Ealing Integrated Intermediate Care Service

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About this contract

NHS Ealing CCG, working with Ealing Council, is seeking expressions of interest from suitably qualified and experienced healthcare providers who would like to be considered for the provision of a new Integrated Intermediate Care Service (EIICS) for the patients of Ealing. EIICS will replace the current Intermediate Care service in Ealing from 1 Oct 2015 The key aim of EIICS will be to provide a rapid, more responsive service that maximises admission avoidance and supports early discharge through managing a wide range of patients in a sub-acute phase in which they may need more than what GPs and core community services can currently offer, but do need not an acute hospital bed. The CCG will commission and hold accountable the lead provider for the delivery of the services with the expectation that they will partner and/or subcontract with other providers as required in order to deliver a safe clinical service and the outcomes that have been specified. The emphasis will be on providers working together to manage Ealing patients out of the acute setting; wherever those patients present e.g. in their own home, A&E’s across NWL, Ealing Hospital etc. GPs and other referrers will have the confidence that the service can make effective decisions about care and be able to respond rapidly where this is required both to avoid an admission and ensure early supported discharge is effective. This culture of working will be supported by strong clinical governance arrangements between partner organisations and in the numerous interfaces between this service and others in the local health and social care economy. Proactive and innovative clinical leadership will underpin the service. EIICS Key Components: (1) A single point to which all referrals for urgent escalation, particularly to avoid hospital admission avoidance, and for specific help in discharge can be made. This will include a consultant-led approach to clinical triage to support pathways from acute to community and vice versa (2) A service that rapidly assesses and responds to urgent need. Care will largely be delivered in patient's homes, but there will also be a need for the provider to deliver step-up community beds for those sub-acute patients who cannot be looked after in their homes. The provider will need to ensure they have a team, or the ability to work with provider in reach teams, to ensure all Ealing patients presenting at acute trusts are cared outside of the acute setting (mainly anticipated to be Imperial Sites, LNWHT Sites, West Middlesex and Hillingdon Hospitals) (3) A service that supports early discharge from hospitals where Ealing patients have been receiving care (mainly anticipated to be Imperial Sites, LNWHT Sites, West Middlesex and Hillingdon Hospitals) (4) A connected service that integrates reablement and outcome focused, time-bound rehabilitation over a short period, enabling patients to regain independence and social integration effectively and efficiently Additional information: Background: Ealing CCG is responsible for the health of over 400,000 registered people living in Acton, Ealing, Hanwell, Northolt, Perivale and Southall. Ealing CCG commissions services from providers including community services, mental health services, acute, secondary and tertiary care. Primary healthcare incorporates 79 GP practices; 42 general dental practices; 54 community pharmacies; 41 optical providers that are commissioned by NHS England. Contract: The CCG will be looking for a lead provider to hold a pilot contract with for two and a half years with the possibility of extending for a further 12 months. Ealing CCG will need to gain confidence and evidence of the provider’s ability to achieve a safe and seamless transition to the new service whilst meeting agreed milestones. The initial contract term will be 2 years 6 months, with a potential maximum 1 year extension (mutual agreement). In order to maximise the opportunities for learning and optimizing the service configurations, EIICS will operate as a ‘pilot’ service: Ealing CCG and Ealing Council intend to work in partnership with the successful provider(s) with an ‘open book’ approach to managing costs, with benefit sharing for when performance outcomes exceed targets. The value of this contract is estimated at £4m to £5.4m per annum. Therefore the minimum value is estimated at £10m (£4m x2.5years). The maximum value is estimated at £18.9m (5.4m x 2.5years + 1 year maximum extension). A proportion of the contract value will be pass-through costs. Expressions of interest from consortia or partnerships are welcomed, on condition that a lead member with overall responsibility for coordinating the tender and entering the contract is identified. Providers who would like to be considered for an invitation to participate in the opportunity should apply, via email to: EALCCG.EIICSProcurement@nhs.net by no later than 1700 Hours Friday 8th May 2015. Ealing CCG reserves the right to refuse expressions of interest received after this time and date. The deadline for submission of completed PQQ and ITT documents will be 1200 hours Friday 15th May 2015. Ealing CCG reserves the right to refuse submissions received after this time and date. Minimum requirements for financial standing and competency will be set out in the Pre-Qualification document questionnaire. Providers submitting a response to this questionnaire that do not satisfy these minimum requirements may be excluded from further participation in this procurement. Any expenditure, work or effort undertaken prior to contract award is accordingly a matter solely for the commercial judgment of potential service providers. In such circumstances, and in any event, Ealing CCG, Ealing Council and/or its advisors shall not be liable for any costs or loss of expenses whatsoever incurred by the respondent and company, agent, subsidiary or organisation may have contributed to any response submitted to this notice.

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