Section 2: Requirement for licence Provision of health – care service(s) for the purposes of the NHS Do you provide healthcare service(s) for the purposes of the NHS? If yes, go to question 2.1.1 If no, go to 3.1 Do you provide healthcare service(s) for the purposes of the NHS through a contract directly with a clinical commissioning and/or NHS England? If yes, go to question 2.1.1.1 If no, go to question 2.1.2 Do you provide any healthcare service(s) for the purposes of the NHS through a multi-party contract with clinical commissioning group(s) and/or NHS England and other provider(s)? If yes or no, go to question 2.1.2 Do you provide healthcare service(s) for the purposes of the NHS through an arrangement with another provider? If yes, go to question 3.1 Section 3: Requirement for licence Licence – exemptions 3.1 Are one or more of the healthcare services you provide for the purposes of the NHS, regulated activities for the purpose of registration with the Care Quality Commission Chapter 2 of Part 1 of the Health and Social Care Act 2008? If no, go to question 3.2 If yes, got to question 3.1.1 3.1.1 Are you registered with the Care Quality Commission in accordance with Chapter 2 of Part 1 of the Health and Social Care Act 2008 in respect of the carrying out of all regulated activities? If yes, go to question 3.2
Section 2: Requirement for licence – Provision of health care service(s) for the purposes of the NHS Do you provide healthcare service(s) for the purposes of the NHS? If yes, go to question 2.1.1 If no, go to 3.1 Do you provide healthcare service(s) for the purposes of the NHS through a contract directly with a clinical commissioning and/or NHS England? If yes, go to question 2.1.1.1 If no, go to question 2.1.2 Do you provide any healthcare service(s) for the purposes of the NHS through a multi-party contract with clinical commissioning group(s) and/or NHS England and other provider(s)? If yes or no, go to question 2.1.2 Do you provide healthcare service(s) for the purposes of the NHS through an arrangement with another provider? If yes, go to question 3.1 Section 3: Requirement for licence – Licence exemptions 3.1 Are one or more of the healthcare services you provide for the purposes of the NHS, regulated activities for the purpose of registration with the Care Quality Commission Chapter 2 of Part 1 of the Health and Social Care Act 2008? If no, go to question 3.2 If yes, got to question 3.1.1 3.1.1 Are you registered with the Care Quality Commission in accordance with Chapter 2 of Part 1 of the Health and Social Care Act 2008 in respect of the carrying out of all regulated activities? If yes, go to question 3.2
NHS-controlled_provider_licence_application_form_v2.docx