TERMS AND CONDITIONS for MANAGED ACCOUNTS IN SHEFFIELD (V: )

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1 Smart Support (Sheffield) Ltd. & Managed Accounts A wealth of experience in health & social care TERMS AND CONDITIONS for MANAGED ACCOUNTS IN SHEFFIELD (V: ) This is for information and only Smart Support Sheffield (Ltd) Staff are required to complete this form with a client. Referrers need only to contact us with the client s details. By signing this document and filling in the parts in purple: you are accepting the following: General All managed account services follow the requirements set out by Sheffield City Council regarding managing Direct Payments. Each individual secure electronic bank account that is provided is also audited by The Company s own accountants each year as an additional quality measure.

2 When agreeing to use this service, you agree to pay for the service. Payment for it will be taken by bank transfer from the account that is being managed. Please ask if you want copies of the quarterly submissions. There is no charge. Accounts begin again after 12 months year unless closed or payments cease. Package options 141 ( The one for one ): Up to 4 one-off electronic payments (e.g. support planning fees / equipment etc.) and then regular electronic payments to just 1 provider / person. 200 (standard): Unlimited electronic payments made to many providers. 300: A 3 rd Party Mandate Account (up to 60 payments per year). Contributions to your support package For us to be able to provide this service: you must pay all due contributions by standing order. Support to do this can be provided for no extra charge.

3 If contributions are not forthcoming, your providers and other people involved in your care and support (e.g. Social Worker / Care Manager / family) will be notified in order to avoid a situation of unacceptable risk from occurring. What do the fees pay for? All communications to all concerned parties, general business costs, secure services and facilities, fortnightly checks and the time taken to run your account. Cancellations Cancellations by Smart Support (Sheffield) Ltd will not be charged. You will be offered another time that is convenient. Cancellations made by clients on the day of an appointment will incur a fee of 30 - as will a No Show. Complaints If you have a grumble or complaint about your service, please contact The Company directly - so that it can be investigated. If (following the investigation) you are not

4 satisfied, you can appoint an external body of your choice to investigate the matter independently at your own cost: The outcome of which will be considered. Confidentiality We operate under Data Protection Law. Your information is confidential and will be shared only with the authors, yourself, the providers of your care & support who need to see it in order to support you and people who you ask us to share it with. We will however share information about you if required by law, for Council auditing and for safeguarding purposes where appropriate. RPS This service does not come under Recognised Provider Status. No representation, express or implied, is or will be made and no liability is or will be accepted by the Council in respect of the organisation and in respect of, or in any way arising out of the

5 provision of, or failure to provide services by the organisation. Order & agreement: Please tick the planning package you require and the correct statement 1 year 141 managed account (up to 4 oneoff payments and 1 regular provider) 1 year 200 managed account (standard unlimited electronic payments account) 1 year rd party mandate account (for up to 60 none-electronic payments) I have been assessed and I am required to pay a weekly contribution of I will set up a standing order with Smart Support (Sheffield) Ltd for this amount. I have been assessed by Sheffield City Council and do not need to pay a contribution. I have not yet been assessed by Sheffield City Council but will pay the contribution due. I do not know if I have been assessed, but will pay my contribution.

6 *Delete as applicable: I do / do not want quarterly copies of the account statements. The information provided is correct and I (name): accept these terms and conditions. Signed: Date: *Agreed by (staff) Signed: Date: Ensure that two forms are signed and a copy is retained by the client and the member of staff.

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