National Flexible Framework for the provision of On-Site Surgical and Medical Capacity Solutions

Descriptions

The overall aims of the Services are to provide NHS Organisations with fully compliant solutions which supplement the delivery of patient care by NHS Organisations in line with the NHS’ core Key Performance Indicators and standards including but not limited to: , •A&E 4 hour wait targets; , •elective 18 week Referral to Treatment targets; , •cancelled procedures targets; , •bed availability and utilisation targets; , •timely and appropriate diagnostic testing targets; , •urgent 2 week GP referral rules for suspected cancer; and , •any core targets and standards introduced over the term of this framework. , The Services will aim:, •To provide high quality support that can be called upon at relatively short notice. , •To prevent inappropriate waiting times for patients and assist NHS Organisations in meeting national targets and guidelines. , •To enable delivery of a Patient Pathway from referral to treatment that removes unnecessary delay in treatment., •To deliver treatment that is safe and effective in facilities that are owned and operated by an NHS Organisation (that is to deliver an “insourcing” service)., •To establish a positive working relationship between an NHS Organisation and the Supplier to facilitate and maximise service delivery, the emphasis being on timely, quality, cost effective, evidence-based care, with appropriate clinical protocols and audit where possible., •To provide medical, nursing or other staff as a part of the Services to perform clinical and support activities, including therapies and administration., •To help Trusts to avoid unnecessary, inappropriate primary and secondary referrals., •To provide tailored audit and review processes with national and locally agreed Key Performance Indicators., The Services will cover the full range of Surgical and Medical specialties and sub-specialities, including but not limited to:, •Surgical specialties, oCardiothoracic, oGeneral, oNeurosurgery, oOral & maxillofacial (including minor oral surgery), oOphthalmic, oOtolaryngology (ENT), oPaediatric, oPlastic, oTrauma & orthopaedic, oUrology, oVascular, •Medical specialties, oAnaesthesia, oClinical oncology, oClinical radiology, oEmergency medicine, oIntensive care medicine, oMedicine , oAcute internal medicine, oAllergy, oAudiovestibular medicine, oCardiology, oClinical Genetics, oClinical neurophysiology, oClinical pharmacology and therapeutics, oDermatology, oEndocrinology and diabetes, oGastroenterology, oGeneral internal medicine, oGenitourinary medicine, oGeriatric medicine, oImmunology, oInfectious diseases, oMedical oncology, oMedical ophthalmology, oNeurology, oNuclear Medicine, oOtolaryngology (ENT), oPalliative medicine, oPharmaceutical medicine, oRehabilitation medicine, oRenal medicine, oRespiratory medicine, oRheumatology, oSport and exercise medicine, oStroke medicine, oTropical medicine, oObstetrics and gynaecology, oOccupational medicine, oOphthalmology, oPaediatrics , oPaediatric cardiology, oPaediatrics, oPathology , oChemical pathology, oHaematology, oHistopathology, oMedical microbiology and virology, oPsychiatry , oChild and adolescent psychiatry, oForensic psychiatry, oGeneral psychiatry, oLiaison psychiatry, oMedical psychotherapy, oOld age psychiatry, oPsychiatry of intellectual disability, The Supplier will offer managed solutions covering full or partial Patient Pathways (e.g. outpatients, diagnostics, surgery, ward, administration). The extent to which the Supplier manages Patient Pathways will be agreed with the NHS Organisation and described in the Call Off Contract Project Specification. Any prescribing requirement will be agreed with the NHS Organisation and described in the Call Off Contract Specification., The Services may include Patient Pathway management tools, such as digital pathway management and digital triage solutions., The Services may include the sourcing by the Supplier of additional high quality capital equipment and/or infrastructure upgrades.