斯蒂芬阿什克罗夫特Brian Farrington, brings us the second part of his three-part series on this month's hot topic, Health Services. Part 1 was published这里.
服务条件
The 2014/15 NHS Standard Contract reflects the requirements set out in ‘每个人都计入：计划患者2014/15至2018/19’. The contract comprises three parts:
1.细节
2.Service Conditions (SC)
3.一般条件（GC）
在第一部分，我们考虑了细节，在第二篇文章中，我们将考虑服务条件.
此部分由50页组成，并包含关键的“条款”，该部分将义务提供服务提供商的义务。详细信息非常精确，根据哪些条件适用于服务类别。一些条件将适用于所有条件，而其他条件则是特定于类别的，例如，有些人只能适用于放射疗法或滥用物质。
Again, our commentary is selective. The Service Provider (and the CCG representative) must, diligently and carefully review the whole document.
At SC3 “Service Standards“这阐述了提供者必须做的事情，即：
3.1.1not breach the thresholds in respect of the Operational Standards
3.1.2不违反国家质量要求的门槛
3.1.3 not breach the thresholds in respect of the Local Quality Requirements
3.1.4 ensure that Never Events do not occur
3.1.5 meet the applicable national standards and outcomes measures from time to time set out in Guidance.
对于那些在合同细节中未启动的人，应在合同中定义任何大写字母或短语，以消除对其含义的不确定性。SC3对提供商有要求义务。在第3.3条第3.3条中，CCG保留了许多处理不合规的提供商的权限，包括从提供商的护理中删除服务用户。显然，这种结果是不受欢迎的，可能对提供商的服务产生有害影响。
提供者应审查合同，以便在他们身上妥协。例如，在SC9'Consent’ it states (9.1) “The provider must publish, maintain and operate a Service User consent policy which complies with Good Practice and the Law。“如果仔细审查这个措辞，那么究竟是什么“publish” mean? It is not a defined term, so would it be acceptable to have it available on the Provider’s website or does hard copy have to be available?
什么是'maintain’ actually mean? Does it require an annual review? How does the Provider satisfy the ‘操作’ requirement? The definition for ‘良好的做法’ can be found in the third document “大体情况” of the 2014/15 NHS Standard Contract. The Law is not defined but at GC39 of the General Conditions the Governing Law and Jurisdiction is that the Contract will be subject to the laws of England. This rather simple ‘Consent’ clause is an illustration of the need to navigate around all the contract terms and conditions and to be absolutely clear what the obligations and risks really are.
所有供应商都将感兴趣SC36 T付款erms specifically Clause 36.3 “价格。” It states that the prices payable will be:
36.3.1全国关税规则授权或指明价格的所有服务：
36.3.1.1 the National Price; or
36.3.1.2本地变体修改的国家价格。
36.3.1.4 (subject to Service Conditions 36.16 to 36.20 (Local Modifications)) the National price as modified by a Local Modification approved or granted by Monitor
For the relevant year
There are situations where particular services will be tendered to a CCG and a price submitted. What happens then? The Provider is advised to consider the length of time to which the price will apply. Is there an annual review and, if so, what is the mechanism? Is it linked to the Retail Price Index or Consumer Price Index?
By the way, who is监视器还一如既往地在采购中，在内部和外部考虑您的利益相关者 - 它将出现监测可能会对价格产生重大影响。Monitor是英格兰卫生部门监管机构的卫生部的行政非部门公共机构。2012年的健康和社会护理法案给出了监控额外职责，包括与NHS英国合作的NHS资助的护理，以及支持委员会为患者保护精心保健服务，如果提供商进入财务困难，请为患者保护基本医疗保健服务。
第三部分，我们将探讨2014/15 NHS标准合同的一般条件的关键。
讨论这一点：