Public procurement notice: Modification Of A Contract/Concession During Its Term
Published: 2020-05-05
Buyer: NHS Mid Essex Clinical Commissioning Group
Country: UK
Contract type: Services
CPV classification: 85100000: Health services | 85144100 | 85323000

Technical requirements: NHS Mid Essex Clinical Commissioning Group (the Contract Authorities) hold an existing contract with Farleigh Hospice for in-patient end of life care, hospice at home services, discharge coordination and pharmacy. This current contract is in place from 1 April 2017 to 31 March 2020 with a + 1 year option to extend. The Contracting Authorities are publishing this modification notice in accordance with Regulation 72 (3).
NHS Mid Essex Clinical Commissioning Group (‘the Contracting Authorities’) holds a contract for Hospice Palliative Care Service with Farleigh Hospice from the 1 April 2017.
2) Hospice at Home and Bereavement Services, an addition for enhanced services (in-hours phone line and discharge coordination)
The three elements form the Hospice Palliative Care Service and aim to facilitate an individual patient's preferred place of care and death, with increasing demand of the delivery of treatment and palliative care within domiciliary (patient-home) environments. The proposed service improves the delivery of this community care by allowing more patients to be rapidly assessed and/or discharged to their choice of care setting, providing a consistent quality care service to enable more people to receive the delivery of palliative care within the preferred setting of their own home. The new service will gradually accept patients (meeting the criteria) to allow for Farleigh Hospice to significantly increase their workforce in order to meet this new demand of service delivery.
This contract is being modified in accordance with Regulation 72.1(b) of the Public Contracts Regulations 2015.
The modification will expand the scope of the current Farleigh Hospice contract, providing consistent and high-quality end of life care to Mid Essex patients.
NHS Mid Essex CCG has spent several months reviewing the end of life pathways with system partners to understand improvements for patients and providers, one of the key messages was inconsistency with care providers. Currently in NHS Mid Essex CCG Continuing Health Care team source fast-track domiciliary care for patients in the last weeks of their life via care agencies. However, by having Farleigh Hospice provide care to all Mid Essex patients (fitting the fast-track criteria) there delivery of care would become standardised, with consistent care being received by these patients from an end of life specialist organisation across the whole of Mid Essex improving care to patients deteriorating or in the terminal phase.
There is an appetite from end of life partners to develop a joint approach to caring for patients and NHS Mid Essex CCG sees this piece of work as the beginning to develop an integrated approach to end of life care. NHS Mid Essex CCG has acknowledged these changes in demand from end of live patients and attaining feedback and reviewal from the past 15 months of the current Farleigh Hospice Contract, it is the CCG's intention moving forward to further develop an integrated approach to this service provision, with due diligence being undertaken by the CCG with the aim of contracting differently from April 2021. In accordance with Regulation 72.1(b), such modification does not alter the overall nature of the contract and in total over the contract term does not exceed 50 % of the value of the original contract.
The patient's of NHS Mid Essex CCG receiving Pallative and end of life care have increased the demand of out-of- hospital care provisions, choosing instead to receive the delivery of care and die at home. NHS Mid Essex CCG has responded to this unforeseen change in demand to service delivery and the implications this would bring about to Farleigh Hospice's need to increase their workforce to deliver safe, consistent and high-quality care to patient's who wish to receive their palliative care and die in a domiciliary environment.


Winner: Farleigh Hospice