A G E N D A 1. APOLOGIES FOR ABSENCE Ian Metcalfe 2 ...

More documents

Recommendations

Info

Board of Directors – Part I14 th June 2013Monitor Guidance on Procurement Patient Choiceand Competition Regulations<strong>1.</strong> IntroductionMonitor has recently released two draft consultation papers relating to the National HealthService (Procurement, Patient Choice and Competition) Regulations 2013 (No. 2).http://www.monitor-nhsft.gov.uk/regulating-health-care-providerscommissioners/cooperation-and-competition/our-cooperation-and-compeBoth of these sets of guidance are for commissioners (CCGs and NHS England). The firstindicates how commissioners can comply with these regulations and the second describesenforcement steps and processes that Monitor will take under the regulations. This paperis therefore split into two components; Compliance and Enforcement.The Board may recall the national debates about competition versus integration and thesedocuments are part of the evolution of that debate.As this is a consultation a number of questions are posed in each document. A completeset of these for the compliance document is at Annex A. The consultation periodconcludes on the 15 th July.The guidance adopts a principles based approach and the intention is that this allowscommissioners to make locally based decisions based on local needs and requirements.The over-arching requirement is that commissioners must;• Adhere to good practice in relation to the procurement of NHS funded healthcareservices• Protect the rights of patients to make choices• Avoid anti-competitive behaviour, unless it is in the interests of NHS health careusersIn terms of application to an NHS FT, the guidance gives an idea of the procurementapproaches that are expected and where we may be able to dispute processes ordecisions that commissioners choose to take. This constitutes the formal procurementguidance to PCTs and therefore is likely to be the document that would guide and supporta challenge by a provider to a commissioner’s clinical procurement process.2. Compliance with the RegulationsThis document sets out the objectives of procurements;• Securing the needs of health care service users• Improving the quality of services and• Improving the efficiency with which services are providedMonitor Guidance on Procurement Patient Choice and Competition Regulations Page 1 of 4For Information
Board of Directors – Part I14 th June 2013There are a number of factors that commissioners are expected to take account ofincluding;• Evaluate and identify the health needs of the population• Take a holistic view of the needs of the health care users• Consider the needs of all users (vulnerable, socially excluded, settings, sustainabilityincluding the impact of a procurement decision on a provider’s capacity to continueother services)• Monitor the quality and efficiency of existing service provision• How health needs might be best secured (including safety, volume of work forclinicians)The above may include consultation processes with local clinicians, out of area expertsand utilise relevant clinical guidelines and best practice, but it does not mention consultinglocal or existing providers. This would therefore be an area to pursue by way ofresponding to their questions.Procurements are expected to be undertaken in a transparent, proportional and nondiscriminatoryway and commissioners should “consider appropriate ways of improvingservices including through services being provided in a more integrated way, enablingproviders to compete to provide services and allowing patients a choice of provider”The section on transparency, as it relates to procurement, indicates that in judgingcommissioner compliance, Monitor would consider the extent to which commissionershave:• Published information on their future procurement strategies and intentions• Taken steps to ensure that providers are aware of their intention to procure particularservicesThese would be of particular interest to us since it has been difficult to get advanceinformation from Commissioners.There is a section which provides guidance as to the interaction between competition,choice and integrated care. –“…commissioners to consider whether introducingcompetition and choice and delivering care in a more integrated way could be used toimprove quality and efficiency.” Enacting the guidance seems to be firmly with thecommissioners and it will be left to them to make judgments based on statements such asthat above. Much of the guidance will inevitably end up being tested by lawyers. A keyissue that arises throughout the guidance on integration and cooperation is that of sharingclinical records.The need to publish contract opportunities for NHS services is examined and inparticular circumstances are described where it may be appropriate to award a contractwithout publishing a contract notice – “single capable provider”.Qualification of providers (e.g. Any Qualified Provider) is covered in a separate sectionand this applies to services other than in the context of a competitive tender. It providedguidance on transparency, non-discrimination and proportionality.Monitor Guidance on Procurement Patient Choice and Competition Regulations Page 2 of 4For Information
Page 1 and 2:
A meeting of the Board of Directors
Page 3 and 4:
THE ROYAL BOURNEMOUTH AND CHRISTCHU
Page 5 and 6:
In response to a question from KT a
Page 7 and 8:
how this was being rolled out throu
Page 9 and 10:
still challenged at times;• that
Page 11 and 12:
(c)Stroke Performance (Presentation
Page 13 and 14:
• nurse staffing was already bein
Page 15 and 16:
(b) Informatics Strategy (Appendix
Page 17 and 18:
(b)Monitor’s Guidance for NHS Pro
Page 19 and 20:
THE ROYAL BOURNEMOUTH AND CHRISTCHU
Page 21 and 22:
BOARD OF DIRECTORSMeeting Date and
Page 23 and 24:
Quality Impact Assessments 2013/14T
Page 26 and 27:
Example of completed QIATransformat
Page 28 and 29:
Board of Directors Part 114th June
Page 30 and 31:
Board of Directors Part 114th June
Page 32 and 33:
Area Indicator Measure Target Monit
Page 34 and 35:
Trust Performance Dashboard - Quali
Page 36 and 37:
Board of DirectorsJune 2013Financia
Page 38 and 39:
Board of DirectorsJune 20138. Recom
Page 40 and 41:
BOARD OF DIRECTORSMeeting Date and
Page 42 and 43:
Board of Directors Part 114 June 20
Page 44 and 45:
Page 46 and 47:
Page 48 and 49:
Page 50 and 51:
Page 52 and 53:
Page 54 and 55:
Page 56 and 57:
Page 58 and 59:
Page 60 and 61:
Page 62 and 63:
Page 64 and 65:
Page 66 and 67:
Page 68 and 69:
Page 70 and 71:
Page 72 and 73:
Page 74 and 75:
Page 76 and 77:
Page 78 and 79:
Page 80 and 81:
Page 82 and 83:
EnforcementGuidance28 March 2013Mon
Page 84 and 85: ForewordThe Health and Social Care
Page 86 and 87: 1 IntroductionThe Health and Social
Page 88 and 89: Table 1.1 Monitor’s enforcement p
Page 90 and 91: Licence enforcementDiscretionary re
Page 92 and 93: Competition lawMonitor has concurre
Page 94 and 95: 2 PrioritisationThis chapter sets o
Page 96 and 97: We also recognise that the actions
Page 98 and 99: 3 Imposing discretionary requiremen
Page 100 and 101: SeriousnessMonitor will take into a
Page 102 and 103: Deterring similar breaches by other
Page 104 and 105: An important objective of imposing
Page 106 and 107: 4 Enforcement - case procedures4.1
Page 108 and 109: provide regular case updates to par
Page 110 and 111: including in the application eviden
Page 112 and 113: In certain circumstances, Monitor m
Page 114 and 115: Non-compliance penaltiesUnder sched
Page 116 and 117: Notice of Intent (section 90)Where
Page 118 and 119: • any incidental or consequential
Page 120 and 121: Monitor will have concurrent powers
Page 122 and 123: the first two decision-making point
Page 124 and 125: Non-compliance penaltiesA provider
Page 126 and 127: AnnexMonitor’s powers of enforcem
Page 128 and 129: a) has provided, or is providing, a
Page 130 and 131: c) the matters likely to be taken i
Page 132 and 133: Monitor, 4 Matthew Parker Street, L
Page 136 and 137: Board of Directors - Part I14 th Ju
Page 142 and 143: Board of Directors Part I14 th June
Page 144 and 145: Board of Directors Part I14 th June
Page 146 and 147: BOARD OF DIRECTORSMeeting Date and
Page 148 and 149: Job DescriptionPOST TITLEREPORTS AN
Page 150 and 151: MEDICAL LEADERSHIPAs Medical Direct
Page 152 and 153: PERSON SPECIFICATIONQualifications:
Page 154 and 155: CALDICOTT GUARDIAN ROLE DESCRIPTION
Page 156 and 157: BOARD OF DIRECTORSMeeting Date and
Page 158 and 159: Transporting sharps containersIn or
Page 160 and 161: NHS Winter Heroes recognisedFour me
Page 162 and 163: Leadership programmesSupported by N
Page 164 and 165: Board of Directors - Part I14 June
Page 166 and 167: Board of Directors - Part I14 June
Page 168 and 169: DatePublicationTitleInformationPage
Page 170 and 171: DatePublicationTitle3 May 2013www.s
Page 172 and 173: May 2013 l 6
Page 180 and 181: DatePublicationTitle13 May 2013www.
Page 184 and 185:
DatePublicationTitle14 May 2013www.
Page 186 and 187:
DatePublicationTitleInformationPage
Page 188 and 189:
Page 190 and 191:
Page 192 and 193:
Page 194 and 195:
Page 196 and 197:
Page 198 and 199:
Page 200 and 201:
Page 202 and 203:
Page 204 and 205:
Board of Directors Business Program
show all

A G E N D A 1. APOLOGIES FOR ABSENCE Ian Metcalfe 2 ...

You also want an ePaper? Increase the reach of your titles

Delete template?

Save as template?