Special Allocaiton Scheme for Nottingham & Nottinghamshire CCG

NHS Nottingham & Nottinghamshire Clinical Commissioning Group are seeking suitably qualified and experienced providers to deliver a Special Allocation Scheme. It is a national requirement that a local Special Allocation Scheme (formerly 'violent patient scheme') provider is commissioned to deliver essential primary care services for patients which have been removed from their practice list due to violence and allocated to the Special Allocation Scheme.

Provision for a Special Allocation Scheme is set out in the GMS and the PMS regulations (together, the 'Regulations'). Local defined outcomes are: • To rehabilitate patients so that they can be discharged and transferred to mainstream primary care • To deliver the duty to secure provision of primary medical services for patients throughout England • To deliver a practice-based approach for delivering primary care services to patients who are removed from GP lists for reasons of abusive and violent behaviour • To balance the rights of the patients to receive services from GPs with the need to ensure that specified persons, including GPs, their staff, patients and others on the premises, deliver and receive those services without actual or threatened violence or other reasonable fear for their safety.

The overarching objectives of the service are to: - Ensure any patient removed under the violent patient regulations has access to essential and additional medical services - Communicate behavioural expectations to patients and educate them to behave responsibly wherever possible - Educate mainstream general practices to build understanding regarding the service including the ability to determine where a patient is appropriate or not appropriate for the scheme - Minimise the risks to the safety of health professionals and others. All patients have the right to be registered with a GP and access primary care; however, where a patient has been subject to immediate removal from a GP's patient list their rights to accessing primary care are limited, e.g. patient choice of practice, including location of services and entitlement to home visits.

For patients to again hold these rights they must demonstrate rehabilitation so far as to warrant discharge from the SAS and transfer to mainstream general practice. The provider should align the service to mainstream general practice where possible which will assist in the patient's discharge and transition from the SAS.