BNMS 35th ANNUAL MEETING

IS Provision of PET/CT Services

Chris Linacre, Deputy CEO Sheffield Teaching Hospitals NSHFT

A FOUNDATION TRUST PERSPECTIVE

Why use the Independent Sector Interfaces and legal complexities Governance Issues Economic Issues

WHY USE THE IS?

Availability of scarce expertise Availability of investment capital Willing to share an investment risk Government policy preference Competition???

INTERFACES AND LEGAL COMPLEXITIES

Principal contract is CONFIDENTIAL Sub contractors with major stake bound by

unseen main contract unless…… Room for dispute when sub-contracts are

finalised Political embarrassment if main or sub

contracts fail Service collapse if main/sub contracts fail Possible to be creative if there is a will!

GOVERNANCE ISSUES

NHSFT totally responsible for duty of care Diagnostic (PET) pathway governed by unseen

contract Contractual duty of care from IS to ? DoH Clinical actions based on IS service but

standards not seen by NHSFT Need for referral filters MDT attendance/involvement encourages local

reporters

ECONOMIC ISSUES

Commissioning (payment) arrangements unclear but FOC to Trust.

Agreement on the exchange of services Property and Land contracts Residual value, residual service