Public procurement notice: Voluntary Ex Ante Transparency Notice
Published: 2018-05-29
Buyer: Cambridgeshire and Peterborough Clinical Commissioning Group
Country: UK
Contract type: Services
Procedure: Negotiated without a prior call for competition
CPV classification: 85100000: Health services
Estimated value: 2031755 GBP

Technical requirements: This VEAT notice is intended to provide notice of the CCGs' intention to award a 12 month contract to the incumbent provider of MIIU services in Peterborough, to provide services for Peterborough and surrounding area, to enable the CCG align a number of Urgent care contracts, across the STP footprint of Cambridgeshire and Peterborough CCG.
This will be a short term 12-month contract awarded to the incumbent provider of the MIIU service at the City Care Centre in Peterborough.
This extension will enable the CCG to assess the alignment of a number of Urgent Care contracts, across the STP footprint of Cambridgeshire and Peterborough CCG and allow adequate planning time to understand how the C&P urgent care services could be better co-ordinated, and how C&P could best utilise the finite clinical labour at its disposal and avoid provisioning a number of GP led services from the same location.
This is critical to the success of the C&P strategy overall for urgent care, extended access, UTC and primary care access.
During this period, the CCG will focus on collecting data and building a service specification that incorporates all applicable Urgent care standards and that may be extended to the MIUs across the CCG in Wisbech, Ely and Doddington. In addition, will allow a period for the CCG to produce a well-structured model for the procurement. This data collection and service specification development will include as a minimum:
Data around, timing of appointments — days/hours, planned and actual slot usage (Nurse and GP), booking/referral patterns to and from service, DNA and cancellation rates of patients and business continuity.
Specific focus during this time will be the integration with the wider urgent care services 24/7 and utilising the primary care element to create a service as detailed in the national specifications for both services.
VI.4) The CCG intends to operate quarterly engagement forums with interested providers later in the year to share data and information about the development of these services in order to allow potential providers to ready themselves and the market for the full procurement in 2018/19. Any providers interested in attending these meetings should contact: capccg.uecreturns@nhs.net
There are technical reasons why a provider that has not operated in C&P STP area will face significant challenge in mobilising the 12-month extension service in time for 1.11.2018 to the UTC national standards, especially due to the nature of the complicated primary care and urgent care services that are in place across Cambridgeshire and Peterborough CCG and STP. A rapid change (for a short term 12-month contract–with a further change in 2019) is likely to destabilise primary care extended access and other urgent care services with a knock-on impact to patients.
Furthermore, the CCG will focus on collecting a large amount of data and information (building on that currently available) during the 12-month period to inform the future procurement exercise for the main five-year contract. As such, the CCGs consider that from a technical mobilisation, timing and stability perspective, only the current incumbent provider is able to be awarded the 1-year contract.
Alongside the extension, the CCG clear intention is to run an open and transparent procurement process (starting in 2018/19) for the main contract going live at the start of November 2019. Information and data from the pilot will be shared with interested providers. It is essential that during the pilot the CCG:
Collect data required to produce a well-structured model for the procurement, around patient flow, activity to and from the location, GP telephony, face-to-face contacts etc. Access to this data at a clinical level is currently not available and will be collected over the 12 months.
Profiling of the Directory of services ensuring the CCG-commissioned pathways are utilised (allowing the patient connection with their most appropriate care provision) is vital to the success of the economic and patient evaluation. It could create a significant clinical risk if not mobilised correctly and, for example, patients’ records become unavailable and/or patients are transferred to inappropriate services.
Assess the impact of other key pilots currently operating across the STP and nationally, impact on this new model and the required provision e.g. frailty.
Understand how C&P urgent care services can be co-ordinated, and how C&P can best utilise the finite clinical labour at its disposal. This is critical to the success of the Urgent care services and includes extended hours, UTCs and walk in provision, community/rapid response and mental health services.


Winner: Cambridgeshire and Peterborough CCG MIIU/UTC service
Award value: 2031755