Left hand column content HTML Hospice Activity and Contracting Data Collation Hospice name* Please Select ACCORD Hospice Acorns Children's Hospice Trust Alexander Devine Children's Hospice Service Alice House Hospice Ardgowan Hospice Arthur Rank Hospice Charity Ashgate Hospicecare Barnsley Hospice Beaumond House Hospice Care Bethesda Hospice Birmingham Hospice Bluebell Wood Children's Hospice Blythe House Hospice Bolton Hospice Bracken Trust Bury Hospice Butterfly Hospice Butterwick Hospice Care Campden Home Nursing CIO Children's Hospice South West Children's Hospices Across Scotland (CHAS) City Hospice Claire House Children's Hospice Compton Care Cornwall Hospice Care Cransley Hospice Cynthia Spencer Hospice Demelza Hospice Care for Children - Demelza Kent Derian House Children's Hospice Derwentside Hospice Care Foundation - Willow Burn Hospice Dorothy House Hospice Care Douglas Macmillan Hospice Dove Cottage Day Hospice Dove House Hospice Dr Kershaw's Hospice East Anglia's Children's Hospices East Cheshire Hospice East Lancashire Hospice Eden Valley Hospice Ellenor Farleigh Hospice Florence Nightingale Hospice Charity Forest Holme Hospice Charity Forget Me Not Children's Hospice Foyle Hospice Francis House Children's Hospice Friends of Roxburghe House Garden House Hospice Great Oaks Hospice Greenwich & Bexley Community Hospice Halton Haven Hospice Harlington Hospice Association Haven House Children's Hospice Havens Hospices Heart of Kent Hospice Helen and Douglas House Hospice Care for Children and Young Adults Highland Hospice Hope House Childrens Hospice Hospice at Home West Cumbria Hospice at Home, Carlisle and North Lakeland Hospice in the Weald Hospice Isle of Man Hospice of St Francis Hospice of the Good Shepherd Hospice of the Valleys/Hosbis y Cymoedd HospiceCare North Northumberland Hospiscare Isabel Hospice Jersey Hospice Care Jessie May John Eastwood Hospices Trust Julia's House Kate's Home Nursing Katharine House Hospice (Banbury) Katharine House Hospice (Stafford) Keech Hospice Care Kemp Hospice Kilbryde Hospice Kirkwood Hospice Lakelands Hospice Les Bourgs Hospice Lewis-Manning Hospice Care Lindsey Lodge Hospice Longfield LOROS Leicestershire and Rutland Hospice Macmillan Caring Locally Marie Curie (Head office) Marie Curie Hospice, Belfast Marie Curie Hospice, Bradford Marie Curie Hospice, Cardiff and the Vale Marie Curie Hospice, Edinburgh Marie Curie Hospice, Glasgow Marie Curie Hospice, Hampstead Marie Curie Hospice, Liverpool Marie Curie Hospice, Newcastle Marie Curie Hospice, West Midlands Marie Curie Nursing Team (England) Marie Curie Nursing Team (Northern Ireland) Marie Curie Nursing Team (Scotland) Marie Curie Nursing Team (Wales) Martin House Martlets Hospice Mary Ann Evans Hospice Mary Stevens Hospice Mountbatten Isle of Wight Naomi House and Jacksplace Children's Hospice Nightingale House Hospice Noah's Ark Children's Hospice North Devon Hospice North London Hospice Northern Ireland Hospice Nottinghamshire Hospice Oakhaven Hospice Overgate Hospice Paul Sartori Foundation Peace Hospice Care Pendleside Hospice Phyllis Tuckwell Hospice Pilgrims Hospices In East Kent Primrose Hospice Prince and Princess of Wales Hospice Princess Alice Hospice Prospect Hospice Queenscourt Hospice Rainbows Hospice for Children and Young People Rennie Grove Hospice Care Richard House Children's Hospice Rosemary Foundation - Hospice at Home Rossendale Hospice Rotherham Hospice Rowcroft - The Torbay and South Devon Hospice Royal Trinity Hospice Saint Catherine's Hospice Saint Francis Hospice Saint Michael's Hospice Salisbury Hospice Charity Severn Hospice Shalom House Shipston Home Nursing Shooting Star Children's Hospices Sidmouth Hospice at Home Skanda Vale Hospice Sobell House Hospice Charity Ltd South Bucks Hospice Southern Area Hospice Services Springhill Hospice St Andrew's Hospice (Grimsby) St Andrew's Hospice (Lanarkshire) St Ann's Hospice St Barnabas Hospices St Barnabas Lincolnshire Hospice St Benedict's Hospice Charity St Catherine's Hospice (Crawley) St Catherine's Hospice, Lancashire St Christopher's Hospice St Clare West Essex Hospice Care Trust St Columba's Hospice St Cuthbert's Hospice St David's Foundation Hospice Care St David's Hospice St Elizabeth Hospice St Gemma's Hospice St Giles Hospice St Helena Hospice St John's Hospice (London) St John's Hospice, Lancaster St Joseph's Hospice (London) St Joseph's Hospice Association St Kentigern Hospice St Leonard's Hospice St Luke's Cheshire Hospice St Luke's Hospice (Basildon) St Luke's Hospice (Harrow And Brent) St Luke's Hospice (Sheffield) St Luke's Hospice Plymouth St Margaret of Scotland Hospice St Margaret's Somerset Hospice St Mary's Hospice St Michael's Hospice (Hastings & Rother) St Michael's Hospice (Hereford) St Michael's Hospice (North Hampshire) St Nicholas Hospice Care St Oswald's Hospice St Peter & St James Hospice St Peter's Hospice St Raphael's Hospice St Richard's Hospice St Rocco's Hospice St Vincent's Hospice St Wilfrid's Hospice (Chichester) St Wilfrid's Hospice (Eastbourne) Strathcarron Hospice Sue Ryder Sue Ryder - Duchess of Kent Hospice Sue Ryder - Leckhampton Court Hospice Sue Ryder - Manorlands Hospice Sue Ryder - Nettlebed Hospice Sue Ryder - St John's Hospice Sue Ryder - Thorpe Hall Hospice Sue Ryder - Wheatfields Hospice Teesside Hospice Care Foundation Thames Hospice The Ayrshire Hospice The Darlington & District Hospice Movement (St Teresa's Hospice) The Friends of Wisdom Hospice Ltd The Myton Hospices The Norfolk Hospice, Tapping House The Prince of Wales Hospice The Rowans Hospice The Shakespeare Hospice Treetops Hospice Care Trinity Hospice and Palliative Care Services Ty Hafan Ty Olwen Trust Fund Tynedale Hospice at Home Wakefield Hospice Weldmar Hospicecare Weston Hospicecare Wigan and Leigh Hospice Willen Hospice Willow Wood Hospice Willowbrook Hospice Winchester Hospice Charity Wirral Hospice St John's Woking & Sam Beare Hospice Woodlands Hospice Zoe's Place - Baby Hospice Hospice UK - Test Hospice type* Please Select Adults Children Both Email address* example@example.com Back Next Contracting Please complete for the financial year beginning April 2022 and ending March 2023 Please select the statutory funding bodies who fund any of your services. You may have more than one type of funding body (eg national government and local health board (generic term)) and you may also have more than one of any given type (eg more than one local health board). Select as many as you need to cover the contracted (or partly contracted) services you provide. Statutory funding body 1 Statutory funding body 1 (Adults) Type of statutory funding body Please Select NHS ICB National Government (NHSE or DHSC) NHS Acute Trust NHS Community Trust Provider Alliance / Partnership (system or place level) Primary Care Network Local Authority ICP (the ICS Partnership NOT the ICB nor place level) Care Home Personal (Health) Budgets Other Statutory Funding Summary of contracted services provided Short description of types of services contracted by that funding body ie beds, CNS visits, night sitting, domiciliary care, respite care etc; don't include volume or activity0/200 Which ICB? Please Select Bath and North East Somerset, Swindon and Wiltshire (BNESSW) Bedfordshire, Luton and Milton Keynes Birmingham and Solihull Black Country Bristol, North Somerset and South Gloucestershire (BNSSG) Buckinghamshire, Oxfordshire and Berkshire West (BOB) Cambridgeshire and Peterborough Cheshire and Merseyside Cornwall and Isles of Scilly Coventry and Warwickshire Derby and Derbyshire Devon Dorset Frimley Gloucestershire Greater Manchester Hampshire and Isle of Wight Herefordshire and Worcestershire Hertfordshire and West Essex Humber and North Yorkshire Kent and Medway Lancashire and South Cumbria Leicester, Leicestershire and Rutland Lincolnshire Mid and South Essex Norfolk and Waveney North Central London North East and North Cumbria North East London North West London Northamptonshire Nottingham and Nottinghamshire Shropshire, Telford and Wrekin Somerset South East London South West London South Yorkshire Staffordshire and Stoke-on-Trent Suffolk and North East Essex Surrey Heartlands Sussex West Yorkshire As you have selected a local health board as one of your funding bodies, please now state which ones and describe your contracting arrangements with them. You many contract with more than one, so select as many as you need to cover the contracted (or partly contracted) services you provide. Please note these are only the local health boards from whom you receive any funding. NHS ICB contract 1 Contracting Arrangement (type) Please Select NHS Standard Contract - full length NHS Standard Contract - short form NHS Grant Agreement - national template Local grant agreement Local service level agreement (SLA) Continuing (Health) Care funding Spot purchasing No agreement Other arrangement Contract length (years) Total years of current contract (from its start to current end date) Funding mechanism Please Select Block funding - but risk sharing for actual activity Block funding - no in-year variation Activity based contract - paid on actual activity Performance based contract - paid on achieving KPIs / quality measures Spot purchasing - as and when Other arrangement Select how funding is paid within this contract arrangement Contract uplift since previous year (%) Total % increase awarded during contract year including if 0% NHS ICB contract 2 Contracting Arrangement (type) Please Select NHS Standard Contract - full length NHS Standard Contract - short form NHS Grant Agreement - national template Local grant agreement Local service level agreement (SLA) Continuing (Health) Care funding Spot purchasing No agreement Other arrangement Contract length (years) Total years of current contract (from its start to current end date) Funding mechanism Please Select Block funding - but risk sharing for actual activity Block funding - no in-year variation Activity based contract - paid on actual activity Performance based contract - paid on achieving KPIs / quality measures Spot purchasing - as and when Other arrangement Select how funding is paid within this contract arrangement Contract uplift since previous year (%) Total % increase awarded during contract year including if 0% NHS ICB contract 3 Contracting Arrangement (type) Please Select NHS Standard Contract - full length NHS Standard Contract - short form NHS Grant Agreement - national template Local grant agreement Local service level agreement (SLA) Continuing (Health) Care funding Spot purchasing No agreement Other arrangement Contract length (years) Total years of current contract (from its start to current end date) Funding mechanism Please Select Block funding - but risk sharing for actual activity Block funding - no in-year variation Activity based contract - paid on actual activity Performance based contract - paid on achieving KPIs / quality measures Spot purchasing - as and when Other arrangement Select how funding is paid within this contract arrangement Contract uplift since previous year (%) Total % increase awarded during contract year including if 0% Statutory funding body 2 Statutory funding body 2 (Adults) Type of statutory funding body Please Select NHS ICB National Government (NHSE or DHSC) NHS Acute Trust NHS Community Trust Provider Alliance / Partnership (system or place level) Primary Care Network Local Authority ICP (the ICS Partnership NOT the ICB nor place level) Care Home Personal (Health) Budgets Other Statutory Funding Summary of contracted services provided Short description of types of services contracted by that funding body ie beds, CNS visits, night sitting, domiciliary care, respite care etc; don't include volume or activity0/200 Which ICB? Please Select Bath and North East Somerset, Swindon and Wiltshire (BNESSW) Bedfordshire, Luton and Milton Keynes Birmingham and Solihull Black Country Bristol, North Somerset and South Gloucestershire (BNSSG) Buckinghamshire, Oxfordshire and Berkshire West (BOB) Cambridgeshire and Peterborough Cheshire and Merseyside Cornwall and Isles of Scilly Coventry and Warwickshire Derby and Derbyshire Devon Dorset Frimley Gloucestershire Greater Manchester Hampshire and Isle of Wight Herefordshire and Worcestershire Hertfordshire and West Essex Humber and North Yorkshire Kent and Medway Lancashire and South Cumbria Leicester, Leicestershire and Rutland Lincolnshire Mid and South Essex Norfolk and Waveney North Central London North East and North Cumbria North East London North West London Northamptonshire Nottingham and Nottinghamshire Shropshire, Telford and Wrekin Somerset South East London South West London South Yorkshire Staffordshire and Stoke-on-Trent Suffolk and North East Essex Surrey Heartlands Sussex West Yorkshire As you have selected a local health board as one of your funding bodies, please now state which ones and describe your contracting arrangements with them. You many contract with more than one, so select as many as you need to cover the contracted (or partly contracted) services you provide. Please note these are only the local health boards from whom you receive any funding. NHS ICB contract 1 Contracting Arrangement (type) Please Select NHS Standard Contract - full length NHS Standard Contract - short form NHS Grant Agreement - national template Local grant agreement Local service level agreement (SLA) Continuing (Health) Care funding Spot purchasing No agreement Other arrangement Contract length (years) Total years of current contract (from its start to current end date) Funding mechanism Please Select Block funding - but risk sharing for actual activity Block funding - no in-year variation Activity based contract - paid on actual activity Performance based contract - paid on achieving KPIs / quality measures Spot purchasing - as and when Other arrangement Select how funding is paid within this contract arrangement Contract uplift since previous year (%) Total % increase awarded during contract year including if 0% NHS ICB contract 2 Contracting Arrangement (type) Please Select NHS Standard Contract - full length NHS Standard Contract - short form NHS Grant Agreement - national template Local grant agreement Local service level agreement (SLA) Continuing (Health) Care funding Spot purchasing No agreement Other arrangement Contract length (years) Total years of current contract (from its start to current end date) Funding mechanism Please Select Block funding - but risk sharing for actual activity Block funding - no in-year variation Activity based contract - paid on actual activity Performance based contract - paid on achieving KPIs / quality measures Spot purchasing - as and when Other arrangement Select how funding is paid within this contract arrangement Contract uplift since previous year (%) Total % increase awarded during contract year including if 0% NHS ICB contract 3 Contracting Arrangement (type) Please Select NHS Standard Contract - full length NHS Standard Contract - short form NHS Grant Agreement - national template Local grant agreement Local service level agreement (SLA) Continuing (Health) Care funding Spot purchasing No agreement Other arrangement Contract length (years) Total years of current contract (from its start to current end date) Funding mechanism Please Select Block funding - but risk sharing for actual activity Block funding - no in-year variation Activity based contract - paid on actual activity Performance based contract - paid on achieving KPIs / quality measures Spot purchasing - as and when Other arrangement Select how funding is paid within this contract arrangement Contract uplift since previous year (%) Total % increase awarded during contract year including if 0% Statutory funding body 3 Statutory funding body 3 (Adults) Type of statutory funding body Please Select NHS ICB National Government (NHSE or DHSC) NHS Acute Trust NHS Community Trust Provider Alliance / Partnership (system or place level) Primary Care Network Local Authority ICP (the ICS Partnership NOT the ICB nor place level) Care Home Personal (Health) Budgets Other Statutory Funding Summary of contracted services provided Short description of types of services contracted by that funding body ie beds, CNS visits, night sitting, domiciliary care, respite care etc; don't include volume or activity0/200 Which ICB? Please Select Bath and North East Somerset, Swindon and Wiltshire (BNESSW) Bedfordshire, Luton and Milton Keynes Birmingham and Solihull Black Country Bristol, North Somerset and South Gloucestershire (BNSSG) Buckinghamshire, Oxfordshire and Berkshire West (BOB) Cambridgeshire and Peterborough Cheshire and Merseyside Cornwall and Isles of Scilly Coventry and Warwickshire Derby and Derbyshire Devon Dorset Frimley Gloucestershire Greater Manchester Hampshire and Isle of Wight Herefordshire and Worcestershire Hertfordshire and West Essex Humber and North Yorkshire Kent and Medway Lancashire and South Cumbria Leicester, Leicestershire and Rutland Lincolnshire Mid and South Essex Norfolk and Waveney North Central London North East and North Cumbria North East London North West London Northamptonshire Nottingham and Nottinghamshire Shropshire, Telford and Wrekin Somerset South East London South West London South Yorkshire Staffordshire and Stoke-on-Trent Suffolk and North East Essex Surrey Heartlands Sussex West Yorkshire As you have selected a local health board as one of your funding bodies, please now state which ones and describe your contracting arrangements with them. You many contract with more than one, so select as many as you need to cover the contracted (or partly contracted) services you provide. Please note these are only the local health boards from whom you receive any funding. NHS ICB contract 1 Contracting Arrangement (type) Please Select NHS Standard Contract - full length NHS Standard Contract - short form NHS Grant Agreement - national template Local grant agreement Local service level agreement (SLA) Continuing (Health) Care funding Spot purchasing No agreement Other arrangement Contract length (years) Total years of current contract (from its start to current end date) Funding mechanism Please Select Block funding - but risk sharing for actual activity Block funding - no in-year variation Activity based contract - paid on actual activity Performance based contract - paid on achieving KPIs / quality measures Spot purchasing - as and when Other arrangement Select how funding is paid within this contract arrangement Contract uplift since previous year (%) Total % increase awarded during contract year including if 0% NHS ICB contract 2 Contracting Arrangement (type) Please Select NHS Standard Contract - full length NHS Standard Contract - short form NHS Grant Agreement - national template Local grant agreement Local service level agreement (SLA) Continuing (Health) Care funding Spot purchasing No agreement Other arrangement Contract length (years) Total years of current contract (from its start to current end date) Funding mechanism Please Select Block funding - but risk sharing for actual activity Block funding - no in-year variation Activity based contract - paid on actual activity Performance based contract - paid on achieving KPIs / quality measures Spot purchasing - as and when Other arrangement Select how funding is paid within this contract arrangement Contract uplift since previous year (%) Total % increase awarded during contract year including if 0% NHS ICB contract 3 Contracting Arrangement (type) Please Select NHS Standard Contract - full length NHS Standard Contract - short form NHS Grant Agreement - national template Local grant agreement Local service level agreement (SLA) Continuing (Health) Care funding Spot purchasing No agreement Other arrangement Contract length (years) Total years of current contract (from its start to current end date) Funding mechanism Please Select Block funding - but risk sharing for actual activity Block funding - no in-year variation Activity based contract - paid on actual activity Performance based contract - paid on achieving KPIs / quality measures Spot purchasing - as and when Other arrangement Select how funding is paid within this contract arrangement Contract uplift since previous year (%) Total % increase awarded during contract year including if 0% Statutory funding body 4 Statutory funding body 4 (Adults) Type of statutory funding body Please Select NHS ICB National Government (NHSE or DHSC) NHS Acute Trust NHS Community Trust Provider Alliance / Partnership (system or place level) Primary Care Network Local Authority ICP (the ICS Partnership NOT the ICB nor place level) Care Home Personal (Health) Budgets Other Statutory Funding Summary of contracted services provided Short description of types of services contracted by that funding body ie beds, CNS visits, night sitting, domiciliary care, respite care etc; don't include volume or activity0/200 Which ICB? Please Select Bath and North East Somerset, Swindon and Wiltshire (BNESSW) Bedfordshire, Luton and Milton Keynes Birmingham and Solihull Black Country Bristol, North Somerset and South Gloucestershire (BNSSG) Buckinghamshire, Oxfordshire and Berkshire West (BOB) Cambridgeshire and Peterborough Cheshire and Merseyside Cornwall and Isles of Scilly Coventry and Warwickshire Derby and Derbyshire Devon Dorset Frimley Gloucestershire Greater Manchester Hampshire and Isle of Wight Herefordshire and Worcestershire Hertfordshire and West Essex Humber and North Yorkshire Kent and Medway Lancashire and South Cumbria Leicester, Leicestershire and Rutland Lincolnshire Mid and South Essex Norfolk and Waveney North Central London North East and North Cumbria North East London North West London Northamptonshire Nottingham and Nottinghamshire Shropshire, Telford and Wrekin Somerset South East London South West London South Yorkshire Staffordshire and Stoke-on-Trent Suffolk and North East Essex Surrey Heartlands Sussex West Yorkshire As you have selected a local health board as one of your funding bodies, please now state which ones and describe your contracting arrangements with them. You many contract with more than one, so select as many as you need to cover the contracted (or partly contracted) services you provide. Please note these are only the local health boards from whom you receive any funding. NHS ICB contract 1 Contracting Arrangement (type) Please Select NHS Standard Contract - full length NHS Standard Contract - short form NHS Grant Agreement - national template Local grant agreement Local service level agreement (SLA) Continuing (Health) Care funding Spot purchasing No agreement Other arrangement Contract length (years) Total years of current contract (from its start to current end date) Funding mechanism Please Select Block funding - but risk sharing for actual activity Block funding - no in-year variation Activity based contract - paid on actual activity Performance based contract - paid on achieving KPIs / quality measures Spot purchasing - as and when Other arrangement Select how funding is paid within this contract arrangement Contract uplift since previous year (%) Total % increase awarded during contract year including if 0% NHS ICB contract 2 Contracting Arrangement (type) Please Select NHS Standard Contract - full length NHS Standard Contract - short form NHS Grant Agreement - national template Local grant agreement Local service level agreement (SLA) Continuing (Health) Care funding Spot purchasing No agreement Other arrangement Contract length (years) Total years of current contract (from its start to current end date) Funding mechanism Please Select Block funding - but risk sharing for actual activity Block funding - no in-year variation Activity based contract - paid on actual activity Performance based contract - paid on achieving KPIs / quality measures Spot purchasing - as and when Other arrangement Select how funding is paid within this contract arrangement Contract uplift since previous year (%) Total % increase awarded during contract year including if 0% NHS ICB contract 3 Contracting Arrangement (type) Please Select NHS Standard Contract - full length NHS Standard Contract - short form NHS Grant Agreement - national template Local grant agreement Local service level agreement (SLA) Continuing (Health) Care funding Spot purchasing No agreement Other arrangement Contract length (years) Total years of current contract (from its start to current end date) Funding mechanism Please Select Block funding - but risk sharing for actual activity Block funding - no in-year variation Activity based contract - paid on actual activity Performance based contract - paid on achieving KPIs / quality measures Spot purchasing - as and when Other arrangement Select how funding is paid within this contract arrangement Contract uplift since previous year (%) Total % increase awarded during contract year including if 0% Statutory funding body 5 Statutory funding body 5 (Adults) Type of statutory funding body Please Select NHS ICB National Government (NHSE or DHSC) NHS Acute Trust NHS Community Trust Provider Alliance / Partnership (system or place level) Primary Care Network Local Authority ICP (the ICS Partnership NOT the ICB nor place level) Care Home Personal (Health) Budgets Other Statutory Funding Summary of contracted services provided Short description of types of services contracted by that funding body ie beds, CNS visits, night sitting, domiciliary care, respite care etc; don't include volume or activity0/200 Which ICB? Please Select Bath and North East Somerset, Swindon and Wiltshire (BNESSW) Bedfordshire, Luton and Milton Keynes Birmingham and Solihull Black Country Bristol, North Somerset and South Gloucestershire (BNSSG) Buckinghamshire, Oxfordshire and Berkshire West (BOB) Cambridgeshire and Peterborough Cheshire and Merseyside Cornwall and Isles of Scilly Coventry and Warwickshire Derby and Derbyshire Devon Dorset Frimley Gloucestershire Greater Manchester Hampshire and Isle of Wight Herefordshire and Worcestershire Hertfordshire and West Essex Humber and North Yorkshire Kent and Medway Lancashire and South Cumbria Leicester, Leicestershire and Rutland Lincolnshire Mid and South Essex Norfolk and Waveney North Central London North East and North Cumbria North East London North West London Northamptonshire Nottingham and Nottinghamshire Shropshire, Telford and Wrekin Somerset South East London South West London South Yorkshire Staffordshire and Stoke-on-Trent Suffolk and North East Essex Surrey Heartlands Sussex West Yorkshire As you have selected a local health board as one of your funding bodies, please now state which ones and describe your contracting arrangements with them. You many contract with more than one, so select as many as you need to cover the contracted (or partly contracted) services you provide. Please note these are only the local health boards from whom you receive any funding. NHS ICB contract 1 Contracting Arrangement (type) Please Select NHS Standard Contract - full length NHS Standard Contract - short form NHS Grant Agreement - national template Local grant agreement Local service level agreement (SLA) Continuing (Health) Care funding Spot purchasing No agreement Other arrangement Contract length (years) Total years of current contract (from its start to current end date) Funding mechanism Please Select Block funding - but risk sharing for actual activity Block funding - no in-year variation Activity based contract - paid on actual activity Performance based contract - paid on achieving KPIs / quality measures Spot purchasing - as and when Other arrangement Select how funding is paid within this contract arrangement Contract uplift since previous year (%) Total % increase awarded during contract year including if 0% NHS ICB contract 2 Contracting Arrangement (type) Please Select NHS Standard Contract - full length NHS Standard Contract - short form NHS Grant Agreement - national template Local grant agreement Local service level agreement (SLA) Continuing (Health) Care funding Spot purchasing No agreement Other arrangement Contract length (years) Total years of current contract (from its start to current end date) Funding mechanism Please Select Block funding - but risk sharing for actual activity Block funding - no in-year variation Activity based contract - paid on actual activity Performance based contract - paid on achieving KPIs / quality measures Spot purchasing - as and when Other arrangement Select how funding is paid within this contract arrangement Contract uplift since previous year (%) Total % increase awarded during contract year including if 0% NHS ICB contract 3 Contracting Arrangement (type) Please Select NHS Standard Contract - full length NHS Standard Contract - short form NHS Grant Agreement - national template Local grant agreement Local service level agreement (SLA) Continuing (Health) Care funding Spot purchasing No agreement Other arrangement Contract length (years) Total years of current contract (from its start to current end date) Funding mechanism Please Select Block funding - but risk sharing for actual activity Block funding - no in-year variation Activity based contract - paid on actual activity Performance based contract - paid on achieving KPIs / quality measures Spot purchasing - as and when Other arrangement Select how funding is paid within this contract arrangement Contract uplift since previous year (%) Total % increase awarded during contract year including if 0% Statutory funding body 6 Statutory funding body 6 (Adults) Type of statutory funding body Please Select NHS ICB National Government (NHSE or DHSC) NHS Acute Trust NHS Community Trust Provider Alliance / Partnership (system or place level) Primary Care Network Local Authority ICP (the ICS Partnership NOT the ICB nor place level) Care Home Personal (Health) Budgets Other Statutory Funding Summary of contracted services provided Short description of types of services contracted by that funding body ie beds, CNS visits, night sitting, domiciliary care, respite care etc; don't include volume or activity0/200 Which ICB? Please Select Bath and North East Somerset, Swindon and Wiltshire (BNESSW) Bedfordshire, Luton and Milton Keynes Birmingham and Solihull Black Country Bristol, North Somerset and South Gloucestershire (BNSSG) Buckinghamshire, Oxfordshire and Berkshire West (BOB) Cambridgeshire and Peterborough Cheshire and Merseyside Cornwall and Isles of Scilly Coventry and Warwickshire Derby and Derbyshire Devon Dorset Frimley Gloucestershire Greater Manchester Hampshire and Isle of Wight Herefordshire and Worcestershire Hertfordshire and West Essex Humber and North Yorkshire Kent and Medway Lancashire and South Cumbria Leicester, Leicestershire and Rutland Lincolnshire Mid and South Essex Norfolk and Waveney North Central London North East and North Cumbria North East London North West London Northamptonshire Nottingham and Nottinghamshire Shropshire, Telford and Wrekin Somerset South East London South West London South Yorkshire Staffordshire and Stoke-on-Trent Suffolk and North East Essex Surrey Heartlands Sussex West Yorkshire As you have selected a local health board as one of your funding bodies, please now state which ones and describe your contracting arrangements with them. You many contract with more than one, so select as many as you need to cover the contracted (or partly contracted) services you provide. Please note these are only the local health boards from whom you receive any funding. NHS ICB contract 1 Contracting Arrangement (type) Please Select NHS Standard Contract - full length NHS Standard Contract - short form NHS Grant Agreement - national template Local grant agreement Local service level agreement (SLA) Continuing (Health) Care funding Spot purchasing No agreement Other arrangement Contract length (years) Total years of current contract (from its start to current end date) Funding mechanism Please Select Block funding - but risk sharing for actual activity Block funding - no in-year variation Activity based contract - paid on actual activity Performance based contract - paid on achieving KPIs / quality measures Spot purchasing - as and when Other arrangement Select how funding is paid within this contract arrangement Contract uplift since previous year (%) Total % increase awarded during contract year including if 0% NHS ICB contract 2 Contracting Arrangement (type) Please Select NHS Standard Contract - full length NHS Standard Contract - short form NHS Grant Agreement - national template Local grant agreement Local service level agreement (SLA) Continuing (Health) Care funding Spot purchasing No agreement Other arrangement Contract length (years) Total years of current contract (from its start to current end date) Funding mechanism Please Select Block funding - but risk sharing for actual activity Block funding - no in-year variation Activity based contract - paid on actual activity Performance based contract - paid on achieving KPIs / quality measures Spot purchasing - as and when Other arrangement Select how funding is paid within this contract arrangement Contract uplift since previous year (%) Total % increase awarded during contract year including if 0% NHS ICB contract 3 Contracting Arrangement (type) Please Select NHS Standard Contract - full length NHS Standard Contract - short form NHS Grant Agreement - national template Local grant agreement Local service level agreement (SLA) Continuing (Health) Care funding Spot purchasing No agreement Other arrangement Contract length (years) Total years of current contract (from its start to current end date) Funding mechanism Please Select Block funding - but risk sharing for actual activity Block funding - no in-year variation Activity based contract - paid on actual activity Performance based contract - paid on achieving KPIs / quality measures Spot purchasing - as and when Other arrangement Select how funding is paid within this contract arrangement Contract uplift since previous year (%) Total % increase awarded during contract year including if 0% Statutory funding body 1 (Children) Type of statutory funding body Please Select NHS ICB National Government (NHSE or DHSC) NHS Acute Trust NHS Community Trust Provider Alliance / Partnership (system or place level) Primary Care Network Local Authority ICP (the ICS Partnership NOT the ICB nor place level) Care Home Personal (Health) Budgets Other Statutory Funding Summary of contracted services provided Short description of types of services contracted by that funding body ie beds, CNS visits, night sitting, domiciliary care, respite care etc; don't include volume or activity0/200 Which ICB? Please Select Bath and North East Somerset, Swindon and Wiltshire (BNESSW) Bedfordshire, Luton and Milton Keynes Birmingham and Solihull Black Country Bristol, North Somerset and South Gloucestershire (BNSSG) Buckinghamshire, Oxfordshire and Berkshire West (BOB) Cambridgeshire and Peterborough Cheshire and Merseyside Cornwall and Isles of Scilly Coventry and Warwickshire Derby and Derbyshire Devon Dorset Frimley Gloucestershire Greater Manchester Hampshire and Isle of Wight Herefordshire and Worcestershire Hertfordshire and West Essex Humber and North Yorkshire Kent and Medway Lancashire and South Cumbria Leicester, Leicestershire and Rutland Lincolnshire Mid and South Essex Norfolk and Waveney North Central London North East and North Cumbria North East London North West London Northamptonshire Nottingham and Nottinghamshire Shropshire, Telford and Wrekin Somerset South East London South West London South Yorkshire Staffordshire and Stoke-on-Trent Suffolk and North East Essex Surrey Heartlands Sussex West Yorkshire As you have selected a local health board as one of your funding bodies, please now state which ones and describe your contracting arrangements with them. You many contract with more than one, so select as many as you need to cover the contracted (or partly contracted) services you provide. Please note these are only the local health boards from whom you receive any funding. NHS ICB contract 1 Contracting Arrangement (type) Please Select NHS Standard Contract - full length NHS Standard Contract - short form NHS Grant Agreement - national template Local grant agreement Local service level agreement (SLA) Continuing (Health) Care funding Spot purchasing No agreement Other arrangement Contract length (years) Total years of current contract (from its start to current end date) Funding mechanism Please Select Block funding - but risk sharing for actual activity Block funding - no in-year variation Activity based contract - paid on actual activity Performance based contract - paid on achieving KPIs / quality measures Spot purchasing - as and when Other arrangement Select how funding is paid within this contract arrangement Contract uplift since previous year (%) Total % increase awarded during contract year including if 0% NHS ICB contract 2 Contracting Arrangement (type) Please Select NHS Standard Contract - full length NHS Standard Contract - short form NHS Grant Agreement - national template Local grant agreement Local service level agreement (SLA) Continuing (Health) Care funding Spot purchasing No agreement Other arrangement Contract length (years) Total years of current contract (from its start to current end date) Funding mechanism Please Select Block funding - but risk sharing for actual activity Block funding - no in-year variation Activity based contract - paid on actual activity Performance based contract - paid on achieving KPIs / quality measures Spot purchasing - as and when Other arrangement Select how funding is paid within this contract arrangement Contract uplift since previous year (%) Total % increase awarded during contract year including if 0% NHS ICB contract 3 Contracting Arrangement (type) Please Select NHS Standard Contract - full length NHS Standard Contract - short form NHS Grant Agreement - national template Local grant agreement Local service level agreement (SLA) Continuing (Health) Care funding Spot purchasing No agreement Other arrangement Contract length (years) Total years of current contract (from its start to current end date) Funding mechanism Please Select Block funding - but risk sharing for actual activity Block funding - no in-year variation Activity based contract - paid on actual activity Performance based contract - paid on achieving KPIs / quality measures Spot purchasing - as and when Other arrangement Select how funding is paid within this contract arrangement Contract uplift since previous year (%) Total % increase awarded during contract year including if 0% Statutory funding body 2 (Children) Type of statutory funding body Please Select NHS ICB National Government (NHSE or DHSC) NHS Acute Trust NHS Community Trust Provider Alliance / Partnership (system or place level) Primary Care Network Local Authority ICP (the ICS Partnership NOT the ICB nor place level) Care Home Personal (Health) Budgets Other Statutory Funding Summary of contracted services provided Short description of types of services contracted by that funding body ie beds, CNS visits, night sitting, domiciliary care, respite care etc; don't include volume or activity0/200 Which ICB? Please Select Bath and North East Somerset, Swindon and Wiltshire (BNESSW) Bedfordshire, Luton and Milton Keynes Birmingham and Solihull Black Country Bristol, North Somerset and South Gloucestershire (BNSSG) Buckinghamshire, Oxfordshire and Berkshire West (BOB) Cambridgeshire and Peterborough Cheshire and Merseyside Cornwall and Isles of Scilly Coventry and Warwickshire Derby and Derbyshire Devon Dorset Frimley Gloucestershire Greater Manchester Hampshire and Isle of Wight Herefordshire and Worcestershire Hertfordshire and West Essex Humber and North Yorkshire Kent and Medway Lancashire and South Cumbria Leicester, Leicestershire and Rutland Lincolnshire Mid and South Essex Norfolk and Waveney North Central London North East and North Cumbria North East London North West London Northamptonshire Nottingham and Nottinghamshire Shropshire, Telford and Wrekin Somerset South East London South West London South Yorkshire Staffordshire and Stoke-on-Trent Suffolk and North East Essex Surrey Heartlands Sussex West Yorkshire As you have selected a local health board as one of your funding bodies, please now state which ones and describe your contracting arrangements with them. You many contract with more than one, so select as many as you need to cover the contracted (or partly contracted) services you provide. Please note these are only the local health boards from whom you receive any funding. NHS ICB contract 1 Contracting Arrangement (type) Please Select NHS Standard Contract - full length NHS Standard Contract - short form NHS Grant Agreement - national template Local grant agreement Local service level agreement (SLA) Continuing (Health) Care funding Spot purchasing No agreement Other arrangement Contract length (years) Total years of current contract (from its start to current end date) Funding mechanism Please Select Block funding - but risk sharing for actual activity Block funding - no in-year variation Activity based contract - paid on actual activity Performance based contract - paid on achieving KPIs / quality measures Spot purchasing - as and when Other arrangement Select how funding is paid within this contract arrangement Contract uplift since previous year (%) Total % increase awarded during contract year including if 0% NHS ICB contract 2 Contracting Arrangement (type) Please Select NHS Standard Contract - full length NHS Standard Contract - short form NHS Grant Agreement - national template Local grant agreement Local service level agreement (SLA) Continuing (Health) Care funding Spot purchasing No agreement Other arrangement Contract length (years) Total years of current contract (from its start to current end date) Funding mechanism Please Select Block funding - but risk sharing for actual activity Block funding - no in-year variation Activity based contract - paid on actual activity Performance based contract - paid on achieving KPIs / quality measures Spot purchasing - as and when Other arrangement Select how funding is paid within this contract arrangement Contract uplift since previous year (%) Total % increase awarded during contract year including if 0% NHS ICB contract 3 Contracting Arrangement (type) Please Select NHS Standard Contract - full length NHS Standard Contract - short form NHS Grant Agreement - national template Local grant agreement Local service level agreement (SLA) Continuing (Health) Care funding Spot purchasing No agreement Other arrangement Contract length (years) Total years of current contract (from its start to current end date) Funding mechanism Please Select Block funding - but risk sharing for actual activity Block funding - no in-year variation Activity based contract - paid on actual activity Performance based contract - paid on achieving KPIs / quality measures Spot purchasing - as and when Other arrangement Select how funding is paid within this contract arrangement Contract uplift since previous year (%) Total % increase awarded during contract year including if 0% Statutory funding body 3 (Children) Type of statutory funding body Please Select NHS ICB National Government (NHSE or DHSC) NHS Acute Trust NHS Community Trust Provider Alliance / Partnership (system or place level) Primary Care Network Local Authority ICP (the ICS Partnership NOT the ICB nor place level) Care Home Personal (Health) Budgets Other Statutory Funding Summary of contracted services provided Short description of types of services contracted by that funding body ie beds, CNS visits, night sitting, domiciliary care, respite care etc; don't include volume or activity0/200 Which ICB? Please Select Bath and North East Somerset, Swindon and Wiltshire (BNESSW) Bedfordshire, Luton and Milton Keynes Birmingham and Solihull Black Country Bristol, North Somerset and South Gloucestershire (BNSSG) Buckinghamshire, Oxfordshire and Berkshire West (BOB) Cambridgeshire and Peterborough Cheshire and Merseyside Cornwall and Isles of Scilly Coventry and Warwickshire Derby and Derbyshire Devon Dorset Frimley Gloucestershire Greater Manchester Hampshire and Isle of Wight Herefordshire and Worcestershire Hertfordshire and West Essex Humber and North Yorkshire Kent and Medway Lancashire and South Cumbria Leicester, Leicestershire and Rutland Lincolnshire Mid and South Essex Norfolk and Waveney North Central London North East and North Cumbria North East London North West London Northamptonshire Nottingham and Nottinghamshire Shropshire, Telford and Wrekin Somerset South East London South West London South Yorkshire Staffordshire and Stoke-on-Trent Suffolk and North East Essex Surrey Heartlands Sussex West Yorkshire As you have selected a local health board as one of your funding bodies, please now state which ones and describe your contracting arrangements with them. You many contract with more than one, so select as many as you need to cover the contracted (or partly contracted) services you provide. Please note these are only the local health boards from whom you receive any funding. NHS ICB contract 1 Contracting Arrangement (type) Please Select NHS Standard Contract - full length NHS Standard Contract - short form NHS Grant Agreement - national template Local grant agreement Local service level agreement (SLA) Continuing (Health) Care funding Spot purchasing No agreement Other arrangement Contract length (years) Total years of current contract (from its start to current end date) Funding mechanism Please Select Block funding - but risk sharing for actual activity Block funding - no in-year variation Activity based contract - paid on actual activity Performance based contract - paid on achieving KPIs / quality measures Spot purchasing - as and when Other arrangement Select how funding is paid within this contract arrangement Contract uplift since previous year (%) Total % increase awarded during contract year including if 0% NHS ICB contract 2 Contracting Arrangement (type) Please Select NHS Standard Contract - full length NHS Standard Contract - short form NHS Grant Agreement - national template Local grant agreement Local service level agreement (SLA) Continuing (Health) Care funding Spot purchasing No agreement Other arrangement Contract length (years) Total years of current contract (from its start to current end date) Funding mechanism Please Select Block funding - but risk sharing for actual activity Block funding - no in-year variation Activity based contract - paid on actual activity Performance based contract - paid on achieving KPIs / quality measures Spot purchasing - as and when Other arrangement Select how funding is paid within this contract arrangement Contract uplift since previous year (%) Total % increase awarded during contract year including if 0% NHS ICB contract 3 Contracting Arrangement (type) Please Select NHS Standard Contract - full length NHS Standard Contract - short form NHS Grant Agreement - national template Local grant agreement Local service level agreement (SLA) Continuing (Health) Care funding Spot purchasing No agreement Other arrangement Contract length (years) Total years of current contract (from its start to current end date) Funding mechanism Please Select Block funding - but risk sharing for actual activity Block funding - no in-year variation Activity based contract - paid on actual activity Performance based contract - paid on achieving KPIs / quality measures Spot purchasing - as and when Other arrangement Select how funding is paid within this contract arrangement Contract uplift since previous year (%) Total % increase awarded during contract year including if 0% Statutory funding body 4 (Children) Type of statutory funding body Please Select NHS ICB National Government (NHSE or DHSC) NHS Acute Trust NHS Community Trust Provider Alliance / Partnership (system or place level) Primary Care Network Local Authority ICP (the ICS Partnership NOT the ICB nor place level) Care Home Personal (Health) Budgets Other Statutory Funding Summary of contracted services provided Short description of types of services contracted by that funding body ie beds, CNS visits, night sitting, domiciliary care, respite care etc; don't include volume or activity0/200 Which ICB? Please Select Bath and North East Somerset, Swindon and Wiltshire (BNESSW) Bedfordshire, Luton and Milton Keynes Birmingham and Solihull Black Country Bristol, North Somerset and South Gloucestershire (BNSSG) Buckinghamshire, Oxfordshire and Berkshire West (BOB) Cambridgeshire and Peterborough Cheshire and Merseyside Cornwall and Isles of Scilly Coventry and Warwickshire Derby and Derbyshire Devon Dorset Frimley Gloucestershire Greater Manchester Hampshire and Isle of Wight Herefordshire and Worcestershire Hertfordshire and West Essex Humber and North Yorkshire Kent and Medway Lancashire and South Cumbria Leicester, Leicestershire and Rutland Lincolnshire Mid and South Essex Norfolk and Waveney North Central London North East and North Cumbria North East London North West London Northamptonshire Nottingham and Nottinghamshire Shropshire, Telford and Wrekin Somerset South East London South West London South Yorkshire Staffordshire and Stoke-on-Trent Suffolk and North East Essex Surrey Heartlands Sussex West Yorkshire As you have selected a local health board as one of your funding bodies, please now state which ones and describe your contracting arrangements with them. You many contract with more than one, so select as many as you need to cover the contracted (or partly contracted) services you provide. Please note these are only the local health boards from whom you receive any funding. NHS ICB contract 1 Contracting Arrangement (type) Please Select NHS Standard Contract - full length NHS Standard Contract - short form NHS Grant Agreement - national template Local grant agreement Local service level agreement (SLA) Continuing (Health) Care funding Spot purchasing No agreement Other arrangement Contract length (years) Total years of current contract (from its start to current end date) Funding mechanism Please Select Block funding - but risk sharing for actual activity Block funding - no in-year variation Activity based contract - paid on actual activity Performance based contract - paid on achieving KPIs / quality measures Spot purchasing - as and when Other arrangement Select how funding is paid within this contract arrangement Contract uplift since previous year (%) Total % increase awarded during contract year including if 0% NHS ICB contract 2 Contracting Arrangement (type) Please Select NHS Standard Contract - full length NHS Standard Contract - short form NHS Grant Agreement - national template Local grant agreement Local service level agreement (SLA) Continuing (Health) Care funding Spot purchasing No agreement Other arrangement Contract length (years) Total years of current contract (from its start to current end date) Funding mechanism Please Select Block funding - but risk sharing for actual activity Block funding - no in-year variation Activity based contract - paid on actual activity Performance based contract - paid on achieving KPIs / quality measures Spot purchasing - as and when Other arrangement Select how funding is paid within this contract arrangement Contract uplift since previous year (%) Total % increase awarded during contract year including if 0% NHS ICB contract 3 Contracting Arrangement (type) Please Select NHS Standard Contract - full length NHS Standard Contract - short form NHS Grant Agreement - national template Local grant agreement Local service level agreement (SLA) Continuing (Health) Care funding Spot purchasing No agreement Other arrangement Contract length (years) Total years of current contract (from its start to current end date) Funding mechanism Please Select Block funding - but risk sharing for actual activity Block funding - no in-year variation Activity based contract - paid on actual activity Performance based contract - paid on achieving KPIs / quality measures Spot purchasing - as and when Other arrangement Select how funding is paid within this contract arrangement Contract uplift since previous year (%) Total % increase awarded during contract year including if 0% Statutory funding body 5 (Children) Type of statutory funding body Please Select NHS ICB National Government (NHSE or DHSC) NHS Acute Trust NHS Community Trust Provider Alliance / Partnership (system or place level) Primary Care Network Local Authority ICP (the ICS Partnership NOT the ICB nor place level) Care Home Personal (Health) Budgets Other Statutory Funding Summary of contracted services provided Short description of types of services contracted by that funding body ie beds, CNS visits, night sitting, domiciliary care, respite care etc; don't include volume or activity0/200 Which ICB? Please Select Bath and North East Somerset, Swindon and Wiltshire (BNESSW) Bedfordshire, Luton and Milton Keynes Birmingham and Solihull Black Country Bristol, North Somerset and South Gloucestershire (BNSSG) Buckinghamshire, Oxfordshire and Berkshire West (BOB) Cambridgeshire and Peterborough Cheshire and Merseyside Cornwall and Isles of Scilly Coventry and Warwickshire Derby and Derbyshire Devon Dorset Frimley Gloucestershire Greater Manchester Hampshire and Isle of Wight Herefordshire and Worcestershire Hertfordshire and West Essex Humber and North Yorkshire Kent and Medway Lancashire and South Cumbria Leicester, Leicestershire and Rutland Lincolnshire Mid and South Essex Norfolk and Waveney North Central London North East and North Cumbria North East London North West London Northamptonshire Nottingham and Nottinghamshire Shropshire, Telford and Wrekin Somerset South East London South West London South Yorkshire Staffordshire and Stoke-on-Trent Suffolk and North East Essex Surrey Heartlands Sussex West Yorkshire As you have selected a local health board as one of your funding bodies, please now state which ones and describe your contracting arrangements with them. You many contract with more than one, so select as many as you need to cover the contracted (or partly contracted) services you provide. Please note these are only the local health boards from whom you receive any funding. NHS ICB contract 1 Contracting Arrangement (type) Please Select NHS Standard Contract - full length NHS Standard Contract - short form NHS Grant Agreement - national template Local grant agreement Local service level agreement (SLA) Continuing (Health) Care funding Spot purchasing No agreement Other arrangement Contract length (years) Total years of current contract (from its start to current end date) Funding mechanism Please Select Block funding - but risk sharing for actual activity Block funding - no in-year variation Activity based contract - paid on actual activity Performance based contract - paid on achieving KPIs / quality measures Spot purchasing - as and when Other arrangement Select how funding is paid within this contract arrangement Contract uplift since previous year (%) Total % increase awarded during contract year including if 0% NHS ICB contract 2 Contracting Arrangement (type) Please Select NHS Standard Contract - full length NHS Standard Contract - short form NHS Grant Agreement - national template Local grant agreement Local service level agreement (SLA) Continuing (Health) Care funding Spot purchasing No agreement Other arrangement Contract length (years) Total years of current contract (from its start to current end date) Funding mechanism Please Select Block funding - but risk sharing for actual activity Block funding - no in-year variation Activity based contract - paid on actual activity Performance based contract - paid on achieving KPIs / quality measures Spot purchasing - as and when Other arrangement Select how funding is paid within this contract arrangement Contract uplift since previous year (%) Total % increase awarded during contract year including if 0% NHS ICB contract 3 Contracting Arrangement (type) Please Select NHS Standard Contract - full length NHS Standard Contract - short form NHS Grant Agreement - national template Local grant agreement Local service level agreement (SLA) Continuing (Health) Care funding Spot purchasing No agreement Other arrangement Contract length (years) Total years of current contract (from its start to current end date) Funding mechanism Please Select Block funding - but risk sharing for actual activity Block funding - no in-year variation Activity based contract - paid on actual activity Performance based contract - paid on achieving KPIs / quality measures Spot purchasing - as and when Other arrangement Select how funding is paid within this contract arrangement Contract uplift since previous year (%) Total % increase awarded during contract year including if 0% Statutory funding body 6 (Children) Type of statutory funding body Please Select NHS ICB National Government (NHSE or DHSC) NHS Acute Trust NHS Community Trust Provider Alliance / Partnership (system or place level) Primary Care Network Local Authority ICP (the ICS Partnership NOT the ICB nor place level) Care Home Personal (Health) Budgets Other Statutory Funding Summary of contracted services provided Short description of types of services contracted by that funding body ie beds, CNS visits, night sitting, domiciliary care, respite care etc; don't include volume or activity0/200 Which ICB? Please Select Bath and North East Somerset, Swindon and Wiltshire (BNESSW) Bedfordshire, Luton and Milton Keynes Birmingham and Solihull Black Country Bristol, North Somerset and South Gloucestershire (BNSSG) Buckinghamshire, Oxfordshire and Berkshire West (BOB) Cambridgeshire and Peterborough Cheshire and Merseyside Cornwall and Isles of Scilly Coventry and Warwickshire Derby and Derbyshire Devon Dorset Frimley Gloucestershire Greater Manchester Hampshire and Isle of Wight Herefordshire and Worcestershire Hertfordshire and West Essex Humber and North Yorkshire Kent and Medway Lancashire and South Cumbria Leicester, Leicestershire and Rutland Lincolnshire Mid and South Essex Norfolk and Waveney North Central London North East and North Cumbria North East London North West London Northamptonshire Nottingham and Nottinghamshire Shropshire, Telford and Wrekin Somerset South East London South West London South Yorkshire Staffordshire and Stoke-on-Trent Suffolk and North East Essex Surrey Heartlands Sussex West Yorkshire As you have selected a local health board as one of your funding bodies, please now state which ones and describe your contracting arrangements with them. You many contract with more than one, so select as many as you need to cover the contracted (or partly contracted) services you provide. Please note these are only the local health boards from whom you receive any funding. NHS ICB contract 1 Contracting Arrangement (type) Please Select NHS Standard Contract - full length NHS Standard Contract - short form NHS Grant Agreement - national template Local grant agreement Local service level agreement (SLA) Continuing (Health) Care funding Spot purchasing No agreement Other arrangement Contract length (years) Total years of current contract (from its start to current end date) Funding mechanism Please Select Block funding - but risk sharing for actual activity Block funding - no in-year variation Activity based contract - paid on actual activity Performance based contract - paid on achieving KPIs / quality measures Spot purchasing - as and when Other arrangement Select how funding is paid within this contract arrangement Contract uplift since previous year (%) Total % increase awarded during contract year including if 0% NHS ICB contract 2 Contracting Arrangement (type) Please Select NHS Standard Contract - full length NHS Standard Contract - short form NHS Grant Agreement - national template Local grant agreement Local service level agreement (SLA) Continuing (Health) Care funding Spot purchasing No agreement Other arrangement Contract length (years) Total years of current contract (from its start to current end date) Funding mechanism Please Select Block funding - but risk sharing for actual activity Block funding - no in-year variation Activity based contract - paid on actual activity Performance based contract - paid on achieving KPIs / quality measures Spot purchasing - as and when Other arrangement Select how funding is paid within this contract arrangement Contract uplift since previous year (%) Total % increase awarded during contract year including if 0% NHS ICB contract 3 Contracting Arrangement (type) Please Select NHS Standard Contract - full length NHS Standard Contract - short form NHS Grant Agreement - national template Local grant agreement Local service level agreement (SLA) Continuing (Health) Care funding Spot purchasing No agreement Other arrangement Contract length (years) Total years of current contract (from its start to current end date) Funding mechanism Please Select Block funding - but risk sharing for actual activity Block funding - no in-year variation Activity based contract - paid on actual activity Performance based contract - paid on achieving KPIs / quality measures Spot purchasing - as and when Other arrangement Select how funding is paid within this contract arrangement Contract uplift since previous year (%) Total % increase awarded during contract year including if 0% Submit Should be Empty: