NHS England and NHS Improvement South (South East) - Integrated Healthcare Services for HMP YOI Winchester

NHS E & NHS I South (South East) (the Commissioner) sought to commission a prime provider model for the provision of Integrated Healthcare Services to HMP YOI Winchester in order to support integrated, patient centred care across the full range of service specialities detailed in the service specification(s).

NHSE will hold a contract with the prime provider, who in turn can directly provide care and/or subcontract care to other specialist providers. The contract is due to commence on 01/07/2020. Contract duration = 7 years.

HMP Winchester is a Category B (male; aged 18 upwards) Local Prison (operational capacity of approx. 700) that serves the local courts, with a small 129 bed Category C Resettlement Unit (West Hill).

This service will be commissioned as part of the overall Offender Health pathway within the prison and as such this model will ensure an integrated, recovery orientated service delivery system both within the prison and onwards into the community. The service will focus on delivering person-centred care within seamless, integrated structured clinical and psychosocial interventions/services in prison and facilitating arrangements through the gate into the community to ensure effective continuity of care. The provider must develop close collaborative working relationships with HMPPS management and staff in HMP Winchester.

The Services commissioned include (please see service specifications for further information and full lists of services required); • General Practitioners Provision • Primary Care Nursing • Dental services • Pharmacy Services (Including mechanism for OOH provision) • Inpatient Unit facility • Substance Misuse Services (including Substance Misuse wing) • Optometry • Podiatry • Audiology • Primary and Secondary Mental Health and Learning Disability Services • Health Promotion and Prevention • Appropriate administrative and data management support (inc. data intelligence and reporting resource; date and intelligence analysis) • Musculoskeletal therapies • Smoking cessation • Blood Born Viruses testing to include funding, access and delivery (inc. provision of testing facilities where necessary) • Consultant-led Pain management clinics • Therapies • Sexual Health screening (Tiers 1, 2)

In addition the provider will be responsible for ensuring effective and meaningful pathways of care are established with secondary care / diagnostics and other services outside of this specification, including hospital-based services, to meet patient's health needs.

Social Care provision will be included within the contract via a Section 75 agreement with the Local Authority.

In order to ensure the Provider can manage Escort and Bed Watch Services in an effective and efficient manner and to protect the Provider against significant bed watch and escort costs that are out of their control, NHSE will include a risk share agreement scheme within the contract.

The max total contract value = £40,866,539 inc escort & bed watches budget

Additional information: The procurement has been carried out by SCW CSU on behalf of the Commissioners.

The services are healthcare services falling within Schedule 3 to the Public Contracts Regulations 2015 ("the Regulations") which are not subject to the full regime of the Regulations, but is instead governed by the "Light Touch Regime" contained within Chapter 3, Section 7 of the Regulations (Regulations 74 to 77).