Urgent Care Pathway Service Provision for the benefit of BHR CCGs (a group of 3 clinical commissioni

Descriptions

Havering Clinical Commissioning Group (CCG) is running this procurement on behalf of BHR CCGs (a group of 3 clinical commissioning groups encompassing Barking & Dagenham CCG, Havering CCG, and Redbridge CCG) and Waltham Forest CCG. The CCGs are responsible for commissioning services to meet the health needs of their local populations.BHR CCGs and Waltham Forest CCG have committed to working together to transform urgent care services across the patch, and in doing so, to commission clinically safe, high quality, and sustainable urgent care services. To achieve its ambition, the CCGs intend to commission urgent care services under a pathway, taking advantage of new and innovative ways of working (which may include service delivery models and technology) to deliver a seamless and truly integrated urgent care service to the local population.The CCGs are looking to appoint a highly qualified provider to deliver their urgent care pathway, and intend to award a single contract for the urgent care pathway. The anticipated delivery model is for an accountable lead provider which, together with its supply chain, will deliver the urgent care pathway and services under the contract. The CCGs are open to exploring alternative delivery models and intend to do this as part of the procurement process.In commissioning the new service, the CCGs are expecting to achieve the following objectives:— Improving standards of care – ensuring that clinicians are providing appropriate evidence-based care, adhering to NHS mandatory standards, and national or international guidelines where appropriate.— A seamless and truly integrated service – with health, social care, voluntary and community services, and delivered by a single service model.— Innovation – both in the design of services and in the use of technology to underpin service provision.— Control of the front door – making sure the right people get into the system in the right place, in the right way.— Effective signposting of services and pathways – so that patients understand how and when to access the most appropriate services and to avoid unnecessary delays to care by ensuring clear communication of where to go to seek care and how to get there.— Proactive engagement of service users and distribution of information to patients – so that they understand which services to seek for their particular urgent care problems.— Promote self-management – core to providing a patient-centred service is to ensure patients are provided with the knowledge and guidance to look after themselves where appropriate.— A service that is flexible and responsive to future change.— Provider payment for services linked to performance – against a selection of outcome measures and enables efficiency gains to be shared.The successful provider is expected to be innovative and forward thinking.The services currently expected to fall within the urgent care pathway will include, but are not limited to, the following core services:— GP Out-of-Hours services.The aims of the proposed service are to provide a clinically safe and competent OOH GP Service accessible to the local populations across Barking & Dagenham, Havering, Redbridge, and Waltham Forest. The service is to provide access to unplanned urgent care, working in partnership with the wider urgent care system across primary, community, secondary health and social care.— NHS 111 (subject to the London-wide strategy).The NHS 111 Service is specified nationally so that a consistent core identity and quality of service is maintained across the country. The service is commissioned locally by the NHS in a way that is most appropriate for any given area.It is anticipated that revised NHS 111 commissioning standards will have been released by September 2014. These standards will apply to the services which are the subject of this Process. Further information on the NHS 111 service development can be sourced through registration at: http://www.networks.nhs.uk/nhs-networks/nhs-111-service-development.The principal aims of the proposed NHS 111 service are to:Improve the public experience accessing urgent healthcare.Get people to the right service first time, including self-care where appropriate.Provide the CCGs with management information regarding usage of services.Reduce health inequalities.Effective management and use of the directory of service (DOS).— Urgent Care Centres (“UCC”).The aim of the proposed service is to provide three urgent care centres at the following locations:Queens UCC – located at Queen's Hospital in Romford, RM7 0AG and will be co-located with an A&E departmentKGH UCC – located at King George Hospital in Ilford, IG3 8YB. Under current proposals to reconfigure services, this UCC will be transitioned during the contract term to a standalone service without a co-located A&E department, andWhipps Cross UCC – located at Whipps Cross Hospital in Leytonstone E11 1NR and will be co-located with an A&E departmentThe overarching objectives of the proposed service are to:Provide comprehensive, accessible and high quality GP led treatment to both adults and children presenting with a minor illness or injury.Improve access of services for patients and reduce unnecessary A&E attendance and admission to hospital.Ensure more people have access to a minor illness and injury service close to home.Help people to access the right service for their need at the right time, including proactive use of the DOS.Promote the use of the 111 service to help patients and the public with any future unscheduled care need.— Walk-in-Centres.Walk-in-Centres (WICs) are provided across the geographical locations of Barking & Dagenham, Havering, Redbridge, and Waltham Forest with the principle aims that people with an urgent care need will receive timely assessment and treatment, with any follow up required, referred back to their GP Practice or where appropriate, self-care. WIC provision (i.e. the number of WICs and their locations) will be explored as part of the Process.The overarching objectives of the proposed service are to:Educate people to use services appropriately and redirect people as necessary.Integrate with the wider system, helping to reduce demand on the local A&E departments and urgent care centres.Understand the local area in order to ensure that services provision takes account of local cultural, demographics and ethnicity groups to ensure any particular needs are met.Provide consistent and rigorous assessment of the urgency of the patient's needs and an appropriate and prompt response.People attending with routine primary care needs will be appropriately and positively redirected back into core primary /community services.Support and facilitate the registration of unregistered patients with a GP.— Single Point of Access (SPA).The purpose of this service is to provide single telephone number access to both community nursing services and the integrated care model of rapid response teams and community matrons which form a core part of the out of hospital care pathways. It is critical that these services operate with specified time frames for responses and are easy to contact via an SPA. This service will operate within Waltham Forest on day 1, and may be explored for BHR CCGs as part of the Process.The aim of the service is to:Stream or sign post professional referrals or patient contacts to the correct service.Avoid multiple points of contact for the same episode of care.Provide a default point of contact for professionals and patients who find urgent care services difficult to navigate.The services will cover both adults and children across the patch.These services described above currently cover approximately 1.4 million separate attendances/contacts per annum.Scope flexibilityThe above list of core services is not exhaustive and further details on the services forming part of this procurement will be outlined in the service specification issued to those short-listed Bidders invited to participate in dialogue with the CCGs. The scope of the services may vary over the course of the contract term to cover additional elements of the urgent care pathway. This may in part be led by public engagement which will form part of the process to develop the urgent care pathway.Other additional elements of the urgent care pathway may include but are not limited to any emerging changes to primary care or urgent care service delivery resulting from: the prime ministers challenge fund project, community / intermediate care projects, acute providers improvement programmes or individual CCGs primary care improvement plans. Where not included within scope of the urgent care pathway, the successful provider will be expected to deliver alongside these emerging services.The CCGs also reserve the right to vary the scope of the services falling within this procurement (whether by addition, reduction or otherwise) as informed by the dialogue process.TUPE of existing staff may apply to the services.The CCGs wishes to receive requests to participate from suitably qualified healthcare providers experienced in healthcare and urgent care service provision with the necessary financial standing, capacity and capability (or a demonstrable ability to provide the necessary capacity and capability) to provide the services falling within the scope of this procurement. There will be a formal pre-qualification stage followed by a dialogue stage with those organisations short-listed following the pre-qualification stage.Further information regarding the scope of the project and the procurement process is available in a separate Memorandum of Information (“MOI”) and Pre-Qualification Questionnaire (“PQQ”) including the timetable and structure of the procurement. The MOI and PQQ can be requested from www.supplying2nhs.comThe CCGs are willing to consider requests to participate from consortia (see section III.I.3 below).The service contract is expected to commence in the summer of 2015 for an initial contract term of [five (5)] years, with an option exercisable by the CCGs to extend the contract for a further two (2) one (1) year periods (the total potential contract length therefore being [seven (7)] years).Interested organisations must register for this procurement using our e-tendering portal www.supplying2nhs.com and will then be able to download a copy of the MOI and PQQ. Formal requests to participate must be made by the completion and return of the PQQ by the PQQ response deadline set out in section IV.3.4.This procurement is for clinical services which are Part B services for the purpose of the Public Contracts Regulations 2006 (as amended) (“Regulations”). Accordingly, the CCGs are only bound by those parts of the Regulations detailed in Regulation 5(2). The CCGs are not voluntarily following any other part of the Regulations. The procedure that the CCGs are following is as set out in the MOI and PQQ. As the CCGs are relevant bodies for the purposes of the National Health Service (Procurement Patient Choice and Competition) (No.2) Regulations 2013 (SI 2013 No. 500) these Regulations also apply to this procurement.