Public procurement notice: Contract Notice
Published: 2018-08-24
Buyer: City and Hackney GP Confederation CIC
Country: UK
Contract type: Services
Procedure: Open procedure
CPV classification: 85100000: Health services
Estimated value: 13333 GBP
Submission deadline: 2018-09-14
Award criteria: The most economic tender

Technical requirements: The City and Hackney GP Confederation is now commissioned to act as the lead provider of community based Anti-coagulation services to patients registered with practices in City and Hackney, aside from a small number of patients with complex medical problems whose care remains in secondary care. The GP Confederation has sub-contracted provision of this Anti-coagulation service to a range of Anti-coagulation Centres across the geography. Some of these Centres care for their own registered patients only; others provide care for patients from “linked” practices.
Whilst there is seldom need for specialist support, when is it is required by GP practices, for safety reasons it is crucial they can access highly skilled secondary care input. The Confederation is therefore commissioning a specialist support service to provide this secondary care level of input to support delivery of the overall anti-coagulation contract.
The City and Hackney GP Confederation is commissioned to act as the lead provider of community based Anti-coagulation services to patients registered with practices in City and Hackney, aside from a small number of patients with complex medical problems whose care remains in secondary care. The GP Confederation has sub-contracted provision of this Anti-coagulation service to a range of Anti-coagulation Centres across the geography. Some of these Centres care for their own registered patients only; others provide care for patients from “linked” practices.
Many of the C and H GPs and their practice staff have over 10 years of experience in providing this service, and as a consequence, seldom need specialist support. However when they do need it, for safety reasons it is crucial they can access highly skilled secondary care input.
The Confederation is therefore commissioning a specialist support service from a suitably qualified secondary care provider.
(a) This service will operate Monday – Friday, 9:00 am to 6:30 pm, with a turnaround time of 1 hour. The overall amount of support required will vary depending on need and is expected to reduce over the course of the year. In general the amount of time expected to deal with the queries listed below should not be more than 12 days per year i.e. approximately 1 day per month. The volume is likely to be higher in the absence of the Anti-coagulation Service Clinical Lead,
(ii) Reversal of INRs of more than 8 and for any problematic patients whose INR is persistently above 5;
(iii) Vitamin K dosage that needs to be different to that included in the flowchart for dealing with high INRs in the patient specification;
(ix) Bridging advice: e.g. perioperative and dental advice, stopping (or not) aspirin, prior to major and minor procedures, advice around vaccinations, skin biopsy, joint injections;
(a) Discussion of practice audits with the Centre Clinical Leads and input in to any Anti-coagulation Centre where there is evidence they need extra support.
(a) Expert support for clinicians where a complaint is received that requires specialist clinical input.
We envisage that delivery of this service specification for 1 year will result in a more highly skilled community workforce and robust and safe anti-coagulation service provision. We will review at year end and decide whether we need to continue with this level of support or whether we could reduce this to a lower level in the future.
Note: To register your interest in this notice and obtain any additional information please visit the myTenders Web Site at https://www.mytenders.co.uk/Search/Search_Switch.aspx?ID=213039


Award value: 13333