Clinical Assesment Service (CAS) for Southampton City CCG

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    "id": "ocds-h6vhtk-02cf1d-2021-08-02T08:55:00+01:00",
    "date": "2021-08-02T08:55:00+01:00",
    "ocid": "ocds-h6vhtk-02cf1d",
    "initiationType": "tender",
    "tender": {
        "id": "F13478",
        "legalBasis": {
            "id": "32014L0024",
            "scheme": "CELEX"
        },
        "title": "Clinical Assesment Service (CAS) for Southampton City CCG",
        "classification": {
            "scheme": "CPV",
            "id": "85100000",
            "description": "Health services"
        },
        "mainProcurementCategory": "services",
        "lots": [
            {
                "id": "1",
                "description": "Southampton City Clinical Commissioning Group (SCCCG) are awarding the local Clinical Assessment Service (CAS) that will offer primarily telephone based assessments of patients with urgent healthcare needs. As a key element with the Integrated Urgent Care (IUC) system in Southampton and the wider geography, the CAS will be expected to be able to triage telephone calls forwarded from NHS 111, re-triage dispositions for category 3 and 4 ambulances and assess non-emergency calls initially disposed to the Emergency Department in timely manners.",
                "contractPeriod": {
                    "durationInDays": 2520
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                "deliveryAddresses": [
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                        "region": "UKJ3"
                    }
                ],
                "deliveryLocation": {
                    "description": "Southampton"
                },
                "relatedLot": "1"
            }
        ]
    },
    "awards": [
        {
            "id": "018351-2021-F13478-1",
            "relatedLots": [
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            "status": "active",
            "suppliers": [
                {
                    "id": "GB-FTS-24298",
                    "name": "Partnering Health Limited (PHL)"
                }
            ]
        }
    ],
    "parties": [
        {
            "id": "GB-FTS-24297",
            "name": "NHS HAMPSHIRE, SOUTHAMPTON AND ISLE OF WIGHT CCG",
            "identifier": {
                "legalName": "NHS HAMPSHIRE, SOUTHAMPTON AND ISLE OF WIGHT CCG"
            },
            "address": {
                "streetAddress": "CASTLE STREET",
                "locality": "WINCHESTER",
                "region": "UKJ3",
                "countryName": "United Kingdom"
            },
            "contactPoint": {
                "name": "Celine Machola - Rogers",
                "telephone": "+44 1489779175",
                "email": "celine.machola@soeprocurement.nhs.uk"
            },
            "roles": [
                "buyer"
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            "details": {
                "url": "https://in-tendhost.co.uk/soepscommissioning",
                "buyerProfile": "https://in-tendhost.co.uk/soepscommissioning"
            }
        },
        {
            "id": "GB-FTS-24298",
            "name": "Partnering Health Limited (PHL)",
            "identifier": {
                "legalName": "Partnering Health Limited (PHL)"
            },
            "address": {
                "locality": "Segensworth",
                "region": "UKJ3",
                "countryName": "United Kingdom"
            },
            "roles": [
                "supplier"
            ],
            "details": {
                "scale": "sme"
            }
        },
        {
            "id": "GB-FTS-7114",
            "name": "NHS England",
            "identifier": {
                "legalName": "NHS England"
            },
            "address": {
                "locality": "London",
                "countryName": "United Kingdom"
            },
            "roles": [
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        }
    ],
    "buyer": {
        "id": "GB-FTS-24297",
        "name": "NHS HAMPSHIRE, SOUTHAMPTON AND ISLE OF WIGHT CCG"
    },
    "contracts": [
        {
            "id": "018351-2021-F13478-1",
            "awardID": "018351-2021-F13478-1",
            "status": "active",
            "value": {
                "amount": 11414991,
                "currency": "GBP"
            },
            "dateSigned": "2021-03-01T00:00:00Z",
            "period": {
                "durationInDays": 2520
            },
            "items": [
                {
                    "id": "1",
                    "classification": {
                        "scheme": "CPV",
                        "id": "85100000",
                        "description": "Health services"
                    },
                    "deliveryAddresses": [
                        {
                            "region": "UKJ3"
                        }
                    ],
                    "deliveryLocation": {
                        "description": "Southampton"
                    },
                    "relatedLot": "1"
                }
            ],
            "amendments": [
                {
                    "id": "1",
                    "description": "This is modifying an existing contract award notice for Integrated Urgent Care Services. The contract award notice relates to the contract for Clinical Assessment Services (CAS) for Southampton City. The original procurement was for annual costs of PS926k (PS8063k over the maximum 7-year contract term). As we approach contract mobilisation, we have greater certainty of the additional costs associated with 111 First on an ongoing basis. For this we anticipate an uplift in activity of circa 16,000 calls per annum. We are now clear that the maximum annual value of the contract, allowing for reasonable levels of activity growth and inflation associated with 111 First, will not exceed PS11,415k, an increase of PS3,351k (42%) compared to the original procurement. All of this additional cost relates to delivery of the additional national 111 First requirements. The Contract will also commence as originally advertised on 1st October 2021 for a initial contract period of 5 years with optional 2 year extension period.",
                    "rationale": "Need for modification brought about by circumstances which a diligent contracting authority/entity could not foresee: As a result of NHS England mandating the implementation of \"111 First\" nationally (partly as a response to the pandemic), commissioners have had to procure additional services within the forthcoming IUC contracts over and above what was included in the original procurement, both in terms of additional call volumes and an additional level of clinical validation. NHS organisations, including commissioners plus acute, ambulance and primary care providers, are working together to deliver this enhancement to the NHS 111 service in a coordinated way within the four local integrated care partnership (ICP) areas - Portsmouth and south east Hampshire, North and mid Hampshire, Southampton and south west Hampshire and the Isle of Wight. The initiative is part of a national requirement, with an ambition that all systems will have implemented a minimum specification of the clinical model by December 2020, as set out at the NHS England and NHS Improvement Board Meeting in Common held on 28 July 2020.https://www.england.nhs.uk/publication/nhs-england-and-nhs-improvement-board-meetings-in-common-agenda-and-papers-28-july-2020/. This was, subsequently endorsed by a directive within the Third Phase of the NHS Response to COVID-19 letter from Simon Stevens (NHS England, 31 July 2020).By developing the current NHS 111 service to offer patients a different approach to the way they seek out and receive urgent healthcare, we are able to: * promote NHS 111 (both online and via existing telephony) as the first point of contact for people experiencing a non-life-threatening health issue; * encourage a move away from (but not exclusion of) going to a physical location as the first choice to access healthcare when it is needed urgently; * embrace remote assessment and the technology which supports it; * prevent nosocomial infection by minimising the opportunity for patients to congregate together in ED waiting rooms; * ensure patients get a clear direction of what they need to do and where they need to go in order to resolve their issue; * protect those most at risk by giving them an enhanced service. In short, there are fundamental benefits to the requirement to keep people who need urgent care, and those who treat them, safe - preventing the spread of infection which could be brought about by having too many people grouped together at any one time. Key functions and enhancements from this service include: * Direct booking into: -ED and -MIU and UTC -Hospital Same Day Emergency Care (SDEC) -Primary Care * Clinical triage of all ED and lower category ambulance dispositions. The anticipated main benefits from the enhanced contract will be: * A reduced proportion of ED dispositions. * An increased proportion of out of hospital dispositions. * An increased proportion of self-care dispositions. * Improved quality of service (designed by governance group) * Better patient experience. As this was an increase in the scope of the existing contract, and was an integral part of it, there was no option but to use the same provider as this additional work could not be provided separately from the main contract. Business continuity for this essential service is covered robustly by the policies and procedures already designed and managed by our existing providers, so a separate procurement and award for a small integrated part of the overall contract would not be feasible. This modification does not change the overall nature of the contract. As we approach contract mobilisation, we have greater certainty of the additional costs above but the costs of 111 First on an ongoing basis are still being reviewed. Nevertheless, we are clear that the maximum annual value of the contract, allowing for reasonable levels of activity growth and inflation, will not exceed PS11,415k, an increase of PS3,351k (42%) compared to the original procurement . All of this additional cost relates to delivery of the additional national 111 First requirements."
                }
            ]
        }
    ],
    "links": [
        {
            "rel": "prev",
            "href": "https://ted.europa.eu/udl?uri=TED:NOTICE:440944-2020:TEXT:EN:HTML"
        }
    ],
    "language": "en"
}