Any Qualified Provider Qualification Process

1. Any Qualified Provider Qualification Process Mark Lambert Department of Health, Qualification Lead 3rd April 2012

2. Qualification Overview There are 3 stages to qualification: Central AQP Team Qualification Centres of Excellence Local commissioners supporting generic / routine elements (E.g. CQC licence, regulatory & qualifications) and overseeing process lead the service specific elements of qualification for each service (e.g. clinical review, clinical specific assurance etc) completes process (e.g. price and local referral protocols)

3. Qualification Framework List of 8 services selected for AQP implementation from April 2012 e.g. Adult Hearing Podiatry MSK Etc Qualification Centres of Excellence identified to undertake majority of qualification process for these services for all commissioners in England Central AQP Team supporting generic / routine elements (E.g. CQC licence, regulatory & qualifications) and overseeing process Qualification team lead the service specific elements of qualification for each service (e.g. clinical review, clinical specific assurance etc) Local / Joint commissioners completes process (e.g. price and local referral protocols) North Adult Hearing continence Mid / East Podiatry MSK Wheelchairs Central team Routine elements of all services plus support / oversight South Diagnostics Psc. Therapy London Wound Hea’g

4. Qualification Centres of Excellence The following regions will host Qualification Centres of Excellence:

5. Contracts and Qualification • Commissioners should state the duration of qualification for providers in the offer documentation. We expect this duration to be 3 – 4 years. • When this qualification period expires, providers will no longer be qualified to deliver this service. Commissioners can then decide the most appropriate way to commission this service in the future. • Contract duration will be in line with the NHS standard contract duration. As this year is a transition year, providers will need to re-sign the contract next year. • They will not need to re-qualify, but their contract status will be subject to their signing the NHS Standard Contract.

6. Any Qualified Provider (AQP)Provider Engagement Event3rd April 2012 – BirminghamQCE Process & Timescales Barry Day NHS Midlands and East AQP QCE Lead NHS Midlands and East is a cluster of SHAs comprising NHS East Midlands | NHS East of England | NHS West Midlands

7. The Ambition for Service Users NHS Midlands and East is a cluster of SHAs comprising NHS East Midlands | NHS East of England | NHS West Midlands

8. Qualification Process for Providers • The approach to introducing AQP would put patient safety and service quality first.All providers would have to meet NHS quality requirements. • The Department of Health has developed a national qualification process that is rigorous, transparent, consistent and proportionate to clinical risk. • Compared to competitive tendering, AQP reduces the bureaucracy of pre-qualification questionnaires. • The process is simpler for all providers and as such should be more accessible for smaller providers. • Once a provider has successfully completed the questionnaire and has been qualified to provide a service for the first time, their details will be recorded in a national directory of qualified providers. • The directory allows the nationwide sharing of qualification information, and lets commissioners and the public see where AQP contracts exist. NHS Midlands and East is a cluster of SHAs comprising NHS East Midlands | NHS East of England | NHS West Midlands

9. AQP Implementation Packs Specification 1 Specification 2 Specification 3 Covers the fulfilment of the prescription through the provision of equipment solutions and aftercare services including maintenance, repair and access to breakdown services to deliver improved mobility outcomes for individuals with non-complex needs Covers the entire pathway for providing integrated assessment and provision of equipment solutions and aftercare services to deliver posture and wheeled mobility outcomes for individuals with more complex needs. Covers the provision of services from referral to the completion of a holistic assessment. This results in the agreement of the prescription for individuals with non-complex needs. The rationale to split assessment from provision is to stimulate providers to offer innovative service solutions therefore improving quality and efficiency

10. Complexity of need Specialist Complex AQP Implementation Packs 1&2 Non Complex Standard

11. Complexity of need Specification 3 Specialist Complex Non Complex Standard

12. Patient Choice of AQP Services to be Offered 2012/2013 NHS Midlands and East is a cluster of SHAs comprising NHS East Midlands | NHS East of England | NHS West Midlands

13. Any Qualified Provider (AQP) • Before running an AQP opportunity, commissioners must have. . . • Engaged the market • Determined the appropriate • Service specification • Pathway • Referral protocols • Outcomes • Developed a currency (unit of healthcare for which a provider is funded) • Set a price, where the service is not covered by national tariffs To assist Commissioners, the DH has worked with a wide variety of stakeholders to develop an implementation pack NHS Midlands and East is a cluster of SHAs comprising NHS East Midlands | NHS East of England | NHS West Midlands

14. Qualification There are 3 stages to qualification: Central AQP Team Qualification Centres of Excellence Local commissioners Supporting generic / routine elements (E.g. CQC licence, regulatory & qualifications) and overseeing process Lead the service specific elements of qualification for each service (e.g. clinical review, clinical specific assurance etc) Completes process (e.g. price and local referral protocols) NHS Midlands and East is a cluster of SHAs comprising NHS East Midlands | NHS East of England | NHS West Midlands

15. Qualification Framework List of 8 services selected for AQP implementation from April 2012 e.g. Adult Hearing Podiatry MSK Etc Qualification Centres of Excellence identified to undertake majority of qualification process for these services for all commissioners in England Central AQP Team supporting generic / routine elements (E.g. CQC licence, regulatory & qualifications) and overseeing process Qualification team lead the service specific elements of qualification for each service (e.g. clinical review, clinical specific assurance etc) Local / Joint commissioners completes process (e.g. price and local referral protocols) North Adult Hearing continence Mid / East Podiatry MSK Wheelchairs Central team Routine elements of all services plus support / oversight South Diagnostics Psc. Therapy London Wound Hea’g

16. Technical DH AQP team Commissioner Contract management Performance Finance Procurement Qualification Centre of Excellence NHS Midlands and East is a cluster of SHAs comprising NHS East Midlands | NHS East of England | NHS West Midlands

17. How – process steps Providers respond by completing qualification questionnaire Local Commissioners complete readiness task QCE sets timetable in discussion with commissioner QCE or Commissioner place advert & specification Stage 0 – Stage 1 DH AQP team Undertake Stage 1 (compliance Checkpoint 1) NHS Midlands and East is a cluster of SHAs comprising NHS East Midlands | NHS East of England | NHS West Midlands

18. How – process steps DH AQP team Undertake Stage 1 (compliance Checkpoint 1) QCE receives Stage 1 report forms for progression at Stage 2 Stage 1 – Stage 2 NHS Midlands and East is a cluster of SHAs comprising NHS East Midlands | NHS East of England | NHS West Midlands

19. How – process steps QCE team Undertake Stage 2 with Resourced Commissioner Input (service Delivery) Commissioner Receives Stage 2 Report/forms For progression At Stage 3 Stage 2 – Stage 3 NHS Midlands and East is a cluster of SHAs comprising NHS East Midlands | NHS East of England | NHS West Midlands

20. How – process steps Commissioner Receives Stage 2 report./forms for Progression at Stage 3 Stage 3 – Stage 4 Contract awarded Notice issued, Contract signed And mobilised, Service commences Commissioner Concludes Stage 3 (compliance Checkpoint 3) And assesses “local” requirements Commissioner Qualifies provider NHS Midlands and East is a cluster of SHAs comprising NHS East Midlands | NHS East of England | NHS West Midlands

21. National Milestones July 2011 Guidance issued by DH October 2011 PCTs confirm the 3 services for AQP November 2011 Implementation packs start to be published December 2011 Resource Centre website fully operational January 2012Qualification Process & Questionnaire ready for North February 2012 First adverts for AQP published “Spring” 2012 April 2012 First AQP services potentially ready September 2012 Deadline for AQP services to be ready QCEs begin to assess providers (dates and windows tbc)

22. Nov Sep Oct Dec Jan Feb Mar Apr May Jun Jul Aug AQP Timelines – Window 1 All partners engaged Providers Respond 25/5 Initiate Project Stage 1 Qualification Process 8/6 Provide Toolkit and Support 31/1 Stage 2 Qualification Process Workshop 20/7 Identify local amendments to specs Stage 3 3/8 27/1 Identify local qualifying criteria Award Notice 17/8 Develop local prices 24/8 Implement new Arrangements Sign Contracts Research Market 14/9 Review Engage and consult with Providers 27/4 Window 2 Qualification Place Advert Pre Procurement Planning Implement Local Solution Procurement & Evaluation

23. Jan Feb April May Jun Jul Aug Sep Oct Nov Dec AQP Timelines – Window 2 All partners engaged Providers Respond 30/7 Initiate Project Stage 1 Qualification Process 13/8 Provide Toolkit and Support Stage 2 Qualification Process Identify local amendments to specs 8/10 Stage 3 Identify local qualifying criteria 22/10 Award Notice 5/11 Develop local prices Sign Contracts 12/11 Research Market Implement new Arrangements Engage and consult with Providers Window 3 Qualification Place Advert 2/7 Review 3/12 Pre Procurement Planning Implement Local Solution Procurement & Evaluation

24. Mar Apr Jun Jul Aug Sep Oct Nov Dec Jan Feb AQP Timelines – Window 3 All partners engaged Providers Respond 5/10 Initiate Project Stage 1 Qualification Process 19/10 Provide Toolkit and Support Stage 2 Qualification Process Identify local amendments to specs 14/12 Stage 3 Identify local qualifying criteria 07/1 Award Notice 21/1 Develop local prices Sign Contracts 4/2 Research Market Implement new Arrangements Engage and consult with Providers Place Advert 7/9 Review 18/2 Pre Procurement Planning Implement Local Solution Procurement & Evaluation

25. What Next ? • Memorandum of Understanding between, DH, QCE and Commissioners • Development of all party relationships • Adverts, Tariff, Qualification Assessment Tool and Specifications finalised • Support/progress contract mobilisation for window 1 • Undertake review of AQP process and define learning NHS Midlands and East is a cluster of SHAs comprising NHS East Midlands | NHS East of England | NHS West Midlands

26. Any Qualified Provider (AQP)Provider Engagement Event3rd April 2012 – BirminghamThank you for listening Barry Day NHS Midlands and East AQP QCE Lead NHS Midlands and East is a cluster of SHAs comprising NHS East Midlands | NHS East of England | NHS West Midlands