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Service specification development for the Norfolk and Norwich NHS Trust

Three CCGs in central Norfolk commissioned us to develop the contractual service specification for the Urgent Care Centre (UCC) at Norfolk and Norwich University Hospital (NNUH). This work was a continuation of a previously commissioned piece of work to mobilise the UCC using a multiagency model.

The role of our team was to work with clinical leads across the acute trust, liaison psychiatry and the community trust’s early intervention team to develop the service description (including refined operational pathways) and contractual performance and reporting standards.

We delivered a workshop for all clinical and commissioning stakeholders, as well as drafting the specification, reporting and standards, incorporating best practice models from elsewhere. We worked with CCG leads and clinical staff to finalise an agreed version for the contract negotiation process. Once it was ready to enter the formal contract negotiation phase, our Transformation team handed over to the CCGs and our Contracting team for final negotiation and sign-off with NNUH.

The result of this development work was that the service specification was agreed smoothly within the contract negotiation.

The UCC has been running since November 2014 and continues to grow and develop in line with changing demands and opportunities.  Service specifications have been used in the contract to enable CCGs to ensure the provider is accountable for delivery and to aid further evaluation and evolution of the model.

The specification was initially developed and agreed for 2015/16 contacts and we subsequently reviewed the unit for 2016/17 to help them refine the UCC model.