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Out-of-State Documentation

The documentation below should be used with Out-of-State Agencies funded by the Heath Service Executive for health and personal social services provided outside of the Republic of Ireland. 

Out-of-State Service Arrangement Part I (revised for 2025)

This is a standard document for Out-of-State Agencies and is part one of a two-part contract, the other part being the HPSR. 

*Disability Composite Schedule Template Schedules 3, 9 KPIs(Out-of-State Agencies)

This is a national standard template for use within the Disability sector. It is used to capture data for service specification in Out-of-State Agencies funded by the Health Service Executive (revised February 2025). 

*Schedule 3 Template Basic Input Sheet Non-Disability (Out-of-State Agencies) 

This is a national standard template for use with Agencies providing non-disability services. It is used to capture data for service specification in Out-of-State Agencies funded by the Health Service Executive (revised for 2025).

* Please note that all references to Schedules 3 and 9 above have now been superseded by Section 3 of the new HPSR documentation and are for reference purposes only.

Data Sharing Terms (new for 2025)

Set out below is the following document relevant to Data Sharing which is referenced in the Out-of-State Service Arrangement.

Where the Provider acts as a data processor of the Executive for any such processing activity or activities