Public procurement notice: Prior Information Notice With Call For Competition
Published: 2016-09-13
Buyer: NHS Bradford City CCG
Country: UK
Region: UNITED KINGDOM
Contract type: Services
Procedure: Competitive procedure with negotiation
CPV classification: 85100000: Health services | 85140000: Miscellaneous health services
Submission deadline: 2016-09-21
Award criteria: The most economic tender

Technical requirements: The CCGs have been considering arrangements for the future commissioning and delivery of affordable and sustainable healthcare fit to meet the future needs of their communities in line with the 5 Year Forward View.
Informed by feedback from patients, the CCGs have concluded that moving towards an accountable care system model is the right model for Bradford. The CCGs intend to work with local healthcare providers and the Council to determine the scope, outcomes and structure of the model through a structured collaboration process. The model will deliver community services, integrated with primary care and local acute services.
The CCGs anticipate a contract with a single entity but this will be explored and tested as part of the structured collaboration process. The intent is for all health provider members to have responsibility for delivery, system management and sharing income risk through governance arrangements; this will be reviewed in the structured collaboration process.
The CCGs will refine the scope, specification and governance / delivery structure of the accountable care system as part of the structured collaboration process, which will start on 22.9.2016. This will build on work already undertaken with diabetes services, so that the model delivers community intermediate care services that will be fully integrated with primary and acute care — services are currently anticipated to include are included on the CCGs website at http://www.bradforddistrictsccg.nhs.uk/news/out-of-hospital-care---commissioning-event/ (the Services). The Services maybe subject to change as the CCGs' development of an ACS model develops and patients will play a key role in the development of the ACS.
Key provider stakeholders are: Bradford Teaching Hospitals NHS FT; Bradford District Care FT; Bradford Care Alliance (Primary Care — all Bradford GPs); and Bradford Metropolitan District Council.
The CCGs will continue to engage with wider stakeholders and providers as appropriate to input into the operation of the accountable community care system.
The CCGs believe they have identified the providers most capable of forming the formal alliance to deliver the system and will refine the system model through the structured collaboration exercise. To participate in this exercise, a provider must: (i) Be willing to enter into a formal alliance / collaboration with the existing stakeholders mentioned in II.2.14), legal structure to be determined in the structured collaboration process; (ii) Have proven experience of providing multi-disciplinary integrated care, specifically community based services; (iii) Be willing to sign up to a share of the risk of appropriate system wide outcomes; (iv) Capable of financially holding the system budget for the Services together with the other providers, and managing the scale of risk of overspend.
The preferred model, to be explored through the structured collaboration process, is for the providers (or other interested provider meeting the criteria above) to form a partnership/collaboration or alliance approach; 1 of these providers is to hold (or a single entity to hold) the formal contract for the Services from CCG for the wider provider group. The providers must have contractual arrangements to underpin delivery and governance of the Services and share funding and risks as agreed. The objective is for the providers, through these arrangements to become responsible for managing expenditure of the Services within a fixed budget based on the needs of the population and achievement of healthcare outcomes. The providers will be responsible (themselves or through sub-contracting) for delivery of the Services. CCGs will keep their legal / regulatory obligations under review in relation to the development of the model and operation through the structured collaboration and beyond.
Should discussions with local providers (and any other interested providers meeting the criteria that express an interest in response to this PIN) as part of the structured collaboration exercise fail to result in acceptable model or contract(s) award or if it becomes apparent there is a material change to the current process or approach / scope of Services envisaged, the CCGs will re-advertise the opportunity in accordance with procurement law prevailing at that time.

Eligibility requirements: The CCGs believe they have identified the providers most capable of forming the formal alliance to deliver the system and will refine the system model through the structured collaboration exercise. To participate in this exercise, a provider must: (i) Be willing to enter into a formal alliance / collaboration with the existing stakeholders mentioned in II.2.14), legal structure to be determined in the structured collaboration process; (ii) Have proven experience of providing multi-disciplinary integrated care, specifically community based services; (iii) Be willing to sign up to a share of the risk of appropriate system wide outcomes; (iv) Capable of financially holding the system budget for the Services together with the other providers, and managing the scale of risk of overspend.