthly AM
E.B.S.8b Following handover between ambulance and A&E, ambulance crew should be ready to accept new calls within 15 minutes and no longer than 60 minutes* >0 Review of Service Quality Performance Reports £100 per where > 60 minutes (in total, not aggregated with E.B.S.8a consequence) in the relevant month Monthly AM E.B.S.5 Trolley waits in A&E not longer than 12 hours* >0 Review of Service Quality Performance Reports £1,000 per incidence in the relevant month Monthly A+E E.B.S.6 No urgent operation should be cancelled for a second time* >0 Review of Service Quality Performance Reports £5,000 per incidence in the relevant month Monthly A CR VTE risk assessment: all inpatient Service Users undergoing risk assessment for VTE, as defined in Contract Technical Guidance 95% Review of Service Quality Performance Reports of Contract Performance Notice and subsequent process in accordance with GC9 Quarterly A 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 and acute commissioning data sets submitted via SUS, as defined in Contract Technical Guidance 99% 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 A MH MHSS Completion of a valid NHS Number field in A&E commissioning data sets submitted via SUS, as defined in Contract Technical Guidance 95% 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 A&E Completion of Mental Health Services Data Set ethnicity coding for all Service Users, as defined in Contract Technical Guidance Operating standard of 90% 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 MHSS 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 MHSS
Full implementation of an effective e-Prescribing system for chemotherapy across all relevant clinical within the Provider (other than those dealing with children, teenagers and young adults) across all tumour sites Failure to achieve full implementation as described Service Specification B15/S/a Cancer: Chemotherapy (Adult) by 31 March 2017 Review of Service Quality Performance Reports 5% of the Actual Monthly Value for the Services provided under Service Specification B15/S/a (Cancer: Chemotherapy (Adult) per month, until full implementation is acheived Monthly Where both Specialised Services and Cancer apply Full implementation of an effective e-Prescribing system for chemotherapy across all relevant clinical teams within the Provider dealing with children, teenagers and young adults across all tumour sites Failure to achieve full implementation as described under Service Specification B15/S/b Cancer: Chemotherapy (Children, Teenagers and Young Adults) by 30 September 2017 Review of Service Quality Performance Reports 5% of the Actual Monthly Value for the Services provided under Service Specification B15/S/b Cancer: Chemotherapy (Children, Teenagers and Young Adults) per month, until full implementation is acheived Monthly both Specialised Services and Cancer apply In respect of the National Quality Requirements shown in bold italics the provisions of SC36.37A (2015/16 Contact: SC36.46A and 2014/15 Contract: 36.47A) apply. * as further described in Joint Technical Definitions for Performance and Activity 2017/18-2018/19, available at:
and audits performed pursuant to SC22 [2014/15 Contact: SC20] (Venous Thromboembolism); report on performance against the HCAI Reduction Plan A CQUIN Performance Report and details of progress towards satisfying any Quality Incentive Scheme Indicators, including details of all Quality Incentive Scheme Indicators satisfied or not satisfied [For local agreement] [For local agreement] [For local agreement] All NHS Safety Thermometer Report, detailing and analysing: data collected in relation to each relevant NHS Safety Thermometer; trends and progress; actions to be taken to improve performance. [Monthly, or as agreed locally] [For agreement], according to published NHS Safety Thermometer reporting routes [For local agreement], according to published NHS Safety Thermometer reporting routes All (not AM, CS, D, 111, PT, U) Complaints monitoring report, setting out numbers of complaints received and including analysis of key themes in content of complaints [For local agreement] [For agreement] [For local agreement] All Report against performance of Service Development and Improvement Plan (SDIP) In accordance with relevant SDIP In accordance with relevant SDIP In accordance with relevant SDIP All Cancer Registration dataset reporting (ISN): report on staging data in accordance with Guidance As set out in relevant Guidance As set out in relevant Guidance As set out in relevant Guidance CR R Summary report of all incidents requiring reporting Monthly [For local agreement] [For local agreement] All Data Quality Improvement Plan: report of progress against milestones In accordance with relevant DQIP In accordance with relevant DQIP In accordance with relevant DQIP All Report and provide monthly data and detailed information relating to violence-related injury resulting in treatment being sought from Staff in A&E departments, urgent care and walk-in Monthly As set out in relevant Guidance As set out in relevant Guidance A A+E U