The NHS Standard Contract is mandated by NHS England for use by commissioners for all contracts for healthcare services other than primary care. The 2014/15 NHS Standard Contract is available for use by commissioners both in paper form and as an electronic document through the eContract system.
Like the 2013/14 Contract, the 2014/15 NHS Standard Contract comprises three parts:
The NHS Standard Contract 2014/15 Technical Guidance is available here: Final NHS Standard Contract 2014/15 Technical Guidance (March 2014)
If you would like to be added to our stakeholder list to receive updates on the NHS Standard Contract, please email your contact details to: email@example.com
The eContract allows tailoring of the contract to reflect the specific services provided, so that the relevant Service Conditions and Schedules appear. We strongly recommend that commissioners utilise the eContract system.
National Variations to prior year NHS Standard Contracts
Guidance on the process to effect the mandatory 2014/15 National Variation to existing contracts the terms of which extend beyond 31 March 2014 is available here:
- NHS Standard Contract – Guidance on National Variations to existing 2011/12, 2012/13 and 2013/14 form contracts
The simple template Variation Agreement for use when effecting the 2014/15 National Variation by Option 1 (Updating existing eContract) or Option 2 (Transfer to eContract) is available here:
The following National Variation Agreements, for use when effecting the 2014/15 National Variation by Option 3 (not using the eContract system) are available here:
- Contracts in 2013/14 form
- Contracts in 2012/13 form (bilateral)
- Contracts in 2012/13 form (multilateral)
National Variation Agreements for contracts in 2011/12 form are available here:
- Acute Services
- Care Home Services (bilateral)
- Care Home Services (multilateral)
- Community Services (bilateral)
- Community Services (multilateral)
- Integrated Mental Health and Learning Disabilities and Community Services (bilateral)
- Integrated Mental Health and Learning Disabilities and Community Services (multilateral)
- Mental Health and Learning Disabilities Services (bilateral)
- Mental Health and Learning Disabilities Services (multilateral)
Guidance on the variations process is available here:
- NHS Standard Contract 2014/15 Guidance on the variations process
- Variation proposal
- Variation agreement
The Commissioning for Quality and Innovation (CQUIN) scheme for 2014/15 provides a national framework through which organisations providing healthcare services under the NHS Standard Contract can earn incentive payments of up to 2.5% of their contract value by achieving agreed national and local goals for service quality improvement. The CQUIN guidance provides details about the operation of the CQUIN scheme for 2014/15 and sets out the mandated national indicators.
Following stakeholder feedback, the Commissioning for Quality and Innovation (CQUIN) guidance originally published in December 2013 has been reissued. A summary of the changes is provided in Appendix D of the CQUIN Guidance.
- Commissioning for Quality and Innovation (CQUIN) 2014/15 Guidance
- Commissioning for Quality and Innovation (CQUIN) 2014/15 Guidance – Appendix B (CQUIN picklist)
- CQUIN indicator and variation templates
Additional guidance on the mental health indicator:
CQUIN and Sanctions Variations
Commissioners can vary CQUIN and sanctions in line with the CQUIN Guidance 2014/15 and the NHS Standard Contract Technical Guidance 2014/15. To promote transparency and to improve accountability, examples of submitted variations are available at:
- Templates for sanctions variations
- Slides from NHS Standard Contract and eContract training sessions January 2014
Model Collaborative Commissioning Agreements
- Model Collaborative Commissioning Agreement (single contract option)
- Model Collaborative Commissioning Agreement (multiple contract option)
Fair Deal for Staff Pensions
Pro Forma Contract Management Forms
Pro Forma Change in Control Notification
Changes to the 2014/15 Contract
A clause-by-clause guide identifying what has changed, what has moved and what has stayed the same for 2014/15 is contained in Appendix 1 of the Contract Technical Guidance.
These documents are designed to support you in the use of the contract. However, where you require clarification and additional support, this can be obtained by contacting us at: firstname.lastname@example.org
NHS England is now starting work on updating the NHS Standard Contract for 2015/16. We wish to engage with all those with an interest in the NHS Standard Contract to assess how we can continue to improve the Contract.
The discussion paper below sets out some key issues on which we would particularly welcome feedback from stakeholders. Please send your comments on the response document provided, by Friday 12 September 2014, to: email@example.com.
- Review of the NHS Standard Contract for 2015/16 – discussion paper for stakeholders – deadline for response 12 September 2014
- Review of the NHS Standard Contract for 2015/16 – response document – deadline for response 12 September 2014
We received over 180 separate responses from individuals and organisations to our discussion paper published in August 2014. The consultation paper below summarises the main themes in the feedback we received, and the way we have responded in developing the draft NHS Standard Contract for 2015/16.
Comments should be sent by 31 December 2014 to mailto:firstname.lastname@example.org.
- NHS Standard Contract 2015/16 consultation paper
- NHS Standard Contract 2015/16 – Particulars
- NHS Standard Contract 2015/16 – Service Conditions
- NHS Standard Contract 2015/16 – General Conditions
- Initial contracting guidance for NHS commissioners – November 2014
- Draft letters for area teams to send to providers – November 2014
- Additional contracting guidance for NHS commissioners – December 2014
- Draft letters for area teams to send to providers – December 2014
Previous contracts and guidance
- The 2013/14 NHS Standard Contract and supporting documents are available here.
- Previously published NHS standard contracts are available from the Department of Health website.
Template for database of innovative commissioning and contracting approaches
(Publications Gateway Ref No. 01869)
NHS England has posted examples from CCGs of innovative, outcomes-based commissioning and contracting initiatives via the NHS England / NHS Commissioning Assembly Learning Environment website. Any CCG which wishes to contribute to this can do so by completing the spreadsheet below and uploading to The Pinboard under the “Commissioning for Quality and Outcomes” development area. If you require help with a login for The Pinboard, please contact email@example.com.
There is a clear expectation that providers and commissioners will have signed contracts in place for the provision of NHS services by 28 February 2014. Where this has not been achieved and a contract between provider and a commissioner remains unsigned, both parties will now automatically trigger the dispute resolution process.
NHS England, Monitor and the Trust Development Agency wrote to NHS Foundation Trusts and NHS Trusts, CCGs and Area Teams in September 2014 (Gateway ref 02290) setting out arrangements for securing the additional RTT activity needed by 30 November 2014.