Notice Information
Notice Title
Primary Care Local Enhanced Services for NHS Herefordshire and Worcestershire Integrated Care Board
Notice Description
This Contract Award Notice is placed by Midlands and Lancashire Commissioning Support Unit on behalf of NHS Herefordshire and Worcestershire Integrated Care Board to confirm the direct award of contracts for Local Enhanced Services for 2024/45 pursuant to Regulation 8 (Direct Award Process B) of the NHS Provider Selection Regime (PSR) regulations. Local Enhanced Services are services outside of the national GP contract providing a wider range of primary medical services to meet local population needs and priorities. Local Enhanced Services are included as an appendix to each Practice's General Medical Service's (GMS) Contract. A description of each contract is provided in Section II.2.4 below.
Lot Information
Lot 1
The purpose of this Contract Award Notice is to advise that NHS Herefordshire and Worcestershire Integrated Care Board has directly awarded contracts for Local Enhanced Services pursuant to Regulation 8 (Direct Award Process B) under the the NHS Provider Selection Regime for the period of 1st April 2024 to 31st March 2025 to 78 GP Practices across the Herefordshire and Worcestershire geographical area. These are existing Local Enhanced Services provided by existing providers. Below is a description of each Local Enhanced Service to be provided: Safe Prescribing: this service provides funding for practices within Worcestershire to manage systems for initiation, where clinically appropriate, and an ongoing enhanced level of monitoring of prescribed medicines. Phlebotomy: blood tests to monitor, diagnose and treat patients in primary care, reducing the number of patient visits to hospital proving convenient, local services to patients. Treatment Room: includes a wide variety of work such as phlebotomy, dressings, suture removal, ear syringing, wound care, 12 Lead Electrocardiograms (ECGs). Diabetes: management of patients with insulin, including insulin initiation for Type 2 diabetes, some with shared care, and Glucagon-like peptide-1 (GLP-1) Analogue treatment. Leg Ulcer: support for Leg Ulcer Healing beyond that defined in the General Medical Services (GMS) contract; the pathway includes assessment by an appropriately qualified Practice Nurse/District Nurse, treatment of Venous Leg ulcers for ambulant service users, and follow up provision of hosiery and advice, including repeat doppler testing to ensure ongoing stability of compression hosiery. District Nurses will treat housebound patients on their caseload, utilising Leg Club mode wherever possible. Compression Bandaging: service includes doppler assessment, application of compression bandaging and dressings in line with treatment plan. Deep Vein Thrombosis (DVT): exact service requirements differ across the geographical area, but all include the provision of a diagnostic service for patients with suspected DVT and initial anti-coagulation. Spirometry: diagnostic spirometry in primary care for early detection and diagnosis of respiratory conditions including Chronic Obstructive Pulmonary Disease (COPD) and/or Asthma. The service enables patients to be managed more appropriately and improves longer term outcomes. Fractional Exhaled Nitric Oxide (FeNO) Testing: FeNO testing in primary care is used to help diagnose Asthma by identifying people, not currently on the Asthma register, who are likely to respond to treatment with inhald corticosteroids (ICS). Prostate-Specific Antigen (PSA) - Stable Prostate Cancer: patients with prostate cancer or a raised PSA receive monitoring and management within primary care if clinically indicated. WF specification includes stable long term patients. Ring Pessaries: Vaginal Ring Pessary treatment for utero-vaginal prolapse. 12 Lead ECG: 12-Lead ECG is used as a diagnostic tool in the management of confirmed and suspected Cardiovascular Disease within primary care close to patients' homes, to include recoding and interpretation of routine ECGs. Cardiology - 24 Hour ECG: facilitates diagnosis, management and treatment of arrhythmias within a primary care setting. The service includes: clinical evaluation of the patient, education of the patient on equipment safety, fitting and removal of ambulatory ECG testing equipment, production of a permanent record (electronic or paper based) record of the investigation results, and specialist referral if required. Safeguarding Multi Disciplinary Team (MDT) Meetings: to ensure that all relevant information is submitted by GPs in a timely fashion to child protection case conferences, including production of Parents Report, Child Safeguarding Summary and completion of an electronic audit. Safeguarding Network Model: New Safeguarding Network Operating Model to embed good practice and support safeguarding work linked to the safeguarding reporting enhanced service. Supports GP practices working as part of a network to achieve consistent, safe and effective approach to safeguarding. Microsuction: a primary care based ear canal clearance service to patients aged 18 years and over, separate to ear syringing. Requires specialist equipment. Managing Menorrhagia: increases the availability of levonorgestrel-releasing intrauterine system (LNG-IUS) in the management of menorrhagia in primary care. Discharge to Assess (D2A)/Step-Up Step-Down Beds: the service requires a primary care clinician to attend the home to review the patient within 24 hours of admission, including a review of patients' ongoing medical and medication needs, and subsequent visits as required. Complex Care Homes: there are two homes (Pirton Grange Care Home and Inspire Care) within Worcestershire caring for complex neuro disability patients. The service requires a weekly GP session at the care homes and is based on an assessment of clinical complexity and time required. Care Home Flu Antiviral: GP practices to respond to a Public Health England alert of a localised community outbreak of influenza by ensuring appropriate clinical assessment and the prescribing of antivirals. Below is the estimated annual budget value for 2024/25 for each Local Enhanced Service, broken down by county area: Safe Prescribing: Herefordshire PS454,811 / Worcestershire PS1,661,049 / Total PS2,115,860 Phlebotomy: Herefordshire PS431,606 / Total PS431,606 Treatment Room: Worcestershire PS1,059,160 / Total PS1,059,160 Diabetes: Herefordshire PS366,657 / Worcestershire PS1,092,585 / Total PS1,459,242 Leg Ulcers: Herefordshire PS152,949 / Total PS152,949 Compression Bandaging: Worcestershire PS171,023 / Total PS171,023 DVT: Herefordshire PS50,285 / Worcestershire PS90,071 / Total PS140,356 Spirometry: Herefordshire PS79,615 / Worcestershire: PS170,426 / Total PS250,041 FeNO: Worcestershire: PS58,827 / Total PS58,827 PSA: Worcestershire PS251,250 / Total PS251,250 Ring Pessaries: Worcestershire PS130,000 / Total PS130,000 12-Lead ECG: Herefordshire PS108,948 / Total PS108,948 Cardiology - 24 hr ECG: Worcestershire PS90,421 / Total PS90,421 Safeguarding MDT Meetings: Herefordshire PS15,177 / Worcestershire PS51,503 / Total PS66,680 Safeguarding Network Model : Worcestershire: PS183,000 / Total PS183,000 Microsuction: Worcestershire: PS127,034 / Total PS127,034 Managing Menorrhagia: Herefordshire PS18,857 / Worcestershire PS53,129 / Total PS71,986 D2A/Step Up Step Down: Worcestershire PS33,000 / Total PS33,000 Clinically Complex Care Homes: Worcestershire PS20,000 / Total PS20,000 Flu Antivirals in Care Homes: Herefordshire PS5,000 / Worcestershire PS31,440 / Total PS36,440 Local Enhanced Services Grand Total: Herefordshire PS1,683,906 / Worcestershire PS5,273,916 / Total PS6,957,822 Below is the list of 78 GP Practices within Herefordshire and Worcestershire: Abbey Medical Practice Abbottswood Medical Centre Albany House Surgery Alton Street Surgery Aylmer Lodge Cookley Partnership Barbourne Health Centre Barnt Green Surgery Belmont Medical Centre Bewdley Medical Centre Bredon Hill Surgery Cantilupe Surgery Catshill Surgery Chaddesley Corbett Surgery Church Street Surgery Churchfields Surgery Colwall Surgery Corbett Medical Practice Cornhill Surgery Crabbs Cross Medical Centre Crabbs Cross Surgery Cradley Surgery Davenal House Surgery Partnership DeMontfort Medical Centre Elbury Moor Medical Centre Elgar House Surgery Fownhope Medical Centre Glebelands Surgery Golden Valley Practice Great Witley Surgery Grey Gable Surgery Hagley Surgery Haresfield Surgery Hereford Medical Group Hillview Medical Centre Hollyoaks Medical Centre Hollywood Medical Practice Kidderminster Medical Centre Kington Medical Practice Knightwick Surgery Ledbury Health Partnership Malvern Health Centre Merstow Green Medical Practice Mortimer Medical Practice Much Birch Surgery New Barn Close Surgery New Court Surgery New Road Surgery, Bromsgrove New Road Surgery, Rubery Northumberland House Surgery Nunwell Surgery Ombersley Medical Centre Pendeen Surgery Pershore Medical Practice Riverside Surgery Ryeland Surgery Salters Medical Practice Severn Valley Medical Practice Spa Medical Practice Spring Gardens Medical Practice St Johns House Medical Centre St John's Surgery St Martins Gate Surgery St Saviours Surgery St Stephen's Medical Partnership Stanmore House Surgery Stourport Medical Centre Tenbury Surgery The Bridge Surgery The Dow Surgery The Ridgeway Surgery The Surgery Kingstone Thorneloe Lodge Surgery Upton Surgery Wargrave House Weobley & Staunton on Wye Surgeries Whiteacres Medical Centre Winyates Surgery Wolverley Surgery Additional information: This is a Provider Selection Regime (PSR) confirmation of contract award notice. This contract has been awarded under the Health Care Services (Provider Selection Regime) Regulations 2023, Regulation 8. For the avoidance of doubt, the provisions of the Public Contracts Regulations 2015 do not apply to this award. The Local Enhanced Service Contracts were approved at the meeting of the NHS Herefordshire and Worcestershire Integrated Care Board Strategic Commissioning Committee on 13th March 2024. A declaration of interest register was circulated to Strategic Commissioning Committee members, with no further declarations or conflicts raised during the meeting. The meeting was confirmed as quorate.
Procurement Information
This is a Provider Selection Regime (PSR) confirmation of contract award notice. This contract has been awarded under the Health Care Services (Provider Selection Regime) Regulations 2023 Direct Award Process B. For the avoidance of doubt, the provisions of the Public Contracts Regulations 2015 do not apply to this award.
Notice Details
Publication & Lifecycle
- Open Contracting ID
- ocds-h6vhtk-045827
- Publication Source
- Find A Tender Service
- Latest Notice
- https://www.find-tender.service.gov.uk/Notice/014763-2024
- Current Stage
- Award
- All Stages
- Award
Procurement Classification
- Notice Type
- Award Notice
- Procurement Type
- Standard
- Procurement Category
- Services
- Procurement Method
- Limited
- Procurement Method Details
- Award procedure without prior publication of a call for competition
- Tender Suitability
- Not specified
- Awardee Scale
- Large
Common Procurement Vocabulary (CPV)
- CPV Divisions
85 - Health and social work services
-
- CPV Codes
85121000 - Medical practice services
85121100 - General-practitioner services
Notice Value(s)
- Tender Value
- Not specified
- Lots Value
- Not specified
- Awards Value
- Not specified
- Contracts Value
- £6,957,822 £1M-£10M
Notice Dates
- Publication Date
- 9 May 20241 years ago
- Submission Deadline
- Not specified
- Future Notice Date
- Not specified
- Award Date
- 31 Mar 20241 years ago
- Contract Period
- Not specified - Not specified
- Recurrence
- Not specified
Notice Status
- Tender Status
- Complete
- Lots Status
- Cancelled
- Awards Status
- Active
- Contracts Status
- Active
Buyer & Supplier
Contracting Authority (Buyer)
- Main Buyer
- NHS HEREFORDSHIRE & WORCESTERSHIRE INTEGRATED CARE BOARD
- Contact Name
- Lyle Lloyd
- Contact Email
- lyle.lloyd@nhs.net
- Contact Phone
- Not specified
Buyer Location
- Locality
- WORCESTER
- Postcode
- WR3 7NS
- Post Town
- Worcester
- Country
- England
-
- Major Region (ITL 1)
- TLG West Midlands (England)
- Basic Region (ITL 2)
- TLG1 Herefordshire, Worcestershire and Warwickshire
- Small Region (ITL 3)
- TLG12 Worcestershire CC
- Delivery Location
- TLG11 Herefordshire, County of, TLG12 Worcestershire CC
-
- Local Authority
- Worcester
- Electoral Ward
- Claines
- Westminster Constituency
- Worcester
Further Information
Open Contracting Data Standard (OCDS)
View full OCDS Record for this contracting process
The Open Contracting Data Standard (OCDS) is a framework designed to increase transparency and access to public procurement data in the public sector. It is widely used by governments and organisations worldwide to report on procurement processes and contracts.
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Treatment Room: includes a wide variety of work such as phlebotomy, dressings, suture removal, ear syringing, wound care, 12 Lead Electrocardiograms (ECGs). Diabetes: management of patients with insulin, including insulin initiation for Type 2 diabetes, some with shared care, and Glucagon-like peptide-1 (GLP-1) Analogue treatment. Leg Ulcer: support for Leg Ulcer Healing beyond that defined in the General Medical Services (GMS) contract; the pathway includes assessment by an appropriately qualified Practice Nurse/District Nurse, treatment of Venous Leg ulcers for ambulant service users, and follow up provision of hosiery and advice, including repeat doppler testing to ensure ongoing stability of compression hosiery. District Nurses will treat housebound patients on their caseload, utilising Leg Club mode wherever possible. Compression Bandaging: service includes doppler assessment, application of compression bandaging and dressings in line with treatment plan. Deep Vein Thrombosis (DVT): exact service requirements differ across the geographical area, but all include the provision of a diagnostic service for patients with suspected DVT and initial anti-coagulation. Spirometry: diagnostic spirometry in primary care for early detection and diagnosis of respiratory conditions including Chronic Obstructive Pulmonary Disease (COPD) and/or Asthma. The service enables patients to be managed more appropriately and improves longer term outcomes. Fractional Exhaled Nitric Oxide (FeNO) Testing: FeNO testing in primary care is used to help diagnose Asthma by identifying people, not currently on the Asthma register, who are likely to respond to treatment with inhald corticosteroids (ICS). Prostate-Specific Antigen (PSA) - Stable Prostate Cancer: patients with prostate cancer or a raised PSA receive monitoring and management within primary care if clinically indicated. WF specification includes stable long term patients. 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Safeguarding Network Model: New Safeguarding Network Operating Model to embed good practice and support safeguarding work linked to the safeguarding reporting enhanced service. Supports GP practices working as part of a network to achieve consistent, safe and effective approach to safeguarding. Microsuction: a primary care based ear canal clearance service to patients aged 18 years and over, separate to ear syringing. Requires specialist equipment. Managing Menorrhagia: increases the availability of levonorgestrel-releasing intrauterine system (LNG-IUS) in the management of menorrhagia in primary care. Discharge to Assess (D2A)/Step-Up Step-Down Beds: the service requires a primary care clinician to attend the home to review the patient within 24 hours of admission, including a review of patients' ongoing medical and medication needs, and subsequent visits as required. Complex Care Homes: there are two homes (Pirton Grange Care Home and Inspire Care) within Worcestershire caring for complex neuro disability patients. The service requires a weekly GP session at the care homes and is based on an assessment of clinical complexity and time required. Care Home Flu Antiviral: GP practices to respond to a Public Health England alert of a localised community outbreak of influenza by ensuring appropriate clinical assessment and the prescribing of antivirals. Below is the estimated annual budget value for 2024/25 for each Local Enhanced Service, broken down by county area: Safe Prescribing: Herefordshire PS454,811 / Worcestershire PS1,661,049 / Total PS2,115,860 Phlebotomy: Herefordshire PS431,606 / Total PS431,606 Treatment Room: Worcestershire PS1,059,160 / Total PS1,059,160 Diabetes: Herefordshire PS366,657 / Worcestershire PS1,092,585 / Total PS1,459,242 Leg Ulcers: Herefordshire PS152,949 / Total PS152,949 Compression Bandaging: Worcestershire PS171,023 / Total PS171,023 DVT: Herefordshire PS50,285 / Worcestershire PS90,071 / Total PS140,356 Spirometry: Herefordshire PS79,615 / Worcestershire: PS170,426 / Total PS250,041 FeNO: Worcestershire: PS58,827 / Total PS58,827 PSA: Worcestershire PS251,250 / Total PS251,250 Ring Pessaries: Worcestershire PS130,000 / Total PS130,000 12-Lead ECG: Herefordshire PS108,948 / Total PS108,948 Cardiology - 24 hr ECG: Worcestershire PS90,421 / Total PS90,421 Safeguarding MDT Meetings: Herefordshire PS15,177 / Worcestershire PS51,503 / Total PS66,680 Safeguarding Network Model : Worcestershire: PS183,000 / Total PS183,000 Microsuction: Worcestershire: PS127,034 / Total PS127,034 Managing Menorrhagia: Herefordshire PS18,857 / Worcestershire PS53,129 / Total PS71,986 D2A/Step Up Step Down: Worcestershire PS33,000 / Total PS33,000 Clinically Complex Care Homes: Worcestershire PS20,000 / Total PS20,000 Flu Antivirals in Care Homes: Herefordshire PS5,000 / Worcestershire PS31,440 / Total PS36,440 Local Enhanced Services Grand Total: Herefordshire PS1,683,906 / Worcestershire PS5,273,916 / Total PS6,957,822 Below is the list of 78 GP Practices within Herefordshire and Worcestershire: Abbey Medical Practice Abbottswood Medical Centre Albany House Surgery Alton Street Surgery Aylmer Lodge Cookley Partnership Barbourne Health Centre Barnt Green Surgery Belmont Medical Centre Bewdley Medical Centre Bredon Hill Surgery Cantilupe Surgery Catshill Surgery Chaddesley Corbett Surgery Church Street Surgery Churchfields Surgery Colwall Surgery Corbett Medical Practice Cornhill Surgery Crabbs Cross Medical Centre Crabbs Cross Surgery Cradley Surgery Davenal House Surgery Partnership DeMontfort Medical Centre Elbury Moor Medical Centre Elgar House Surgery Fownhope Medical Centre Glebelands Surgery Golden Valley Practice Great Witley Surgery Grey Gable Surgery Hagley Surgery Haresfield Surgery Hereford Medical Group Hillview Medical Centre Hollyoaks Medical Centre Hollywood Medical Practice Kidderminster Medical Centre Kington Medical Practice Knightwick Surgery Ledbury Health Partnership Malvern Health Centre Merstow Green Medical Practice Mortimer Medical Practice Much Birch Surgery New Barn Close Surgery New Court Surgery New Road Surgery, Bromsgrove New Road Surgery, Rubery Northumberland House Surgery Nunwell Surgery Ombersley Medical Centre Pendeen Surgery Pershore Medical Practice Riverside Surgery Ryeland Surgery Salters Medical Practice Severn Valley Medical Practice Spa Medical Practice Spring Gardens Medical Practice St Johns House Medical Centre St John's Surgery St Martins Gate Surgery St Saviours Surgery St Stephen's Medical Partnership Stanmore House Surgery Stourport Medical Centre Tenbury Surgery The Bridge Surgery The Dow Surgery The Ridgeway Surgery The Surgery Kingstone Thorneloe Lodge Surgery Upton Surgery Wargrave House Weobley & Staunton on Wye Surgeries Whiteacres Medical Centre Winyates Surgery Wolverley Surgery Additional information: This is a Provider Selection Regime (PSR) confirmation of contract award notice. This contract has been awarded under the Health Care Services (Provider Selection Regime) Regulations 2023, Regulation 8. For the avoidance of doubt, the provisions of the Public Contracts Regulations 2015 do not apply to this award. The Local Enhanced Service Contracts were approved at the meeting of the NHS Herefordshire and Worcestershire Integrated Care Board Strategic Commissioning Committee on 13th March 2024. A declaration of interest register was circulated to Strategic Commissioning Committee members, with no further declarations or conflicts raised during the meeting. The meeting was confirmed as quorate.",
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