“(1) Subject to paragraph… (3), if, in the course of negotiations intending to lead to a contract, the prospective contracting parties are unable to agree on a particular term, of the contract, either party may refer the dispute to the Secretary of State to consider and determine the matter in accordance with the procedure provided in Paragraphs 55(2) and (3) of Schedule 3. … (3) Before referring the dispute for consideration and determination under paragraph (1), both parties to the prospective contract must make every reasonable effort to communicate and cooperate with each other with a view to resolving it. … (5) In case of a dispute referred to the Secretary of State under paragraph (1), the determination (a) may specify terms to be included in the proposed contract; (b) may require the [PCT] to proceed with the proposed contract, but may not require the proposed contractor to proceed with the proposed contract; and (c) shall be binding upon the prospective parties to the contract.” (a) may specify terms to be included in the proposed contract; (b) may require the [PCT] to proceed with the proposed contract, but may not require the proposed contractor to proceed with the proposed contract; and (c) shall be binding upon the prospective parties to the contract.”
“Where the contracting parties are unable to agree on a particular term of the [GDS] contract and the dispute is referred to the Secretary of State for determination in accordance with … regulation 8(1) of the [GDS Regulations] (pre-contract disputes), the determination may if it made after the contract has been entered into (a) vary the terms of the contract; or (b) bring the contract to an end.” (a) vary the terms of the contract; or (b) bring the contract to an end.”
“Where a determination is made in accordance with paragraph (6), section 4(8)(a) and (b) of the 1990 Act shall apply in respect of the determination where the terms of the [GDS] contract is varied or brought to an end.”
“(7) A determination of a reference under sub-section (3) above may contain such directions (including directions as to payment) as the Secretary of State… considers appropriate to resolve the matter in dispute; and it shall be the duty of the parties to the NHS contract in question to comply with any such directions. (8) Without prejudice to the generality of his powers on a reference under subsection (3) above, the Secretary of State… may by his determination in relation to an arrangement constituting an NHS contract vary the terms of the arrangement or bring it to an end; and where an arrangement is so varied or brought to an end (a) subject to paragraph (b) below, the variation or termination shall be treated as being effected by agreement between the parties; and (b) the directions included in the determination by virtue of subsection (7) above may contain such provisions as the secretary of State… considers appropriate in order satisfactorily to give effect to the variation or to bring the arrangement to an end.”
“22.1 Both parties to the prospective contract or agreement must make every reasonable effort to communicate and cooperate with each other with a view to resolving the dispute arising during the course of negotiations, before referring the dispute for determination under the dispute resolution procedure. 22.2 Where agreement cannot be reached, [SHAs] may wish to discuss with their PCTs whether it would be helpful to establish an intermediate local resolution process which could be invoked prior to referral to the disputes resolution procedure. This is a matter for local discussion and decision, but such a process might operate as set out in the flow chart annexed to this factsheet. 22.3 In rare cases where a disagreement cannot be resolved through the local process as outlined above, it will be open to practices or PCTs to invoke the NHS Resolution Procedure. 22.4 Where the contractor and PCT cannot agree the appropriate number of [UDAs]… for a contract, the [TPO] make provision for the PCT to determine the number of units to be included in the contract or agreement, for this term to be marked “in dispute” and for the [Appeal Unit] to determine the matter. 22.5 In most cases the [Appeal Unit] will try to determine the matter on papers without setting up an oral hearing to ensure speedy and effective resolution of the dispute. 22.6 The determination is binding on the PCT but the contractor can decide whether to accept the arbitration or terminate the contract or agreement.”
“WHEREAS A. The Knowsley Primary Care Trust and [a blank left for the name of the dentist] have entered into a General Dental Services contract on1st April 2006 and B. The Knowsley Primary Care Trust and [a blank left for the name of the dentist] have been unable to reach agreement of certain parts of the contract. IT IS HEREBY AGREED: 1. The clauses upon which agreement has not been reached are: Clause [77] Units of Dental Activity to be provided Clause [blank left for insertion of other relevant clauses] …. 2. The Knowsley Primary Care Trust and [a blank left for the name of the dentist] shall submit the above named clauses to the Secretary of state for determination in accordance with the [National Health Service (General Dental Services Contracts) Regulations (SI 2005/3361), section 8] by31st March 2006 . 3. Prior to determination in accordance with paragraph 2 (above) the contract shall operate as detailed therein. 4. The terms of any changes or alterations or additions to the contract necessary as a result of determination in accordance with paragraph 2 (above) shall be backdated to the start of the contract. 5. Nothing with in this supplementary agreement shall prevent the Knowsley Primary Care Trust and [a blank left for the name of the dentist] from mutually agreeing any changes to the contract.”
“WHEREAS A. The Knowsley Primary Care Trust and David Tomkins have entered into a dental services contract (the contract) on24th March 2006 , and B. The Knowsley Primary Care Trust and David Tomkins have been unable to reach agreement of certain parts of the contract IT IS HEREBY AGREED: 1. The clauses upon which agreement has not been reached are: Part 2 clause 7 page 20 Part 2 clause 8 page 20 Part 6 clause 77 page 43 Part 21 clauses 280 & 281 page 92 Schedule 4 - the whole page is in dispute 2. The Knowsley Primary Care Trust and David Tomkins shall continue to seek agreement as the wording and contents of the above named clauses. 3. Prior to determination in accordance with paragraph 2 (above) the contract shall operate as detailed therein. 4. Upon resolution, the terms of any changes or alterations or additions to the contract necessary as a result of the determination in accordance with paragraph 2 (above) shall be backdated to the start of the agreement. 5. Nothing within this supplementary agreement shall prevent the Knowsley Primary Care Trust and David Tomkins from mutually agreeing any changes to the contract. 6. The Knowsley Primary Care Trust shall, when calculating payments due to David Tomkins in respect of Mr Zein’s work, include work done by Mr Zein after the ‘test period’ (which ended31st September 2005 ) and shall include all Mr Zein’s work from then up to and including the31st March 2006 . 7. The Knowsley Primary Care Trust and David Tomkins agree that the contract shall be in accordance with the general agreement between the Secretary of State for Health and the British Dental Association, that there should be no loss of earnings for David Tomkins for 3 years provided that similar amounts of work are performed. In the event that the contract payments result in David Tomkins being paid less, the Knowsley Primary Care Trust shall make a top up payment to David Tomkins in an amount equal to the difference. 8. The Knowsley Primary Care Trust and David Tomkins agree that nothing in this agreement and contract shall affect David Tomkins’ superannuation rights and entitlements as presently exist (up to1st April 2006 ), and that these shall continue unaffected by the agreement and contract. It is further agreed by the parties that there shall be no change in David Tomkins’ superannuation rights and entitlements without the prior written agreement of both parties. 6. In the event that the Knowsley Primary Care Trust and David Tomkins are unable to reach full agreement as to all the outstanding terms in paragraph 1 (above), then either party may terminate the agreement upon giving notice as required under the agreement.”
“As discussed on Monday 27 March this does not effect (sic) the disputed issue of Mr Zein’s atypical earnings for the baseline year used form (sic) the new contract process. I trust the above is satisfactory and I will forward you a copy of the new signed contract in due course”
“If this outcome is not satisfactory to yourself the next step to take is to appeal the decision with the Local Arbitration Panel at Cheshire and Merseyside Strategic Health Authority. Following this the matter can be referred to the Litigation Authority [i.e. the Appeal Unit] if the outcome is still unsatisfactory. This appeal should be lodged in writing to the [Trust] and this will then be forwarded to the Strategic Health Authority.”
“…were willing to follow the process set up for any disputes. As Mr Tomkins was disputing atypical earnings it was appropriate to go through this process to assure Mr Tomkins that all guidance and legislation had been followed”
“I determine that no amendment to the contract in this regard”
“Although the wording [of the supplementary agreement] is ambiguous, it appears that the [Trust] and the contractor have agreed to have regard to data, to3 March 2006 for the named dentist, which would have the effect of enhancing the contract value and number of [UDAs] above that which is calculated in accordance with the regulations and the GDS SFE. Given this has been agreed by both parties, I determine that this is binding upon them.”
“[The Appeal Unit] has determined that the Supplementary Agreement signed by you and the [Trust] on22 March 2007 (sic) is binding and that accordingly the [Trust] must recalculate the value and activity attributable to Mr Zein based upon a revised test period. In accordance with the determination the [Trust] has duly recalculated Mr Zein’s activity and value and in doing so has used the period1 April 2005 to31 March 2006 as the ‘test period’. This equates to an additional£127,459 increase upon your original Calculated Annual Contract value (‘CACV’) of£350,505 with a revised total of£477,965 (please note all figures are quoted at 2006/07 prices and therefore include the 3% inflationary increase). The correlated increase in [UDAs] equates to an additional 1,229 UDA.”
“As has previously been explained to you, the [Trust] does not have the additional funding and/or need for additional activity to warrant or support an increase in your contract value and UDA based upon Mr Zein’s atypical earnings in addition to the 4,869 UDA commissioned from you in March 2006. The [Trust] has therefore decided to off-set the additional activity attributable to Mr Zein, as detailed above, against the extra 4,869 UDA commissioned from you in March 2006. This decision is supported by paragraph 3.9 of the [Appeal Unit’s] determination. Accordingly I can confirm that although your [Calculated Annual Contract Value] has been increased to£477,965 , the [Trust] no longer wishes to commission any additional UDA from you for 2006/07. Therefore your revised gross contract value for 2006/07 is£477,965 and the total contracted number of UDA is 23,374. A meeting to discuss the implementation of this will be arranged upon your acceptance of the revised contract offer….. …. The [Trust] is satisfied that it has correctly and properly complied with the determination and that accordingly there is no need for you to take any enforcement action…. … I hope that this letter clarifies the position and brings an end to this dispute…”
“The [Trust] states that ‘during the period of negotiation for the new GDS Contract a practice in the [local] area decided they wished to close for personal reasons. From this£100,000 was reallocated to [the contractor’s] practice and appropriate adjustment to UDAs was made’. I accept that the recalculation at 3.8 above may lead` to the [Trust] assessing whether this additional amount and adjustment to the UDAs remains justified as a separate commissioning decision. [H]owever this is a commissioning decision of the [Trust]. I do not have the power to state how the [Trust] must exercise its commissioning abilities.”
“… [T]his contract constitutes the entire agreement between the parties with respect to its subject matter.”
“There may be circumstances, of course, in which the court can be satisfied that a clause of that kind, although apparently couched in language wide enough to encompass the particular matter on which one or other party seeks to rely, was not intended by the parties to operate in the way in which its terms would suggest, but any such conclusion must be borne out by the particular circumstances of the case.”
“(1) Subject to paragraph… (3), if, in the course of negotiations intending to lead to a contract, the prospective contracting parties are unable to agree on a particular term, of the contract, either party may refer the dispute to the Secretary of State to consider and determine the matter in accordance with the procedure provided in paragraphs 55(2) and (3) of Schedule 3”
“Each [PCT] must ensure that the use of its resources in a financial year does not exceed the amount specified for it in relation to that year by the Secretary of State.”