Minor Surgery (Primary Care/Community)

Descriptions

City and Hackney CCG has 4 geographical areas or quadrants (see map) and services will be offered on a quadrant LOT basis – each quadrant having a minimum of one venue (subject to provider interest). This is aimed to encourage services to be close to patients and allow a degree of choice for the patient to where they attend for their procedure. We are looking to open to the market the commissioning of minor surgery services from 16/17 for a period of 3 years with an option to extend for a further 2 years. The total estimated contract value for each Lot for the duration of the contract (3+2) is from £94k to £125k and there will be up to four contracts awarded – one for each successful provider for each quadrant Lot. Although one provider could be successful in more than one Lot Payment will be by a local tariff on actual activity provided to patients. No guarantee of activity can be provided and estimates are based on historical service activity across the four quadrants. Note: Potential providers can offer to provide from one quadrant or any number up to the 4 available. Minor Skin surgery procedures are generally those provided by under the GP Directed Enhanced Service e.g.: •Skin biopsy of non-suspicious lesion •Low risk BCC •Foreign body exploration (deep splinters etc.) •Injection or aspiration of joints Procedures where PoLCV (removal must be for clinical and not cosmetic reasons) approval would be required: •Benign pigmented moles •Comedones •Corn/callous •Llipoma •Sebaceous cysts (epidermoid or pilar cysts) •Seborrhoeic keratoses (basal cell papillomata), •Larger skintags including anal tags Optional: •Vasectomy Exclusions: •Patients not registered with a City and Hackney GP •Children (under the age of 16) •Red Flags/Suspicion of melanoma or SCC etc •Where the patient has multiple and/or complex co-morbidities •Patients who require basic cryo therapy for warts or small skin tags Estimated Activity per year: 500 procedures per year across City and Hackney