Provision of Insourced Endoscopy Services YSTH

Using the Provider Selection Regime (PSR) Competitive Process the Trust is seeking to appoint a CQC registered Provider for the provision of Insourced Endoscopy Services for clinics to be operated at York Hospital Endoscopy Unit, Scarborough Hospital Endoscopy Unit and Bridlington Hospital Endoscopy Unit to assist in backlog clearance and reduction to patient waiting lists.

CPV code: 85121200-5 Medical Specialist Services

Proposed activity: 12 endoscopy sessions per week - one procedure room with morning (09.00-13.00) and afternoon (14.00-18.00) sessions running Monday - Friday. There is also the potential for weekend working should the service require additional insourcing capacity. 12 endoscopy units to be performed during each session and unit allocation is based on complexity of the procedures. • Colonoscopy - 2 units • Gastroscopy - 1 unit • Flexible Sigmoidoscopy - 1 unit • Therapeutic procedures will attract a higher points allocation. This plan is provisional, and requirements may change, including the possibility of evening and weekend endoscopy activity.

Staffing Required: The Provider should be able to provide consultant and clinical endoscopists with appropriate qualifications, training, accreditation and experience. Approximately half the sessions (6 per week) will also require an endoscopist to perform the required procedures. During the period of insourced endoscopy, the service will require access to endoscopists able to perform: • Colonoscopy; including chromoendoscopy and polypectomy • Flexible sigmoidoscopy • Gastroscopy; including diagnosis/treatment of oesophageal varices and Barrett’s oesophagus surveillance • Bowel cancer screening accreditation is required but not essential for all endoscopists.

Accreditation/Experience required: The provider must complete the JAG checklist for insourcing and provide evidence where required. Documents can be found at https://www.thejag.org.uk/JAGguidance The provider must have CQC registration for the services being provided. All endoscopists must be JAG accredited and compliant with British Society of Gastroenterology (BSG) quality and audit standards. CVs and KPIs for endoscopists will be reviewed by the Clinical Lead for Endoscopy at the Trust and must meet approval. Bowel Cancer Screening endoscopists must be accredited by the Bowel Cancer Screening Accreditation (BCSA) programme. All endoscopists must follow agreed local follow-up procedures i.e. request GI clinics and surveillance follow-up intervals as per service guidelines (based on BSG guidance, information will be provided). All endoscopists must have a minimum twelve (12) months experience of working within an endoscopy service of an acute NHS hospital setting. All registered nurses (RN’s) should be trained in both upper and lower endoscopy and have a minimum twelve (12) months NHS hospital endoscopy experience. All nurses should be competent in supporting polypectomy and chromoendoscopy procedures.

Proposed length of contract and estimated value: The intention is to award a contract for the 14 months from 02/02/2026 to 31/03/2027 with options to extend for 2 additional periods of 3 months each. Based on current activity levels and requirements the maximum estimated contract value is approximately £1,500,000 per 12 months, i.e. £1,750,000 for the initial 14 months and up to £2,500,000 if the full extension option is exercised. Please note, however, that there is no guarantee of any level of work under the proposed contract and there is no guaranteed minimum contract value. Activity levels and contract value will be determined in response to the circumstances at the time and throughout the duration of the contract.