Health Services Tender East Staffordshire

Health Services Tender East Staffordshire

The CCG wish to significantly transform the way services for long term conditions, intermediate care and frail elderly are delivered across East Staffordshire. 

United Kingdom-Burton-upon-Trent: Health services

2014/S 135-242897

Contract notice

Services

Directive 2004/18/EC

Section I: Contracting authority

I.1)Name, addresses and contact point(s)

East Staffordshire CCG on behalf of itself and the other contracting authority named in Section I.4 , II.1.5 and II.2.2
Edwin House, Second Avenue
For the attention of: Beverley Thomas
DE14 2WF Burton-upon-Trent
UNITED KINGDOM
Telephone: +44 7738754482
E-mail: beverley.thomas@staffordshirecss.nhs.uk

Internet address(es):

General address of the contracting authority: https://cmcsu.bravosolution.co.uk

Address of the buyer profile: https://cmcsu.bravosolution.co.uk

Electronic access to information: https://cmcsu.bravosolution.co.uk

Electronic submission of tenders and requests to participate: https://cmcsu.bravosolution.co.uk

Further information can be obtained from: The above mentioned contact point(s)

Specifications and additional documents (including documents for competitive dialogue and a dynamic purchasing system) can be obtained from: The above mentioned contact point(s)

Tenders or requests to participate must be sent to: The above mentioned contact point(s)

I.2)Type of the contracting authority

Body governed by public law

I.3)Main activity

Health

I.4)Contract award on behalf of other contracting authorities

The contracting authority is purchasing on behalf of other contracting authorities: yes

Staffordshire County Council

 

Section II: Object of the contract

II.1)Description

II.1.1)Title attributed to the contract by the contracting authority:

East Staffordshire – Improving Lives.

II.1.2)Type of contract and location of works, place of delivery or of performance

Services
Service category No 25: Health and social services
Main site or location of works, place of delivery or of performance: East Staffordshire.

NUTS code UKG24

II.1.3)Information about a public contract, a framework agreement or a dynamic purchasing system (DPS)

The notice involves a public contract
II.1.4)Information on framework agreement

II.1.5)Short description of the contract or purchase(s)

This description of scope is supplemented by the additional details included within the Memorandum of Information (MOI) which is available from the Bravo e-tendering portal used for this procurement the details of which are set out at the end of this section.
East Staffordshire Clinical Commissioning Group (CCG) is responsible for the commissioning of healthcare services for 136 000 patients across the Burton upon Trent and Uttoxeter area. The CCG wish to significantly transform the way services for long term conditions, intermediate care and frail elderly are delivered across East Staffordshire. There are an estimated 38 000 adults across East Staffordshire with a Long Term Condition, of which 6,000 are defined as frail elderly. Current data, clinical evidence and feedback from our patients provides a compelling need to change in order to ensure that all patients with long term conditions and/or are frail elderly, and their carers, get the safe and high quality services they need to improve their life experience and outcomes. In line with national and local policy, East Staffordshire CCG intend to move to a model which aims to reduce unscheduled care activity in adults aged 19 and over and supports and enables patients and their carers to maintain maximum control and independence, empowers and supports self-care and self-management where this is the patient’s preference; integrates health and social care and across sectors of provision; utilises modern remote monitoring and self-care technologies as appropriate; improves health outcomes; reduces inequalities and rebalances delivery towards domiciliary and community provision from bed based models.
The current indicative services in scope at this stage include a range of identified NHS community and acute based services including but not limited to: specific community based specialist and generalist nursing services, acute based non elective admissions, and identified outpatient first and follow ups and procedures. Further details of in scope services are included in the MOI. The full scope will be determined and agreed through the procurement process. In order to achieve this vision, the CCG intend to commission a prime contractor via an outcome based, long term contract.
There are a range of services, outside of the main acute and community services contracts, commissioned by East Staffordshire CCG, that are not currently in scope.
This includes but is not limited to:
— Primary Care – Enhanced services, out of hours and 111
—Third Sector Contracts/Non-NHS Contracts/Grants*
*It will be those Third Sector Contracts/Non-NHS contracts/Grants that support patients with long term conditions, or are frail elderly/intermediate care services.
Although these services are not presently within scope, the successful bidder will be expected to work in close alignment with the providers of these services and other providers of services not directly commissioned by East Staffordshire CCG. This will ensure integration across the wider system, recognising the interdependencies of services and the potential impact the relationship between them will have on improved outcomes for patients and carers in East Staffordshire and across the system.
Although not presently in scope, this does not preclude the option for the CCG to include these services within the scope of the contract during the contract term
The CCG is and has been working with Staffordshire County Council (the ‘Council’) relating to the possible integration of adult social services with the NHS services covered by this procurement. Whilst it is the current intention that the Council will join the procurement in due course, at this stage the Council cannot commit to participating in this procurement or that its relevant adult social care services will fall within the scope of the contract. However, the Council has the option that at a later date, subject to agreement with the CCG, it may participate and for its services to fall within the contract scope. This option may be exercised either during the procurement process or during the contract term. The Council and the CCG also have yet to agree the contractual approach should the option for the Council to participate be exercised. This may be by the Council being a party to the contract with the successful provider; or through the CCG contracting with the successful provider on behalf of the Council or through an alternative contract mechanism to be agreed between the CCG and Council.
The potential high level scope of adult social care services includes, but is not limited to, those services outlined within Appendix 3 of the MOI. Also included in the MOI is 2014/15 anticipated outturn and the estimated financial envelope for 2015/16 against these services, which is subject to further validation.
We are seeking expressions of interest from organisations who share the CCG’s vision for the future and are willing to work with us in a trusted partnership to further shape, evolve and implement this vision to gain the benefits that this will bring in relation to positive health and wellbeing outcomes for service users, an improved patient and carer experience and the realisation of efficiencies across the system.
The CCG are keen to hear from organisations who believe that they have the experience, creativity and capability to drive forward whole system transformation at scale through: – Changing cultures, behaviours and beliefs across the healthcare system – The provision of modern and innovative healthcare services which support patients at all levels of complexity – Integration across a range of health, social care and voluntary sector services – Influencing partner organisations to deliver better outcomes for patients
Candidates wishing to be considered must register their expression of interest & provide additional procurement-specific information (by completing a Pre-Qualification Questionnaire (PQQ) through the portal as follows: i) Candidates should register on the portal athttps://cmcsu.bravosolution.co.uk (registration and use of the website is free of charge). ii) Once registered, candidates must express interest by a) logging-in to the CMCSU e-Tendering portal, b) selecting response to advert and PQQ, c) select Open Access PQQ, d) search for and access listing related to this contract and view details, e) click on Express Interest link iii) Once you have expressed interest, access the My PQQs page where you can download documentation (if required) & construct your reply as instructed. You must submit your reply on the website by the deadline stated. For technical support in submitting your expression of interest contact the BravoSolution Help-desk on +44 8003684850 orhelp@bravosolution.co.uk

II.1.6)Common procurement vocabulary (CPV)

85100000

II.1.7)Information about Government Procurement Agreement (GPA)

The contract is covered by the Government Procurement Agreement (GPA): no
II.1.8)Lots

II.1.9)Information about variants

Variants will be accepted: no
II.2)Quantity or scope of the contract

II.2.1)Total quantity or scope:

See details of scope as set out at Section II.1.5 and the MOI. The potential value of the contract will depend on a number of factors including but not limited to: the final scope of the contract (as determined in the course of the dialogue process), the outcome measures to be delivered by the successful provider, and their performance against these. It will also depend on the extent to which (if at all) the Council participates in this procurement and / or its services and/or required outcomes (including a potential reduction in the financial envelope for the Council’s services – if included – during the contract term) fall within the contract’s scope either at contract commencement or at any stage of the contract’s term.
Note that the values provided are estimates only and the actual contract value over the life of the contract may be more or less than the estimate depending on the outcome of dialogue, the tenders received and the other factors described above.
Estimated value excluding VAT:
Range: between 210 000 000 and 385 000 000 GBP

II.2.2)Information about options

Options: yes
Description of these options: The CCG is and has been working with Staffordshire County Council (the ‘Council’) relating to the possible integration of adult social services with the NHS services covered by this procurement. Whilst it is the current intention that the Council will join the procurement in due course, at this stage the Council cannot commit to participating in this procurement or that its relevant adult social care services will fall within the scope of the contract. However, the Council has the option at a later date, subject to agreement with the CCG, to participate and for its services to fall within the contract scope. This option may be exercised either during the procurement process or during the contract term. The Council and the CCG also have yet to agree the contractual approach should the option for the Council to participate be exercised. This may be by the Council being a party to the contract with the successful provider; or through the CCG contracting with the successful provider on behalf of the Council or through an alternative contract mechanism to be agreed between the CCG and Council’.
The current indicative services in scope at this stage include a range of identified NHS community and acute based services, for example including but not limited to: specific community based specialist and generalist nursing services, acute based non elective admissions, and identified outpatient first and follow ups and procedures. Further details of in scope services are included in the MOI. The full scope will be determined and agreed through the procurement process. In order to achieve this vision, the CCG intend to commission a prime contractor via an outcome based, long term contract.
There are a range of services, outside of the main acute and community services contracts, commissioned by East Staffordshire CCG, that are not currently in scope.
This includes but is not limited to:
— Primary Care – Enhanced services, out of hours and 111,
— Third Sector Contracts/Non-NHS Contracts/Grants*
*It will be those Third Sector Contracts/Non-NHS contracts/Grants that support patients with long term conditions, or are frail elderly/intermediate care services.
Although these services are not currently in scope, this does not preclude the option for the CCG to include these services within the scope of the contract during the contract term.
II.2.3)Information about renewals

II.3)Duration of the contract or time limit for completion

Duration in months: 84 (from the award of the contract)

Section III: Legal, economic, financial and technical information

III.1)Conditions relating to the contract

III.1.1)Deposits and guarantees required:

The contracting authority reserves the right to require indemnities, parent company guarantees, performance bonds or other forms of security. Further details are set out in the MOI and the PQQ.

III.1.2)Main financing conditions and payment arrangements and/or reference to the relevant provisions governing them:

To be set out in the Invitation to Participate in Dialogue (ITPD) and accompanying contract documents issued to short-listed Bidders.

III.1.3)Legal form to be taken by the group of economic operators to whom the contract is to be awarded:

The Authority reserves the right to require groupings of economic operators to take a particular legal form or to require a single economic operator to take primary liability for a contract to be performed by a group of economic operators or to require each party to undertake joint and several liability in respect of the entire contract irrespective of the form the grouping takes.

III.1.4)Other particular conditions

The performance of the contract is subject to particular conditions: yes
Description of particular conditions: The form of contract to be entered into with the selected provider will be the NHS Standard Contract. Further details will be provided to those Bidders short-listed following evaluation of PQQ responses and who are invited to participate in dialogue.
III.2)Conditions for participation

III.2.1)Personal situation of economic operators, including requirements relating to enrolment on professional or trade registers

Information and formalities necessary for evaluating if the requirements are met: As set out in the MOI and PQQ.

III.2.2)Economic and financial ability

Information and formalities necessary for evaluating if the requirements are met: As set out in the MOI and PQQ.
Minimum level(s) of standards possibly required: As set out in the MOI and PQQ.

III.2.3)Technical capacity

Information and formalities necessary for evaluating if the requirements are met:
As set out in the MOI and PQQ.
Minimum level(s) of standards possibly required:
As set out in the MOI and PQQ.
III.2.4)Information about reserved contracts
III.3)Conditions specific to services contracts

III.3.1)Information about a particular profession

Execution of the service is reserved to a particular profession: yes
Reference to the relevant law, regulation or administrative provision:

III.3.2)Staff responsible for the execution of the service

Legal persons should indicate the names and professional qualifications of the staff responsible for the execution of the service: yes

Section IV: Procedure

IV.1)Type of procedure

IV.1.1)Type of procedure

competitive dialogue

IV.1.2)Limitations on the number of operators who will be invited to tender or to participate

Envisaged number of operators: 3
Objective criteria for choosing the limited number of candidates: Bidders will be ranked from PQQ responses, and the three top scoring bidders will be invited to participate in the competitive dialogue stage. PQQ responses will be evaluated based on the selection criteria and methodology set out in the PQQ and MOI.
The Contracting Authority reserves the right to invite an additional bidder to the competitive dialogue stage if there is a less than 2 % difference in the scores achieved between the third highest scoring bidder and the fourth highest scoring bidder.

IV.1.3)Reduction of the number of operators during the negotiation or dialogue

Recourse to staged procedure to gradually reduce the number of solutions to be discussed or tenders to be negotiated no
IV.2)Award criteria

IV.2.1)Award criteria

The most economically advantageous tender in terms of the criteria stated in the specifications, in the invitation to tender or to negotiate or in the descriptive document

IV.2.2)Information about electronic auction

An electronic auction will be used: no
IV.3)Administrative information
IV.3.1)File reference number attributed by the contracting authority:
IV.3.2)Previous publication(s) concerning the same contract
IV.3.3)Conditions for obtaining specifications and additional documents or descriptive document

IV.3.4)Time limit for receipt of tenders or requests to participate

22.8.2014 – 12:00

IV.3.5)Date of dispatch of invitations to tender or to participate to selected candidates

8.9.2014

IV.3.6)Language(s) in which tenders or requests to participate may be drawn up

English.
IV.3.7)Minimum time frame during which the tenderer must maintain the tender
IV.3.8)Conditions for opening of tenders

Section VI: Complementary information

VI.1)Information about recurrence
VI.2)Information about European Union funds

VI.3)Additional information

Midlands and Lancashire CSU is conducting this procurement on behalf of the contracting authorities identified in Section 1.1. It is those bodies identified in Section i.1 who intend to enter into the contract with the successful bidder.
Section II.2.1) The value ranges specified in this section are estimates and indicative only. The final contract value may fall above or below the stated value range. [The upper figure also includes the potential option(s) detailed in Section II.1.5 and II.2.2.]
Section IV.1.2): The [minimum and maximum] number(s) relate to the number to be short-listed and invited to participate in dialogue.
Section IV.3.3) A copy of the PQQ and MOI can be obtained by registering on the Bravo e-tendering portal (further details about registering on the portal are set out below).
Section IV.3.4): Requests to participate must be made by completing and returning a PQQ by the date and time specified in section IV.3.4 and in accordance with the requirements specified in the MOI and PQQ. Completed PQQs submitted after the deadline or which are non-compliant with the requirements of the PQQ may not be considered.
Section IV.3.5): The date for issue of the invitation to participate in dialogue is provisional and may be subject to change.
Part B services: This procurement is for clinical services (with the option to include social services) which are Part B services for the purpose of the Public Contracts Regulations 2006 (as amended) (‘Regulations’). Accordingly, the contracting authorities are only bound by those parts of the Regulations detailed in Regulation 5(2). The contracting authorities are not voluntarily following any other part of the Regulations. The procedure which the contracting authorities are following is set out in the MOI and PQQ. As the CCG is a relevant body for the purpose of the National Health Service (Procurement, Patient Choice and Competition) (No 2) Regulations 2013 these Regulations also apply to this procurement.
Right to Cancel: The contracting authority reserves the right to discontinue the procurement process at any time, which shall include the right not to award a contract or contracts, and does not bind itself to accept the lowest tender, or any tender received, and reserves the right to award a contract in part, or to call for new tenders should it consider this necessary.
The contracting authority shall not be liable for any costs or expenses incurred by any candidate or tenderer in connection with the completion and return of the information requested in this Contract Notice, or in the completion or submission of any tender, irrespective of the outcome of the competition or if the competition is cancelled or postponed.
All dates, time periods and values specified in this notice are provisional and the contracting authority reserves the right to change these.

Transparency: The contracting authority is subject to the Freedom of Information Act 2000 (FOIA) and the Environmental Information Regulations 2004 (EIR) and may be required to disclose information received in the course of this procurement under FOIA or the EIR. In addition, and in accordance with the UK Government’s policies on transparency, the contracting authority intends to publish procurement documentation and the text of any resulting contractual arrangements, subject to possible redactions at the discretion of the contracting authority. Any redactions, whether in relation to information requests under FOIA, the EIR or policies on transparency will be in accordance with those grounds prescribed under the Freedom of Information Act 2000 and the Environmental Information Regulations 2004. Further information on transparency can be found at:https://www.gov.uk/government/publications/procurement-and-contracting-transparency-requirements-guidance

VI.4)Procedures for appeal

VI.4.1)Body responsible for appeal procedures

East Staffordshire CCG
Edwin House, Second Avenue
DE14 2WF Burton-upon-Trent
UNITED KINGDOM

VI.4.2)Lodging of appeals

Precise information on deadline(s) for lodging appeals: The contracting authority will incorporate a voluntary standstill period at the point information on the award of the contract is communicated to tenderers. That notification will provide full information on the award decision. The standstill period, which will be for a minimum of 10 calendar days, provides time for unsuccessful tenderers to challenge the award decision before the contract is entered into. Part 9 of the Public Contracts Regulations 2006 (SI 2006 No 5) (as amended) provides for aggrieved parties who have been harmed or are at risk of harm by breach of the Regulations to take action in the High Court (England, Wales and Northern Ireland). Any such action must be brought within the applicable limitation period. Alternative actions are available under the NHS (Procurement, Patient Choice and Competition) (No 2) Regulations 2013.
VI.4.3)Service from which information about the lodging of appeals may be obtained

VI.5)Date of dispatch of this notice:

11.7.2014

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