Public procurement notice: Contract Notice
Published: 2017-09-23
Buyer: NHS Midlands and Lancashire Commissing Support Unit
Country: UK
Contract type: Services
Procedure: Innovation partnership
CPV classification: 72000000 | 72200000 | 72300000 | 73000000 | 79415200
Estimated value: 3078000 GBP
Submission deadline: 2017-10-24
Award criteria: The most economic tender

Technical requirements: NHS Midlands and Lancashire Commissioning Support Unit are conducting this procurement on behalf of West Lancashire Clinical Commissioning Group.
The service is required to be a single point of access for all chronic pain referrals to ensure that only appropriate referrals are forwarded to secondary care and the majority of patients are managed and cared for outside secondary care.
The project aims to meet the needs of patients with chronic pain, for example providing advice around physical activity, nutritional and psychological needs and the use of tools and technology to help them self manage the pain they are experiencing.
The NHS England 5 Year Forward View recommends patients ‘with long-term conditions’ are empowered and also recognises the importance of ‘promoting wellbeing and independence’. It also states that ‘patients should have direct control over care provided to them’.
NHS West Lancashire CCG's commissioning intentions include an aspiration to remodel chronic pain services to help contribute to the triple aim of improved population health, high quality holistic care for patients and reduced cost. The remodelled service should be developed giving due consideration to the four pillars of the CCG's overarching clinical strategy as set out below: Collective accountability. Care co-ordination. Population management. Progressive IT infrastructure.
Also considering working closely with health and social care and linking with other services in the health economy as necessary to ensure cohesion and integration for the benefit of the patients.
The Vision also describes how it will be essential to demonstrate how services will be provided sensitive to local health and service need, addressing health inequalities, wrapped around the patient and focussed on our neighbourhoods; whilst also contributing to time savings in Primary Care and a reduction in attendance at A&E for chronic pain. The Supplier should share the CCG's vision for change and be willing to work with the CCG to drive the transformational change, understanding the need for whole system transformation including: Changing cultural beliefs and behaviours across organisational boundaries and throughout the healthcare system. Providing modern and innovative IT enabled healthcare services which supports patients at all levels of complexity to remain at the highest level of independence that they can achieve. Integrating a range of health, social care and third sector services. Influencing supply chain organisations to deliver better outcomes for patients.
The Supplier service will be expected to deliver the following: Improved health and health outcomes for the population of West Lancashire that suffer with Chronic Pain. High quality holistic care for patients that suffer with Chronic Pain. Reduced cost (delivering savings to the CCG) compared to the current cost of Pain treatment in West Lancashire. A single point of access for all chronic pain referrals to ensure that only appropriate referrals are forwarded to secondary care and the majority of patients are managed and cared for within the community setting. Assess and manage patients within the service making use of alternative service providers which may include, but is not limited to, those provided by the voluntary, community and faith sector (VCFS) and local councils. Provide individuals with up-to -date, evidence-based and accessible information to support them in taking personal responsibility when making decisions about their own health, care and wellbeing. Maximise and enable empowerment and self-care through education, self-management plans and current plus emerging technology where appropriate. Patients should be offered online access to their health records. Appropriate pathways should be designed for the main groups of patients, i.e. newly diagnosed chronic pain patients, those patients known to primary care with established chronic pain and patients that need further support after being discharged from the service for less than a year. If patients do need access to ongoing advice/treatments from the provider they can do so as part of a maintenance package of care on a self-referral basis for up to one year after discharge. This maintenance package of care should be made up of an indicative number of follow ups. The maintenance package of care should also have a clear exit strategy from the service. Innovative use of current and emerging technology to drive the service in the way patients are managed, and to support patients to self-manage and take control of their care and health. Patients must be informed about the benefits and risks of conservative treatment measures, medication and surgery. Reduction in secondary care attendance for patients with chronic pain. Reduction in admissions to A&E for patients with chronic pain. The description is continued in II.2.11.
Where patients are required to attend face to face appointments the service must: Be provided in locations within the boundaries of West Lancashire. Include co location with diagnostic services in line with NICE and local guidance on a one stop shop basis. Be available in community locations commensurate with population need and patient choice. Informed by equality impact assessment (EIA). Patients with chronic pain should be less dependent on health services. A holistic approach considering the patient as a whole not just dealing with their pain symptoms. Seamless access to appropriate service/s including physical, emotional, social, economic, spiritual and technological interventions. Consider patient's response to pain and its effect on their ability to care for themselves. Use of a coaching approach, for example ‘Better conversation’ tools for action. Solution focused shared decision making (SFSDM). Interdisciplinary pain management approach, overseen by a specialist of the Supplier's pain management service. Evidence based interventions following national guidelines including recent NICE low back pain guidance, e.g. avoidance of back injections. Limb, joint and soft tissue injections should preferably be undertaken in Primary Care. Asset based approach with appropriate governance focusing on outcomes and cost effectiveness. The commissioner should be assured that WLCCG patients are achieving the best possible clinical outcomes by receiving the right treatment at the right time. Open and transparent performance monitoring shared with commissioners. A culture of continuing quality improvement informed by a comprehensive audit programme. Best value for money. Cost reductions in pain relief medication.
The service may also include access to hydrotherapy, sports massage, coaching support, joint and soft tissue injections, exercise classes, diet and cooking advice, weight loss support, physiotherapy, palates, yoga, relaxation techniques, mindfulness, medication reviews, signposting to community activities, counselling, anger management, advice of using mobility aids, benefits advice, form filing advice, peer support, social isolation support, employment guidance and other social prescribing opportunities.
Details of the draft minimum requirements shall be included in the procurement documents. The project is being procured utilising the provisions of the Innovation Partnership procedure, details of the phasing of various phases of the Innovation Partnership shall be provided in the procurement documents. The design contract (phase 1) is for a period of up to 3 months, the pilot contract (phase 2) is for a period of up to 2 years and the delivery contract (phase 3) is for a period of up to 3 years with the opportunity to extend this phase for an additional period of 2 years. Since the estimated value of the opportunity is driven by the potential Suppliers ability to transfer patients from primary and secondary care into the new service the estimated budget for the entire project is variable but expected to be between 2 065 000 GBP and 4 252 000 GBP. Further details of the affordability envelope and supporting financial data are available within the procurement documents. The Contracting Authority reserves the right to extend the scope of this pain management service to include a social prescribing service. The potential maximum whole life value of the extended scope of the social prescribing service may be as much as an additional  700 000 GBP for all the phases of contract. This notice replaces the previous procurement OJEU reference 2017/S 012-017744.
This procurement is for Social and other specific services which are Light Touch Regime services for the purpose of the Public Contracts Regulations 2015 as specified in Schedule 3 of the Regulations (‘Regulations’) http://www.legislation.gov.uk/uksi/2015/102/schedule/3/made
Accordingly, the Contracting Authority is only bound by those parts of the Regulations detailed in Chapter 3 Particular Procurement Regimes Section 7 http://www.legislation.gov.uk/uksi/2015/102/part/2/chapter/3/made
As the CCG is a relevant body for the purpose of the National Health Service (Procurement, Patient Choice and Competition) (No 2) Regulations 2013 these Regulations also apply to this procurement.
Right to Cancel: The Contracting Authority reserves the right to discontinue the procurement process at any time, which shall include the right not to award a contract or contracts, and does not bind itself to accept the lowest tender, or any tender received, and reserves the right to award a contract in part, or to call for new tenders should it consider this necessary.

Eligibility requirements: Selection criteria as stated in the procurement documents.

Award value: 3078000