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End of Life Care Coordination Hub and Urgent Response Team services through social investment for Sa

  West Bromwich United Kingdom — NHS Sandwell and West Birmingham CCG
Published June 30, 2014
|
Notice type
Prior notice
Buyer category
Hospital_healthcare
Value
€1.39M
Introduction: Sandwell and West Birmingham Clinical Commissioning Group (CCG) has redesigned their approach to End of Life (EOL) services to ensure delivery of an integrated and responsive model that builds on good practice and seeks to innovate and transform the care pathways for patients at end of life. The CCG has arranged EOL services into three groups which will operate in synergy to provide joined up, holistic EOL services for patients. Each group will have a separate and distinct procurement approach. The CCG recognises that the ability of the provider to meet the agreed contractual outcomes cannot be dependent on the performance or otherwise of the providers of the other two groups. — Group 1 (coordination hub and urgent response service) - These services provide improved coordination and delivery of packages of care for EOL patients and their families. The co-ordination hub services will be supported by an urgent response team which will be available 24 hours per day 7 days per week. — Group 2 (specialist Hospital and Community based palliative care services) – These existing specialist services form part of the EOL care pathway and will continue to be provided by the local acute NHS trust. — Group 3 (Specialist Palliative and hospice care and support services) - These services provide specialist palliative care, physical, psychological, spiritual and social support to patients, families and carers. This PIN concerns Group 1 services only. The CCG is seeking to award an outcomes based contract using a Social Investment model which will deliver against agreed outcomes only. Although some providers may have the financial capacity and appetite to manage this risk themselves, other providers may not be willing or able to take on outcome risk and may require alternative sources of funds in order to be able to provide the service. Social investors are therefore being sought to invest in the services and pay the provider to deliver them. The investor would carry the financial risk should the outcomes not be met. Where the outcomes are met then the investor would receive a varying return on their investment. The CCG is holding a market engagement event to provide an opportunity for potential investors and providers to come together and also seek further information about the proposal and explore opportunities consider a bid. Service aims and outcomes: The overarching aim of services is to improve the coordination and provision of packages of care for EOL patients and their families, enabling patients to be cared for and to die in the place of their choice. The services will work as an integrated part of health and social care provision throughout the CCG to effectively manage resources, ensuring equity of access to quality services and value for money. The services provider will also provide management information on service utilisation and maintain the CCG EOL care register. Outcomes and payment metrics: The key outcomes that the services will be measured against are: a) an increase in the number of patient dying in usual place of residence; and b) fewer emergency hospital admissions. Payments to the investor will be determined by performance against these outcomes. The investment needed is estimated to be the region of GBP 1.1 m per year for the [three year] life of the services contract. In addition funding, to support delivery of outcomes, will be made available by the CCG and through Big Lottery Fund Funding. Scope of the services: The coordination hub (Hub) will act as a single point of access for coordinating services and the urgent response team. It will maintain a CCG wide EOL care register. The Hub will track patients to ensure they have received the agreed care and the desired outcomes have been achieved. Additionally the Hub will manage and disseminate information related to demand and capacity, utilisation of

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Fact Sheet

Title
End of Life Care Coordination Hub and Urgent Response Team services through social investment for Sa
Published by
NHS Sandwell and West Birmingham CCG
Publication Date
30/06/2014
Notice Type
Prior Information Notice
Has Documents
No
Abstract
Introduction:Sandwell and West Birmingham Clinical Commissioning Group (CCG) has redesigned their approach to End of Life (EOL) services to ensure delivery of an integrated and responsive model that builds on good practice and seeks to innovate and transform the care pathways for patients at end of life.The CCG has arranged EOL services into three groups which will operate in synergy to provide joined up, holistic EOL services for patients. Each group will have a separate and distinct procurement approach. The CCG recognises that the ability of the provider to meet the agreed contractual outcomes cannot be dependent on the performance or otherwise of the providers of the other two groups.— Group 1 (coordination hub and urgent response service) - These services provide improved coordination and delivery of packages of care for EOL patients and their families. The co-ordination hub services will be supported by an urgent response team which will be available 24 hours per day 7 days per week.— Group 2 (specialist Hospital and Community based palliative care services) – These existing specialist services form part of the EOL care pathway and will continue to be provided by the local acute NHS trust.— Group 3 (Specialist Palliative and hospice care and support services) - These services provide specialist palliative care, physical, psychological, spiritual and social support to patients, families and carers.This PIN concerns Group 1 services only. The CCG is seeking to award an outcomes based contract using a Social Investment model which will deliver against agreed outcomes only. Although some providers may have the financial capacity and appetite to manage this risk themselves, other providers may not be willing or able to take on outcome risk and may require alternative sources of funds in order to be able to provide the service. Social investors are therefore being sought to invest in the services and pay the provider to deliver them. The investor would carry the financial risk should the outcomes not be met. Where the outcomes are met then the investor would receive a varying return on their investment.The CCG is holding a market engagement event to provide an opportunity for potential investors and providers to come together and also seek further information about the proposal and explore opportunities consider a bid.Service aims and outcomes:The overarching aim of services is to improve the coordination and provision of packages of care for EOL patients and their families, enabling patients to be cared for and to die in the place of their choice. The services will work as an integrated part of health and social care provision throughout the CCG to effectively manage resources, ensuring equity of access to quality services and value for money. The services provider will also provide management information on service utilisation and maintain the CCG EOL care register.Outcomes and payment metrics:The key outcomes that the services will be measured against are:a) an increase in the number of patient dying in usual place of residence; andb) fewer emergency hospital admissions.Payments to the investor will be determined by performance against these outcomes.The investment needed is estimated to be the region of GBP 1.1 m per year for the [three year] life of the services contract. In addition funding, to support delivery of outcomes, will be made available by the CCG and through Big Lottery Fund Funding.Scope of the services:The coordination hub (Hub) will act as a single point of access for coordinating services and the urgent response team. It will maintain a CCG wide EOL care register. The Hub will track patients to ensure they have received the agreed care and the desired outcomes have been achieved. Additionally the Hub will manage and disseminate information related to demand and capacity, utilisation of
Main Contact
michael.barlow1@nhs.net
Admin Contact
N/a
Technical Contact
N/a
Other Contact
N/a
Official Name
NHS Sandwell and West Birmingham CCG
Postal Address
Kingston House, 438-450 High Street
Town
West Bromwich
Postal Code
B70 9LD
Country
UK
For the attention of
Michael Barlow
E-Mail
michael.barlow1@nhs.net
Type of contract and place of delivery or of performance
25
Short description of nature and quantity or supplies or services
Introduction: Sandwell and West Birmingham Clinical Commissioning Group (CCG) has redesigned their approach to End of Life (EOL) services to ensure delivery of an integrated and responsive model that builds on good practice and seeks to innovate and transform the care pathways for patients at end of life. The CCG has arranged EOL services into three groups which will operate in synergy to provide joined up, holistic EOL services for patients. Each group will have a separate and distinct procurement approach. The CCG recognises that the ability of the provider to meet the agreed contractual outcomes cannot be dependent on the performance or otherwise of the providers of the other two groups. — Group 1 (coordination hub and urgent response service) - These services provide improved coordination and delivery of packages of care for EOL patients and their families. The co-ordination hub services will be supported by an urgent response team which will be available 24 hours per day 7 days per week. — Group 2 (specialist Hospital and Community based palliative care services) – These existing specialist services form part of the EOL care pathway and will continue to be provided by the local acute NHS trust. — Group 3 (Specialist Palliative and hospice care and support services) - These services provide specialist palliative care, physical, psychological, spiritual and social support to patients, families and carers. This PIN concerns Group 1 services only. The CCG is seeking to award an outcomes based contract using a Social Investment model which will deliver against agreed outcomes only. Although some providers may have the financial capacity and appetite to manage this risk themselves, other providers may not be willing or able to take on outcome risk and may require alternative sources of funds in order to be able to provide the service. Social investors are therefore being sought to invest in the services and pay the provider to deliver them. The investor would carry the financial risk should the outcomes not be met. Where the outcomes are met then the investor would receive a varying return on their investment. The CCG is holding a market engagement event to provide an opportunity for potential investors and providers to come together and also seek further information about the proposal and explore opportunities consider a bid. Service aims and outcomes: The overarching aim of services is to improve the coordination and provision of packages of care for EOL patients and their families, enabling patients to be cared for and to die in the place of their choice. The services will work as an integrated part of health and social care provision throughout the CCG to effectively manage resources, ensuring equity of access to quality services and value for money. The services provider will also provide management information on service utilisation and maintain the CCG EOL care register. Outcomes and payment metrics: The key outcomes that the services will be measured against are: a) an increase in the number of patient dying in usual place of residence; and b) fewer emergency hospital admissions. Payments to the investor will be determined by performance against these outcomes. The investment needed is estimated to be the region of GBP 1.1 m per year for the [three year] life of the services contract. In addition funding, to support delivery of outcomes, will be made available by the CCG and through Big Lottery Fund Funding. Scope of the services: The coordination hub (Hub) will act as a single point of access for coordinating services and the urgent response team. It will maintain a CCG wide EOL care register. The Hub will track patients to ensure they have received the agreed care and the desired outcomes have been achieved. Additionally the Hub will manage and disseminate information related to demand and capacity, utilisation of services and progress against agreed outcomes. The Hub team will work in partnership with stakeholders to ensure, monitor and improve data accuracy and consistency. The urgent response team, consisting of experienced registered nurses and healthcare assistants, will provide high quality responsive palliative nursing care in the community at short notice, to patients at home, including care homes and sheltered housing, whose needs can be met by rapid, short term intervention in the end of life stage of their illness. Service model: Bidders are asked to note the following service model requirements: — The services will operate to cover the Sandwell and West Birmingham CCG geographical boundaries. The actual physical location of the Hub will be decided by the Investor who will require comprehensive knowledge of local service provision and the local health and social care commissioning arrangements. — The Hub will provide a single point of access to EOL services via telephone. — The coordination Hub will operate 24 hours per day 7 days per week. — The urgent response team will be available 24 hours per day 7 days per week. — The urgent response team will carry the single point of access phone from 20:00 to 08:00 assuming the coordination function of the Hub. Market engagement event: The CCG intends to hold a market engagement event on 14.7.2014 for organisations who have registered their interest in this project via the Central Midlands CSU e-tendering portal (further instructions on registration set out below). The purpose of the event is to: — facilitate meetings between services providers and investors to encourage market participation in any future CCG procurement process; — seek feedback from and consult with potential service providers and investors on the commercial viability, attractiveness and market interest in this contract approach if the CCG proceed with this procurement approach; — allow the CCG to share information with interested parties about the details of the proposed commercial concept, service requirements and its relationship with other group services and to enable them to ask questions. Investors and providers who are interested in attending the event are asked to submit a short organisational profile and complete a short questionnaire. This profile will be shared with all attendees to facilitate providers and investors being able to identify potential partnerships. Consent for the sharing of this information will also be sought via the questionnaire. Instructions to interested parties: Parties interested in participating in this soft market testing exercise (whether investors or providers) should express their interest via the Central Midlands CSU e-tendering portal as follows: Interested parties should register on the portal at: https://cmcsu.bravosolution.co.uk (registration and use of the website is free of charge). If already registered, interested parties can use the existing registration. Once registered, organisations must express interest by: a) logging-in to the Central Midlands CSU e-Tendering portal, b) selecting ‘PQQs Open to All Suppliers', c) search for and access listing related to this contract and view details, d) click on Express Interest. Once you have expressed interest, the opportunity will appear in ‘My PQQs' page where you can download documentation (if required) & construct your reply as instructed. You must submit your reply on the website by 11.7.2014 at 12:00 hrs. For technical support in submitting your expression of interest contact the BravoSolution Help-desk on +44 8003684850 or help@bravosolution.co.uk
Common Procurement Vocabulary (CPV)
Contract covered by the government procurement agreement (GPA)
Yes
Reserved contracts
No
Contract related to a project and/or programme financed by community fund
No
Date of dispatch of this notice
24-06-2014
Title attributed to the contract by the contracting authority
End of Life Care Coordination Hub and Urgent Response Team services through social investment for Sandwell and West Birmingham CCG.
Additional information
The CCG has conducted the initial EOL service redesign phase in partnership with Marie Curie Cancer Care (MC) and Social Finance (SF), an organisation specialising in developing social investment markets and financing solutions for social projects. The partnering arrangements with MC and SF have now concluded and the CCG will ensure that all bidders are able to access the same information MC and SF have had access to. Please note that an expression of interest in participating in this soft market testing exercise is not part of any formal award procedure. An expression of interest is no indication of a commitment to participate in the tender process nor does it infer any special status on those providers who do submit an interest. Providers who do not express an interest at this stage will still be able to apply in the future to participate in any future competition. However, we would encourage interested providers and investors to respond to this exercise to enable the CCG to attain a fuller assessment of current market interest for various models of delivery and the viability of conducting a procurement exercise in the immediate future. All responses will be treated in confidence. However, the contents of the organisational profile will be shared with other organisations as laid out in the questionnaire provided that the necessary consent is given. This Prior Information Notice does not commit the CCG to undertake the procurement of these services and the CCG has the right, at any stage, to withdraw the notice and not proceed with the soft market testing exercise. All participants are solely responsible for their costs and expenses incurred in connection with participating in this soft market-testing exercise including (but not limited to) the preparation of questionnaire responses and attendance at the event. Since the final legal form of the opportunity has yet to be resolved by the CCG, the appropriate subsequent advertisement may be by way of a notice in the Official Journal of the European Union or may take some other form of advertisement permitted by the EU procurement rules. The services to which this advertisement relates fall within Part B of Schedule 3 of the Public Contracts Regulations. Neither placement of this advertisement nor any other indication shall be taken to mean that the Contracting Authority intends to hold itself bound by any Regulations, save those applicable to Part B services.
Additional information
If and when this requirement is offered to tender, this will be done via electronic means using the internet, and may also be through the medium of an electronic reverse auction. Central Midlands CSU is conducting this procurement exercise as a central purchasing body for another NHS body (please refer to the PQQ and/or MOI for details) with whom the successful bidder(s) will enter into contracts for the supply of the services. Any other public sector body wishing to access the contract may do so only with permission from the contracting NHS body. The contract conditions will be set out in the Invitation to Tender. Further details will be made available via documentation and information released during the course of the tender process. Submission of expression of interest and procurement specific information: This exercise will be conducted on the Central Midlands CSU portal at https://cmcsu.bravosolution.co.uk. Candidates wishing to be considered must register their expression of interest & provide additional procurement-specific information (by completing a PQQ) through the portal as follows: i)Candidates should register on the portal at https://cmcsu.bravosolution.co.uk (registration and use of the website is free of charge). If your organisation has registered previously, you do not need to re-register. ii)Once registered, candidates must express interest by a) logging-in to the Central Midlands CSU eTendering portal, b)selecting response to advert and PQQ, c) select Open Access PQQ, d) search for and access listing related to this contract and view details, e) click on Express Interest link iii)Once you have expressed interest, access the My PQQs page where you can download documentation (if required) & construct your reply as instructed. You must submit your reply on the website by the deadline stated. For technical support in submitting your expression of interest contact the BravoSolution Help-desk on +44 8003684850 or help@bravosolution.co.uk
Date of dispatch of this notice
Information added to the notice since publication.
Delivery Locations
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Further information can be obtained at
yes
Ministry or any other national or federal authority, including their regional or local sub-divisions
no
National or federal agency/Office
yes
Regional or local Authority
no
Regional or local Agency/Office
no
Body governed by public law
no
European Institution/Agency or International Organisation
no
General public services
no
Defence
no
Public order and safety
no
Environment
no
Economic and financial affairs
no
Health
yes
Housing and community amenities
no
Social protection
no
Recreation, culture and religion
no
Education
no

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