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    "id": "ocds-h6vhtk-067e96-2026-04-09T10:06:50+01:00",
    "date": "2026-04-09T10:06:50+01:00",
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    "description": "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. For the avoidance of doubt, the provisions of the Public Contracts Regulations 2015 and the Procurement Act 2023 do not apply to this award. This contract has now been formally awarded using direct award process B. Decision maker: Deputy Chief Integration & Primary Care Officer and Director of Joint Commissioning. No conflicts of interest were declared. Evidence of current service delivery against the PSR Key Criteria and the breakdown of key criteria weighting in relation to this service for the purposes of awarding a contract under Direct Award B is detailed below: Quality & Innovation (20%) Clinical and Governance Quality * The hospice operates a Quality Assurance Committee (QAC) that unifies clinical and non-clinical governance, ensuring consistent policies and data management across the organization. * Members of the Board of Trustees conduct unannounced visits twice yearly to gain direct insight from staff and patients into service quality. * Approximately 80% of the clinical team is trained in specialised areas like safe ventilation, allowing them to manage increasingly complex medical needs. Innovation in Care and Technology * In 2025, the hospice introduced over PS50,000 in innovative technology, including Eyegaze systems that allow non-verbal children to communicate and play using eye movements. * This innovative service provides specialist paediatric palliative care for children with complex symptoms across East and West Sussex, offering responsive support during critical times. * The hospice utilizes a simulation suite with high-tech mannequins, enabling clinical teams to practice emergency scenarios in a realistic, risk-free setting. Facility Enhancements * Recent innovations in the physical environment include installing piped oxygen and suction in the Teenage Wing and increasing ceiling heights to accommodate advanced mechanical hoisting. * In October 2025, the hospice opened a new kitchen garden featuring wheelchair-accessible raised beds and walkways to ensure inclusive outdoor engagement. * A PS22,000 state-of-the-art cinema room was donated in 2025 to provide \"movie magic\" and normal childhood experiences for patients. Community and Peer Innovation * The hospice has pioneered peer-to-peer groups, such as specific networks for dads, to reduce social isolation for families with complex-needs children. * Their Hospice at Home service continues to expand, using mobile nursing teams to provide specialist care in families' own environments. Value (20%) Chestnut Tree House Sussex leads on economic and social value by operating a highly efficient, community-funded healthcare model that reduces the burden on statutory services like the NHS. Key aspects of its economic value include: * By providing specialised end-of-life care, \"Hospice at Home\" services, and crisis care, the hospice alleviates pressure on hospitals and social care providers. Only about 21-24% of its care costs are covered by NHS or government funding, meaning the charity effectively subsidises millions of pounds in essential healthcare for the region annually. * The hospice generates nearly PS6 million annually to sustain its services, with roughly 70-82% of income coming from voluntary sources. * The organisation leverages over 120,000 volunteer hours annually, creating significant economic value through unpaid labour that supports retail, events, and patient care. * As part of the Southern Hospice Group, it manages a robust financial strategy, including a PS25.1 million investment portfolio designed to provide sustainable long-term income streams. * The hospice works with local and national businesses to raise its profile and secure corporate financial support. Integration, collaboration & service sustainability (20%) Chestnut Tree House leads on integration, collaboration, and service sustainability through strategic partnerships across healthcare systems and dedicated environmental and financial initiatives. Integration and Collaboration * The hospice works closely with partners across health, social care, and education to achieve a vision of reaching all children who need palliative care. * It is part of the Southern Hospice Group, enabling shared resources and expertise. * A dedicated Research Lead manages partnerships with the National Institute for Health and Care Research (NIHR) to improve the integration of primary and palliative care. * Cross-Sector Consultation: Its 2023-2028 Care Strategy was developed in consultation with families, staff, and partners from the wider health and social care system. Service Sustainability * Financial Sustainability: With only 17-21% of its annual ~PS6 million budget coming from the government, the hospice maintains services through diverse income streams, including: o Gifts in Wills: A vital source making up over 20% of income. o Corporate Partnerships: Strategic alliances with local businesses like SGN (for energy support) and Southern Rail. o Community Groups: Long-term support from groups like the Lions, who have funded specialist equipment for over 20 years. * The hospice follows a formal Environment and Sustainability Policy focused on: o Greener Events: Reducing single-use plastics, sourcing local food, and promoting sustainable travel. o Educational Spaces: The new kitchen garden (opened October 2025) teaches children about \"garden to plate\" sustainability while providing fresh produce for the hospice kitchen. * The 2023-2028 Care Strategy prioritises \"service transformation and design\" to ensure long-term relevance while remaining conservative during uncertain financial climates. Improving access, reducing health inequalities and facilitating choice (30%) Chestnut Tree House leads on these initiatives through a community-focused care model that prioritises equity, accessibility, and family-centred decision-making. Improving Access Chestnut Tree House expands access by providing services beyond the physical hospice building and ensuring the facility itself is highly inclusive: * They operate a comprehensive outreach program, providing nursing and respite care directly in families' homes across East and West Sussex and South East Hampshire. * Renovated Infrastructure: Recent upgrades include installing piped oxygen and suction, improved mechanical hoisting, and increased ceiling heights in the Teenage Wing to accommodate growing children with complex medical needs. * They welcome referrals from any source, including parents, as long as it has been discussed with the family, lowering barriers to entry. Reducing Health Inequalities The hospice actively works to reduce disparities in care through targeted research and strategic planning: * Through a National Institute for Health and Care Research (NIHR) partnership, they develop resources to make Patient and Public Involvement (PPI) in research more inclusive, specifically aiming to reduce inequalities in palliative care provision. * Their 2023-2028 Care Strategy specifically aims to ensure \"equity of provision\" across the three counties they serve. * All hospice services are provided completely free of charge to families, removing financial barriers that could lead to healthcare inequalities. Facilitating Choice Families are empowered to lead their care journey through various support mechanisms: * Each family is assigned a key worker to help develop an individualised care plan, ensuring care is tailored to their specific needs and choices. * Flexible Care Settings: Families can choose where they receive symptom management or end-of-life care-either at the hospice or in their own home. * The \"Stars\" bereavement suite is available for families to use following a death, regardless of whether the child was previously a patient at the hospice, allowing families to say goodbye in their own way. * They actively use family feedback to co-design future services, ensuring the support offered reflects the actual choices and priorities of those using it. Social value (10%) Chestnut Tree House Sussex leads on social value by embedding community health, family wellbeing, and environmental stewardship into its core operations. As of 2025, it achieves this through the following strategic initiatives: Holistic Community & Family Support * The hospice employs a \"cloak\" approach-providing medical, emotional, and spiritual support to families throughout Sussex. This includes 24/7 assessment services and a dedicated Community Nursing Team that visits families at home to give carers essential breaks. * Chestnut Tree House leads outreach programs specifically designed to reduce post-pandemic social isolation. * In 2025, the hospice refurbished its facilities to improve privacy and accessibility for young adults transitioning to adult services, ensuring they gain greater independence. Environmental Stewardship * The hospice actively reduces its environmental footprint by using biodegradable materials and promoting recycling at all events. * When selecting suppliers, the hospice considers environmental credentials and prioritises food donation over waste. Social Impact through Partnerships & Research * The hospice leads in paediatric palliative care by participating in national studies like the C-POS (Children's Palliative Outcome Scale) to better understand the needs of young patients and their carers. * Community-Led Fundraising - with only roughly 7p of every PS1 coming from the government, the hospice leverages a network of over 1,000 volunteers and hundreds of corporate partners to maintain its service. * As part of the Southern Hospice Group, it works with local hospitals and GPs to address service gaps in the Sussex Integrated Care System (ICS), striving to meet national quality standards for 24/7 home care.",
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        "description": "This contract is for the provision of specialist palliative care for children in Sussex. The palliative care needs for children encompass a wide range of conditions (e.g. genetic, neurological, cardiac, oncology) who often have complex, evolving care requirements. This service will provide an active and total approach to care, from the point of diagnosis throughout the child's life, death and beyond. Children and young people approaching the end of life and being cared for at home will have 24-hour access to both children's nursing care and advice from a consultant in paediatric palliative care. The service will include: Continuous Clinical Access - provision of 24/7 specialist paediatric consultant advice and nursing support for end-of-life care, ensuring families can access clinical expertise at home, in a hospice, or in a hospital setting at any hour. Holistic Approach - a \"total approach to care\" that addresses physical, emotional, social, and spiritual needs from the point of diagnosis through bereavement. Service Deliverables: o Specialist Assessment - leading assessments to ensure care is provided at the right time and location in the child's journey. o Symptom Management - providing 24/7 symptom management advice and developing formal plans to manage distressing symptoms. o Anticipatory Care Planning (ACP) - facilitating clear plans that outline the family's wishes and expected interventions.",
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                "description": "This contract is for the provision of specialist palliative care for children in Sussex. The palliative care needs for children encompass a wide range of conditions (e.g. genetic, neurological, cardiac, oncology) who often have complex, evolving care requirements. This service will provide an active and total approach to care, from the point of diagnosis throughout the child's life, death and beyond. Children and young people approaching the end of life and being cared for at home will have 24-hour access to both children's nursing care and advice from a consultant in paediatric palliative care. The service will include: Continuous Clinical Access - provision of 24/7 specialist paediatric consultant advice and nursing support for end-of-life care, ensuring families can access clinical expertise at home, in a hospice, or in a hospital setting at any hour. Holistic Approach - a \"total approach to care\" that addresses physical, emotional, social, and spiritual needs from the point of diagnosis through bereavement. Service Deliverables: o Specialist Assessment - leading assessments to ensure care is provided at the right time and location in the child's journey. o Symptom Management - providing 24/7 symptom management advice and developing formal plans to manage distressing symptoms. o Anticipatory Care Planning (ACP) - facilitating clear plans that outline the family's wishes and expected interventions. 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. For the avoidance of doubt, the provisions of the Public Contracts Regulations 2015 and the Procurement Act 2023 do not apply to this award. This contract has now been formally awarded using direct award process B. This direct award is for an initial term of 5 years, from 01/04/2026 to 31/03/3031. The service value is PS883,404.00 per annum (Year 1), increasing to PS1,005,961.00 per annum (Years 2 - 5); PS4,907,248.00 total over the 5-year period. This contract has been awarded for a new service to Southern Hospice Group - Chestnut Tree House, an existing provider, under Direct Award Process B.",
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