{
    "tag": [
        "compiled"
    ],
    "id": "ocds-h6vhtk-06adbf-2026-06-04T15:13:43+01:00",
    "date": "2026-06-04T15:13:43+01:00",
    "ocid": "ocds-h6vhtk-06adbf",
    "description": "This is an intended approach notice. The Commissioner intends to award this contract under remit of the Most Suitable Provider (MSP) process of the Provider Selection Regime. Suppliers who are confident of meeting the requirements of the service specification and want to be taken under consideration should contact Phillip Simmons (phillip.simmons@nhs.net) before 19th June 2026.",
    "initiationType": "tender",
    "tender": {
        "id": "ocds-h6vhtk-06adbf",
        "legalBasis": {
            "id": "32014L0024",
            "scheme": "CELEX"
        },
        "title": "Adult Eating Disorder Alternative to Hospital Admission and FREED Service",
        "status": "planned",
        "classification": {
            "scheme": "CPV",
            "id": "85323000",
            "description": "Community health services"
        },
        "mainProcurementCategory": "services",
        "description": "The Humber and North Yorkshire Specialist Mental Health Provider Collaborative (the commissioner), seeks to procure an Adult Eating Disorder Alternative to Hospital Admission (AL2A) service, inclusive of First Episode Rapid Early Intervention for Eating Disorders (FREED). The service will provide intensive, time-limited, community-based interventions as an alternative to inpatient admission, and as step-down support following admission, in order to: * Reduce avoidable admissions * Reduce length of inpatient stay * Improve patient experience and outcomes * Reduce out-of-area placements * Deliver value for money through invest-to-save approaches",
        "value": {
            "amount": 645000,
            "currency": "GBP"
        },
        "lots": [
            {
                "id": "1",
                "description": "Service Specification Adult Eating Disorder Alternative to Hospital Admission (AL2A) and FREED Service North Yorkshire and York (NYY) ________________________________________ 1. Purpose of the Specification The Humber and North Yorkshire Specialist Mental Health Provider Collaborative (the commissioner), seeks to procure an Adult Eating Disorder Alternative to Hospital Admission (AL2A) service, inclusive of First Episode Rapid Early Intervention for Eating Disorders (FREED). The service will provide intensive, time-limited, community-based interventions as an alternative to inpatient admission, and as step-down support following admission, in order to: * Reduce avoidable admissions * Reduce length of inpatient stay * Improve patient experience and outcomes * Reduce out-of-area placements * Deliver value for money through invest-to-save approaches ________________________________________ 2. Service Objectives The Provider shall deliver a service that achieves the following objectives: 1. Reduce the number and duration of adult eating disorder inpatient admissions (including out-of-area placements) 2. Provide safe, effective, intensive community-based care for adults at high risk of admission 3. Support earlier discharge from inpatient care through structured step-down support 4. Reduce the need for restrictive interventions, including naso-gastric (NG) feeding 5. Improve equity of access to eating disorder services across North Yorkshire and York 6. Deliver early intervention through the FREED model to prevent illness escalation 7. Improve patient-reported outcomes, experience, and family/carer involvement ________________________________________ 3. Scope of Service 3.1 Eligible Population The service shall support: * Adults (18+) with a diagnosed eating disorder * Individuals at high risk of admission to an acute or specialist eating disorder inpatient service * Individuals requiring step-down or early supported discharge from inpatient care * Individuals where intensive community support may prevent deterioration, including risk of NG feeding * Young adults aged 18-25 eligible for FREED where commissioned and clinically appropriate 3.2 Exclusions * Crisis response or 24/7 home treatment provision * Emergency medical care (to be delivered via existing acute pathways) * People who do not have a diagnosed eating disorder * People aged under 18 * People not registered with a GP within North Yorkshire and York and/or People who do not live within North Yorkshire and York ________________________________________ 4. Service Model Requirements 4.1 Core Model The Provider must deliver: * Intensive, time-limited intervention of up to 12 weeks * A stepped-care approach supporting both admission avoidance and early discharge * Integration within existing community adult eating disorder MDTs * Close working with inpatient services, acute hospitals, crisis teams, and community mental health teams 4.2 Geographic Delivery Model The service must operate as two locality-based teams: * Team A: Hambleton, Harrogate & Richmondshire * Team B: York & Scarborough Provision must be flexible to meet rural and urban population needs, including travel, virtual delivery, and outreach. ________________________________________ 5. Interventions to Be Delivered The Provider shall deliver, as a minimum: 5.1 AL2A Interventions * Supported eating (1:1 and group, face-to-face and virtual) * Meal planning, shopping, cooking, and eating-out support * Daily living skills development * Family and carer coaching and supported meal guidance * Development of recovery-focused support plans * Exposure-based and skills-based interventions * Social inclusion, occupational engagement, and signposting (e.g. employment, education, social prescribing) * In-reach to acute hospitals, including daily support when admitted * Contribution to bed management and admission decision-making processes 5.2 FREED Pathway The Provider shall deliver the FREED model in line with national evidence, including: * Initial screening contact within 48 hours of referral * Assessment within 2 weeks * Treatment commencement within 4 weeks * Highly coordinated, early-intervention care aimed at reducing duration of untreated illness ________________________________________ 6. Workforce Requirements The Provider must evidence a workforce model consistent with: * Clearly identified clinical leadership and governance * Competence in delivering evidence based interventions for eating disorders, including the assessment and treatment of complex eating disorder presentations with co morbid physical and mental health conditions. * Capacity to work flexibly across home, community, and virtual settings * Cultural competence to address health inequalities Indicative staffing expectations include: * A Multi-Disciplinary Team with relevant professional registration trained in working with people with a diagnosed eating disorder * Support staff trained in eating disorder care * FREED workers with appropriate specialist experience ________________________________________ 7. Interfaces and Dependencies The Provider must demonstrate robust arrangements for: * Integration with community adult eating disorder teams * Joint working with inpatient eating disorder services * Participation in provider collaborative bed management meetings * Liaison with acute trusts, crisis services, and community mental health teams * Alignment with mental health hubs and neighbourhood teams ________________________________________ 8. Key Performance Indicators (KPIs) 8.1 Activity and Access KPI Measure AL2A caseload Number of individuals supported per quarter Time to AL2A intervention <=5 working days from referral FREED screening >=95% within 48 hours FREED assessment >=95% within 14 days FREED treatment start >=90% within 28 days 8.2 Impact and Outcomes KPI Measure Admission avoidance % of AL2A episodes avoiding inpatient admission Length of stay Reduction in average inpatient LoS for stepped-down patients OOA placements Reduction compared to baseline year NG feeding Reduction in proportion requiring NG feeding Readmission 30- and 90-day readmission rates 8.3 Experience and Quality KPI Measure Patient-reported outcome measures (PROMs) Improvement between entry and discharge Patient experience >=85% positive feedback Family/carer satisfaction >=80% positive feedback Complaints Trend monitored and minimised 8.4 Equity and Safety * Monitoring of access and outcomes by geography, age, gender, and deprivation * Incident reporting and learning * Safeguarding compliance ________________________________________ 9. Reporting and Governance The Provider shall: * Submit quarterly KPI and quality reports * Participate in: o Quality and Contract Review Meetings (quarterly) o Quality Assurance & Improvement Groups (bi-monthly) o Risk register reviews o Six-monthly and annual quality visits * Contribute to collaborative benchmarking and BI datasets * Support a formal evaluation against agreed baseline metrics ________________________________________ 10. Mobilisation Requirements The Provider must submit a mobilisation plan including: * Recruitment timelines * Workforce training strategy * Referral and pathway readiness * Stakeholder engagement * Go-live readiness and risk mitigation 11. Contract Duration The initial contract term will be 18 months with an option for the Commissioner to extend contract up to two further years.",
                "status": "planned"
            }
        ],
        "items": [
            {
                "id": "1",
                "additionalClassifications": [
                    {
                        "scheme": "CPV",
                        "id": "85323000",
                        "description": "Community health services"
                    }
                ],
                "deliveryAddresses": [
                    {
                        "region": "UKE"
                    }
                ],
                "deliveryLocation": {
                    "description": "The service must operate as two locality-based teams: * Team A: Hambleton, Harrogate & Richmondshire * Team B: York & Scarborough"
                },
                "relatedLot": "1"
            }
        ],
        "communication": {
            "futureNoticeDate": "2026-06-30T00:00:00+01:00"
        },
        "coveredBy": [
            "GPA"
        ]
    },
    "parties": [
        {
            "id": "GB-NHS-RV9",
            "name": "HUMBER TEACHING NHS FOUNDATION TRUST",
            "identifier": {
                "legalName": "HUMBER TEACHING NHS FOUNDATION TRUST",
                "id": "RV9",
                "scheme": "GB-NHS"
            },
            "address": {
                "streetAddress": "Trust HQ, Willerby Hill, Beverley Road, Willerby",
                "locality": "Hull",
                "region": "UKE",
                "postalCode": "HU106ED",
                "countryName": "United Kingdom"
            },
            "contactPoint": {
                "name": "Phillip Simmons",
                "telephone": "+44 1482301700",
                "email": "phillip.simmons@nhs.net"
            },
            "roles": [
                "buyer"
            ],
            "details": {
                "url": "https://www.humber.nhs.uk/",
                "classifications": [
                    {
                        "id": "BODY_PUBLIC",
                        "scheme": "TED_CA_TYPE",
                        "description": "Body governed by public law"
                    },
                    {
                        "id": "07",
                        "scheme": "COFOG",
                        "description": "Health"
                    }
                ]
            }
        }
    ],
    "buyer": {
        "id": "GB-NHS-RV9",
        "name": "HUMBER TEACHING NHS FOUNDATION TRUST"
    },
    "language": "en"
}