Mid and South Essex Breathlessness and Diagnostic Hubs

{
    "tag": [
        "compiled"
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    "id": "ocds-h6vhtk-02fdb7-2022-06-09T16:01:54+01:00",
    "date": "2022-06-09T16:01:54+01:00",
    "ocid": "ocds-h6vhtk-02fdb7",
    "description": "The Contracting Authorities participating in the publication of this Modification Notice communicated herein are: NHS Mid Essex Clinical Commissioning Group Wren House, Colchester Road Chelmsford CM2 5PF https://midessexccg.nhs.uk/ NHS Basildon & Brentwood Clinical Commissioning Group Phoenix House, Christopher Martin Road, Basildon , SS14 3HG https://basildonandbrentwoodccg.nhs.uk/ NHS Castle Point and Rochford Clinical Commissioning Group Pearl House, 12 Castle Road, Rayleigh. SS6 7QF https://castlepointandrochfordccg.nhs.uk/ NHS Southend Clinical Commissioning Group 6th Floor, Civic Centre, Victoria Avenue, Southend-on-Sea, SS1 9SB https://southendccg.nhs.uk/ NHS Thurrock Clinical Commissioning Group Civic Offices 2nd Floor, New Road, Grays. RM17 6SL https://www.thurrockccg.nhs.uk/ The Service to which this procurement relates fall within Schedule 3 of the Public Contracts Regulations 2015 as amended by as amended by The Public Procurement (Amendment etc.) (EU Exit) Regulations 2020, (the \"Regulations\"). As such, the Contracting Authority does not intend to hold itself bound by any of the Regulations, save those applicable to Schedule 3 Services.",
    "initiationType": "tender",
    "tender": {
        "id": "ACE-0523-2021-ALC",
        "legalBasis": {
            "id": "32014L0024",
            "scheme": "CELEX"
        },
        "title": "Mid and South Essex Breathlessness and Diagnostic Hubs",
        "status": "complete",
        "classification": {
            "scheme": "CPV",
            "id": "85100000",
            "description": "Health services"
        },
        "mainProcurementCategory": "services",
        "description": "This is a voluntary ex ante transparency notice and is intended to provide notice of the Authority's intention to award a contract to deliver Breathlessness and Diagnostic Hubs, covering the population of Mid & South Essex (\"the Service\"). Herein all references to the Authority mean NHS Mid Essex Clinical Commissioning Group (CCG), NHS Basildon & Brentwood CCG, NHS Castle Point and Rochford CCG, NHS Southend CCG and NHS Thurrock CCG.",
        "lots": [
            {
                "id": "1",
                "description": "The Authority has taken a decision to vary it's existing contract with Provide CIC for provision of Community Health Services, from 1st April 2022, to include the Breathlessness and Diagnostic (B&D) Hubs, covering the population of Mid & South Essex , for the remaining term of two years, until 31st March 2024. The initial contract term awarded pertaining to B&D Hubs was for 4 months only, from 1st December 2021 - 31st March 2022, at an aggregate value of PS412,558. This was advertised via a Contract Award Notice published in Contracts Finder on 6 December 2021. Additionally a VEAT (2021/S 000-030272) was published to cover the Authorities intention to put forward a business case to extend the model of care beyond the 4 month period and as such, to clearly indicate to the market an intention to award a contract for a period of up to a total of 12 months, from 1st December 2021 - 30th November 2022. The aggregate contract value was originally forecasted at PS990,138, over the 12 month term. However, since then the CCG has worked closely with the Provider and identified several additional costs that were not accounted for in the original contract value published and have negotiated some changes in scope of delivery including additional workforce as well as agreeing the service to continue to be provided until 31st March 2024, instead of 30th November 2022. At time of publication, the aggregated contract value associated with the scope of services (pertaining to the element of the contract being modified), based on the period 1st December 2021 - 31st March 2024 (and an annual contract value of PS1,980,636) is PS4,459,272. The objectives and benefits of this service will be to: * To reduce the number of unplanned admissions for Respiratory disease, particularly short-stay admissions. * To improve the ability of patients to self-manage and support them to do so when they exacerbate, ensuring they access the most appropriate services in a timely and safe manner. * To ensure patients are managed holistically, linking into local services for their other healthcare needs, e.g. Falls, Swallowing and Continence problems. * To ensure that GP's and practice nurses have the right training and specialist support to manage all COPD and Asthma patients in line with national guidance without undue referrals to secondary care. * To support early discharge of patients with COPD through remote monitoring of the patient within their own home. The service will ensure that the following core criteria are met as set out in the NHS Long Term Plan: * To build on the existing NHS RightCare programme to reduce variation in the quality of spirometry testing across Mid and South Essex. More staff in the community will be trained and accredited to provide the specialist input required to interpret results. * The service must ensure equity of access. Consideration must be given to groups most likely to be impacted by health inequalities and how they access and utilise healthcare services to ensure that no one is discouraged or unable to benefit. The Authority has concluded that it can rely on Regulation 72 (1) (c) of the Public Contracts Regulations 2015 as amended by The Public Procurement (Amendment etc.) (EU Exit) Regulations 2020, and has instead modified it's existing Community Health Services contract with Provide CIC as the B&D Hubs are community services, that are similar to and complementary to the services already included in the existing Contract and therefore do not alter the overall nature of the contract. The current MSE contract for Community Health Services with Provided CIC has been modified to to include the B&D Hubs, covering the population of Mid & South Essex, for a period of 37 months, from 1st December 2021 until 31st March 2024.",
                "awardCriteria": {
                    "criteria": [
                        {
                            "name": "Quality",
                            "type": "quality",
                            "description": "100"
                        },
                        {
                            "type": "price",
                            "description": "0"
                        }
                    ]
                },
                "hasOptions": false,
                "title": "Mid and South Essex Breathlessness and Diagnostic Hubs",
                "contractPeriod": {
                    "durationInDays": 1800
                }
            }
        ],
        "items": [
            {
                "id": "1",
                "deliveryAddresses": [
                    {
                        "region": "UKH3"
                    },
                    {
                        "region": "UKH3"
                    }
                ],
                "deliveryLocation": {
                    "description": "Mid Essex, Basildon and Brentwood, Thurrock, Southend-on Sea and Castle Point and Rochford"
                },
                "relatedLot": "1"
            }
        ],
        "procurementMethod": "limited",
        "procurementMethodDetails": "Negotiated without publication of a contract notice",
        "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": "Oversight of the programme delivery will be through a multi-agency stewardship comprised of commissioners, providers and clinicians, collaboratively working towards a wider ICS system. The Authority wish to work in an integrated way with existing provider of community services to build upon existing clinical expertise and services across Mid and South Essex, to meet the current demands of respiratory and COPD patients. It is critical that these services are established at pace due to the increasing pressures within the Mid and South Essex health system. The Authority has made the decision that working with the existing community services provider in Mid and South Essex will be the best solution as it is uniquely placed and technically capable to take on the scale and speed of implementation within timescales available to deliver an affordable and fully integrated Breathlessness and Diagnostic Hubs Service."
    },
    "awards": [
        {
            "id": "030272-2021-1",
            "relatedLots": [
                "1"
            ],
            "title": "Mid & South Essex Breathlessness and Diagnostic Hubs",
            "status": "active",
            "hasSubcontracting": true,
            "suppliers": [
                {
                    "id": "GB-FTS-34625",
                    "name": "Provide Community Interest Company"
                }
            ]
        },
        {
            "id": "015911-2022-Mid and South Essex Community Services-1",
            "relatedLots": [
                "1"
            ],
            "status": "active",
            "suppliers": [
                {
                    "id": "GB-FTS-55093",
                    "name": "Provide CIC"
                }
            ]
        }
    ],
    "parties": [
        {
            "id": "GB-FTS-36929",
            "name": "NHS Mid Essex Clinical Commissioning Group",
            "identifier": {
                "legalName": "NHS Mid Essex Clinical Commissioning Group"
            },
            "address": {
                "streetAddress": "Wren House, Colchester Road",
                "locality": "Chelmsford",
                "region": "UKH3",
                "postalCode": "CM16 6TN",
                "countryName": "United Kingdom"
            },
            "contactPoint": {
                "email": "amy.wilson@attain.co.uk"
            },
            "roles": [
                "buyer"
            ],
            "details": {
                "url": "https://midessexccg.nhs.uk/",
                "classifications": [
                    {
                        "scheme": "TED_CA_TYPE",
                        "id": "BODY_PUBLIC",
                        "description": "Body governed by public law"
                    },
                    {
                        "scheme": "COFOG",
                        "id": "07",
                        "description": "Health"
                    }
                ]
            }
        },
        {
            "id": "GB-FTS-34625",
            "name": "Provide Community Interest Company",
            "identifier": {
                "legalName": "Provide Community Interest Company"
            },
            "address": {
                "streetAddress": "Business Park 900 The Crescent",
                "locality": "Highwoods, Colchester",
                "region": "UKH3",
                "postalCode": "CO4 9YQ",
                "countryName": "United Kingdom"
            },
            "roles": [
                "supplier"
            ],
            "details": {
                "scale": "large"
            }
        },
        {
            "id": "GB-FTS-2645",
            "name": "High Court of Justice of England and Wales",
            "identifier": {
                "legalName": "High Court of Justice of England and Wales"
            },
            "address": {
                "streetAddress": "Strand",
                "locality": "London",
                "postalCode": "WC2A 2LL",
                "countryName": "United Kingdom"
            },
            "roles": [
                "reviewBody"
            ]
        },
        {
            "id": "GB-FTS-6689",
            "name": "NHS Mid Essex Clinical Commissioning Group",
            "identifier": {
                "legalName": "NHS Mid Essex Clinical Commissioning Group"
            },
            "address": {
                "streetAddress": "Wren House, Colchester Road",
                "locality": "Chelmsford",
                "postalCode": "CM2 5PF",
                "countryName": "United Kingdom",
                "region": "UKH3"
            },
            "roles": [
                "buyer",
                "reviewContactPoint"
            ],
            "details": {
                "url": "https://midessexccg.nhs.uk/"
            },
            "contactPoint": {
                "name": "NHS Mid Essex Clinical Commissioning Gro",
                "email": "amy.wilson@attain.co.uk"
            },
            "additionalContactPoints": [
                {
                    "email": "amy.wilson@attain.co.uk"
                }
            ]
        },
        {
            "id": "GB-FTS-55093",
            "name": "Provide CIC",
            "identifier": {
                "legalName": "Provide CIC"
            },
            "address": {
                "streetAddress": "900 The Crescent Colchester Business Park",
                "locality": "Colchester",
                "region": "UKH3",
                "postalCode": "CO4 9YQ",
                "countryName": "United Kingdom"
            },
            "roles": [
                "supplier"
            ],
            "details": {
                "scale": "large"
            }
        }
    ],
    "buyer": {
        "id": "GB-FTS-6689",
        "name": "NHS Mid Essex Clinical Commissioning Group"
    },
    "contracts": [
        {
            "id": "030272-2021-1",
            "awardID": "030272-2021-1",
            "title": "Mid & South Essex Breathlessness and Diagnostic Hubs",
            "status": "active",
            "value": {
                "amount": 990138,
                "currency": "GBP"
            },
            "dateSigned": "2021-11-22T00:00:00Z"
        },
        {
            "id": "015911-2022-Mid and South Essex Community Services-1",
            "awardID": "015911-2022-Mid and South Essex Community Services-1",
            "status": "active",
            "value": {
                "amount": 196899743,
                "currency": "GBP"
            },
            "dateSigned": "2019-04-01T00:00:00+01:00",
            "period": {
                "durationInDays": 1110
            },
            "items": [
                {
                    "id": "1",
                    "title": "Mid and South Essex Breathlessness and Diagnostic Hubs",
                    "classification": {
                        "scheme": "CPV",
                        "id": "85100000",
                        "description": "Health services"
                    },
                    "deliveryAddresses": [
                        {
                            "region": "UKH3"
                        }
                    ],
                    "deliveryLocation": {
                        "description": "Mid Essex, Basildon and Brentwood, Thurrock, Southend-on Sea and Castle Point and Rochford"
                    },
                    "relatedLot": "1"
                }
            ],
            "amendments": [
                {
                    "id": "1",
                    "description": "When the original contract was awarded there was no reference within it to creation of or delivery within an Integrated Care System (ICS) as the concept had not been fully developed by NHSE yet. The NHS England current guidance is that where there are multiple commissioners for one provider, their preference is for one contract via collaborative arrangements in line with the establishment of ICSs. As such, these circumstances which have rendered the modification necessary were deemed unforeseen by the Authority. The Authority has concluded that it can rely on Regulation 72 (1) (c) of the Public Contracts Regulations 2015 as amended by The Public Procurement (Amendment etc.) (EU Exit) Regulations 2020, and has instead modified its existing Community Health Services contract with Provide CIC as the B&D Hubs are community services, that are similar to and complementary to the services already included in the existing Contract and therefore do not alter the overall nature of the contract. The current MSE contract for Community Health Services with Provided CIC has been modified to to include the B&D Hubs, covering the population of Mid & South Essex, from 1st December 2021 until 31st March 2024. The aggregated contract value associated with the scope of services above (pertaining to the element of the contract being modified), based on the period 1st December 2021 - 31st March 2024 is approx. PS4,459,272. The total aggregate contract value of the existing community health service contract over the five year term from 1st April 2019 to 31st March 2024 is PS192,938,471. The proposed modification represents 2.3% of the original contract value and is therefore under the 50% threshold within Regulation 72 (1) (c) of the Public Contract Regulations 2015. The new aggregate value of the contract over the entire duration of its term, including modifications is therefore PS196,899,743. This figure includes all contract award values that the Authority has advertised to date, since 1st December 2021 - 30th November 2022.",
                    "rationale": "Need for modification brought about by circumstances which a diligent contracting authority/entity could not foresee: When the original contract was awarded there was no reference within it to creation of or delivery within Integrated Care Systems (ICS) as the concept had not been fully developed by NHSE yet. The NHS England current guidance is that where there are multiple commissioners for one provider, their preference is for one contract via collaborative arrangements in line with the establishment of ICSs. The Authority is streamlining contract management and commissioning arrangements in order to align similar / complementary contracts which will reducing the risk of a misaligned approach to managing providers, which could result in a failure to understand themes that cut across the provider and respective CCG geographies. The Authority deems that such modifications meet the grounds under Regulation 72(1)(c) that they do not change the overall nature of the contract, and represents 2.3% of the original contract value so is under the 50% threshold cited in Regulation 72(1)(c)."
                }
            ]
        }
    ],
    "language": "en"
}