Stockpile resilience for the supply of Enteral Feed and Consumables for COVID-19 Patients

{
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    "id": "ocds-h6vhtk-029b17-2021-07-02T14:17:41+01:00",
    "date": "2021-07-02T14:17:41+01:00",
    "ocid": "ocds-h6vhtk-029b17",
    "initiationType": "tender",
    "tender": {
        "id": "C16813",
        "legalBasis": {
            "id": "32014L0024",
            "scheme": "CELEX"
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        "title": "Stockpile resilience for the supply of Enteral Feed and Consumables for COVID-19 Patients",
        "status": "complete",
        "classification": {
            "scheme": "CPV",
            "id": "33692300",
            "description": "Enteral feeds"
        },
        "mainProcurementCategory": "goods",
        "description": "Stockpile resilience for the supply of Enteral Feed and Consumables for COVID-19 Patients.Four contracts awarded in preparation for the expected Winter/Spring surge in COVID-19 hospital ICU admissions.",
        "lots": [
            {
                "id": "1",
                "description": "The Government must protect the health and well-being of UK citizens. The COVID-19 outbreak is a Public Health Emergency of International Concern (PHEIC) as declared by the World Health Organisation on 30 Jan 2020. The WHO Director General characterised COVID-19 as a pandemic on 11 Mar 2020. The Department of Health and Social Care (DHSC) has (on behalf of NHS bodies in England, Wales, Scotland and Northern Ireland) awarded four contracts in preparation for the expected Winter/Spring surge in COVID-19 hospital ICU admissions. The aim was to create a stockpile of Enteral Feed and the associated consumables needed to administer the feed into patients, ensuring a continuity of supply of these essential life-saving products.These four contracts were awarded to the following organisations:- Abbott Laboratories Limited;- Fresenius Kabi Ltd;- Nutricia Ltd;- Nutricia Ireland LtdThe specific goods include:- Enteral water, - High protein enteral tube feed - Enteral pumps specifically compatible for giving these specific goods. The aggregated maximum value of this contract's initial term is estimated to be PS5,412,000.00 + VAT. The volumes identified are based on clinically identified and validated assumptions. The four Contracts commenced 1st October 2020 and expire on 30th June 2021 and contain an option to extend to a maximum of 30 June 2022 (in order to respond to further waves and surges).Each hospital across these NHS bodies have pre-existing contracts in place for the same product ranges procured under these contracts, with the awarded suppliers. These NHS Bodies have pre-existing capital equipment installed for the purpose of administering enteral feed to patients under their care. The manufacturer of that capital equipment also supplies the enteral feed and the associated consumables to be used with their equipment. The feed and consumables required as part of this stockpile are tied to the manufacturer of installed capital equipment (i.e., one manufacturer's feed or consumables is not compatible with another manufacturer's equipment). All of these products have been clinically accepted at each organisation, and the staff have already been trained on their appropriate use. DHSC has awarded contracts to three manufacturers whose installed capital equipment base provides coverage across the majority of the NHS bodies, to ensure sufficient volume of the enteral feed and consumables products. Each awarded supplier is required to: manufacture above their annual Business As Usual (BAU) volumes of products; store and manage a stockpile of those products; and distribute through each NHS bodies established procurement and logistics routes. DHSC is not purchasing the stock up front - this will be purchased by the NHS in their usual way. However, any unsold above BAU products remaining at the end of the contract will be bought by DHSC, allowing DHSC to ensure the NHS has available sufficient volume of product available when needed. Please note that:1. The Contract Award Notice will also need to be published in OJEU, as the procurement activities began prior to the UK leaving the EU on the 31st December 2020. However, the system is experiencing a technical delay in dual publishing, and the Contract Award Notice will be submitted to OJEU in the coming weeks once this issue has been resolved.2. A copy of the four redacted contracts has been published on the Contracts Finder portal.3. One of the awarded suppliers (Nutricia) required that two contracts were entered into to cover (a) England, Wales and Scotland and (b) Northern Ireland, as they operate as different businesses in theses territories.",
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                "status": "cancelled"
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                    "description": "This contract covers NHS bodies in England, Wales, Scotland and Northern Ireland."
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        ],
        "procurementMethod": "limited",
        "procurementMethodDetails": "Award procedure without prior publication of a call for competition",
        "coveredBy": [
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        "procurementMethodRationaleClassifications": [
            {
                "scheme": "TED_PT_AWARD_CONTRACT_WITHOUT_CALL",
                "id": "D_TECHNICAL",
                "description": "The works, supplies or services can be provided only by a particular economic operator due to absence of competition for technical reasons"
            }
        ],
        "procurementMethodRationale": "Severally ill patients with COVID-19 may become unconscious or acutely unwell and unable to self feed to ensure sufficient calorie and nutritional intake to aid their recovery journey. These patients may as a result need invasive medical support with basic functions such as breathing and feeding. In the case of patients who are unconscious and on full time ventilation support or patients receiving significant oxygen support, hydration, calorie and nutritional requirements would be administered by enteral feeding.The specific goods procured under these four contracts include; enteral water, high protein enteral tube feed and enteral pump specifically compatible for giving the specific goods. Competition for these supplies contracts is absent for technical reasons as the NHS bodies have an established installed capital equipment base with these four providers. These suppliers account for significant proportion of the market share for enteral pumps and enteral tube feed across the NHS. Each of these NHS bodies have previously procured the Enteral Feed Giving Sets and matching Pumps from one of these four contracted suppliers and there is a lack of interchangeability between products and equipment. The NHS bodies have established staff training, prescribing and dispensing protocols for administering these products. Only the awarded manufacturers of these feeds have the production capability to produce the compatible products in the stockpile volumes to provide the resilience required for a future surge in COVID activity; have the established logistics infrastructure, and associations with the NHS bodies to maintain their supply (over and above their BAU volumes) in line with their existing installed base of equipment. The size of the proposed reserve stock with each supplier is proportionate to their current market share based on installed pump base across the NHS.",
        "amendments": [
            {
                "id": "1",
                "unstructuredChanges": [
                    {
                        "oldValue": {
                            "text": "5412000.00"
                        },
                        "newValue": {
                            "text": "11711998"
                        },
                        "where": {
                            "section": "II.1.5.1",
                            "label": "Estimated total value"
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                    },
                    {
                        "oldValue": {
                            "text": "Stockpile resilience for the supply of Enteral Feed and Consumables for COVID-19 Patients. Four contracts awarded in preparation for the expected Winter/Spring surge in COVID-19 hospital ICU admissions."
                        },
                        "newValue": {
                            "text": "Stockpile resilience for the supply of Enteral Feed and Consumables for COVID-19 Patients. Four contracts awarded in preparation for the expected Winter/Spring surge in COVID-19 hospital ICU admissions. Please note, the previous contract notice regarding this award (reference 2021/S 065-169955) was published with the Year 1 committed values only. While the previous notice confirmed the contracts contained an option to extend for a further 12 months, the overall value provided in the notice did not include the value for that option to extend (i.e. the previous notice reflected the value of year 1 only). This notice seeks to remedy that oversight and contains the full value of the contract awarded (i.e. this notice reflects the value of year 1 and year 2 to include the value of the option to extend). The only change from the previous notice is the update of the full value of the contract. All previous information, as per the original notice, remains unchanged. The updated total spend value under this contract (for the 2yr duration) is: Total = PS11,711,998"
                        },
                        "where": {
                            "section": "II.1.4.1",
                            "label": "Short description"
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                    {
                        "newValue": {
                            "text": "24"
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                        "where": {
                            "section": "II.2.7.1",
                            "label": "Duration in months"
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                    }
                ],
                "description": "Total spend under this contract award (Yr1 and the 1yr extension to 30/06/2022) by supplier is: Nutricia = PS6,200,088 Nutricia Ireland = PS272,674 Fresenius Kabi = PS1,618,731 Abbott = PS3,620,505 The total contract value is now PS11,711,998"
            }
        ]
    },
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                "name": "Sachin Joshi",
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