Public procurement notice: Modification Of A Contract/Concession During Its Term
Published: 2018-03-17
Buyer: Castle Point and Rochford and Southend Clinical Commissioning Groups
Country: UK
Contract type: Services
CPV classification: 85100000: Health services

Technical requirements: The south east Essex system is under significant pressure. Demand for services continues to increase beyond levels explained through demographic changes. The acute centric model of care that has evolved over recent years is no longer fit for purpose to manage the increasing demands placed upon it, nor is it a financial viable or sustainable operating model for the future. South East Essex system partners need to redress the current imbalance between the capacity available within community services (particularly urgent response based support) and patient demand and start the journey towards a more financially sustainable model of care.
System leaders in south east Essex have explored ways in which the system can prevent avoidable A&E attendances and subsequent acute hospital admissions, thereby decreasing the pressure on Southend University Foundation Hospital Trust (SUFHT).
The investment case presented a suite of proposals identified by the wider “system” that will start to restore that balance whilst enabling progression towards the vision of resilient out of hospital models of care as set out in the 2 south east Essex CCG’s operating plans and the wider Sustainability and Transformation Plan (STP). The system can do this by increasing the ability of community services to respond to urgent requests for care and support for patients in their own home /place of residence and enhancing the current offer of proactive and planned care within a number of existing services.
The proposal is to vary this into the existing community services contract held with EPUT, which has a total value of circa 24 000 000 GBP, and is one of three contracts held by south Essex CCG's with the provider totalling 105 200 000 GBP. The value quoted as investment is a maximum and unlikely to be incurred as the CCGs are funding on a marginal cost increase basis as well as working on a “no /limited overheads” payment arrangement.
The south east Essex system is under significant pressure. Demand for services continues to increase beyond levels explained through demographic changes. The acute centric model of care that has evolved over recent years is no longer fit for purpose to manage the increasing demands placed upon it, nor is it a financial viable or sustainable operating model for the future. South East Essex system partners need to redress the current imbalance between the capacity available within community services (particularly urgent response based support) and patient demand and start the journey towards a more financially sustainable model of care.
System leaders in south east Essex have explored ways in which the system can prevent avoidable A&E attendances and subsequent acute hospital admissions, thereby decreasing the pressure on Southend University Foundation Hospital Trust (SUFHT).
The investment case presented a suite of proposals identified by the wider “system” that will restore balance.


Winner: Essex Partnership University NHS Foundation Trust (EPUT)