Provision of Integrated Adult Community Health Services to Swindon Clinical Commissioning Group

NHS Swindon Clinical Commissioning Group (the CCG) is the commissioner of health and care services in Swindon, Shrivenham and the surrounding areas. Approximately £235m of local health services are commissioned from a range of sources including primary care, community providers, acute trusts, charities, social enterprises and private providers. The CCG mission is to optimise the health for the quarter of a million people registered with its 26 GP practices in Swindon and Shrivenham.

The CCG has been developing its plans to deliver the Five Year Forward View including new models of care to strengthen prevention and to redesign care pathways with a focus on greater integration.

Following an extensive period of engagement and review the CCG with Swindon Borough Council is now seeking to re-commission its community services via a provider model which integrates acute and community pathways, incentivised to shift the emphasis of treatment to effective prevention and management of patients, particularly those with Long Term Conditions and the Frail Elderly including alignment to adult social care.

The current contract for the provision of these services ends on the 17th February 2017. The CCG with Swindon Borough Council is therefore seeking to re-commission services from a capable provider who will work with the CCG over the contract period to deliver services and to redesign the delivery of a community-based model of care to meet the CCG commissioning intentions and link to our plans through the Better Care Fund. The new contract for these services will be awarded for a period of three years with the option to extend for any period up to 24 months and must commence from the 18th February 2017.

As many NHS organisations the CCG is facing a significant challenge to ensure that high-quality, affordable, community health and care services can be delivered in the face of reductions in funding allocations and increasing demands. Service transformation will be required in order for community services in Swindon to remain at the heart of a sustainable health and care system. To this end the CCG will require the provider, over the period of the contract, to work with all existing health and social care providers, the Council, and the CCG to devise a reconfigured model of delivery to create sustainability, and support the transformation in line with Swindon CCGs transformational agenda to deliver the Five Year Forward View Vision The Service transformation process may require variation to the services provided over the life of the contract. This is in line with the CCG ethos of integrating health and care and empowering local communities to have greater ownership of decisions and resources, tailored to local needs.

Additional details/description is continued in Additional Text below.

Additional information: The provider must be able to demonstrate to the CCG that they can deliver a high quality service and that they have a clear understanding of the strategic direction for services within Swindon and of the need for close engagement and system leadership with other providers within Wiltshire.

The provider will be expected to deliver transferred services within a cost envelope of circa £17,500,000 per annum representing the CCG and Swindon Borough Council funding. The CCG and Swindon Borough Council expect financial efficiencies to be delivered over the term of the contract. Further details of cost envelope and financial efficiency expectations will be supplied in the tender documents.

Swindon Borough Council will be the provider of social work and OT services as well as the commissioner of domiciliary, residential and nursing care. The CCG and Council are planning to tender for a prime contractor for domiciliary care and this procurement will need to align with the work of the Council with the possibility of future links between both contracts as part of a One Swindon Budget. There is an expectation that social work services and any future providers of domiciliary, residential and nursing care will work closely with community health services to ensure an integrated approach for patients and service users.

Adult Community Health and Social Care Services will include but not limited to the following services:

Acute Discharge /Discharge Assessment Referral Team Acute Male Urinary Retention Services Chronic Fatigue Service Community Children’s Clinics Community Deep Vein Thrombosis Service Community Diabetes Interface Service Community Intermediate Care Community Matrons Community Nursing Service Community Intravenous Therapy Community Stroke Services Continence Service Community Matron/Community Health for LD Dermatology – GpwSI /Paediatric Eczema / Skin Lesion Excision Equipment Services Evening and Night Community Nursing Gold Standard Facilitator /EOL Long Term Condition Management Services (e.g. COPD; Parkinson’s) Oxygen Assessment Occupational Therapy Out of Hours Phlebotomy Services Podiatry Rapid Assessment Services Referral Access Centre SALT Single Point of Access Swindon Intermediate Care Centre Telehealth Tissue Viability Urgent Care Centre Virtual Ward Wheelchairs Rapid response service

Due to the urgent and pressing requirement of the CCG to securely commission these services by the 17th February 2017 to minimise impact to patient care, providers wishing to be considered as a ‘Capable Provider’ for this contract should formally express an interest via In-Tend https://in-tendhost.co.uk/swcsu/aspx/Home by 12 noon on 18th April 2016. Responses will not be accepted by any other means.

Interested providers will be able to view the tender opportunity via the 'current tenders' list on In-Tend or may navigate directly using the link: https://in-tendhost.co.uk/scwcsu/aspx/ProjectManage/167