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Healthcare Clinical Information Systems (HCIS).

NHS Shared Business Services Ltd (NHS SBS) | Published March 13, 2015
Advanced Health and Care Limited, Agfa HealthCare UK Ltd, Allscripts Healthcare (IT) UK Ltd, Atos IT Services UK Limited, Centennial MIT, CGI IT UK Limited, Civica UK Ltd, Clevermed Limited, Comtact Limited, CSC Computer Sciences Limited — EPMA, CSC Computer Sciences Limited — ERP, Servelec Healthcare Limited, Egton Medical Information Systems Limited, Euroking Maternity Software Solutions, GE Medical Systems Ltd, Health Insights Technologies Ltd, Hewlett Packard Enterprise Services UK Ltd, Hospedia Limited, Fukuda Denshi, Integrated Medical Solutions Ltd / Trading as IMS MAXIMS, Maternity Neighborhood Inc. (known as Maternity Neighbourhood in the UK), Noemalife, Northgate Information Solutions UK Limited, Ideagen Plc, System C Healthcare Ltd - CarePlus, System C Healthcare Ltd - Medway, TPP (The Phoenix Partnership), Trisoft Limited
48814400, 48311100, 48329000, 48814200

The Procurement of a Framework for Healthcare Clinical Information Systems that will assist contracting authorities to support healthcare staff in the assessment, planning and delivery of better patient care, strengthen the information and resource base for research and development, clinical audit, teaching and training activity. It will allow for improvement in the quality of patient-based data, the efficient handling and processing of that data and improve the management and administration of clinical and non-clinical services while improving the reporting mechanism and ability to extract required information from the system in timely manner as requested. The associated framework and Call-Off contract will allow, within certain defined boundaries, both supplier and contracting authority a bilateral route to contract that presents an assured and transparent methodology and structure when entering into contract. Systems applicable within this tender: Lot 1 — Core Healthcare Clinical Information Systems — Applicable to all areas of healthcare. Lot 2 — Integrated Emergency Care systems. Lot 3 — Theatre Systems. Lot 4 — Child Health Systems. Lot 5 — Maternity Systems. Lot 6 — Electronic Prescribing Systems — Applicable to all areas of healthcare.

Continuing Healthcare Brokerage and Financial Management Service.

NHS Shared Business Services Ltd (NHS SBS) | Published March 11, 2015  -  Deadline April 24, 2015
75100000, 79990000, 75000000, 79000000, 79500000, 79900000

NHS Brent, NHS Harrow and NHS Hillingdon Clinical Commissioning Groups (CCGs) wish to commission an efficient, cost effective brokerage and invoice management service for the Continuing Healthcare (CHC) service in their communities.

Continuing Healthcare Brokerage and Financial Management Service — Prior Information Notice.

NHS Shared Business Services Ltd (NHS SBS) | Published January 29, 2015
75100000, 75000000, 79000000, 79500000, 79900000, 79990000

NHS Brent, NHS Harrow and NHS Hillingdon Clinical Commissioning Groups (CCGs) are inviting Expressions of Interest for the delivery of an efficient, cost effective brokerage and invoice management service for the Continuing Healthcare (CHC) service in their communities. The CCGs want to commission a service that provides fast and responsive placement of patients, whilst working closely with the CCG's CHC clinical assessment teams. There is also the requirement for a single point of access into the service and the timely payment of invoices in line with the CCGs Funding Protocol.

National Transport Framework for Care, Healthcare Logistics and Call Handling Services.

NHS Shared Business Services Ltd (NHS SBS) | Published July 22, 2015  -  Deadline August 14, 2015
85143000, 85100000, 60170000, 60140000, 34114122

This framework provides a range of services, from which individual patients, social care clients and health and care professionals can choose to commission bespoke transport solutions for their health or social care transport needs. This framework can accommodate patient /client and non patient movements around the health economy as well as extra contractual journeys going further afield. Through a competitive procurement process the aim is to increase the extent to which a broad base of providers are able to participate in the health and social care transport market, through a governed framework and demonstrate value for money.

Waste management — waste management and minimisation services.

NHS Shared Business Services Ltd (NHS SBS) | Published October 17, 2014
Tradebe Healthcare Ltd, Healthcare Environmental Services Ltd, SRCL Ltd, Bagnall and Morris Ltd, Sita UK, Viridor Limited, Veolia Ltd, Yorwaste Ltd, SRCL (partnering with Veolia Ltd), Veolia (Partnering with SRCL)
90524100, 90500000, 90513000, 90524200

Lot 1 — clinical healthcare waste:, the specification shall include (but is not exclusive to) clinical waste, offensive(hygiene) waste, pharmaceutical waste (including cytotoxic and cytostatic medicines), anatomical waste,sharps and laboratory wastes (cultures and chemicals used in the diagnosis, provision and treatment of human-healthcare) and wastes that are dangerous for carriage. All such waste streams may cause infection or prove hazardous to any person coming into contact with them. Lot 2 — Domestic, Offensive Healthcare, Hazardous Non Healthcare, Ferrous and Non-Ferrous Metals,Confidential and miscellaneous waste. Lot 3 — Framework will also incorporate the provision of a Total Waste Management (TWM) service to cover all clinical and domestic waste streams (Lot 1 and Lot 2).

Courier services

NHS Shared Business Services Ltd (NHS SBS) | Published February 2, 2017
64120000, 64100000, 64121200, 85142400

NHS SBS is looking for a provider who can deliver Healthcare Products to a number of various locations. The provider will be required to manage the relationships with a number of healthcare organisations to ensure that stock is managed, maintained in an efficient and effective way to ensure that they can meet the demands of the various healthcare Customers. (There will be a number of selected wound care providers on the formulary).

The framework shall be flexible to meet the needs of participating Customers both now and for the duration of the agreement the expectation of this framework is for delivery to clinical sites, hospital wards, departments, primary care setting, care homes and on occasions home-care delivery service for patients. It is not currently known as to which Customers will participate in this Framework Agreement and therefore which specific products and volumes of products are required.

NHS SBS is looking for a provider who can deliver Healthcare Products to a number of various locations. The provider will be required to manage the relationships with a number of healthcare organisations to ensure that stock is managed, maintained in an efficient and effective way to ensure that they can meet the demands of the various healthcare Customers. (There will be a number of selected wound care providers on the formulary).

The framework shall be flexible to meet the needs of participating Customers both now and for the duration of the agreement the expectation of this framework is for delivery to clinical sites, hospital wards, departments, primary care setting, care homes and on occasions homecare delivery service for patients. It is not currently known as to which Customers will participate in this Framework Agreement and therefore which specific products and volumes of products are required.

Appointment of Prison Pharmacy Dispensing Services.

NHS Shared Business Services Ltd (NHS SBS) | Published February 17, 2015  -  Deadline March 27, 2015
33600000, 85140000, 85149000

Lancashire Care NHS Foundation Trust's Offender Health (to be renamed Health and Justice) Business Unit provides an integrated healthcare service for people in contact with the criminal justice system as one of the business units within our Specialist Services Network. Within our prison healthcare centres we provide access to a range of primary healthcare services akin to health centres within the community i.e. GPs, Nurse Practitioners, Registered General Nurses, Dentists, Podiatrists, Optometrist, Physiotherapists, and Clinical Pharmacist staff. We also provide access to an integrated mental health service. Assessment is undertaken at reception into prison and service users are triaged, for treatment by the most appropriate practitioner. Long term conditions are proactively managed in partnership with the service user. In 2013/14 we carried out 6 670 new reception assessments in our Lancashire prisons. In addition North West Intermediate Health Care Beds (30 beds) are provided for at HMP Preston. To support our transformational healthcare model underpinned by best practice medicine management we are seeking an effective, efficient, responsive value for money pharmaceutical services and supplies (dispensing) provider/s to complement our own Clinical Pharmacy Service within our prisons. As part of our current contract with NHS England we deliver prison healthcare services at: HMP Preston (Category B capacity 850 of which a variable percentage are remand prisoners), HMP Garth (Category B, capacity 847), HMP Kirkham (Category D, capacity 634), HMP Wymott (Category C, Elderly & Vulnerable Prisons, capacity 1110), HMP Lancaster Farms (Category C, capacity 549). NHS England published a PIN Notice in June 2014 which see's our 5 Lancashire prison healthcare services (Phase 4 of NHS England‘s procurement exercise) scheduled to be put out for tender in October 2015. This is on the basis of a 5 year contract including an option for NHS England to extend the new contract by 1 year plus 1 year to whoever is appointed as the successful prison healthcare provider. Lancashire Care NHS Foundation Trust is therefore seeking a partner(s) to sub-contract elements of the pharmaceutical services and supplies. This is to both support the Trust in its current provision of services and, if the Trust is successful in future procurements, to support the Trust in the provision of these contracts in addition. The Trust's requirement is therefore divided into a number of lots to cover different areas, for both the existing contracts and potential future contracts. Further details of each lot are provided below.

Surgical Instrumentation.

NHS Shared Business Services Ltd (NHS SBS) | Published November 18, 2015  -  Deadline January 11, 2016
33169000, 33169200, 33169300, 33169400

Framework to provide access to a full range of Surgical Instrumentation used by the NHS across all healthcare settings. There are 7 Lots including Single Use Instruments, Re-Usable Instruments, Surgical Instrument standard and bespoke sets, Theatre specific Surgical Instrumentation, Re-usable containers and baskets, Repair and Replacement service and Managed Services.

Staff uniforms and protective clothing.

NHS Shared Business Services | Published April 21, 2015  -  Deadline May 26, 2015
35113400, 18000000, 18100000, 18110000, 18113000, 18221000, 18222000, 18400000, 18410000, 18420000, 33199000, 18800000, 18811000, 18830000

Staff uniforms and personal protective clothing will incorporate 3 areas which will make up 3 lots, staff uniforms, footwear and personal protective equipment. Lot 1 Staff uniforms will include a range of healthcare uniforms and corporate work wear, including but not limited to tunics, dresses, scrubs and trousers, as well as associated accompanying items. Lot 2 Footwear will include a range of protective and corporate shoes as well as patient footwear including any associated footwear accessories. Lot 3 Personal protective clothing lot is intended to provide personal protective clothing and equipment to staff members for the avoidance of health and safety risks in the workplace.

Podiatry Decontamination Services.

NHS Shared Business Services | Published March 4, 2015  -  Deadline March 24, 2015
85110000, 42924720, 33191000

NHS Shared Business Services (NHS SBS) wishes to establish a framework agreement for use by or on behalf of current and future NHS SBS clients, including without limitation (I) any national health service (NHS) trust, (II) other persons and bodies exercising NHS functions or otherwise providing NHS services (including, but not limited to primary care trusts, strategic health authorities and foundation trusts) (being other NHS entities), (III) other UK public sector bodies providing non-health services, (IV) private sector entities in the UK and Isle of Man public services sector (see section VI.3, Additional Information). This framework agreement is for Podiatry Decontamination Services to include: Lot 1: The Provision of Podiatry Decontamination Services for Bridgewater Community Healthcare NHS Foundation Trust. Lot 2: The Provision of Podiatry Decontamination Services.

Hospice Services

NHS Shared Business Services | Published April 19, 2017  -  Deadline January 19, 2017
St Raphaels Hospice

The Hospice Services are delivered by a multidisciplinary team (including doctors, nurses and HCAs) and provide holistic care and support for patients requiring specialist palliative care.The Contracting Authority has made an assessment of the local healthcare economy for these specialist services and, after which, has concluded that St Raphael's Hospice represents a the single, most capable provider. The contract awarded is for 3 years

Provision of Medical Services for Border Force Custody Suites

HOME OFFICE | Published February 28, 2017  -  Deadline August 19, 2016
Castlerock Recruitment Group Ltd

This healthcare requirement is within the secure estate of a Border Force (BF) custody suite/unit. As such the medical healthcare is ancillary to the role BF have of investigating crime. In this respect BF are strictly governed by legislation in particular the Police and Criminal Evidence Act 1984 and its Codes of Practice. PACE Code C provides a legislative framework for BF custody staff which identifies those for whom medical attention is appropriate. This includes detained persons who: - Appear to be suffering from a physical illness. - Appear to have a notifiable or contagious disease. - Are a 'Suspected Internal Drug Trafficker' or 'stuffer/ swallower' (SIDT). - Are injured. - Appear to be suffering from mental ill health (or disablement, or difficulty that means that the detainee is likely to be mentally vulnerable or require additional support i.e. Appropriate Adult). - Appear to have a drug or alcohol dependence or withdrawal which is likely to affect their safety. - Appear to need a medical examination. - Request a medical examination

RFI - A Framework for the Provision of Domiciliary Care Services on behalf of NHS Leeds South and East Clinical Commissioning Group

NHS Shared Business Services | Published May 30, 2017

NHS Shared Business Services, on behalf of NHS Leeds South and East Clinical Commissioning Group, is publishing this Request for Information (RFI) in order to seek information from providers which will be used to refine the service specification and procurement approach for the Provision of Domiciliary Care Services Framework. The Provision of Domiciliary Care Services on behalf of NHS Leeds South and East Clinical Commissioning Group includes: • The Provision of Domiciliary Care for Continuing Healthcare Patients • The Provision of a Complex Continuing Healthcare Packages at Home Service Further details of both elements of the Domiciliary Care Services are provided within the RFI document. The Services will be available to patients registered with a Leeds GP, or resident within the boundaries of the 3 Leeds Clinical Commissioning Groups and approved by the Leeds Continuing Care Service. For the purpose of this RFI, it is envisaged that the duration of any frameworks established for the Provision of Domiciliary Care Services will be 3 years with the option to extend for a further 2 years. Organisations wishing to participate in this RFI process should register their interest on the EU Supply Website to access the documentation. To register on EU Supply please log on to the following website: and look for tender reference number 27796. The RFI documentation will be available to download from 30th May 2017 and should be completed and submitted by 17.00 on 20th June 2017.

RA211904 - Multiple Inhalation Consumables

NHS Shared Business Services (SBS) | Published January 24, 2017  -  Deadline January 26, 2017

Hi, This is an invitation to quote on several items for Bridgewater Community Healthcare NHS Trust. Could you please provide your best price for the following items, or the closest equivalents you may have? Kind Regards, Chris Doherty - Must accept POs as payment and accept 30 Day NHS Payment Terms - To access this competition: login to and view the opportunity RA211904. Not registered on MultiQuote - visit then register and quote RA211904 as the reason for registration. Any queries please contact MultiQuote on 0151 482 9230.

RA219822 - Fixed Wire Inspection & Testing

NHS Shared Business Services (SBS) | Published May 30, 2017  -  Deadline June 9, 2017

NHS Shared Business Services are looking to procure Service or goods on behalf of Bridgewater Community Healthcare NHS Foundation Trust. If you are interested please see the link below for more information. - Please can all bids be submitted by Friday 2nd June 2017 at 2pm. - To access this competition: login to and view the opportunity RA219822. Not registered on MultiQuote - visit then register and quote RA219822 as the reason for registration. Any queries please contact MultiQuote on 0151 482 9230.

Adult Community Health Services - Guildford and Waverley

 | Published March 30, 2016  -  Deadline June 3, 2016

NHS Guildford and Waverley CCG wishes to commission Adult Community Health Services for the adult GP registered population to ensure high quality and innovative service provision across Guildford and Waverley. Community services are intended as an alternative to hospital-based outpatient services where non-complex acute and chronic conditions can be seen for clinical assessment, diagnostics and treatment in a community setting. This is in line with GWCCG’s strategic commissioning intentions to ensure that high quality care is delivered as close to the patient’s home as is appropriate. GWCCG has a clear vision for the development of a comprehensive and fully integrated model of health and care provision to our local population. Central to this vision is the development of excellent integrated community services, working under the leadership of Primary Care to provide a holistic health and care response genuinely tailored to the needs of a specific individual. Our new model of care, which will continue to evolve from 2017 onwards, focuses on the creation of an organised, coordinated and effective out of hospital provider environment that is seen as the main conduit for meeting a person’s health and care needs. Through this procurement process, NHS Guildford and Waverley CCG is seeking a provider to deliver ‘out of hospital’ services that will work with the CCG and other key partners to deliver the highest quality healthcare for the population of Guildford and Waverley. As the NHS continues through the process of change, GWCCG wish to work with providers who have the capability to embrace change and continually support and motivate their workforce towards innovative service delivery. The transformation of our community services is a key step in achieving this model of care. Historically, community services have been provided by a large number of fragmented and separate teams across the primary, acute, community and social sectors. It is our ambition to move away from this paradigm by instead creating integrated community health and care services that are capable of delivering a flexible and wide ranging service response based on clinical need, whenever it is required. GW CCG is holding a bidder briefing event on 13 April 2016. Details of how to register to attend are attached to this notice.

NHS Bolton CCG Personal Health Budget Support Services

NHS Shared Business Services | Published February 24, 2017  -  Deadline March 31, 2017

NHS Bolton CCG is seeking providers to apply to join a Quality Assurance Framework for Personal Health Budget Support Services. Personal health budgets are an amount of money to support a patient's identified health and wellbeing needs, planned and agreed between the patient and their local NHS team. A personal health budget is not new money, but rather enables people to use existing funding differently. Personal health budgets have been available for patients who are eligible or Continuing Healthcare funding in Bolton since April 2014. Personal Health Budgets are not mandatory. NHS Bolton CCG wishes to support the continued growth of Personal Health Budgets to ensure that patients have greater choice, flexibility and control over the health care and support they receive. Support brokerage is seen as a key component in successfully achieving these aims. Bolton CCG wishes to ensure that individuals can take up a Personal Health Budget in one of the following ways Self-managed direct payment Managed direct payment Third Party PHB Notional PHB In the context of Personal Health Budgets the term brokerage refers to the range of help available to people when developing, implementing and managing / receiving their support. This is distinct from the help that CCG healthcare case managers provide in undertaking assessments and over-seeing clinical need. The Quality Assurance Framework that NHS Bolton CCG wishes to create will be of interest to those organisations who wish to provide support to patients who are interested in having their PHB funding provided through a Direct Payment or a Third Party PHB. Bolton CCG is committed to the delivery of Personal Health Budgets, and is actively seeking to ensure that a diverse, robust market for independent brokerage is available for patients. Personal Health Budgets support services will work directly for the patient or their carer / family making sure that they stay in control of their care and support arrangement. Providers are expected to assist, inform, and support the patient to manage their support package where required. The provider will provide high quality information and support services to patients interested in having a personal health budget to enable them to choose a care package which enables them to meet their agreed health outcomes in a way which suits them best. The providers will give information and advice on the different PHB management options. The specific tasks that providers may be expected to undertake will fall within the following three categories: Support Planning Implementing the support plan On-going support

End of Life Care Coordination Service in Wandsworth

NHS Shared Business Services | Published June 16, 2017  -  Deadline June 30, 2017

Battersea Healthcare CIC (BHCIC) has been appointed by Wandsworth CCG as the Multiple Specialty Community Provider (MCP) to act as lead provider for a range of local health services. A new service has been piloted for the last 2 years which is about to be awarded by the BHCIC as a substantive contract following the successful outcomes being achieved by the pilot service. The new contract is likely to be for 4 years, with the potential to be extended for a further 3 years after that. Whilst the pilot service has been successfully delivered by a local voluntary sector provider offering very good value for money within a challenged financial budget, the BHCIC now wishes to understand if there is any additional interest is delivering the service which will provide a "stable" contact point for patients and Health Care Professionals (HCPs) within Wandsworth, whilst contributing to, adapting to and incorporating changes to processes and pathways as the system changes. The oversight to be provided through this service will maximise the use of commissioned services across the system to support quality patient care and improve outcomes for individuals and the system as a whole. Please see the attached DRAFT service specification for further information about the End of Life Coordination Service.

Interface Community Geriatrician(s) Service

NHS Shared Business Services | Published November 10, 2016  -  Deadline November 30, 2016

NHS West London Clinical Commissioning Group (CCG) is seeking quotations from providers who are interested in providing an Interface Community Geriatrician(s) service for patients of West London CCG area. The overall vision and ethos is to recruit a geriatrician to link primary, community and secondary care over the 7 day working week, 365 days of the year, operating as an integral part of Whole Systems Integrated Care, the Community Independence Service and within care homes team and playing a critical role in the delivery of key work-streams. The role will support West London CCG’s wider strategic drive to provide better and more co-ordinated care throughout the year, keep people out of hospital, provide more care closer to home in community settings and work with patients to understand their holistic health and social care needs in order to provide a person-centred approach to care. The service will support aims of the service are to improve the quality of care to older people in the community which will provide the following benefits: • Improved 7 day liaison and support to GP’s • Reduce unplanned hospital admissions • Initiate earlier service intervention to support speedier discharge • Better co-ordinated community care, including care homes. • Decreased length of stay, improve bed utilisation. • Improved patient experience of care • Improved health-related quality of life of those with long-term conditions • Increased number of people dying in their usual place of residence • Reduced cost of inappropriate medication. The objectives of the Service are: • Support skills transfer for geriatrician to other healthcare providers • Strengthen the clinical effectiveness of Multi-Disciplinary Team meetings • Improve the interface between primary and secondary care over 365 days of the year. • Promote continuity of care between primary and secondary care(minimising unnecessary transfers of care/handoffs). • Interface with secondary care frailty pathways The contract will be for a two year period commencing from 3rd January 2017. The maximum value across the two year period is £480,000.00. West London CCG will provide administrative support for the roles. Bidders may wish to bid for either • 1 WTE Geriatrician support for the North of West London CCG area (lot 1) • 1 WTE Geriatrician support for the South of West London CCG area (lot 2) • 2 WTE All the CCG area (lot 3) Organisations interesting in bidding to provide this service will need to register on the EU Supply e-tendering portal and search for tender ID 25845

To develop and implement the Datawell Platform.

Salford Royal NHS Foundation Trust | Published January 26, 2016
Lumira Holdings Limited

Datawell is an innovative informatics platform that enables health data to be shared and provides Greater Manchester, East Cheshire and East Lancashire with a development resource that accelerates the delivery of improvements in health outcomes and costs-effectiveness. Datawell consists of 2 complementary programmes: The Datawell Exchange and the Datawell Accelerator; a) The Datawell Exchange will enable efficient sharing of data and provide the appropriate safeguards for privacy, in order to provide a platform which member organisations, including clinicians and researchers, will be able to build on to create innovative solutions for care. This will be the core technological environment that will need to be developed to make the existing ground-breaking innovation routine and simple for all members; b) The Datawell. Accelerator will be a collection of project-driven partnerships combining resource from NHS members, our Universities and industry to create an affordable, enhanced capability to run evaluations and pilots of new ideas. These partnerships will build on existing locality plans and support better knowledge sharing between members.

The minimum requirements of the solution are set out below. Bidders must be able to demonstrate their ability to meet all of these minimum requirements.

Datawell Node:

Storage of structured and unstructured data.

— The system must allow the storage of structured and unstructured data, including free text, coded data and semi-structured information;

— Data must be searchable by patient or data types. For example the results returned may be for a selected patient, or select data for all patients matching set criteria such as diagnosis or pathology result;

— The application must be able to use NHS numbers to identify patients;

— Each Dataset Definition and Dataset must have a unique reference identifier within the Exchange. All individual data items (Attributes) within a Dataset Definition must be associated with a corresponding entry from the Universal Data Dictionary. The same Attribute may be referenced in any number of Dataset Definitions.

— Data will include health data sources and ETL processes must link to existing systems as data sources with near live updates of information.

Metadata catalogue of available data and metadata/entity management:

— A catalogue of available data and data types must be available and searchable to support the generation of new Dataset definitions, and to support the ability to compare related or similar data.

Universal data dictionary — OpenEHR, HL7, ICD9, ICD10, Read, SnomedCT:

— A standard semantic data dictionary must be defined to enable disparately sourced data to be linkable across the Exchange regardless of its originating representation. For example, a data source may record a patient's blood pressure in a database table with a column named ‘BP’, whilst another data source may record the same information in a database table column named ‘BloodPressure’. Critically, we must be able to interpret both these attributes as equivalent, by mapping both such attributes onto the same semantic term ‘Measurement. BloodPressure’, and also ensure that the value representation is consistent — 1 source system might record blood pressure as mm of Hg (millimetres of Mercury displacement, UK) whilst another might use kPa (kilopascals, USA).

— The Universal Data Dictionary forms the domain of attributes, known as Archetypes, that can be selected from to form a Dataset Definition. The Universal Data Dictionary will evolve over time with the accrual of new Archetype definitions. Such changes must be carefully managed and a scheme implemented to enable Nodes to maintain synchronised versions of the Universal Data Dictionary.

Healthcare information such as medications, procedures, diagnoses, lab tests, etc. are normally encoded with reference to a well-defined vocabulary. Examples of such coding schemes currently in use include SNOMED-CT, ICD-10, LOINC. The Universal Data Dictionary must make reference to such vocabularies as part of the semantic definition for an Archetype.

— Medical ontologies are versioned and updated on a regular basis. Exchange Nodes must have a mechanism that enables them to accrue such updates over time and for this to be synchronised across all Nodes in the Exchange.

Security and access:

— Exchange nodes must maintain data query and transfer logs for reporting on information flow to enable governance audit, systems performance and security monitoring.

— The system must enforce the principle of ‘least permission respected’ when assessing whether a use or system has access to an individual data item, taking into account user authentication and authorisation against roles permissions and data sharing agreements. ‘Break the Glass’ scenarios may override this but must be appropriate alerted and audited.

Administration Portal:

— Each Exchange Node must have its own secure administration portal to enable all aspects of the system to be controlled and maintained by local users (Administrators) with the specific authority to do so.

— The portal must provide all aspects of system monitoring for performance and user behaviour tracking, and for configuration and management of the various components and associated metadata that constitute the Node.

— All changes effected by Administrators to the system configuration must be logged, and made visible within the portal and available for separate audit report.

— The web user interface must include meaningful visual dashboard presentation to show the current state of the system, to generate alerts where parts of the system may not be functioning correctly, and to highlight where end user or external system behaviour is out with normal operating parameters.

— All data transfer activity that passes through the Exchange Node must be logged and made accessible within the Administration portal, providing tabular presentation and visual graphs over time and enabling instantaneous reporting through dynamic selection and aggregation on the various dimensions of Requests/Responses such as Requester, Responder, EndUser, Query, Status, etc.

Basic analytics capability for reporting of data:

— The node must have a core set of web-based applications that are available ‘out of the box’ in order to demonstrate immediate value and capability for the node.

— 1 application must have the ability to view all data, or a defined type of data, about a single patient. For example, to be able to show a complete medical history, or a list of pathology results.

Exchange Node Clocks:

— A common time reference must be used by all Nodes throughout the Exchange, namely coordinated Universal Time (UTC) resolvable to the calendar date (century, year, month, day) and time of day (to the nearest millisecond). Although leap days/seconds must be incorporated, no adjustment for daylight savings is required — UTC is equivalent to Greenwich Mean Time (GMT).

— Individual Node clocks must be kept in sync to the nearest millisecond.

Datawell Exchange;

Managed sharing.

— The Exchange must directly implement managed sharing, connecting each participating organisation's Exchange Node and filtering data transfers to enforce the rules defined through the combination of data sharing agreements from organisational through to an individual's permission settings.

— The Exchange must immediately honour any changes made to the deployed sharing agreements, whether to restrict or to expand.

— The Exchange must also provide the facility to transform data before delivery, specifically to apply de-identification according to the rules defined in the Data Sharing Agreement currently in effect between the sender and receiver.

Governance audit:

— Exchange nodes must maintain data query and transfer logs for reporting on information flow to enable governance audit, systems performance and security monitoring.

Flexible data exchange:

— The Exchange must support different modes of transfer including pull requests, for small scale on demand distributed queries for individual data item sets (e.g. for servicing a patient point-of-care application); push requests, for large scale scheduled bulk dataset delivery (e.g. for servicing a secondary population research analysis).

— The Exchange must support both standard core Dataset Definitions to drive a minimum level of application functionality.

Standards conforming:

— The Exchange must implement a range of healthcare interoperability standards including but not limited to NHS Information Toolkit (ITK), HL7-V2, HL7-FHIR, ITU- T-H.860, IHE XDS, OpenEHR as required to support a range of downstream applications.

Security and Audit:

— All data transfers between nodes must be encrypted ‘in-flight’. Transfers between specific pairs of Exchange Nodes should be encrypted with different keys, such that compromise or publication of a key pair does not expose data exchanged between other pairs of Nodes. In case of such a security breach, it must be possible to invoke an immediate change of encryption keys used throughout the Exchange.

— The data transfer logs must record sufficient information to enable audit of who/when/what for each transfer event, but also for unusual patterns of access to be identified and flagged for further investigation. FairWarning is an example of a commercial product, currently used by the NHS, for analysing data access logs for potentially inappropriate activity.

— An Exchange Administrator must have the facility to immediately disable responses being generated to queries originating from a specific End User across the entire Exchange.

End User Registry:

— An End User Register must be implemented across all Nodes in the Exchange to ensure a consistent view of the same user is maintained regardless which organisations they may be employed by over time, or their level of site to site mobility that may be a characteristic of their job. The same single unique identifier must apply to the same user irrespective of their original registration Node. This requires Exchange Nodes to participate in shared End User Register updates and to implement a scheme for resolving potential duality of user identity.

— The Administration and Audit Portal must support the creation, update, suspension and deletion of an End User, recording a range of descriptive and contact information for each person.


— Whilst the Transfer Log does not make record of the Response Datasets generated, it must capture sufficient information to enable the Request to be rerun under the same system-wide state in order to generate the same Response Datasets, and in particular the same cohorts of individuals.


— Certain AccessRoles, e.g. a consultant in A&E, must be able to be given the special permission ‘Break-The- Glass’. This follows the standard procedure within the medical profession, whereby an EndUser with this permission can access an individual's data after interacting with a separate challenge and response mechanism within an EHR application for example. Break-The-Glass events are typically separately monitored and audited with professionals having to justify their use. The Exchange must be able to support this scenario.

Datawell Exchange API:

— A set of open Datawell APIs must be defined for specifying on-demand broadcast data transfer queries, scheduled transfer queries, audit queries, data sharing agreements and system management such as registration/withdrawal of Nodes from the Exchange network.

— The Datawell APIs must include a separately secured Administration API and Data Transfer API. Only the basic requirements for these APIs are described in the following sections, additional capabilities remain to be defined.


— In order to support the successful use of the Datawell Exchange bidders must have or develop a common information architecture that defines the format and definition for health information to be shared. This definition will constitute the minimum core dataset for the exchange, and provide the core structures that will need to be mapped to individual systems within Exchange member environments. The benefits of this common data architecture must include:

— Identify and source the data needed to share between organisations and to support the development of new applications;

— Make it possible to uniquely define a new data element within a minimum data set;

— Establish the derivation of a given data element from its root sources;

— Build common business rules about data and have them apply across the conurbation.

— The key purpose in developing the Data Architecture must be to support the software applications that will use and access shared data across the Exchange. It will also facilitate the ability to link datasets between different sources and third party datasets.

— The model must balance this flexibility against the need to provide a concrete software implementation that can be assured to meet external data standards and be optimised to provide rapid, appropriate and secure access to data.

— A recommended data model must be flexible enough to accommodate multiple types of use, including export for inclusion in other clinical record systems, point of care use, research, clinical audit, business intelligence and quality and safety monitoring.

— The node solution must provide a basic dataset definition in-line with national and international standards such that access to the data by the data owners is always possible. There are a number of standards for the storage and interchange of health data for use by electronic health record systems. Examples of Reference Models include HL7, NHS Interoperability Toolkit (based on HL7), XDS, EN13606 European Standard for Health Informatics and openEHR.

— The data owner must always be able to extract or completely remove their own data.

— The data owner must always be able to add additional datasets based on own data sources and extend the nodes data catalogue as required. Data that can be included in the node will cover: PAS, pathology, medications and prescribing, health resource utilisation, critical care, speciality data, outpatient information, emergency admissions (A&E), community and intermediate care, mental health, social care, GP and other primary care.

— It must not be possible for any system to access data, either locally or via the Exchange, without the appropriate information sharing agreements permitting use. Patient consent models must also be respected.

Analytics and Business Development:

A core objective for Datawell is to support the innovative use of data to improve outcomes for patients and the efficiencies of the whole GM health and social care system. Therefore there is a requirement for provision of business analysis and data analysis support of the program, as well as provision of specific support to members during roll-out to help identify value and project opportunities created by the Datawell platform.

Specific tasks must include:

— Map current organisational data flows, both internal and external, that are relevant to Datawell projects. At a minimum this must include hospital episode statistics, pathology, prescribing, admissions, diagnosis and other patient episode data.

— To identify metadata definitions and potential quality issues to create dataset definitions and metadata that will help Datawell users in accessing and using the data. Create a metadata catalogue that must define data content, including coding schemes.

— Establish working groups internal to members in order to develop informed knowledge about the use and purpose of the data, identify requirements for data sharing and requirements that may be relevant to future Accelerator projects.

— Identify and document local value propositions, within the framework established in the Business Case, and develop bespoke business cases for Accelerator projects that will support the development of Datawell and demonstrate its effectiveness in improving patient safety and outcomes, reducing costs and creating efficiencies.

— To identify and map existing applications and APIs within member organisations.

— Support the development of data models for use in the Nodes and Exchange.

— Maintain the programme governance framework, including reporting to Board meetings, setting up and maintaining the Reference group and maintaining Public Patient Involvement plans.

— Develop an information governance framework and common information sharing agreements for use in the Datawell Exchange. Where possible existing best practice should be maintained.

— Create a catalogue of existing data sharing agreements and establish a plan where migration to a new data sharing agreement is required.

— Ensure that the design of the Datawell programme complies with essential legal and ethical frameworks and supports national and local initiatives for data sharing. Links with appropriate national and local groups, including HSCIC, the GM Informatics Board, local Health and Wellbeing Board, Directors of Public Health, and others, should be maintained and reported. Datawell must also fit with Local Authority plans, directed by AGMA and the future development of Devolution in Greater Manchester.

— Continue the promotion of the objectives of the Datawell programme through member engagement, local workshop and conference activity.

— Develop a Datawell Business Model which will create a sustainability plan for beyond the initial 3 year funding plan.

This service is being potentially being procured on behalf of:

Bolton Clinical Commissioning Group, Bury Clinical Commissioning Group, Central Manchester Clinical Commissioning Group, Eastern Cheshire Clinical Commissioning Group, Heywood Middleton and Rochdale Clinical Commissioning Group, North Manchester Clinical Commissioning Group, Oldham Clinical Commissioning Group, Salford Clinical Commissioning Group, South Manchester Clinical Commissioning Group, Stockport Clinical Commissioning Group, Tameside and Glossop Clinical Commissioning Group, Trafford Clinical Commissioning Group, Wigan Borough Clinical Commissioning Group.

Bridgewater Community Healthcare NHS Trust, Central Manchester University Hospital NHS Foundation Trust, East Cheshire NHS Trust, East Lancashire Hospitals NHS Trust, Greater Manchester West Mental Health NHS Foundation Trust, North West Ambulance Service NHS Trust, Pennine Acute Hospitals NHS Trust, Pennine Care NHS Foundation Trust, Royal Bolton Hospitals NHS Foundation Trust, Salford Royal NHS Foundation Trust, Stockport NHS Foundation Trust, Tameside Hospital NHS Foundation Trust, The Christie NHS Foundation Trust, Wrightington, Wigan and Leigh NHS Foundation Trust, University Hospital of South Manchester FT.

Blackburn with Darwen Borough Council, Bolton Council, Bury Council, Cheshire East Council, Manchester City Council, Oldham Council, Rochdale Metropolitan Borough Council, Salford City Council, Stockport Metropolitan Borough Council, Tameside Metropolitan Borough Council, Trafford Council, Wigan Council.

The duration of the contract is 30 months with the option to extend for an additional 36 months and then a further 24 months if required. The innovation partnership procedure is being adopted. It is intended that 3 economic operators will be taken forward following PQQ.