Public procurement notice: Voluntary Ex Ante Transparency Notice
Published: 2018-05-26
Buyer: East and North Hertfordshire Clinical Commissioning Group
Country: UK
Contract type: Services
Procedure: Negotiated without a prior call for competition
CPV classification: 85110000: Hospital and related services
Estimated value: 1161981 GBP

Technical requirements: East and North Hertfordshire CCG X-ray service for the Minor Injury Unit (MIU) and GP Direct Access at Cheshunt Community Hospital
ENHCCG are awarding this contract as an emergency award to ensure that provision continues without any interruption, to restore services locally (through bringing back Direct Access Services to the site and installation of a permanent x-ray machine) and to provide a safe and reliable service.
This will be a direct award for 3 years and the commissioner may exercise an extension for a further 2 years to provide x-ray facilities at the Community Hospital site in Cheshunt, Hertfordshire. The contract will include the provision of both Direct Access x-rays for GP’s and an x-ray service for the local MIU.
The situation has arisen due to the need to replace the permanent x-ray machine at the site. This has necessitated interim arrangements being put in place to secure ongoing service provision, including the use of a mobile x-ray machine that is able to support MIU x-rays only, and the temporary divert of Direct Access x-rays to alternative sites. In addition, the current provider has provided notice that it is unable to put a permanent machine into Cheshunt Community Hospital, and formal notice of its intention to cease delivery of this element of its contract.
ENHCCG are awarding this contract as an emergency award to ensure that provision continues without any interruption, to restore services locally (through bringing back Direct Access Services to the site and installation of a permanent x-ray machine) and to provide a safe and reliable service.
The award is necessary to ensure that there is no interruption to service but will also provide stability for the Community Hospital and secure the provision of a fixed x-ray machine which will allow more patients to be treated locally following the reinstatement of Direct Access provision. With a sustainable MIU located at Cheshunt it will support ENHCCG in exploring future opportunities for local health care provision and importantly secure a safe and reliable local MIU service.
It is also paramount to ensure that the provision of the x-ray service is an attractive and viable proposition to enable investment in the purchase and maintenance of a permanent machine. It will also ensure that a rapid mobilisation is put in place to ensure there is no gap in the current x-ray provision.
ENHCCG will review and explore potential options for the service located at the Cheshunt Community Hospital site as part of the planned service review of the Minor Injury Unit.
The provision of x-ray services is critical to ensuring the continued delivery of a safe and effective minor injury service in Cheshunt. ENHCCG has assessed a number of options and feel that a direct award to Alliance Medial Ltd is the only viable option to ensure that the MIU service does not suffer from an interruption of x-ray provision.
Given the nature of MIU services in terms of supporting the wider Urgent Care System locally, the importance of the site to the local community, the short timeframe available to secure provision and the associated resource implications to a potential provider, ENHCCG felt it was necessary that the contingency of the contract should be for a minimum of 3 years. This is to ensure that the contract is financially viable for a potential provider; any shorter term contract would be prohibitive and would potentially impact on the wider health care system.
— Service Provision: ability to provide temporary x-ray provision on site and install a new fixed x-ray machine, through a seamless transition and mobilisation following the end of the current contract,
— Mobilisation: ability to mobilise in a very short timeframe and put in place applicable registration requirements,
— Information Technology (IT): ability and knowledge to provide the required systems and mobilise these quickly,
The provision of x-ray services is critical to ensuring the continued delivery of a safe and effective minor injury service in Cheshunt. ENHCCG has assessed a number of options and feel that a direct award to Alliance Medial Ltd is the only viable option to ensure that the MIU service does not suffer from an interruption of x-ray provision.


Winner: Alliance Medical Ltd
Award value: 1161981