NHS Operational Planning and Contracting Guidance 2020/21

3 February 2020

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The guidance outlines the trajectory for the NHS over the next financial year and places a strong emphasis on systems as the default operational level, as well as providing greater detail on how local NHS organisations will be supported to deliver on the aims of the NHS Long Term Plan.

Download the briefing for our summary and key points, or access the guidance in full

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A summary of the nhs operational planning and contracting guidance 2020/21., by pharmaceutical services negotiating committee ..

nhs operational planning and contracting guidance 2020/21

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The 'NHS long term plan' was published in January 2019 and sets out the implementation and intended outcomes of services to be delivered by 2023/24, via a long-term revenue settlement from the government. The NHS long term plan committed to an increase in spending of £4.5 billion in real terms on primary medical and community health services by 2023/24. At the end of January 2020, NHS England and NHS Improvement (NHSE&I) published the 'NHS operational planning and contracting guidance 2020/21', which will help to take the 'NHS long term plan' into its second year. This briefing summarises the elements of this guidance which are of most relevance to local pharmaceutical committee officers and members and the community pharmacy sector.

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NHS planning guidance is rightly ambitious, but presents big challenges

31 January 2020

Responding to the NHS operational planning and contracting guidance 2020/21, the chief executive of NHS Providers, Chris Hopson said: “ The planning guidance issued today provides more important detail about how the NHS will deliver the long term plan and make the required transition to integrated care, system working and a broader range of priorities than the old set of narrow acute hospital waiting time targets, important though these are. “ It’s right that the NHS is ambitious for patients. But we also need to recognise the context. This winter we have seen performance fall to the lowest levels recorded while the waiting list for routine surgery grows. There are over 105,000 vacancies in trusts alone, and each year we are seeing demand and the need for more complex care grow. And whilst we welcome the extra NHS funding the government has committed, this comes after the longest and deepest financial squeeze in NHS history and does not reflect a return to the long term trend: it’s no bonanza. In this context, improving waiting list performance, recovering financial deficits, starting to deliver the new priorities in the long term plan and the people plan, and taking the next steps in transforming the NHS is, collectively, a very big ask.

In this context, improving waiting list performance, recovering financial deficits, starting to deliver the new priorities in the long term plan and the people plan, and taking the next steps in transforming the NHS is, collectively, a very big ask.

“ We particularly welcome the emphasis on prevention and wellbeing and health inequalities within this guidance and the recognition that mental health, community and ambulance services all have a vital role to play in providing great care to patients, alongside acute hospitals. “ While this guidance will enable trusts to plan for 2020/21,we still need to see the detail of the final people plan, the long term plan implementation plan, the results of the clinical review of standards, and the new NHS England and Improvement operating model and oversight framework. We also need a full multi year capital settlement and multi year education, training and public health revenue budgets. These will all follow over the next few months. Taken together, we will then have the complete new strategic framework the NHS frontline needs to underpin the long term plan.

While this guidance will enable trusts to plan for 2020/21,we still need to see the detail of the final people plan, the long term plan implementation plan, the results of the clinical review of standards, and the new NHS England and Improvement operating model and oversight framework.

“ Workforce challenges remain a top priority for trusts. We welcome the ambition to increase nursing numbers but the NHS will also need to be properly supported to deliver the other key commitments in the people plan – making the NHS a great place to work, investing in leadership and training and enabling the NHS workforce to take full advantage of technology. “ Trusts will welcome changes to the financial system intended to support the provider sector to reduce its overall deficit. But we need to recognise that these are stretching targets. It is becoming clear the 20/21 starting point will be worse than envisaged even a few months ago, and that there are still a small number of trusts who are concerned they are being asked to deliver the impossible. We must avoid pressurising providers to sign up to unrealistic targets, or we risk revisiting the problems we had with the previous financial framework.”

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Project Roomkey/Housing and Homelessness COVID Response

Project Roomkey was established in March 2020 as part of the state response to the COVID-19 pandemic. The purpose of Project Roomkey and Rehousing Strategy was to provide non-congregate shelter options, such as hotels and motels, for people experiencing homelessness, to protect human life, and to minimize strain on health care system capacity.

As the response to the pandemic evolved, so did Project Roomkey.  In November 2020, a new phase of Project Roomkey began, called Project Roomkey and Rehousing Strategy.  This new phase of the program built on existing emergency shelter efforts while also supporting permanent transitions to safe and stable housing to ensure homelessness is non-recurring.

Project Roomkey and Rehousing Strategy gives people who are experiencing homelessness and recovering from COVID-19, or have been exposed to COVID-19, a place to recuperate and properly quarantine outside of a hospital.  It also provides a safe place for isolation for people who are experiencing homelessness and at high risk for medical complications should they to become infected.

Project Roomkey and Rehousing Strategy is designed to quickly provide dedicated resources to ensure Project Roomkey units remain online through the continued public health emergency and that homelessness is non-recurring.  Project Roomkey units are intended to be temporary, emergency shelter options, while the Rehousing Strategy is to ensure no Project Roomkey occupant is forced to exit into unsheltered homelessness by developing and implementing plans to transition individuals from Project Roomkey sites into permanent housing.

Building on the success of Project Roomkey and Rehousing Strategy, the Homekey grant program , which is administered by the California Department of Housing and Community Development (HCD), created additional opportunities for agencies to acquire hotels, motels, apartments, and other buildings to provide long-term homes for people experiencing, or at risk of homelessness. Homekey converts commercial properties and other existing buildings to permanent or interim housing, including but not limited to, hotels, motels, hostels, single-family homes and multifamily apartments, adult residential facilities, and manufactured homes.

Eligibility/For Whom

CDSS recommends prioritizing this resource in a manner consistent with state and federal public health guidance, and FEMA Reimbursement Eligibility Criteria , for people experiencing homelessness which includes people who have tested positive for COVID 19, have been exposed to COVID 19, or are “high risk” of health complications.

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Information for project roomkey/homelessness response providers during covid, statewide program guidance on covid response and homeless assistance services.

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The California Governor's Office of Emergency Services (Cal OES) Recovery Section acts as the grantee for FEMA’s Public Assistance Program. Tribal and local governments are among the entities eligible to apply for Public Assistance (i.e., a subgrant). This is the mechanism by which local governments and tribes will seek FEMA reimbursement for eligible Project Roomkey expenses. CalOES can assist applicants in applying for a Public Assistance subgrant and understanding eligibility requirements. Applicants should also work with their Emergency Services partners in applying for a FEMA Public Assistance subgrant.

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Cal/OSHA and Statewide Industry Guidance on COVID-19

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The COVID-19 Prevention non-emergency regulations are in effect until February 3, 2025.  Read more about the non-emergency regulations .

NOTICE: Removal of Cal/OSHA Interim Guidance on COVID-19 for Health Care Facilities: Severe Respirator Supply Shortages

The supply and availability of NIOSH-approved respirators, including N95s, has increased significantly over the last several months. As a result, Cal/OSHA has removed the Cal/OSHA Interim Guidance on COVID-19 for Health Care Facilities: Severe Respirator Supply Shortages that allowed certain strategies to extend supplies of respirators during severe shortages.

The U.S. Food and Drug Administration (FDA) also recommends health care personnel and facilities transition away from respirator crisis capacity conservation strategies, such as decontamination of disposable respirators. Pursuant to title 8 sections 5144 and 5199, healthcare facilities are to use respirators in full accordance with their manufacturers' instructions and their NIOSH approval.

Cal/OSHA maintains a partial list of N95 vendors who state they have large supplies on-hand.

Also available is the NIOSH Certified Equipment List  that identifies all NIOSH approved respirators and approval holders.

Workplace safety and health regulations in California require employers to take steps to protect workers potentially exposed to infectious diseases like COVID-19. Cal/OSHA has posted guidance to help employers comply with these requirements and to provide workers information on how to protect themselves and prevent the spread of the disease.

Cal/OSHA recommends employers review the guidance, educational materials and model programs and plans provided by Cal/OSHA, along with an employer's existing procedures, to ensure that workers are protected.

Note: These guidelines and materials are subject to change as information is received and the situation evolves. Cal/OSHA has archived outdated guidance for historical reference.

Statewide Resources on Safely Reopening California, Continuing Safety Measures, and County Risk Level Maps as of June 15, 2021

Cal/OSHA and other state agencies have developed guidance on the steps some businesses should take to reduce the risk of COVID-19 at work. Cal/OSHA recommends employers review the guidance relevant to their worksites, local information guidance criteria, along with the guidance on Cal/OSHA requirements below, and their existing safety procedures to ensure the workplace is protected from the spread of COVID-19.

Cal/OSHA Industry Guidance and Resources

Guidance by industry.

Note: For the most updated information on the COVID-19 Prevention Emergency Temporary Standards (ETS), visit the Cal/OSHA Emergency Temporary Standards Information and Resources page . For the latest information on the revisions to the ETS, visit Cal/OSHA's Frequently Asked Questions (FAQs) page .

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IMAGES

  1. New NHS operational planning guidance

    nhs operational planning and contracting guidance 2020/21

  2. A summary of NHS operational planning and contracting guidance 2020/21

    nhs operational planning and contracting guidance 2020/21

  3. NHS Operational Planning and Contracting Guidance 2020/21: Annex F: Activity and performance

    nhs operational planning and contracting guidance 2020/21

  4. NHS Operational Planning and Contracting Guidance 2019/20

    nhs operational planning and contracting guidance 2020/21

  5. NHS England » NHS Shared Planning Guidance

    nhs operational planning and contracting guidance 2020/21

  6. What the NHS Operational Planning and Contracting Guidance means for Primary Care Networks

    nhs operational planning and contracting guidance 2020/21

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COMMENTS

  1. NHS Operational Planning and Contracting Guidance 2020/21

    This NHS Operational Planning and Contracting Guidance 2020/21 covers system planning, full operational plan requirements, details of workforce transformation requirements, the financial settlement and the process and timescales around the submission of plans that the NHS must plan to do during 2020/21. Document

  2. NHS operational planning and contracting guidance

    NHS Operational Planning and Contracting Guidance 2020/21: Annex A: Introduction and Overview to Technical and Supporting Guidance Annex B: Guidance on the Production of System-Led Narrative Plan Submissions for 2020/21 Annex C: Guidance for Financial Plans Annex C1: NHS England and NHS Improvement Guidance for Commissioner Finance Business Rules

  3. PDF NHS operational planning and contracting guidance 2020/21

    • The planning guidance sets out the shared goals for the health service for 2020/21, the second year of the long term plan period. • Systems are required to improve urgent and emergency care performance from the 2019/20 baseline. They should cut acute bed occupancy to 92% by expanding bed capacity and providing more community care.

  4. PDF NHS Operational Planning and Contracting Guidance 2020/21

    NHS Confederation 5NHS Operational Planning and Contracting Guidance 2020/21 Operational requirements This section outlines what changes will need to be made to operational plans in order to deliver the NHS Long Term Plan and improve delivery and coverage of services within the context of system working. Primary care and community health services

  5. NHS Operational Planning and Contracting Guidance 2020/21

    Read NHS Operational Planning and Contracting Guidance 2020/21 The guidance outlines the trajectory for the NHS over the next financial year and places a strong emphasis on systems as the default operational level, as well as providing greater detail on how local NHS organisations will be supported to deliver on the aims of the NHS Long Term Plan.

  6. NHS operational planning and contracting guidance 2020/21

    Publisher: NHS England, NHS Improvement, 2020. Description: 41p. Summary: This guidance covers system planning, full operational plan requirements, details of workforce transformation requirements, the financial settlement and the process and timescales around the submission of plans that the NHS must plan to produce during 2020/21..

  7. A summary of the NHS operational planning and contracting guidance 2020/21

    The NHS long term plan committed to an increase in spending of £4.5 billion in real terms on primary medical and community health services by 2023/24. At the end of January 2020, NHS England and NHS Improvement (NHSE&I) published the 'NHS operational planning and contracting guidance 2020/21', which will help to take the 'NHS long term plan ...

  8. PDF Summary of NHS operational planning and contracting guidance 2020/21

    HFMA Summary of NHS operational planning and contracting guidance 2020/21 5 • actions to increase recruitment and retention of nurses • consideration of how the apprenticeship levy can be fully utilised. New investment in continuing professional development (CPD) for all nurses, midwives and allied

  9. PDF Summary of NHS operational planning and contracting guidance 2020/21

    Summary of NHS operational planning and contracting guidance 2020/21 . 1 Introduction . The NHS operatonai and cl ontracngti guidance 2020/211 (the guidance) is integral to the delivery of The NHS ong tl erm plan 2 (summarsi ed for members by the HFMA 3), setng outti how the ongl- term revenue setemtl ent w lbe li

  10. NHS planning guidance is rightly ambitious, but ...

    NHS England and NHS Improvement have published the NHS operational planning and contracting guidance 2020/21. It stated that hospitals must reduce bed occupancy to below 92%, improve A&E performance against benchmarks, and reduce waiting lists.

  11. Summary of NHS operational planning and contracting guidance 2020/21

    8 NHS, Commissioning for Quality and Innovation (CQUIN) guidance for 2020-2021, January 2020 HFMA Summary of NHS operational planning and contracting guidance 2020/21 8 Payroll Where payroll contracts are due for renewal during 2020/21 or where payroll provision is standalone, opportunities should be sought to increase collaboration across the ...

  12. Project Roomkey

    County Letter: Fiscal Year 2021-22 Project Roomkey and Rehousing Strategy Program Allocation (October 27, 2021) County Letter: Project Roomkey (PRK) Allocations Available For Fiscal Year (FY) 2021-22 (July 29, 2021) County Letter: Resources and Guidance for Eviction and Homelessness Prevention (January 14, 2021) County Letter: Joint Letter to Continue Non-Congregate Shelter for People ...

  13. NHS Operational Planning and Contracting Guidance 2017

    Summary. NHS England and NHS Improvement have published this year's operational and contracting planning guidance three months earlier than normal to help local organisations plan more strategically. For the first time, the planning guidance covers two financial years, to provide greater stability and support transformation.

  14. Businesses and Workplaces

    Guidance for Safe Operation. Businesses in Santa Clara County are responsible for taking steps to protect the health of their workers and customers. All businesses and workplaces in Santa Clara County are subject to the requirements in Cal/OSHA COVID-19 Guidance. Some workplaces must also follow regulations in the Cal/OSHA Aerosol Transmissible ...

  15. Cal/OSHA and Statewide Industry Guidance on COVID-19

    Cal/OSHA and other state agencies have developed guidance on the steps some businesses should take to reduce the risk of COVID-19 at work. Cal/OSHA recommends employers review the guidance relevant to their worksites, local information guidance criteria, along with the guidance on Cal/OSHA requirements below, and their existing safety ...

  16. PDF Local Plan: Section E

    SELPA: 4301 - Santa Clara Area 1 SELPA Fiscal Year: 2020-21 E. Annual Service Plan California Education Code (EC) sections 56205(b)(2) and (d); 56001; and 56195.9 ... of an LEA or county office of education (COE), employed under contract pursuant to EC sections 56365-56366, or employees, vendors or contractors of the State Departments of Health ...