The draft standard contract reflects the fact that suppliers within the STP and ICS forms must assume responsibility for the implementation of the objectives and objectives of the system. They must, for example, contribute to the achievement of financial balance and the implementation of local systems plans (once published and start implementing them). • the obligations of the parties to comply with their obligations under the guidelines of the MedTech funding mandate; • the obligations of urgent care service providers to ensure that their systems allow for direct booking of appointments electronically;• the obligation for providers to take part in 31 • the obligation for providers to comply with the NHS Internet First Policy and the Code of Conduct for Health Technology and Computerised Care when updating, the development or acquisition of computer systems or software is updated, developed or supplied with computer systems or software;• obligation for suppliers to comply with NHS principles for data exchange; • Formalize the requirement for D&E and emergency treatment center providers to submit daily emergency care data sets. The framework described in previous tariff publications would also be modified. Instead of setting the fixed payment on the basis of activity prices and tariffs, it would be based on the costs of supplying the activity indicated in the integrated supply plan for a local area. For some electoral activities, there would be a variable element, in particular to support the abolition of waiting lists later in the year. They need to make progress in managing population health, reorganising services, transforming the workforce and digitalisation – and ensuring that they can fund these activities in a sustainable way. If this does not already exist, systems need to conclude system-wide governance arrangements – including a systemic partnership committee with NHS, local authorities and other partners – to enable a collective model of accountability and decision-making. Systems need to develop capabilities to fulfill their two roles of systemic transformation and collective management of system performance. Overall, the NHS Confederation believes that these changes to the NHS standard contract should be useful for the systems and that they are indeed necessary for the successful delivery of the system plans. They will ensure that providers are contractually obliged to support their STP or ICS, creating a common incentive to achieve the NHS Long Term Plan`s integration ambitions.
The planning guidelines are highly operational and are undermined by the lack of details on the liquidity situation of the provider and the absence of a long-term capital indemnity that must wait for the revision of expenses later in the year. It will also find existing systems at very different stages of their development. We are moving closer to the plan of 74 GCCs per system, with the merger of 74 CCGs in April and the reduction of the current number of local commissioners from 191 to 135. And capital and succession plans must also be put in place at the system level, based on the waves of tenders in recent years for the financing of sustainable development and transformation partnerships. The eruption of Covid-19 and the interruption of the payment system froze these plans. The return to the service-by-service approach, where some services return to paying rates, could now be seen as a step backwards towards activity-based payment if the direction is clear in the other direction. However, those working in systems may wish to assess the impact that changes to the model contract may have on their own local strategic objectives. Some issues that system representatives should consider when revising the proposed contract for 2020/21 are: the appropriate framework conditions will be essential to move the line of vision of local managers beyond their organization to system performance. . .