Common use of FEES AND ALLOWANCES Clause in Contracts

FEES AND ALLOWANCES. 9.1. This fee structure is agreed as an interim measure to enable the service to be established in a timely fashion and will only remain in place until such a time as a longer term fee structure has been agreed between the 7 LHBs and CPW, which is anticipated to be no later than 1s April 2020. 9.2. For the purpose of the pathfinder stage (until 1 April 2020) two different fee structures are included for commissioning; one based on purchasing a session of time from contractors (“Sessional Fee Structure”) and the other to purchase a set number of consultations throughout the day (“Tiered Consultation Fee Structure”). The type of commissioning (session or tiered consultation) will be agreed between the LHB and the contractor. 2 Setup costs include expenditure that can be demonstrated to have been wholly, or partly, incurred as a direct consequence of establishing this service. Partly attributable costs, or those that apply to multiple sites would be pro- rated, based on the proportion relevant to the site(s) being decommissioned. This is expected to include expenditure incurred through training, purchase of equipment/facilities, and expenditure on promotional activities. 9.3. The service will be commissioned for an agreed number of days / sessions each month. The pattern of provision (e.g. set days each week, weekend provision, minimum number of days per month, ad hoc days, etc.) will be agreed between the Pharmacy Contractor and the Local Health Board at the time of commissioning and can be varied through mutual agreement at any time thereafter. 9.3.1. The contractor will provide the service according to the agreed pattern until such a time as the service agreement is terminated or an agreement is reached regarding a change in the pattern; 9.3.2. Where a contractor is not able to provide a service within their agreed pattern (e.g. owing to holiday or sickness), they must notify relevant primary care providers and the Local Health Board as soon as possible; 9.3.3. Where a contractor is requested by the LHB to provide additional appointments or sessions to meet local patient need, this provision will be remunerated under the relevant rates described below (based on additional sessions or additional appointments) 9.4. The contractor shall receive £150 in professional fees for each session3 of 3 hours that the service is provided. It is assumed that the session will be sufficient for approximately 9 consultations (on average per session over a calendar month) being available at each commissioned session. 9.5. If a pharmacy is willing and able to provide greater capacity than one 3-hour session on a given day, the LHB may commission multiple sessions on a given day. 9.6. All sessions will be remunerated at a rate of £150 for each 3 hour session of time commissioned. 9.7. The service will be reviewed at 3 and 6 months and if a pharmacy is found to be providing fewer than 5 consultations (on average) per commissioned session, an action plan will be agreed between the LHB and the pharmacy to attempt to increase use of the service locally through raising awareness of the service, supporting engagement with other providers (GPs and DoSH) and other measures. 9.8. The contractor shall receive professional fees for each day4 that the service is provided according to the following tiers of service provision, relating to the average number of consultations5 per full day that the service is available (averaged by financial quarter): 3 The term session can be applied to a single, continuous, block of time, or a period of time dispersed across a given time period. As such, where agreed in advance by the contractor and commissioning LHB, a session of work may be distributed across a day, a few days, or even a week. Health boards may also commission part sessions, for example, 8 hours of service provision per week.

FEES AND ALLOWANCES. 9.1. This fee structure is agreed as an interim measure to enable the service to be established in a timely fashion and will only remain in place until such a time as a longer term fee structure has been agreed between the 7 LHBs and CPW, which is anticipated to be no later than 1s 1st April 2020. 9.2. For the purpose of the pathfinder stage (until 1 April 2020) two different fee structures are included for commissioning; one based on purchasing a session of time from contractors (“Sessional Fee Structure”) and the other to purchase a set number of consultations throughout the day (“Tiered Consultation Fee Structure”). The type of commissioning (session or tiered consultation) will be agreed between the LHB and the contractor. 2 Setup costs include expenditure that can be demonstrated to have been wholly, or partly, incurred as a direct consequence of establishing this service. Partly attributable costs, or those that apply to multiple sites would be pro- rated, based on the proportion relevant to the site(s) being decommissioned. This is expected to include expenditure incurred through training, purchase of equipment/facilities, and expenditure on promotional activities. 9.3. The service will be commissioned for an agreed number of days / sessions each month. The pattern of provision (e.g. set days each week, weekend provision, minimum number of days per month, ad hoc days, etc.) will be agreed between the Pharmacy Contractor and the Local Health Board at the time of commissioning and can be varied through mutual agreement at any time thereafter. 9.3.1. The contractor will provide the service according to the agreed pattern until such a time as the service agreement is terminated or an agreement is reached regarding a change in the pattern; 9.3.2. Where a contractor is not able to provide a service within their agreed pattern (e.g. owing to holiday or sickness), they must notify relevant primary care providers and the Local Health Board as soon as possible; 9.3.3. Where a contractor is requested by the LHB to provide additional appointments or sessions to meet local patient need, this provision will be remunerated under the relevant rates described below (based on additional sessions or additional appointments)) 5 Setup costs include expenditure that can be demonstrated to have been wholly, or partly, incurred as a direct consequence of establishing this service. Partly attributable costs, or those that apply to multiple sites would be pro-rated, based on the proportion relevant to the site(s) being decommissioned. This is expected to include expenditure incurred through training, purchase of equipment/facilities, and expenditure on promotional activities. 9.4. The contractor shall receive £150 in professional fees for each session3 session of 3 hours that the service is provided. It is assumed that the session will be sufficient for approximately 9 consultations (on average per session over a calendar month) being available at each commissioned session. 9.5. If a pharmacy is willing and able to provide greater capacity than one 3-hour session on a given day, the LHB may commission multiple sessions on a given day. 9.6. All sessions will be remunerated at a rate of £150 for each 3 hour session of time commissioned. 9.7. The service will be reviewed at 3 and 6 months and if a pharmacy is found to be providing fewer than 5 consultations (on average) per commissioned session, an action plan will be agreed between the LHB and the pharmacy to attempt to increase use of the service locally through raising awareness of the service, supporting engagement with other providers (GPs and DoSHOOH) and other measures. 9.8. The contractor shall receive professional fees for each day4 day6 that the service is provided according to the following tiers of service provision, relating to the average number of consultations5 consultations7 per full day that the service is available (averaged by financial quarter): 9.8.1. Tier 1: Low consultation numbers (4 or fewer consultations per service day): 3 The term session can be applied to £75 per day 9.8.2. Tier 2: Medium consultation numbers (5-8 consultations per service day): £150 per day 9.8.3. Tier 3: High consultation numbers (9 or more consultations per service day): £220 per day 9.9. Where a singlecontractor is providing an average of 13 or more consultations per day that the service is active, continuous, block of time, or a period of time dispersed across a given time period. As such, where agreed in advance by the contractor and commissioning LHBLHB in conjunction with CPW would agree an appropriate enhancement to the Tier 3 payment, based on the typical number of consultations provided by the pharmacy. Such an agreement will be made in writing and signed by a session representative of work may both parties. In the event that the contractor and LHB are unable to reach an agreement on this enhancement, the pharmacy would be distributed across a able to limit their ‘offer’ to an average of 12 consultations per day, a few days, or even a week. Health boards may also commission part sessions, for example, 8 hours of service provision per week.;