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Community Macular Service.

Trafford Clinical Commissioning Group | Published November 24, 2015
cpvs
85100000

North, Central and South Manchester and Trafford CCG commissioners are seeking responses from viable providers who can work effectively across primary, secondary and tertiary care. Assurance of competence, quality, innovation and safety standards are required. An additional commissioner may join the tender process — this will be confirmed at publication of the contract notice. We wish to commission a high quality, comprehensive and efficient community-based macular service to commence in August 2016. The service will primarily treat wet Age-related Macular Degeneration but also Diabetic Macular Oedema and Retinal Vein Occlusion. We expect the service to demonstrate the following: — a single clinical team, which is consultant led, with clear clinical objectives and an open and transparent audit and performance management framework; — a service operating within NICE and Royal College of Ophthalmologist guidance in order to deliver best clinical outcomes by ensuring early first injection and subsequent assured treatment to plan; — clear clinical, patient experience and value for money outcomes jointly monitored by the providers and commissioners; — a local accessible service; — educated and informed patients with care plans that they understand; — full shared decision making, particularly around the decision to continue or cease treatment; — streamlined attendances with as average time in the department of <30 minutes; — a single integrated team; shift from consultant delivered service to one which is consultant-led, but is largely delivered by other suitably qualified clinicians such as specialist nurses and/or optometrists; — ensuring prompt initial treatment and timely treatment to plan beyond that to minimise visual impairment and blindness. The CCGs are currently considering introducing Oraya Therapy as part of the pathway in order to reduce the average number of injections required per patient — if not at the outset then as part of innovation and development of the service. This will be confirmed in the PQQ. Should we include Oraya Therapy in the service the CCGs will ensure that the necessary equipment and training is available to the successful bidder who must be prepared to deliver the treatment in line with current best practice The service will be for adults (registered with a North, Central, South Manchester or Trafford CCG GP) that meet the referral criteria, who are newly diagnosed from the start of the service. However, it is anticipated that existing macular patients may elect to receive treatment in the new service at some point in the future and the CCG s will work with existing providers to facilitate this choice offer. We expect the service to be operational by 1.8.2016. The contract will be for a term of 5 years. We expect the injection service to be provided within each of the geographical areas of the commissioning CCGs. The CCG is interested in hearing from providers that can provide either static or mobile service solution and those that are not limited to the standard Monday to Friday 9:00-17:00 model. The commissioners are considering introducing a requirement that all new macular patients be offered Avastin through Choice. In so doing the CCGs wish to emphasise that they are in no way restricting funding for a licensed alternative should the patient so choose. We wish to seek the view of interested parties as to whether they would be willing to offer Avastin as part of this service, through fully informed choice with patients — with no barriers to them choosing a licensed alternative should they wish. When you express an interest in this opportunity please indicate whether you would be willing to offer Avastin through choice, and if so, any caveats which you may wish to apply. If you would be unwilling to offer Avastin through choice, please give your reasons for this. Fu

Community Based Gastroenterology Service.

Trafford Clinical Commissioning Group | Published October 31, 2015  -  Deadline November 30, 2015
cpvs
85100000

Health services. North and Central Manchester and Trafford CCG commissioners are seeking responses from viable providers who can work effectively across primary, secondary and tertiary care. Assurance of competence, quality, innovation and safety standards are required. We wish to commission a high-quality, comprehensive and efficient local Community Based Gastroenterology Service to commence in August 2016. The service will be consultant led, delivering the right care at the right time in the right place. Key outcomes include: — Improved patient satisfaction/experience: all patients will be seen within a maximum of 6 weeks of referral; — Improved access and waiting times: clinics should be accessible and to patients in both North and Central Manchester and Trafford CCG sites; — Improved pathways of care: 95 % of patients to be seen in a 1-stop clinic; — Increased threshold for referrals to secondary care: the service will effectively manage more patients resulting in few patients being referred to secondary care. The service will be for patients aged over 16 (registered with a North or Central Manchester or Trafford CCG GP) that meet the referral criteria. The service is not for emergency cases or suspected cancers or patients with a diagnosed long-term condition, apart from where specified in the referral criteria. The service model will reduce the number of steps in the care pathway for patients through the provision of a one-stop service resulting in fewer referrals into secondary care. A one-stop clinical model will be the default model, with diagnostic testing, clinical assessment and treatment completed in a single visit, except in exceptional circumstances where patient safety may be impacted; the provider will agree these criteria with commissioners. The service will also offer direct access to endoscopy investigations for GPs to enable them to manage patients effectively within primary care. The service will adopt an holistic approach for patients with gastrointestinal symptoms. This includes taking every opportunity to offer first line advice to patients, this includes: — Simple lifestyle advice, including healthy eating, weight reduction and smoking cessation; — Advice on the avoidance of known precipitants, associated with specific symptoms, where possible; — Access to educational materials to support the care they receive; — Referral to psychological therapies, such as cognitive behavioural therapy; — Referral to dietician services. We expect the service to be provided within the geographical area of the 3 commissioning CCGs. In terms of premises, providers should ensure that there is adequate space to include reception and waiting areas for patients, clinical assessment and examination areas, endoscopy and other diagnostic testing and decontamination. The CCG is interested in hearing from providers that can provide either static or mobile services and those that are not limited to the standard Monday to Friday, 9:00-17:00 model. We have specified that the provider should be Joint Advisory Group for Gastrointestinal (JAG) Endoscopy accredited. This is a UK standard that all endoscopy units must achieve: www.thejag.org.uk We also expect all potential providers to comply with the CCGs' Effective Use of Resources policies and for all prescribing to comply with the Greater Manchester Medicines Management Formulary.

Community Gastroenterology Service.

Trafford Clinical Commissioning Group | Published September 25, 2015
cpvs
85100000

North and Central Manchester and Trafford CCG commissioners are seeking responses from viable providers who can work effectively across primary, secondary and tertiary care. Assurance of competence, quality, innovation and safety standards are required. We wish to commission a high-quality, comprehensive and efficient local Community Based Gastroenterology Service to commence in July 2016. The service will be consultant led, delivering the right care at the right time in the right place. Key outcomes include: — Improved patient satisfaction/experience: all patients will be seen within a maximum of 6 weeks of referral, — Improved access and waiting times: clinics should be accessible and to patients in both North and Central Manchester and Trafford CCG sites, — Improved pathways of care: 95 % of patients to be seen in a 1-stop clinic, — Increased threshold for referrals to secondary care: the service will effectively manage more patients resulting in few patients being referred to secondary care. The service will be for patients aged over 16 (registered with a North or Central Manchester or Trafford CCG GP) that meet the referral criteria. The service is not for emergency cases or suspected cancers or patients with a diagnosed long-term condition, apart from where specified in the referral criteria. The service model will reduce the number of steps in the care pathway for patients through the provision of a 1-stop service resulting in fewer referrals into secondary care. A 1-stop clinical model will be the default model, with diagnostic testing, clinical assessment and treatment completed in a single visit, except in exceptional circumstances where patient safety may be impacted; the provider will agree these criteria with commissioners. The service will also off direct access to endoscopy investigations for GPs to enable them to manage patients effectively within primary care. The service will adopt an holistic approach for patients with gastrointestinal symptoms. This includes taking every opportunity to offer 1st-line advice to patients, this includes: — Simple lifestyle advice, including healthy eating, weight reduction and smoking cessation, — Advice on the avoidance of known precipitants, associated with specific symptoms, where possible, — Access to educational materials to support the care they receive, — Referral to psychological therapies, such as cognitive behavioural therapy, — Referral to dietician services. We expect the service to be operational by 1.7.2016. We expect the service to be provided within the geographical area of the 3 commissioning CCGs. In terms of premises, providers should ensure that there is adequate space to include reception and waiting areas for patients, clinical assessment and examination areas, endoscopy and other diagnostic testing and decontamination. The CCG is interested in hearing from providers that can provide either static or mobile services and those that are not limited to the standard Monday to Friday, 9:00-17:00 model. We have specified that the provider should be Joint Advisory Group for Gastrointestinal (JAG) Endoscopy accredited. This is a UK standard that all endoscopy units must achieve: www.thejag.org.uk We also expect all potential providers to comply with the CCGs' Effective Use of Resources policies and for all prescribing to comply with the Greater Manchester Medicines Management Formulary. To express an interest in providing this service, please email ellie.tivinan@nhs.net by 17:00 on Monday, 28th September. The contract will be awarded for a term of 3 years, with an anticipated upper value of 5 100 000 GBP. This will be a restricted tender, and it is anticipated that a contract notice and PQQ documentation will be issued during October 2015. Please note that all information contained within th
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