Public procurement notice: Modification Of A Contract/Concession During Its Term
Published: 2020-01-28
Buyer: NHS Brent Clinical Commissioning Group
Country: UK
Contract type: Services
CPV classification: 85100000: Health services

Technical requirements: The Whole System Integrated Care (WSIC) service in Brent provides a multi-layer level of investment across primary care to deliver an integrated model of working between professionals, patients and carers in the management of long term conditions. This model puts the GP-Patient relationship at the centre and uses the GP register as a source of the population group.
The service being contracted includes risk stratification and case finding, proactive care planning, multi-disciplinary case-management and team working, support to self-care and complex patient management groups. The service enables integration across the existing primary care landscape and adds value to what current GP Practices can deliver both to patients and to the wider NHS system.
Original contract was directly awarded on the grounds of an absence of competition from providers having any technical capability to deliver the specified requirements. The Whole System Integrated Care (WSIC) service in Brent provides a multi-layer level of investment across primary care to deliver an integrated model of working between professionals, patients and carers in the management of long term conditions. This model puts the GP-Patient relationship at the centre and uses the GP register as a source of the population group.
The contracts to deliver this local requirement are being awarded through a negotiated procedure recognising the lawful appropriateness as set out within Regulation 32 (2)(b)(ii) of the Public Contract Regulations 2015 which lawfully enables a contracting authority to negotiate a contract directly where there is an absence of competition for technical reasons. In the case of the WSIC contracts, the CCG have assessed for the reasons stated above that the GP Networks are the only the organisations in a position to deliver the high quality integrated services which can achieve the desired outcomes.
The CCG has a duty within the NHS (Procurement Patient Choice and Competition) (No 2) Regulations 2013 to decide how best to commission and procure healthcare services and although consideration should be given to competition the CCG should assess where the most capable or only provider or providers can be identified.Given the criticality for this service to have GP centred leadership and co-ordination, the CCG has assessed that no other providers will be technically capable to deliver the service which is so integrated with the existing primary care provider landscape. The CCG has assessed that the WSIC service can only be delivered by the GP Networks, these being the only the organisations in a position to deliver the high quality integrated services which can achieve the desired outcomes. It would not be inappropriate the seek interest of competitive proposals from the market.
This notice is to ensure transparency of the existing contract being modified to increase the clinical nursing capacity to reach additional patients.
The nature of service provision remains unaltered. The modification introduces increased investment of 100 000 GBP per year to expand the clinical nursing capacity (2 x nurses) within the service from November 2019.
No change being made to the nature of the services being provided. The modification enables some additional investment of 100 000 GBP per year to increase the clinical nursing capacity of the service, such value being contained within 50 % of the original contract value.


Winner: Kilburn Primary Care Cooperative Ltd