The Clinical Negligence Scheme for NHS Trusts and Local Health Boards (Administration) (Wales) Directions 2019 set out that Velindre NHS Trust must exercise all functions of the Welsh Ministers in connection with the administration of the Clinical Negligence Scheme for NHS Trusts and Local Health Boards, established by regulation 3 of the National Health Service (Clinical Negligence Scheme) (Wales) Regulations 2019, with effect from 1 April 2019.
The Directions to Local Health Boards as to the Statement of Financial Entitlements (Relaxation of Quality and Outcomes Framework) 2018 sets out the specific provision for calculating Achievement Points Total for the financial year ending on 31 March 2018.
The amendment Direction enables the revised Global Sum figure of £90.00 to be applied from 1 July and for a backdated Global Sum monthly payment of £3.25 to be applied per weighted patient for the period from 1 April 2019 to 30 June 2019 to be paid at the end of July.
The amendment Direction reduces the Global Sum figure to take account of the one-off funding for indemnity and removes the Quality and Outcomes Framework whilst making provision for GMS contractors to receive aspiration payments equivalent to the monthly amount they received for the 2018/19 financial year.
The amendment Directions make provision for an uplift of 1% for pay and a 1.4% increase for general expenses (excluding indemnity) to be applied to global sum and the enhanced service for vaccinations and immunisations. An uplift of £2.7m towards the rising costs of professional indemnity for GPs and practice teams is to be paid directly to practices through the global sum.
The above Directions provide for a General Medical Services Contractor to opt of participating in the majority of the Quality and Outcomes Framework until March 2017 for the purpose of providing resource to address the needs of patients during a period of increased demand. The Direction also outlines the payment arrangements to ensure a General Medical Services contractor is not financially disadvantaged for doing so.
The legislation placed a duty on each NHS Trust to nominate a Non Executive Director (NED) and Powys LHB to nominate a Non Officer Member (NOM). The NED/NOM would ensure adequate and regular focus at Trust Board/LHB level on issues relating specifically to cleaning, hygiene and infection management.
The above amendment Direction clarifies the discretionary and non-discretionary payments that LHBs make in respect of reimbursements for locums/partners in the practice covering GPs who are on parental leave or sickness absence.
The amendment Directions increase the Item of Service Fee from £7.80 to £9.80. The amendment Directions also increase the Item of Service Fee of £15.28 for the administration of the pneumococcal conjugate vaccine and the combined Hib and MenC booster vaccine as part of the routine childhood immunisation schedule to £19.60. The increased fees will apply retrospectively from 1 April 2016.
These Directions are issued under the National Health Service (Wales) Act 2006. They revise the Health Promoting Hospital Vending Guidance 2008 to allow more flexibility in the range of products which can be stocked in vending machines in hospitals whilst limiting the levels of fat, saturated fat, sugar and salt in the products vended.
These Directions require that Local Health Boards in Wales and Public Health Wales Nation Health Service Trusts co-operate to facilitate the performance and delivery of the Child Measurement Programme for Wales.
The amendment Directions update the influenza immunisation scheme and the severe mental illness scheme contained within the Primary Medical Services (Directed Enhanced Services) (Wales) Directions 2007.
The National Health Service (Wales) Act 2006 & the Directions to local health boards and NHS trusts in Wales 2010 give legal effect to amending the arrangements for the funding of technology appraisal guidance from the National Institute for Health and Clinical Excellence (NICE), dated 23 October 2003, for technology appraisal guidance (no. 164) on the use of febuxostat for the management of chronic hyperuricaemia in people with gout dated 17 December 2008.
These Directions which are given to Local Health Boards in Wales make provision for the advanced services of stoma appliance customisation and appliance use reviews in relation to the dispensing of stoma and urology appliances.
These Directions direct the seven Local Health Boards in Wales to work together jointly to set up the Welsh Health Specialised Services Committee (the Joint Committee) to undertake the joint planning of Specialised and Tertiary Services, as soon as practicable after 1 October 2009. The Joint Committee will have limited functions until it is fully operational on 1 April 2010.
The directions allow for local health boards to commission primary medical services from commercial providers, voluntary sector providers, mutual sector providers, public service bodies, General Medical Services practices, NHS Trusts or other local health boards.
These Directions make provision for Local Health Boards to distribute payment of grants, fees, travelling and other allowances, in respect of the General Practice Registrar Scheme. The Directions are being made under section 12 of the National Health Service (Wales) Act 2006.
These Directions place a duty on Local Health Boards to commission enhanced services. The enhanced services being Access, Childhood Immunisations, Influenza and Pneumococcal, Violent Patient Scheme, Minor Surgery, Severe Mental Illness and Learning Disabilities.
These Directions detail the functions that the NHS Business Services Authority (NHSBSA) are required to perform in relation to Wales. They include general functions relating to Audit, Accounts and Land Transactions. These Directions are being made under sections 23, 24, 140(6), 203(10) and 204(3) of the National Health Service (Wales) Act 2006.
These amendment Directions will implement a new Dispensary Services Quality Scheme, which was agreed as part of the negotiations on the General Medical Services Contract for 2006/07. These Directions are being made under sections 28T and 126(4) of the National Health Service Act 1977.
These Directions set out the payments that GMS contractors are entitled to under their GMS contract. The Directions are being made under sections 28T & 126(4) of the National Health Services Act 1977 after consulting in accordance with section 28T(4) of the Act.
These Directions ensure that technical references to the Counter Fraud and Security Management Service (CFSMS) in The Directions to NHS Bodies on Counter Fraud Measures 2005 are corrected to add clarity. These Directions are being made under sections 16BB(4), 17 and 126(4) of the National Health Service Act 1977.
These Directions update and strengthen the governance framework for NHS boards and NHS managers. The Directions are being made under sections 16BB(4), 17 and 126(4) of the National Health Service Act 1977.
These Directions replace references to the former Counter Fraud and Security Management Service (CFSMS) with references to the new CFSMS division of the NHS Business Services Authority (BSA). These Directions are being made under sections 16BB(4), 17 and 126(4) of the National Health Service Act 1977.
These Directions ensure that the public point of view is represented by a public champion on cleaning, hygiene and control of infection issues at the highest possible level in each NHS Trust and Powys Local Health Board (LHB). The Directions are being made under sections 16BB(4), 17(1) and 126(4) of the National Health Service Act 1977.
These National Minimum Standards (NMS) are being amended to reflect the inclusion of Independent Medical Agencies in the regulatory framework. These Standards will be used by Health Inspectorate Wales (HIW) when determining whether independent health care establishments are providing adequate care. The NMS are being made under Section 23 of the Care Standards Act 2000.
These Directions are required to enable Caerphilly and Rhondda Cynon Taff to jointly exercise their functions as teaching Local Health Boards (tLHBs). These Directions are being made under sections 16BB(4) and 16BC(2)(c) of the National Health Service Act 1977.
These Directions will require Local Health Boards to comply with the Code of Practice on Confidentiality and Disclosure of Information and will take account of issues around patient confidentiality, data protection and freedom of information. These Directions are being made under Section 16BB(4) of the National Health Service Act 1977.
These Directions enable a person, detained in any of the relevant public sector prisons, within the three Local Health Board areas of Cardiff, Swansea and Monmouthshire, to be treated as usually resident for the period of their detention at the address of the prison for the purposes of regulation 2(2) of the Local Health Board (Functions) (Wales) Regulations 2003. These Directions are being made under sections 16BB(4) and 126(4) of the National Health Service Act 1977.