Published date: 6 April 2018
Awarded contract - This means that the contract has been awarded to a supplier.
Contract summary
Industry
Community health services - 85323000
Location of contract
East of England
Value of contract
£39,944,684
Procurement reference
tender_156148/665379
Published date
6 April 2018
Closing date
30 March 2018
Contract start date
1 April 2018
Contract end date
30 September 2020
Contract type
Service contract
Procedure type
Award of contract without prior publication of a contract notice
Contract is suitable for SMEs?
Yes
Contract is suitable for VCSEs?
Yes
Description
Luton CCG and Luton Council are in the process of reviewing Community Health Service provision for the Luton population working towards developing a "Placed Based" Community Health Service in line with the Integrated Care System ((ICS) vision with Bedfordshire and Milton Keynes (The BLMK STP). To achieve the vision commissioners believe that true integration of services vertically and horizontally would best secure the identified needs of the population, improve quality and efficiency of services, realise seamless service provision across pathways and increase system sustainability. The service outcomes will reduce reliance on hospital based care and ensure that people have access to good quality, safe, locally delivered health care services including primary care, health and social care across Luton. The community services which are subject of this notice includes both children's and adult's services, and has a current estimated value of 24 900 000 GBP per annum.
The traditional commissioner and provider split is acknowledged as no longer being a helpful paradigm to address the challenges faced by the NHS whilst importantly improving the Health and Wellbeing of the Luton's population. This was also endorsed following initial engagement/feedback from Providers at an early Market engagement event held on 10.11.2017 (advertised on the Contracts Finder Website on 23.10.2017).
Consequently, commissioners agreed that a new approach is needed to change behaviour and incentivise providers which will support the design/development of new ways of working and models of delivery for integrated care to the population. As such tendering processes for community services contracts in Luton will be deferred for 18 months which will give local commissioners and local providers opportunity to work together to progress and deliver their visions for place-based community health and care services and work with the STP in readiness for an "integrated care" procurement exercise in 2019/20.
Therefore community service contracts are to be awarded to existing providers until 30.9.2020 to enable the BLMK ICS model to develop to sufficient maturity to be able to run an outcomes based commissioning process. Dedicated work to commence this outcomes based commissioning process would need to commence no later than August 2019.
It is likely than an outcomes based commissioning approach would need to comply with NHSE/NHSI's Integrated Support and Assurance Process (ISAP) which may impact timelines.
More information
Additional text
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The rationale for the delay to tendering fits within the Priority 5 work programme of the STP. Primarily:
- The BLMK ICS Priority 5 work programme has not yet delivered the components to enable a successful outcomes based strategic commissioning of the services to take place,
- The national integrated care contract is not yet available and will be subject to public consultation in 2018,
- Due to the current stage of the BLMK STP programme, Luton place-based systems are not yet able to specify to the required level of detail the model of care and outcomes they are trying to achieve,
- The supply side is not considered to be mature enough to respond appropriately to an outcomes based procurement exercise,
- BLMK ICS lacks the activity data and clarity about the future model of care to be able to define its requirements with sufficient accuracy to reduce to an acceptable level the risk of challenge due to requesting significant contract variations early in the contract period,
- The risk of distracting commissioning and provider resources by initiating a procurement process is too great at the current stage in the BLMK ICS development. There is a risk that system transformation will be significantly delayed until the procurement process is concluded.
A VEAT notice was published in the Official Journal European Union on 20/03/18 (ref: 2018/S 055-122452). A 10-day standstill period was followed prior to entering into a contract, pursuant to regulation 99(3)(c) of the Public Contract Regulations 2015.
Award information
Awarded date
1 April 2018
Contract start date
1 April 2018
Contract end date
30 September 2020
Total value of contract
£39,944,684
This contract was awarded to 3 suppliers.
Cambridgeshire Community Services NHS Trust
Address
Unit 3 Meadow Park, Meadow Lane
Reference
None
Supplier is SME?
No
Supplier is VCSE?
No
Additional details
-
The following services are awarded to Cambridgeshire Community Services (CCS) from 1.4.2018 until the 31.9.2020:
- Continence Pads and Service 498 702 GBP per annum (Adults/Children),
- End of Life Psychology 94 071 GBP per annum,
- Children's Eye Service 219 253 GBP per annum,
- Nutrition and Dietetics (Adults/Children) 566 753 GBP per annum,
- Children's Occupational Therapy 246279 GBP and
- Speech and Language Therapy (Children) provision 466 552 GBP per annum,
- Total contract value: 2 091 610 GBP per annum.
The following services will also be awarded to CCS from 1.4.2019 to 31.9.2020 include:
- Community/District Nursing Service,
- Community Phlebotomy Service,
- Integrated Discharge and GP Liaison Service,
- Community Falls Service,
- Community Cancer and Palliative Care and End of Life Services,
- Community Tissue Viability Service,
- Community Nurse Led DVT Service,
- Community Nurse Led Oral Anti-coagulation Monitoring Clinic,
- TB Service, LTC - Community Diabetes Services,
- Community Heart Failure Service,
- Community Nurse Led Respiratory Service, LTC - Parkinson's Disease,
- At Home First Integrated MDT,
- Children's Continuing Care Team,
- Special Needs Nursing Service Paediatric Epilepsy Nursing Service,
- Paediatric Community Audiology,
- Looked After Children Team,
- Paediatric Rapid Response Team,
- Community Paediatrics (Medical) Service,
- Integrated Children (Community Nursing),
- Pre-School Feeding service,
- Haemoglobinopathy Service and Newborn Bloodspot screening,
- Community Nurse led Service - Oral Anticoagulation Monitoring Clinic,
- 0-19 Children's Service,
- Health Visitors,
- Public Health Nursing Service for school aged children. Total contract value for service provision: 22 446 103 GBP per annum.
Virgin Care Service Ltd
Address
Lynton House, 7-12 Tavistock Square
Reference
None
Supplier is SME?
No
Supplier is VCSE?
No
Additional details
-
The following services are awarded to Virgin Healthcare from 1.4.2018 until 31.9.2020 include; Adult Neuro Rehab Case Management (ABI). Total contract value 127 602 GBP per annum.
Luton & Dunstable Hospital Foundation Trust
Address
Lewsey Road, Luton, LU4 0DZ
Reference
None
Supplier is SME?
No
Supplier is VCSE?
No
Additional details
-
Following consultation with stakeholders commissioners have agreed that the Adult Speech and Language Therapy service (SaLT) will be directly awarded on a permanent basis to the Luton and Dunstable University Hospital Trust (LDH) and incorporated post 30.9.2020 into the overarching Acute contract. The value of the service provision is 291 000 GBP per annum. This decision is based on the hospital being deemed as the most capable provider based on their existing local service delivery of SaLT. The LDH is developing a robust team which will provide excellent opportunity to further develop a resilient workforce not only supporting retention of staff but also likely to be attractive to future candidates. The development of whole pathway delivery by a single provider will also ensure continuity for patients.
About the buyer
Contact name
Samuel Naxton
Address
289 High Holborn
London
WC1V 7HZ
England
Website
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Closing: 30 March 2018
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