Common use of Population Needs Clause in Contracts

Population Needs. 1.1. The purpose of this Service Specification is to describe the Provider’s responsibilities for the delivery of the NHS Abdominal Aortic Aneurysm Screening Programme (NAAASP) (the Services). This Service Specification provides a consistent and equitable approach across England and this common national service specification must be used to govern the provision and monitoring of abdominal aortic aneurysm screening services. 1.2. The Provider shall at all times ensure the Services are provided in accordance with the requirements set out in this Contract, which, inter alia, includes the requirements of Guidance. Without limitation, some of the documents and information sources listed below, in Table 1, are agreed to be captured within the definition of Guidance. 1.3. NAAASP aims to reduce deaths from abdominal aortic aneurysms (AAA) through early detection, appropriate monitoring and treatment. Research has demonstrated that offering men ultrasound screening in their 65th year should reduce the rate of premature death from ruptured AAA by up to 50 per cent. 1.4. Ruptured AAA deaths account for around 2.1% of all deaths in men aged 65 and over. This compares with 0.8% in women of the same age group. The mortality from rupture is high, with nearly a third dying in the community before reaching hospital. Of those who undergo AAA emergency surgery, the post-operative mortality rate is around 50%, making the case fatality after rupture around 80%. This compares with a post-operative mortality rate in high quality vascular services of around 2% following planned surgery. 1.5. The target population to be screened is all men eligible for NHS care registered with a general practitioner within the commissioned screening programme boundaries. Selection will be based on year of birth. Men should be offered screening during the year – 1st April to 31st March – in which they turn 65 years. Men over the age of 65 can self-refer to the screening programme and have their information added manually to the screening management system. 1.6. Further detail about the population to be screened is within section 3.3 of this service specification. 1.7. Based on research data, for each 1,000 men screened: • 985 can expect to have a normal aorta • 14 can expect to have a small to medium aneurysm • 1 can expect to have a large aneurysm.

Population Needs. 1.1. ‌ 1.1 The purpose of this Service Specification is to describe the Provider’s responsibilities for the delivery of the NHS Abdominal Aortic Aneurysm Screening Programme (NAAASP) (the Services). This Service Specification provides a consistent and equitable approach across England and this common national service specification must be used to govern the provision and monitoring of abdominal aortic aneurysm screening services. 1.2. 1.2 The Provider shall will, at all times times, ensure the Services are provided in accordance with the requirements set out in this Contract, which, inter alia, includes the requirements of Guidance. Without limitation, some of the documents and information sources listed below, in Table 1, are agreed to be captured within the definition of Guidance. 1.3. 1.3 NAAASP aims to reduce deaths from abdominal aortic aneurysms (AAA) through early detection, appropriate monitoring and treatment. Research has demonstrated that offering men ultrasound screening in their 65th year should reduce the rate of premature death from ruptured AAA by up to 50 per cent. 1.4. 1.4 Ruptured AAA deaths account for around 2.10.8% of all deaths in men aged 65 and over. This compares with 0.80.3% in women of the same age group. The mortality from rupture is high, with nearly a third dying in the community before reaching hospital. Of those who undergo AAA emergency surgery, the post-operative mortality rate is around 50%, making the case fatality after rupture around 80%. This compares with a post-operative mortality rate in high quality vascular services of around 20.6% following planned surgery. 1.5. 1.5 The target population to be screened is all men eligible for NHS care registered with a general practitioner within the commissioned screening programme boundaries. This will also include all men resident in England with effect from April 2019. Selection will be based on year of birth. Men should be offered screening during the year – 1st April to 31st March – in which they turn 65 years. Men over the age of 65 can self-refer to the screening programme and have their information added manually to the screening management system. 1.6. 1.6 Further detail about the population to be screened is within section 3.3 3.9, 3.19 and 3.34 of this service specification. 1.7. 1.7 Based on research data, for each 1,000 men screened: • 985 990 can expect to have a normal aorta • 14 9 can expect to have a small to medium aneurysm • 1 can expect to have a large aneurysm. 1.8 The role of PHE Screening