North Central London NHS 111 Integrated Urgent Care

NHS North Central London (NCL) Integrated Care Board (ICB), hereafter referred to as the Authority is seeking to commission NCL 111 Integrated Urgent Care Service and invites suitably qualified providers to submit their tenders.

NCL ICB is responsible for allocating NHS budget and commissioning services. ICBs are a key change in the Health and Care Act, and have replaced Clinical Commissioning Groups 'CCGs'. These changes came into effect on 1 July 2022 More information about NCL ICB can be found using the following link. https://nclhealthandcare.org.uk/icb/north-central-london-integrated-care-board/

In 2015/16 NCL CCGs collaborated to commission a combined GP out-of-hours (OOH) and NHS 111 service across NCL. The contract was set against a local specification that patients helped to develop but, since 2018, the service model has evolved in order to meet demand and align with national requirements.

The aim of the new NHS 111 IUC model across NCL is to be in line with national guidance and standards, with residents receiving high-quality complete episodes of care with an outcome such as, but not limited to:-

• Consult and complete model with broader use of clinical skill • Advice and self-care • A face-to-face or virtual appointment for further assessment in a primary or urgent or emergency care setting • Repeat prescriptions • A multi-provider system working together to ensure patients get the right care, in the right place, at the right time • Current key performance indicators improved and maintained • Affordable and sustainable 111 IUC model.

Additional information: This Procurement is divided into three Lots • Lot 1 - 111 call handling • Lot 2 - Clinical Assessment Service (CAS) • Lot 3 - GP out-of-hours (GP OOH) service

The Authority invites bids that offer to provide services for all the above Lots (1, 2, and 3) in an integrated manner based on the Prime Provider model. Any Bid that does not cover all the above three Lots will be rejected. Following the evaluation process, the successful Bidder will be awarded a contract covering all three Lots.

A bid will be considered for award only if in addition to the other requirements of the ITT, it meets the requirements for all the Lots. A 'fail' in any of the Lots will mean the whole bid is eliminated.

The contract will be awarded for an initial period of three years followed by an optional extension of up to two years solely at the discretion of NCL ICB. Therefore, the maximum contract term is 5 years.

Maximum price limits for the contract are as follows.

Annual contract value = £19,114,968 Contract value over 3 years= £ 57,344,906 Contract value over 5 years= £ 95,574,843

NB: the contract value includes the provision for the category 3 and 4 validation. However, this element is currently being piloted with LAS and following evaluation, the ICB may withdraw this element of the service and therefore the financial value will be deducted. This means the Bidder's final overall annual value (submitted in their bid) will be reduced by £560,042 (excludes any uplifts for inflation, growth, etc.)

The services in the scope of this procurement fall within Schedule 3 to the Public Contracts Regulations 2015 ("the Regulations") and therefore the procurement is not subject to the full regime of the Regulations but is instead governed by what is commonly referred to as the "Light Touch Regime" contained within Chapter 3, Section 7 of the Regulations (Regulations 74 to 77). The use of any language or terms found in the Regulations, the description of the procedure voluntarily adopted by the Authority, or any other indication, shall not be taken to mean that the Authority intends to hold itself bound by the Regulations, save those applicable to services coming within the scope of Regulations 74 to 77.