--- title: "NHS South Yorkshire ICB Sheffield Place : Musculo-Skeletal (MSK) Service" ocid: "ocds-h6vhtk-037f05" canonical_url: "https://d3tenders.com/contract/?ocid=ocds-h6vhtk-037f05" markdown_url: "https://d3tenders.com/contract/ocds-h6vhtk-037f05.md" json_url: "https://d3tenders.com/contract/ocds-h6vhtk-037f05.json" source: "Find A Tender Service" current_stage: "Award" buyer: "NHS SOUTH YORKSHIRE ICB" published: "2022-11-04" --- # NHS South Yorkshire ICB Sheffield Place : Musculo-Skeletal (MSK) Service Buyer: NHS SOUTH YORKSHIRE ICB Current stage: Award OCID: ocds-h6vhtk-037f05 [View canonical contract page](https://d3tenders.com/contract/?ocid=ocds-h6vhtk-037f05) [Download OCDS JSON](https://d3tenders.com/contract/ocds-h6vhtk-037f05.json) ## Summary The NHS South Yorkshire ICB has awarded a contract to Sheffield Teaching Hospitals NHS Foundation Trust for the Musculo-Skeletal (MSK) Service in Sheffield. The contract has been extended for 18 months without competition until 30th September 2024. This award was made to ensure service continuity for Sheffield patients during the Integrated Care System's Elective Recovery programme. The total estimated value for the MSK service amounts to £76,248,243 for the period of 01/04/22 to 30/09/24. This contract extension presents an opportunity for businesses operating in the health services sector to engage with the provision of elective acute and community musculo-skeletal services in Sheffield. The procurement method used was an award procedure without prior publication of a call for competition, indicating a limited procurement approach. Businesses with expertise in outcomes-based commissioning and patient care solutions may find this tender particularly suited to their capabilities. ## Notice NHS South Yorkshire ICB (the 'Authority'), formerly NHS Sheffield CCG, intends to extend the contract for the Sheffield Musculoskeletal (MSK) Service without competition until 30th September 2024 to the incumbent providers as detailed below: Sheffield Teaching Hospitals NHS Foundation Trust, Northern General Hospital, Herries Road, Sheffield, S7 5AT The service includes elective acute and community musculo-skeletal services and uses an outcomes-based commissioning approach for service delivery. The model includes a single point of access where patients are triaged into the appropriate service. The model also uses a separately commissioned piece of software to allow patients to make appointments, submit feedback and provide outcomes data. ### Lot Information Lot 1 The Authority is of the view that it is in the best interest of Sheffield residents to make a direct award of contract to Sheffield Teaching Hospitals NHS Foundation Trust for a further 18 months for three reasons: * The South Yorkshire Integrated Care System continues to go through a period of significant transition as a direct consequence of Covid-19 and due to legislation changes in the National Health Service * A service change during this period is very likely to destabilise the current provider organisation and have significant negative impact on Elective Recovery * The prolonged impact of Covid 19 and subsequent service recovery efforts have prevented adequate collection of the Outcomes Data required to enable a thorough assessment of the service model. Further rationale supporting these points: Transition On 1st July 2022 the original contracting Authority, NHS Sheffield CCG, ceased to exist and was replaced with NHS South Yorkshire ICB. All CCG responsibilities and liabilities were transferred to the new organisation, including the Sheffield MSK Service. The ICB will continue to operate as four places, each with a funding allocation and a strategy to meet the needs of the local people. However, the legislative changes have a significant impact on how decisions are made, including stronger partnership working across the system. As the decision-making structures are in development, the Authority feels it is not appropriate to make a decision on the future MSK model until these structures are in place. Under COVID-19 Directives the MSK contract, and the main contract for acute and community services with Sheffield Teaching Hospitals, were not in place for the 20/21 and 21/22 financial years. STH were paid a nationally mandated monthly block payment which was based on 19/20 income levels and therefore included the budget for MSK. Local contracts were reinstated from 1st April 2022, however in line with national guidance for 22/23 the South Yorkshire ICB has agreed an Aligned Payment and Incentive (API) contract with the Trust which, like the previous two years, includes a non-tariff based fixed contract value that incorporates most of the activity commissioned, including the MSK service. Further work is required to understand the impact of these changes on the MSK service before the service can be reviewed. ### Procurement Information The Authority is of the view that it is in the best interest of Sheffield residents to make a direct award of contract to Sheffield Teaching Hospitals NHS Foundation Trust for a further 18 months for three reasons: * The South Yorkshire Integrated Care System continues to go through a period of significant transition as a direct consequence of Covid-19 and due to legislation changes in the National Health Service * A service change during this period is very likely to destabilise the current provider organisation and have significant negative impact on Elective Recovery * The prolonged impact of Covid 19 and subsequent service recovery efforts have prevented adequate collection of the Outcomes Data required to enable a thorough assessment of the service model. Summary The additional extension for 18 months will ensure that services remain in place for Sheffield patients while the Integrated Care System works to deliver Elective Recovery. It is the Authority's intention to review the service model during this time, with a decision to be made on the future service model by 30th September 2023 and any agreed changes transacted during the remaining contract term. As above, the impact of COVID-19 and changes to NHS finance and contracting guidance has led to the agreement of an Aligned Incentive Payment contract between NHS South Yorkshire ICB and Sheffield Teaching Hospitals NHS Foundation Trust, which does not include a specifically agreed amount for the MSK service. The Authority has therefore estimated the value of MSK within the overall contract value using the 2019/20 agreed MSK contract value, adjusted in the same way (for inflation etc) as the overall block value was in 20/21, 21/22 and 22/23. Doing so gives an estimated 2022/23 annual value of PS50,832,162. The equivalent for the 18 months 01/04/22 to 30/09/24 would be PS76,248,243, excluding any uplifts that might be applied to the period 01/04/23 to 30/09/24 as and when 2023/24 and 2024/25 contract discussions are concluded. ## Key Details | Field | Value | | --- | --- | | Publication source | Find A Tender Service | | Latest notice | https://www.find-tender.service.gov.uk/Notice/031171-2022 | | 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 | | All stages | Award | ## Dates | Field | Value | | --- | --- | | Publication date | 4 Nov 2022 | | Submission deadline | Not specified | | Future notice date | Not specified | | Award date | 25 Oct 2022 | | Contract period | Not specified | | Recurrence | Not specified | ## Values | Field | Value | | --- | --- | | Tender value | Not specified | | Lots value | Not specified | | Awards value | Not specified | | Contracts value | £76,248,243 | ## Status | Field | Value | | --- | --- | | Tender status | Complete | | Lots status | Not specified | | Awards status | Active | | Contracts status | Active | ## Buyer | Field | Value | | --- | --- | | Main buyer | NHS SOUTH YORKSHIRE ICB | | Locality | SHEFFIELD | | Post town | Sheffield | | Postcode | S9 4EU | | Country | England | | ITL 1 | TLE Yorkshire and The Humber | | ITL 2 | TLE3 South Yorkshire | | ITL 3 | TLE32 Sheffield | | Local authority | Sheffield | | Electoral ward | Darnall | | Westminster constituency | Sheffield South East | | Delivery location | TLE32 Sheffield | ## Supplier | Field | Value | | --- | --- | | Number of suppliers | 1 | | Supplier names | SHEFFIELD TEACHING HOSPITALS NHS FOUNDATION TRUST | ## CPV Codes ### Divisions - 85 - Health and social work services ### Codes - 85100000 - Health services ## Release History - 4 Nov 2022 at 09:02 - Award - Award Notice - https://www.find-tender.service.gov.uk/Notice/031171-2022 ## Notice URLs - https://www.england.nhs.uk/london/ - https://www.southyorkshire.icb.nhs.uk ## Provenance This Markdown file is an alternate public rendering of the D3 Tenders contract record. The canonical page is https://d3tenders.com/contract/?ocid=ocds-h6vhtk-037f05. The underlying structured data is available as OCDS JSON at https://d3tenders.com/contract/ocds-h6vhtk-037f05.json.