Aggregate Contract Monitoring Data Set

IntroductionThe Aggregate Contract Monitoring Data Set is to enable the interchange, in a uniform and consistent format, of monthly aggregate Contract Monitoring data between all purchasers and Health Care Providers.

Overview

Introduction

The Aggregate Contract Monitoring Data Set  is to enable the interchange, in a uniform and consistent format, of monthly aggregate Contract Monitoring data between all purchasers and Health Care Providers. This will ensure that Contract Monitoring and reporting is consistent, comparable and fit for purpose across all commissioning ORGANISATIONS.

Submission of the Aggregate Contract Monitoring Data Set is a contractual requirement and a recognised monthly reconciliation statement. It demonstrates the aggregated cost of commissioned clinical care provided to PATIENTS as well as financial adjustments not attributed directly to clinical care. The totality of expenditure documented in the Aggregate Contract Monitoring Data Set must be equivalent to the monetary value of the invoice raised by the Health Care Provider and presented to the commissioner.

Scope

The scope of the Aggregate Contract Monitoring Data Set  is all NHS-funded clinical care provided (including drugs and MEDICAL DEVICES not covered by the National Tariff Payment System) provided to PATIENTS as well as financial adjustments not attributed directly to clinical care, for all commissioners. This covers:

The Aggregate Contract Monitoring Data Set is an aggregation of the three separate patient-level Contract Monitoring data set flows:

Submission

The Aggregate Contract Monitoring Data Set  is submitted on a monthly basis to the respective Data Services for Commissioners Regional Office  (DSCRO) as nominated by each commissioning function in line with the dates documented in the data submission timetable within Schedule 6 of the NHS Standard Contract.

The completed monthly Aggregate Contract Monitoring Data Set should be transmitted using the NHS Digital Data Landing Portal  (DLP).

For further information on the Aggregate Contract Monitoring Data Set, see the NHS England  website at: Specialised Services Reporting Requirements.

Mandation

The Mandation column indicates the recommendation for the inclusion of data.

  • M = Mandatory: this data element is mandatory and the technical process (e.g. submission of the data set, production of output etc) cannot be completed without this data element being present

  • R = Required: NHS business processes cannot be delivered without this data element

  • O = Optional: the inclusion of this data element is optional as required for local purposes.

Specification

SUBMISSION HEADER

To carry the submission header details.One occurrence of this group is required.

Mandation

Data Elements

M

FINANCIAL MONTH

M

FINANCIAL YEAR

M

DATE AND TIME DATA SET CREATED

ORGANISATION DETAILS

To carry the organisation details of the provider and commissioner. One occurrence of this group is required.

Mandation

Data Elements

M

ORGANISATION IDENTIFIER (CODE OF PROVIDER)

R

ORGANISATION IDENTIFIER (GP PRACTICE RESPONSIBILITY)

M

ORGANISATION IDENTIFIER (CODE OF COMMISSIONER)

R

GENERAL MEDICAL PRACTICE CODE (PATIENT REGISTRATION)

CARE ACTIVITY DETAILS

To carry the care activity details.One occurrence of this group is required.

Mandation

Data Elements

R

ACTIVITY TREATMENT FUNCTION CODE

O

LOCAL SUB-SPECIALTY CODE

R

WARD CODE

SERVICE AGREEMENT AND COMMISSIONING DETAILS

To carry the service agreement and commissioning details.One occurrence of this group is required.

Mandation

Data Elements

M

COMMISSIONED SERVICE CATEGORY CODE

R

SPECIALISED SERVICE CODE

R

SPECIALISED MENTAL HEALTH SERVICE CATEGORY CODE

M

POINT OF DELIVERY CODE

R

POINT OF DELIVERY FURTHER DETAIL CODE

R

POINT OF DELIVERY FURTHER DETAIL DESCRIPTION

O

LOCAL POINT OF DELIVERY CODE

O

LOCAL POINT OF DELIVERY DESCRIPTION

O

CONTRACT MONITORING ADDITIONAL DETAIL (FIRST)

O

CONTRACT MONITORING ADDITIONAL DESCRIPTION (FIRST)

O

CONTRACT MONITORING ADDITIONAL DETAIL (SECOND)

O

CONTRACT MONITORING ADDITIONAL DESCRIPTION (SECOND)

O

CONTRACT MONITORING ADDITIONAL DETAIL (THIRD)

O

CONTRACT MONITORING ADDITIONAL DESCRIPTION (THIRD)

O

CONTRACT MONITORING ADDITIONAL DETAIL (FOURTH)

O

CONTRACT MONITORING ADDITIONAL DESCRIPTION (FOURTH)

O

CONTRACT MONITORING ADDITIONAL DETAIL (FIFTH)

O

CONTRACT MONITORING ADDITIONAL DESCRIPTION (FIFTH)

COST AND PRICING DETAILS

To carry the cost and pricing details.One occurrence of this group is required.

Mandation

Data Elements

R

TARIFF CODE

M

NATIONAL TARIFF INDICATOR

M

CONTRACT MONITORING PLANNED ACTIVITY

M

CONTRACT MONITORING PLANNED PRICE

M

CONTRACT MONITORING PLANNED MARKET FORCES FACTOR

M

CONTRACT MONITORING ACTUAL ACTIVITY

M

CONTRACT MONITORING ACTUAL PRICE

M

CONTRACT MONITORING ACTUAL MARKET FORCES FACTOR

Also Known As

This data set is also known by these names:

Context Alias
Also known as ACM
Short name Aggregate Contract Monitoring