Payment by results currently applies only to services commissioned from national health service trusts and foundation trusts. Independent sector treatment centres (ISTCs) are paid contract prices, which reflect the outcome of a competitive tendering exercise conducted at national level.
NHS trusts and foundation trusts continue to be paid for activity at the national tariff, which is based on national average costs reported by NHS organisations.
(2) how many staff are planned to be employed at the proposed independent sector treatment centre in Basildon, Essex in each of the first five years of its operation, broken down by (a) occupation and (b) seniority;
(3) what specialities will be provided by the independent sector treatment centre in Basildon, Essex; and when each will be available.
The elective component of the Essex Independent Sector Treatment Centre (ISTC) scheme is expected to include the following specialities:
These procedures will be accompanied by follow-up outpatient appointments, including appropriate rehabilitation therapies (for example, physiotherapy and occupational therapy), as necessary in accordance with good clinical practice, to complete the episode of care. The majority of services are expected to commence from September 2008.
The scheme is expected to employ approximately 400 whole time equivalent clinical and non-clinical staff across the county, allocated to the various services to be provided.
As contract negotiations are still ongoing, the locations of Essex ISTCs (including a potential site in Basildon), precise staff numbers, roles, experience, skills sets, and proposed specifications (including day case beds and overnight beds) for anticipated ISTCs are still to be finalised.