NHS BEXLEY CLINICAL COMMISSIONING GROUP GOVERNING BODY FORMAL MEETING 25 th October 2012

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ENCLOSURE : C Agenda Item : 160/12 NHS BEXLEY CLINICAL COMMISSIONING GROUP GOVERNING BODY FORMAL MEETING 25 th October 2012 Adult Hearing AQP Action Required : For APPROVAL Executive Summary The procurement Age-related Adult Hearing Services under AQP is now completed and the Qualification Centre of Excellence (QCE) which evaluated the applications has completed its evaluation and identified successful and unsuccessful bidders. Newly appointed provider will be mobilised to provide these services with effect from 1October 2012 and in advance of this, BCCG is asked to approve the award of the contracts to the successfully applicants. The procurement evaluation report is attached. Organisational implications Financial Yes as it is the award of contracts for the provision of services Equality and Diversity Yes - Age-related Adult Hearing provision Risk (governance and/or Yes Any Qualified Provider is a new approach to the clinical) commissioning of services and the implication of this is the extension of private sector provision in the supply side of the local health economy. Patient impact Yes promotes choice in the provision of services NHS constitution No Which objective does this paper support? Insert Tick ) Improve choice and access to integrated health services for Bexley patients Reduce the level of health inequalities across Bexley Improve care for patients with long term conditions & increase the range of services offered within the community Improving the health & wellbeing for people in Bexley Maximizing the opportunities of joint working (A Picture of Health, Joint Strategy Needs Assessment, Wellness agenda etc) Using our resources in the most efficient & effective manner (organisational & financial) Considered/Approved by Other Committees/Groups Department of Health Approval of Stage 1 Qualification Centre of Excellence North Approval of Stage 2 AQP Steering Group Approval of Stage 3 Author Alan Luke Interim Community Contracts Manager Date 24 September 2012 Executive Sponsor Mike Attwood Interim Director of Commissioning

1. Background The Department issued guidance on Extending Patient Choice of Provider on 19 July 2011, which set out proposals for a phased implementation, treating 2012/13 as a transitional year, starting with a limited set of community and some mental health services. Following the publication of the Department of Health guidance on Any Qualified Provider (AQP), Commissioners were requested to review the guidance and to produce a summary paper on locality plans for implementation of AQP. The operational guidance issued in July required commissioners to identify three or more community or mental health services in which to implement patient choice of Any Qualified Provider from April 2012. It was a requirement that the selection should be based on the priorities of emerging Clinical Commissioning Groups, and engagement with local patients and professionals. PCT Clusters and therefore Bexley BSU were responsible for ensuring delivery against the following timelines: i. 30 September 2011 to outline local processes for public and professional engagement on local priorities for extending choice of provider, and ii. 31 October 2011 - the identification of three or more community or mental health services to implement patient choice of Any Qualified Provider from April 2012. The three services which were identified in Bexley include: i. Adult Hearing, ii. Anti-coagulation, and iii. Termination of Pregnancies Bexley Care Trust delegated responsibility for the evaluation of these services to the Department of Health, which undertook the fitness to supply assessments of each application and the QCE, which undertook the qualified provider assessments. Upon agreement at the AQP Steering Group, the local assessment was undertaken by the following team: 1. Debbie Andrews, senior acute commissioning redesign manager (LSL Lead commissioner) 2. Jillian Prescott, senior procurement and contract manager (BBG lead commissioner) 3. Marco Inzani, Interim AQP programme manager (Lead commissioner) 4. Neil Stevenson, Assistant Director acute contracting (contracting lead) 5. Dr Chrisanthan Ferdinand, GP SI in ENT for Lewisham PCT (clinical lead) The Department of Health is requiring CCGs to enter into contracts with effect from 1 October 2012, However, this does not imply that services may commence on 1 October 2012, as although the successful are at different stages of readiness to provide the service locally. 2. AQP Age-related Adult Hearing Applications were received from thirteen providers of the service, namely: i. Complete Price Eyewear Ltd trading as The Outside Clinic

ii. Guys & St Thomas NHS FT iii. Hearbase Limited iv. Hidden Hearing Ltd v. Imperial College Healthcare NHS Trust vi. In Health Ltd vii. Lewisham Healthcare NHS Trust viii. Royal Berkshire NHS FT ix. Scrivens Limited x. Specsavers xi. St George s Healthcare NHS Trust xii. Sussex Healthcare Audiology Ltd, and xiii. University College London Hospitals NHS FT Following the QCE assessment, Guys and St. Thomas NHS FT, Hidden Hearing Limited and Sussex Healthcare Audiology Limited were unsuccessful. Of the successful applicants, both Scrivens Limited and St George s Healthcare NHS Trust did not intend to provide these services within Bexley, leaving 8 potential providers for Bexley. There remains a doubt that Royal Berkshire NHS FT is able to provide these services locally. BCCG should seek written assurances from the Provider to confirm that they are able to fulfil the local requirements of the contracts, in advance of entering into a contract with them. Where existing providers have been successful, the new service will be contracted into with the existing providers by way of a contracts variation, which Acute commissioning colleagues at NHS SE London should facilitate. 3. Assessments The full assessment criteria is available on request. All application sections and questions were assessed according to these criteria at various stages by the Department of Health, the QCE and the Local Assessment Team. A consensus meeting was held at a local and a London level to discuss assessments and to reach a consensus of opinion based on the evidence presented. A summary of the assessment outcomes are attached in Appendix 1. 4. Mobilisation The mobilisation plan for new service is attached as Appendix 2 5. Recommendation BCCG is asked to approve the award of the contracts for all providers, with the exception of the Royal Berkshire NHS FT, in adherence with the Department of Health requirement that contracts are entered into by 1 October 2012 and with the proviso that the Service Commencement Date for each provider, is subject to the successful completion of the relevant tasks identified in the Mobilisation Plan in Appendix 2, BCCG is asked to approve an award of the contract to Royal Berkshire NHS FT subject to receiving written assurances, from the provider that they are able to fulfill the local requirements of the service. BCCG is also asked to identify a Lead GP for Adult Hearing who will champion the new AQP service within Bexley.

Appendix 1 Name of Potential Provider: Lead Assessor Name: Date: Complete Price Eyewear Ltd trading as The Outside Clinic Question 5.2 5.3 5.4 5.5 Marco Inzani 15/08/2012 With reference to the offer documentation please describe the experience you have of delivering this service and how you intend to deliver this service for the duration of the contract in line with the assessment criteria. Meets Assessment Criteria Pass With reference to the service specification please provide details of your care pathway particularly a description of how you will integrate with local health services to deliver your care pathway in line with the assessment criteria Please describe how the Applicant intends to work with local Health and Social care services, including referral and emergency protocols Clarification Questions asked, satisfied with response where necessary. Meets Assessment Criteria Pass With reference to AQP offer documentation please detail any local agreements or contracts that are currently in place. Meets Assessment Criteria Pass 5.6 Enter the name of your clinical governance lead (CGL). Meets Assessment Criteria Pass 5.6.1. Describe the clinical governance process that you have in place. Meets Assessment Criteria Pass 5.6.2. Describe how you deal with clinical incident reporting. Meets Assessment Criteria Pass 5.6.3 How will your practitioners deal with immediate critical incidents. Meets Assessment Criteria Pass 5.7 Applicants should submit details of any innovation in service delivery they intend to provide not mentioned in the requirements that may add value to the patient. Meets Assessment Criteria Pass 5.8 Please confirm that all applicable staff have obtained the relevant CRB, enhanced CRB or Vetting and Barring checks prior to providing the services. Clarification Questions asked, satisfied with response Pass Pass

Question Please describe how you will ensure that your workforce maintains 5.8.1 appropriate levels of continuous development. Meets Assessment Criteria Pass how would you demonstrate compliance with the public sector 5.8.2 equality duty? Meets Assessment Criteria Pass 5.9 5.9 Questions defined by the local contracting authority. Clarification Questions asked, Local Questions: satisfied with response Pass 5.9.1 Location of Service Meets Assessment Criteria Pass 5.9.2 Mobilisation Meets Assessment Criteria Pass 5.9.3 Managing Diversity in London Meets Assessment Criteria Pass CCG Areas Covered: Bexley Bromley Greenwich Lambeth Southwark Lewisham

Hearbase Limited Question 5.2 Name of Potential Provider: Lead Assessor Name: Date: Marco Inzani 15/08/2012 With reference to the offer documentation please describe the experience you have of delivering this service and how you intend to deliver this service for the duration of the contract in line with the assessment criteria. Meets Assessment Criteria Pass With reference to the service specification please provide details of 5.3 your care pathway particularly a description of how you will integrate with local health services to deliver your care pathway in line with the assessment criteria Meets Assessment Criteria Pass Please describe how the Applicant intends to work with local Health 5.4 and Social care services, including referral and emergency protocols where necessary. Meets Assessment Criteria Pass With reference to AQP offer documentation please detail any local 5.5 agreements or contracts that are currently in place. Meets Assessment Criteria Pass 5.6 Enter the name of your clinical governance lead (CGL). Meets Assessment Criteria Pass 5.6.1. Describe the clinical governance process that you have in place. Meets Assessment Criteria Pass 5.6.2. Describe how you deal with clinical incident reporting. Meets Assessment Criteria Pass 5.6.3 How will your practitioners deal with immediate critical incidents. Meets Assessment Criteria Pass 5.7 Applicants should submit details of any innovation in service delivery they intend to provide not mentioned in the requirements that may add value to the patient. Meets Assessment Criteria Pass 5.8 Please confirm that all applicable staff have obtained the relevant CRB, enhanced CRB or Vetting and Barring checks prior to providing the services. Meets Assessment Criteria Pass Please describe how you will ensure that your workforce maintains 5.8.1 appropriate levels of continuous development. Meets Assessment Criteria Pass

Question how would you demonstrate compliance with the public sector 5.8.2 equality duty? Meets Assessment Criteria Pass 5.9 5.9 Questions defined by the local contracting authority. Clarification Questions asked, satisfied Local Questions: with response Pass 5.9.1 Location of Service Meets Assessment Criteria Pass 5.9.2 Mobilisation Meets Assessment Criteria Pass 5.9.3 Managing Diversity in London Meets Assessment Criteria Pass CCG Areas Covered: Bexley Bromley

Imperial College Healthcare NHS Trust Question 5.2 Name of Potential Provider: Lead Assessor Name: Date: Marco Inzani 15/08/2012 With reference to the offer documentation please describe the experience you have of delivering this service and how you intend to deliver this service for the duration of the contract in line with the assessment criteria. Meets Assessment Criteria Pass With reference to the service specification please provide details of 5.3 your care pathway particularly a description of how you will integrate with local health services to deliver your care pathway in line with the assessment criteria Meets Assessment Criteria Pass Please describe how the Applicant intends to work with local Health 5.4 and Social care services, including referral and emergency protocols where necessary. Meets Assessment Criteria Pass With reference to AQP offer documentation please detail any local 5.5 agreements or contracts that are currently in place. Meets Assessment Criteria Pass 5.6 Enter the name of your clinical governance lead (CGL). Meets Assessment Criteria Pass 5.6.1. Describe the clinical governance process that you have in place. Meets Assessment Criteria Pass 5.6.2. Describe how you deal with clinical incident reporting. Meets Assessment Criteria Pass 5.6.3 How will your practitioners deal with immediate critical incidents. Meets Assessment Criteria Pass 5.7 Applicants should submit details of any innovation in service delivery they intend to provide not mentioned in the requirements that may add value to the patient. Meets Assessment Criteria Pass 5.8 Please confirm that all applicable staff have obtained the relevant CRB, enhanced CRB or Vetting and Barring checks prior to providing the services. Meets Assessment Criteria Pass Please describe how you will ensure that your workforce maintains 5.8.1 appropriate levels of continuous development. Meets Assessment Criteria Pass

Question how would you demonstrate compliance with the public sector 5.8.2 equality duty? Meets Assessment Criteria Pass 5.9 Questions defined by the local contracting authority. 5.9 Local Questions: Meets Assessment Criteria Pass 5.9.1 Location of Service Clarification Questions asked, satisfied with response although they are only delivering from existing sites Pass 5.9.2 Mobilisation Meets Assessment Criteria Pass 5.9.3 Managing Diversity in London Meets Assessment Criteria Pass CCG Areas Covered: Bexley Bromley Greenwich Lambeth Southwark Lewisham

In Health Ltd Question 5.2 Name of Potential Provider: Lead Assessor Name: Date: Marco Inzani 15/08/2012 With reference to the offer documentation please describe the experience you have of delivering this service and how you intend to deliver this service for the duration of the contract in line with the assessment criteria. Clarification Questions asked, satisfied with response With reference to the service specification please provide details of 5.3 your care pathway particularly a description of how you will integrate with local health services to deliver your care pathway in line with the assessment criteria Meets Assessment Criteria Pass Please describe how the Applicant intends to work with local Health 5.4 and Social care services, including referral and emergency protocols where necessary. Meets Assessment Criteria Pass With reference to AQP offer documentation please detail any local 5.5 agreements or contracts that are currently in place. Meets Assessment Criteria Pass 5.6 Enter the name of your clinical governance lead (CGL). Meets Assessment Criteria Pass 5.6.1. Describe the clinical governance process that you have in place. Meets Assessment Criteria Pass 5.6.2. Describe how you deal with clinical incident reporting. Meets Assessment Criteria Pass 5.6.3 How will your practitioners deal with immediate critical incidents. Meets Assessment Criteria Pass 5.7 Applicants should submit details of any innovation in service delivery they intend to provide not mentioned in the requirements that may add value to the patient. Meets Assessment Criteria Pass 5.8 Please confirm that all applicable staff have obtained the relevant CRB, enhanced CRB or Vetting and Barring checks prior to providing the services. Meets Assessment Criteria Pass Please describe how you will ensure that your workforce maintains 5.8.1 appropriate levels of continuous development. Meets Assessment Criteria Pass Pass

Question how would you demonstrate compliance with the public sector 5.8.2 equality duty? Meets Assessment Criteria Pass 5.9 5.9 Questions defined by the local contracting authority. Clarification Questions asked, satisfied Local Questions: with response Pass 5.9.1 Location of Service Meets Assessment Criteria Pass 5.9.2 Mobilisation Meets Assessment Criteria Pass 5.9.3 Managing Diversity in London Meets Assessment Criteria Pass CCG Areas Covered: Bexley Bromley Greenwich Lambeth Southwark Lewisham

Lewisham Healthcare NHS Trust Question 5.2 Name of Potential Provider: Lead Assessor Name: Date: Marco Inzani 15/08/2012 With reference to the offer documentation please describe the experience you have of delivering this service and how you intend to deliver this service for the duration of the contract in line with the assessment criteria. Meets Assessment Criteria Pass With reference to the service specification please provide details of 5.3 your care pathway particularly a description of how you will integrate with local health services to deliver your care pathway in line with the assessment criteria Meets Assessment Criteria Pass Please describe how the Applicant intends to work with local Health 5.4 and Social care services, including referral and emergency protocols where necessary. Meets Assessment Criteria Pass With reference to AQP offer documentation please detail any local 5.5 agreements or contracts that are currently in place. Meets Assessment Criteria Pass 5.6 Enter the name of your clinical governance lead (CGL). Meets Assessment Criteria Pass 5.6.1. Describe the clinical governance process that you have in place. Meets Assessment Criteria Pass 5.6.2. Describe how you deal with clinical incident reporting. Meets Assessment Criteria Pass 5.6.3 How will your practitioners deal with immediate critical incidents. Meets Assessment Criteria Pass 5.7 Applicants should submit details of any innovation in service delivery they intend to provide not mentioned in the requirements that may add value to the patient. Meets Assessment Criteria Pass 5.8 Please confirm that all applicable staff have obtained the relevant CRB, enhanced CRB or Vetting and Barring checks prior to providing the services. Meets Assessment Criteria Pass Please describe how you will ensure that your workforce maintains 5.8.1 appropriate levels of continuous development. Meets Assessment Criteria Pass

Question how would you demonstrate compliance with the public sector 5.8.2 equality duty? Meets Assessment Criteria Pass 5.9 Questions defined by the local contracting authority. 5.9 Local Questions: Meets Assessment Criteria Pass 5.9.1 Location of Service Meets Assessment Criteria Pass 5.9.2 Mobilisation Meets Assessment Criteria Pass 5.9.3 Managing Diversity in London Meets Assessment Criteria Pass CCG Areas Covered: Bexley Bromley Greenwich Lambeth Southwark Lewisham

Royal Berkshire NHS FT Question 5.2 Name of Potential Provider: Lead Assessor Name: Date: Marco Inzani 15/08/2012 With reference to the offer documentation please describe the experience you have of delivering this service and how you intend to deliver this service for the duration of the contract in line with the assessment criteria. Meets Assessment Criteria Pass With reference to the service specification please provide details of 5.3 your care pathway particularly a description of how you will integrate with local health services to deliver your care pathway in line with the assessment criteria Meets Assessment Criteria Pass Please describe how the Applicant intends to work with local Health 5.4 and Social care services, including referral and emergency protocols where necessary. Meets Assessment Criteria Pass With reference to AQP offer documentation please detail any local 5.5 agreements or contracts that are currently in place. Meets Assessment Criteria Pass 5.6 Enter the name of your clinical governance lead (CGL). Meets Assessment Criteria Pass 5.6.1. Describe the clinical governance process that you have in place. Meets Assessment Criteria Pass 5.6.2. Describe how you deal with clinical incident reporting. Meets Assessment Criteria Pass 5.6.3 How will your practitioners deal with immediate critical incidents. Meets Assessment Criteria Pass 5.7 Applicants should submit details of any innovation in service delivery they intend to provide not mentioned in the requirements that may add value to the patient. Meets Assessment Criteria Pass 5.8 Please confirm that all applicable staff have obtained the relevant CRB, enhanced CRB or Vetting and Barring checks prior to providing the services. Meets Assessment Criteria Pass Please describe how you will ensure that your workforce maintains 5.8.1 appropriate levels of continuous development. Meets Assessment Criteria Pass

Question how would you demonstrate compliance with the public sector 5.8.2 equality duty? Meets Assessment Criteria Pass Clarification Questions asked, although satisfied with response there 5.9 5.9 Questions defined by the local contracting authority. are concerns that it is difficult to site a Local Questions: mobile site in SE London and we would need assurance that this would be possible within mobilisation. Pass 5.9.1 Location of Service Meets Assessment Criteria Pass 5.9.2 Mobilisation Meets Assessment Criteria Pass 5.9.3 Managing Diversity in London Meets Assessment Criteria Pass CCG Areas Covered: Bexley Bromley Greenwich Lambeth Southwark Lewisham

Specsavers Question 5.2 Name of Potential Provider: Lead Assessor Name: Date: Marco Inzani 15/08/2012 With reference to the offer documentation please describe the experience you have of delivering this service and how you intend to deliver this service for the duration of the contract in line with the assessment criteria. Meets Assessment Criteria Pass With reference to the service specification please provide details of 5.3 your care pathway particularly a description of how you will integrate with local health services to deliver your care pathway in line with the assessment criteria Meets Assessment Criteria Pass Please describe how the Applicant intends to work with local Health 5.4 and Social care services, including referral and emergency protocols where necessary. Meets Assessment Criteria Pass With reference to AQP offer documentation please detail any local 5.5 agreements or contracts that are currently in place. Meets Assessment Criteria Pass 5.6 Enter the name of your clinical governance lead (CGL). Meets Assessment Criteria Pass 5.6.1. Describe the clinical governance process that you have in place. Meets Assessment Criteria Pass 5.6.2. Describe how you deal with clinical incident reporting. Meets Assessment Criteria Pass 5.6.3 How will your practitioners deal with immediate critical incidents. Meets Assessment Criteria Pass 5.7 Applicants should submit details of any innovation in service delivery they intend to provide not mentioned in the requirements that may add value to the patient. Meets Assessment Criteria Pass 5.8 Please confirm that all applicable staff have obtained the relevant CRB, enhanced CRB or Vetting and Barring checks prior to providing the services. Meets Assessment Criteria Pass Please describe how you will ensure that your workforce maintains 5.8.1 appropriate levels of continuous development. Meets Assessment Criteria Pass

Question how would you demonstrate compliance with the public sector 5.8.2 equality duty? Meets Assessment Criteria Pass 5.9 Questions defined by the local contracting authority. 5.9 Local Questions: Meets Assessment Criteria Pass 5.9.1 Location of Service Meets Assessment Criteria Pass 5.9.2 Mobilisation Meets Assessment Criteria Pass 5.9.3 Managing Diversity in London Meets Assessment Criteria Pass CCG Areas Covered: Bexley Bromley Greenwich Lambeth Southwark Lewisham

Sussex Healthcare Audiology Ltd Question 5.2 Name of Potential Provider: Lead Assessor Name: Date: Marco Inzani 15/08/2012 With reference to the offer documentation please describe the experience you have of delivering this service and how you intend to deliver this service for the duration of the contract in line with the assessment criteria. Meets Assessment Criteria Pass With reference to the service specification please provide details of 5.3 your care pathway particularly a description of how you will integrate with local health services to deliver your care pathway in line with the assessment criteria Meets Assessment Criteria Pass Please describe how the Applicant intends to work with local Health 5.4 and Social care services, including referral and emergency protocols where necessary. Meets Assessment Criteria Pass With reference to AQP offer documentation please detail any local 5.5 agreements or contracts that are currently in place. Meets Assessment Criteria Pass 5.6 Enter the name of your clinical governance lead (CGL). Meets Assessment Criteria Pass 5.6.1. Describe the clinical governance process that you have in place. Meets Assessment Criteria Pass 5.6.2. Describe how you deal with clinical incident reporting. Meets Assessment Criteria Pass 5.6.3 How will your practitioners deal with immediate critical incidents. Meets Assessment Criteria Pass 5.7 Applicants should submit details of any innovation in service delivery they intend to provide not mentioned in the requirements that may add value to the patient. Meets Assessment Criteria Pass 5.8 Please confirm that all applicable staff have obtained the relevant CRB, enhanced CRB or Vetting and Barring checks prior to providing the services. Meets Assessment Criteria Pass Please describe how you will ensure that your workforce maintains 5.8.1 appropriate levels of continuous development. Meets Assessment Criteria Pass

Question how would you demonstrate compliance with the public sector 5.8.2 equality duty? Meets Assessment Criteria Pass 5.9 5.9 Questions defined by the local contracting authority. Clarification Questions asked, satisfied Local Questions: with response Pass 5.9.1 Location of Service Meets Assessment Criteria Pass 5.9.2 Mobilisation Meets Assessment Criteria Pass 5.9.3 Managing Diversity in London Meets Assessment Criteria Pass CCG Areas Covered: Bexley Bromley

University College London Hospitals NHS FT Question 5.2 Marco Inzani 15/08/2012 With reference to the offer documentation please describe the experience you have of delivering this service and how you intend to deliver this service for the duration of the contract in line with the assessment criteria. Meets Assessment Criteria Pass With reference to the service specification please provide details of 5.3 your care pathway particularly a description of how you will integrate with local health services to deliver your care pathway in line with the assessment criteria Meets Assessment Criteria Pass Please describe how the Applicant intends to work with local Health 5.4 and Social care services, including referral and emergency protocols where necessary. Meets Assessment Criteria Pass With reference to AQP offer documentation please detail any local 5.5 agreements or contracts that are currently in place. Meets Assessment Criteria Pass 5.6 Enter the name of your clinical governance lead (CGL). Meets Assessment Criteria Pass 5.6.1. Describe the clinical governance process that you have in place. Meets Assessment Criteria Pass 5.6.2. Describe how you deal with clinical incident reporting. Meets Assessment Criteria Pass 5.6.3 How will your practitioners deal with immediate critical incidents. Meets Assessment Criteria Pass 5.7 Applicants should submit details of any innovation in service delivery they intend to provide not mentioned in the requirements that may add value to the patient. Meets Assessment Criteria Pass 5.8 Please confirm that all applicable staff have obtained the relevant CRB, enhanced CRB or Vetting and Barring checks prior to providing the services. Meets Assessment Criteria Pass Please describe how you will ensure that your workforce maintains 5.8.1 appropriate levels of continuous development. Meets Assessment Criteria Pass how would you demonstrate compliance with the public sector 5.8.2 equality duty? Meets Assessment Criteria Pass

Question 5.9 5.9 Questions defined by the local contracting authority. Local Questions: Clarification Questions asked, satisfied with response although they are only delivering from existing sites Pass 5.9.1 Location of Service Meets Assessment Criteria Pass 5.9.2 Mobilisation Meets Assessment Criteria Pass 5.9.3 Managing Diversity in London Meets Assessment Criteria Pass CCG Areas Covered: Bexley Bromley Greenwich Lambeth Southwark Lewisham

Appendix 2 ID Task (Outcome) Lead Target date % Complete Comments Contract Start Date 30/09/2012 Long Stop Date 30/12/2012 1.0 Overview 1.01 Hearing Mobilisation Task and Finish Group Terms of Reference and Membership agreed MI 07/09/2012 0 1.02 Mobilisation Plan agreed All 07/09/2012 0 1.03 Mobilisation Meeting 1 MI 12/09/2012 0 1.04 Mobilisation Meeting 2 MI 17/10/2012 0 1.05 Mobilisation Meeting 3 MI 14/11/2012 0 1.06 Mobilisation Meeting 4 MI 12/12/2012 0 2.0 Referrals Summary Information Sheet 2.01 Format for summary information sheet on Hearing AQP providers for patients and referrers agreed MI 07/09/2012 0 2.02 Pro-forma of summary information sheet completed by Pr 12/09/2012 0 providers 2.03 Summary Information Sheet collated MI 19/09/2012 0 Referral Forms 2.04 Standardised Hearing AQP referral form developed with NHS L 07/09/2012 0 referrers 2.05 AQP referral form agreed with providers NHS L 12/09/2012 0 Referral Management System Briefing 2.06 Consistent correspondence developed for RMS MI 19/09/2012 0 2.07 Correspondence followed up with brief call or visit MI 26/09/2012 0

Choose & Book 2.08 Ensure services loaded on Choose and Book MI 19/09/2012 0 3.0 Provider Mobilisation Provider Meetings 3.01 List of main commissioning contact within each CCG for each provider collated CCGs 07/09/2012 0 3.02 Individual provider mobilisation and repatriation plan 07/09/2012 0 agreed Pr 3.03 Service delivery locations agreed CCGs 12/09/2012 0 3.04 AQP contract agreed and signed MI 30/09/2012 0 Repatriation 3.05 Process for identifying and transferring exisiting stable Pr 12/09/2012 0 patients into new AQP pathway developed 3.06 Process for identifying and re-referring exisiting patients Pr 12/09/2012 0 who may need to be reassessed into new AQP pathway developed 3.07 Key lead for answering patient queries regaridng Pr 12/09/2012 0 repatriation identified 3.08 Checklist of all the key documentation and data that MI 12/09/2012 0 should accompany any patient transferred onto the new AQP pathway agreed 3.09 Letter for existing patients to notify them of the transfer to MI 19/09/2012 0 the new AQP service drafted 3.10 Patient letter administered Pr 30/09/2012 0 Reporting 3.11 Monthly performance reporting framework drafted MI 12/09/2012 0 3.12 Monthly performance reporting framework and deadlines agreed Pr 19/09/2012 0

4.0 Communication & Engagement All Website 4.01 Content for web-page developed NHS L 30/09/2012 0 4.02 Content posted on relevant websites Comms 05/10/2012 0 4.03 Links to relevant information created Comms 31/10/2012 0 Public press release 4.04 Content for public press release written NHS L 30/09/2012 0 4.05 List of relevant publications developed Comms 30/09/2012 0 4.06 Press release sent to relevant publications Comms 05/10/2012 0 4.07 Content published in in-house publications Comms 05/10/2012 0 LINk/HealthWatch 4.08 LINk updated on AQP decisions MI 30/09/2012 0 Public AQP Poster 4.09 Content for AQP poster written NHS L 30/09/2012 0 4.10 AQP poster designed NHS L 05/10/2012 0 4.11 Proofs signed off NHS L 12/10/2012 0 4.12 AQP Poster printed NHS L 19/10/2012 0 4.13 List of appropriate venues developed MI 26/10/2012 0 4.14 Poster distributed to venues MI 31/10/2012 0 Patient Participation Groups 4.15 Brief AQP presentation developed MI 30/09/2012 0 4.16 Slots booked in PPG agenda MI 31/10/2012 0 4.17 Feedback collated from PPGs MI 30/11/2012 0 4.18 You Said, We Did' Report written MI 14/12/2012 0

Partner GP Briefing 4.19 Adult Hearing GP lead identified in each borough to 30/09/2012 0 champion the AQP service CCGs 4.20 Consistent correspondence for GPs developed NHS L 12/09/2012 0 4.21 Correspondence followed up with brief call or visit CCGs 30/09/2012 0 Opinion Former OSC 4.22 Brief AQP update for OSC developed MI 14/09/2012 0 4.23 AQP update presented to OSC MI 30/09/2012 0 Care Group Care Group Contacts 4.24 AQP Care Group briefing developed MI 30/09/2012 0 4.25 List of care group contacts developed MI 30/09/2012 0 4.26 AQP Care Group Briefing delivered to care group contacts MI 31/10/2012 0