Common use of FINANCIAL CONTRIBUTIONS Clause in Contracts

FINANCIAL CONTRIBUTIONS. This schedule of the Section 75 has zero (£0) value, instead the CCG will pay on a cost per case basis for each IUS fitted, reviewed or removed following a quarterly invoice (in arrears)from the local authority. No pooled budget will be established between the CCG and local authority. The CCG will reimburse the local authority for IUS services for gynaecological purposes such as menorrhagia with costs split as follows: • IUS fitted for gynaecological purposes such as menorrhagia only are funded by East Leicestershire and Rutland CCG/ West Leicestershire CCG for patients registered /residing in their CCG locality. • IUD/S fitted for contraception only are funded by Leicestershire County Council (for patients resident in Leicestershire). • IUS fitted for joint gynaecological purposes (such as menorrhagia) and contraception purposes are funded on a 50/50 split between the CCG of residence/registered patient and Leicestershire County Council (for Leicestershire residents). The cost of each IUS fitting will be aligned with the local authority existing payment structures for the integrated sexual health service and community based service. CCGs will be informed of these on an annual basis. Current costs for 17/18 are: Community Based Service Contract Specialist Sexual Health Service Contract IUS Fit £81.31 £146.40 IUS post-fitting review (if required in accordance with FSRH guidance) £21.69 £66.94 Device cost (LNG-IUS) £81.44 Included in unit price of fit Complex fit/removal. (SRH Complex Tariff) N/A £220.38 The local authority will not charge the CCG for existing contract management, new quarterly performance reports and invoices. If additional work is needed this would need specific negotiation between the two parties. Initial data suggests that the cost to each CCG would not exceed £50,000 per annum. However, exact figures will be determined once the service is established. Financial resources in subsequent years to be determined in accordance with the Agreement

FINANCIAL CONTRIBUTIONS. This schedule of the Section 75 has zero (£0) value, instead the CCG ICB will pay on a cost per case basis for each IUS fitted, reviewed reviewed, or removed following a quarterly invoice (in arrears)from arrears) from the local authority. No pooled budget will be established between the CCG ICB and local authority. The CCG ICB will reimburse the local authority for IUS services for gynaecological gynecological purposes such as menorrhagia with costs split as follows: • IUS fitted for gynaecological gynecological purposes such as menorrhagia only are funded by East Leicester Leicestershire and Rutland CCG/ West Leicestershire CCG ICB for patients registered /residing in their CCG locality. • IUD/S fitted for contraception only are funded by Leicestershire County Council (for patients’ resident in Leicestershire) and Rutland County Council (for patients resident in LeicestershireRutland). • IUS fitted for joint gynaecological gynecological purposes (such as menorrhagia) and contraception purposes are funded on a 50/50 split between the CCG of residence/registered patient LLR ICB and Leicestershire County Council (for Leicestershire residents) and Rutland County Council (for patients resident in Rutland). The cost of each IUS fitting will be aligned with the local authority existing payment structures for the integrated sexual health service and community community-based service. CCGs will be informed of these on an annual basis. Current costs for 17/18 22/23 are: Community Based Service (CBS) Contract Specialist Sexual Health Service Contract from 1st January 2019 IUS Fit £81.31 80.00 £146.40 138.13 IUS post-fitting review (if required in accordance with FSRH guidance) Included in CBS IUS Fit payment. £21.69 £66.94 63.16 Device cost (LNG-IUS) £81.44 Cost reimbursed by practice prescribing route. Included in unit price of fit IUS Removal £20.00 Part of SRH standard tariff Complex fit/removal. (SRH Complex Tariff) N/A £220.38 207.93 The local authority will not charge the CCG ICB for existing contract management, new quarterly performance reports and invoices. If additional work is needed this would need specific negotiation between the two parties. Initial data Activity to date suggests that the cost to each CCG the ICB would not exceed £50,000 per annum. However, exact figures will be determined once the service is established. Financial resources in subsequent years to be determined in accordance with the Agreement

FINANCIAL CONTRIBUTIONS. This schedule of the Section 75 has zero (£0) value, instead the CCG will pay on a cost per case basis for each IUS fitted, reviewed or removed following a quarterly invoice (in arrears)from arrears) from the local authority. No pooled budget will be established between the CCG and local authority. The CCG will reimburse the local authority for IUS services for gynaecological purposes such as menorrhagia with costs split as follows: • IUS fitted for gynaecological purposes such as menorrhagia only are funded by East Leicestershire and Rutland CCG/ West Leicestershire CCG for patients registered /residing in their CCG locality. • IUD/S fitted for contraception only are funded by Leicestershire County Council (for patients resident in Leicestershire). • IUS fitted for joint gynaecological purposes (such as menorrhagia) and contraception purposes are funded on a 50/50 split between the CCG of residence/registered patient and Leicestershire County Council (for Leicestershire residents). The cost of each IUS fitting will be aligned with the local authority existing payment structures for the integrated sexual health service and community community-based service. CCGs will be informed of these on an annual basis. Current costs for 17/18 19/20 are: Community Based Service Contract Specialist Sexual Health Service Contract from 1st January 2019 IUS Fit £81.31 £146.40 138.13 IUS post-fitting review (if required in accordance with FSRH guidance) £21.69 £66.94 63.16 Device cost (LNG-IUS) £81.44 Included in unit price of fit Complex fit/removal. (SRH Complex Tariff) N/A £220.38 207.93 The local authority will not charge the CCG for existing contract management, new quarterly performance reports and invoices. If additional work is needed this would need specific negotiation between the two parties. Initial data Activity to date suggests that the cost to each CCG would not exceed £50,000 per annum. However, exact figures will be determined once the service is established. Financial resources in subsequent years to be determined in accordance with the Agreement

FINANCIAL CONTRIBUTIONS. This schedule of the Section 75 has zero (£0) value, instead the CCG will pay on a cost per case basis for each IUS fitted, reviewed or removed following a quarterly invoice (in arrears)from arrears) from the local authority. No pooled budget will be established between the CCG and local authority. The CCG will reimburse the local authority for IUS services for gynaecological purposes such as menorrhagia with costs split as follows: • IUS fitted for gynaecological purposes such as menorrhagia only are funded by East Leicestershire and Rutland CCG/ West Leicestershire CCG for patients registered /residing in their CCG locality. • IUD/S fitted for contraception only are funded by Leicestershire County Council (for patients resident in Leicestershire) and Rutland County Council (for patients resident in Rutland). • IUS fitted for joint gynaecological purposes (such as menorrhagia) and contraception purposes are funded on a 50/50 split between the CCG of residence/registered patient and Leicestershire County Council (for Leicestershire residents) and Rutland County Council (for patients resident in Rutland). .. The cost of each IUS fitting will be aligned with the local authority existing payment structures for the integrated sexual health service and community community-based service. CCGs will be informed of these on an annual basis. Current costs for 17/18 21/22 are: Community Based Service (CBS) Contract Specialist Sexual Health Service Contract from 1st January 2019 IUS Fit £81.31 80.00 £146.40 138.13 IUS post-fitting review (if required in accordance with FSRH guidance) (if with Included payment. in CBS IUS Fit £21.69 £66.94 63.16 Device cost (LNG-IUS) £81.44 Cost reimbursed by practice prescribing route. Included in unit price of fit IUS Removal £20.00 Part of SRH standard tariff Complex fit/removal. (SRH Complex Tariff) N/A £220.38 207.93 The local authority will not charge the CCG for existing contract management, new quarterly performance reports and invoices. If additional work is needed this would need specific negotiation between the two parties. Initial data Activity to date suggests that the cost to each CCG would not exceed £50,000 per annum. However, exact figures will be determined once the service is established. Financial resources in subsequent years to be determined in accordance with the Agreement

FINANCIAL CONTRIBUTIONS. This schedule of the Section 75 has zero (£0) value, instead the CCG ICB will pay on a cost per case basis for each IUS fitted, reviewed reviewed, or removed following a quarterly invoice (in arrears)from arrears) from the local authority. No pooled budget will be established between the CCG ICB and local authority. The CCG ICB will reimburse the local authority for IUS services for gynaecological gynecological purposes such as menorrhagia with costs split as follows: • IUS fitted for gynaecological gynecological purposes such as menorrhagia only are funded by East Leicester Leicestershire and Rutland CCG/ West Leicestershire CCG ICB for patients registered /residing in their CCG locality. • IUD/S fitted for contraception only are funded by Leicestershire County Council (for patients’ resident in Leicestershire) and Rutland County Council (for patients resident in LeicestershireRutland). • IUS fitted for joint gynaecological gynecological purposes (such as menorrhagia) and contraception purposes are funded on a 50/50 split between the CCG of residence/registered patient LLR ICB and Leicestershire County Council (for Leicestershire residents) and Rutland County Council (for patients resident in Rutland). 145 82 The cost of each IUS fitting will be aligned with the local authority existing payment structures for the integrated sexual health service and community community-based service. CCGs will be informed of these on an annual basis. Current costs for 17/18 22/23 are: Community Based Service (CBS) Contract Specialist Sexual Health Service Contract from 1st January 2019 IUS Fit £81.31 80.00 £146.40 138.13 IUS post-fitting review (if required in accordance with FSRH guidance) Included in CBS IUS Fit payment. £21.69 £66.94 63.16 Device cost (LNG-IUS) £81.44 Cost reimbursed by practice prescribing route. Included in unit price of fit IUS Removal £20.00 Part of SRH standard tariff Complex fit/removal. (SRH Complex Tariff) N/A £220.38 207.93 The local authority will not charge the CCG ICB for existing contract management, new quarterly performance reports and invoices. If additional work is needed this would need specific negotiation between the two parties. Initial data Activity to date suggests that the cost to each CCG the ICB would not exceed £50,000 per annum. However, exact figures will be determined once the service is established. Financial resources in subsequent years to be determined in accordance with the Agreement