Provision of NHS 111 Services to the West Midlands

Provision of NHS 111 Services to the West Midlands

The service must be staffed by trained advisors, supported by clinicians, using a specified clinical triage tool alongside local Directory of Services to assess caller needs and determine the most appropriate course of action.

United Kingdom-West Bromwich: Health services

2014/S 233-410859

Contract notice

Services

Directive 2004/18/EC

Section I: Contracting authority

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

Sandwell and West Birmingham Clinical Commissioning Group
Kingston House, 438-450 High Street
Contact point(s): https://mlcsu.bravosolution.co.uk/web/login.shtml
B70 9LD West Bromwich
UNITED KINGDOM

Internet address(es):

General address of the contracting authority: www.sandwellandwestbirminghamccg.nhs.uk

Address of the buyer profile: https://mlcsu.bravosolution.co.uk/web/login.shtml

Electronic access to information: https://mlcsu.bravosolution.co.uk/web/login.shtml

Electronic submission of tenders and requests to participate: https://mlcsu.bravosolution.co.uk/web/login.shtml

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

NHS Sandwell and West Birmingham Clinical Commissioning Group

NHS Birmingham and Cross City Clinical Commissioning Group

NHS Birmingham South and Central Clinical Commissioning Group

NHS Coventry and Rugby Clinical Commissioning Group

NHS Dudley Clinical Commissioning Group

NHS Herefordshire Clinical Commissioning Group

NHS Redditch and Bromsgrove Clinical Commissioning Group

NHS Shropshire Clinical Commissioning Group

NHS Solihull Clinical Commissioning Group

NHS South Warwickshire Clinical Commissioning Group

NHS South Worcestershire Clinical Commissioning Group

NHS Telford and Wrekin Clinical Commissioning Group

NHS Walsall Clinical Commissioning Group

NHS Warwickshire North Clinical Commissioning Group

NHS Wolverhampton Clinical Commissioning Group

NHS Wyre Forest Clinical Commissioning Group

NHS Cannock Chase Clinical Commissioning Group

NHS East Staffordshire Clinical Commissioning Group

NHS North Staffordshire Clinical Commissioning Group

NHS South East Staffordshire Clinical Commissioning Group

NHS Stafford and Surrounds Clinical Commissioning Group

NHS Stoke-on-Trent Clinical Commissioning Group

Section II: Object of the contract

II.1)Description

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

Provision of NHS 111 Services to the West Midlands.

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: West Midlands.
NUTS code UKG3,UKG2,UKG1

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)

The 22 NHS West Midlands Clinical Commissioning Groups named in this Contract Notice are referred to as the ‘Commissioners’ in this Contract Notice. The Commissioners wish to commission a West Midlands enhanced NHS 111 service model.
The Commissioners’ current requirements for NHS 111 services are provided under two existing contracts. The purpose of this Contract Notice is to commence a procurement process to secure a service provider(s) to continue the provision of NHS 111 services after expiry of the existing contracts.
Please note that there are three lots being run under this procurement and further detail of those lots is provided below.
The Commissioners will also be seeking mandatory variant bids as discussed further below.
NHS 111 is a free-to-call 111 telephone number available 24 hours each day, 365 days a year, offering a personalised priority contact service that responds to individual healthcare needs when:
— It is not a life-threatening situation;
— The patient’s registered General Practitioner is not an option;
— The caller feels they cannot wait (and may be unsure of what service they require);
— The caller requires health information or reassurance about what to do next.
— The NHS 111 service forms an important part of a vision for locally integrated urgent and emergency care services. It delivers a vital service in helping members of the public with urgent care needs to gain access to the right advice in the right place, first time.
— The service must be staffed by trained advisors, supported by clinicians, using a specified clinical triage tool alongside local Directory of Services to assess caller needs and determine the most appropriate course of action, which may include dispatching an ambulance, providing clinical advice or information, providing reassurance, or referring the caller to an alternative service.
— At a minimum, the service provider will be required to deliver the services in accordance with the National Core Specification for NHS 111 produced by the UK Department of Health, NHS 111 Commissioning Standards published by NHS England (June 2014), 111-adapted Out of Hours National Quality Requirements (NQRs) and the requirements of the NHS Standard Contract prevailing at the time of award (including, but not limited to, the Local Quality Requirements to be included under that contract).
— The service provider will need to evidence that all staff responding to callers will be capable of carrying out their duties competently and to a standard that meets the requirements of the contract specification.
— The Commissioners are looking to appoint an innovative service provider(s) who will work with them to develop and enhance the NHS 111 service over the course of the lifetime of the contract(s). The Commissioners will require the service provider to embrace technological advancements in the delivery of NHS 111 services and further details will be set out in the form of contract released at the Invitation to Tender stage.
— The Commissioners are proposing to structure the contract(s) so as to provide for the opportunity (at the Commissioners’ discretion) to increase the scope of the services beyond the core NHS 111 service requirements set out in the specification where the Commissioners consider that the service provider can provide additional/complementary services to further enhance the NHS 111 service. These service areas may include: primary care integration, direct booking to multiple services, online access to NHS 111 triage, text message appointment consultations, digital applications, video consultations, live web chats and instant messaging, biometric information and patient recognition. Bidders should note, however, that the Commissioners reserve the right: not to initiate any additional/complementary services; and to compete such possible future requirements; or commission them from a separate provider (at their discretion).
— The Commissioners require the call centre(s) to be located within the geographical footprint of the relevant lot. This is because the NHS 111 services form a critical part of the local urgent and emergency care system within the West Midlands region and integration with the existing local urgent and emergency care system will be an important part of the evaluation. Furthermore, from a clinical perspective, integration and cooperation are required between the Commissioners and service providers for all local healthcare services in the communities of the West Midlands.
— The form of contract for the NHS 111 services will be the prevailing NHS Standard Contract as at the date of contract award.
Lot strategy:
This procurement is structured into three lots, according to the following geographic areas within the wider West Midlands region.
— Lot 1: Provision of 111 Services to the 16 CCGs of the West Midlands (as identified below);
— Lot 2: Provision of 111 Services to the 6 CCGs of Staffordshire (as identified below);
— Lot 3: Provision of 111 Services to the 22 CCGs of the West Midlands (provision of Lots 1 and 2).
The Commissioners want to ensure that they achieve value for money from this procurement process and, therefore, will to consider whether to either award a contract under Lot 1 and a contract under Lot 2, or a contract under Lot 3. Bidders should note that in addition to their general rights to abandon, suspend or terminate this procurement the Commissioners will not award contracts under all 3 Lots and, therefore, will abandon one or more Lots in the manner set out and on the basis of the procedure set out in the ITT.
Bidders may only bid for Lot 3 if they bid for Lot 1 and/or Lot 2 as well. Where a bidder wishes to submit a bid for Lot 3 as part of a consortium (under a prime contractor model) one of the member organisations must have also submitted a bid for Lot 1 and/or Lot 2.
— The 22 Clinical Commissioning Groups covered by this procurement exercise are as follows:
— Lot 1:
— NHS Sandwell and West Birmingham Clinical Commissioning Group;
— NHS Birmingham and Cross City Clinical Commissioning Group;
— NHS Birmingham South and Central Clinical Commissioning Group;
— NHS Coventry and rugby Clinical Commissioning Group;
— NHS Dudley Clinical Commissioning Group;
— NHS Herefordshire Clinical Commissioning Group;
— NHS Redditch and Bromsgrove Clinical Commissioning Group;
— NHS Shropshire Clinical Commissioning Group;
— NHS Solihull Clinical Commissioning Group;
— NHS South Warwickshire Clinical Commissioning Group;
— NHS South Worcestershire Clinical Commissioning Group;
— NHS Telford and Wrekin Clinical Commissioning Group;
— NHS Walsall Clinical Commissioning Group;
— NHS Warwickshire North Clinical Commissioning Group;
— NHS Wolverhampton Clinical Commissioning Group;
— NHS Wyre Forest Clinical Commissioning Group.
— Lot 2:
— NHS Cannock Chase Clinical Commissioning Group;
— NHS East Staffordshire Clinical Commissioning Group;
— NHS North Staffordshire Clinical Commissioning Group;
— NHS South East Staffordshire Clinical Commissioning Group;
— NHS Stafford and Surrounds Clinical Commissioning Group;
— NHS Stoke-on-Trent Clinical Commissioning Group.
— Lot 3:
— All 22 West Midlands CCGs indicated in both Lot 1 and Lot 2 above.
The Commissioners reserve the right for one of the CCGs, namely NHS Shropshire CCG, to withdraw its activity volumes from any contract awarded in respect of Lot 1 or 3 at its discretion following the first two years of the contract term stated at Section II.3) below. The activity volumes associated with this CCG are deemed to be of an insignificant scale and the CCGs do not anticipate that the removal of these volumes from the contract would affect the contract costs or resourcing model.
Variant bids
The current ‘Lot 1′ contract is delivered out of a building controlled by the NHS and delivered using NHS owned assets. The Commissioners require all bidders to submit a mandatory variant bid in respect of Lots 1 and 3 if proposing to submit a bid for those Lots.
Further details of the mandatory variant bid will be provided at ITT stage but will be based on the new contract being delivered (in so far as it relates to the Lot 1 element) from the existing NHS estate and using the existing assets.
The Commissioners have produced a Memorandum of Information (MOI) which sets out in further detail their ambition and the requirements sought from their service provider(s) and this should be read by all bidders. This MOI is available from the e-tendering portal the details of which are set out in Section I.1.
The Commissioners are proposing to let a 4 year contract(s) with an option (at the discretion of the Commissioners) to extend for a further year. Due to the nature of the proposed contract(s) including the option to extend and the possibility of increased scope of services the Commissioners have provided a range for the anticipated contract value of between GBP 45 000 000 and GBP 130 000 000.

II.1.6)Common procurement vocabulary (CPV)

85100000, 64200000, 85141200, 85312310, 85000000, 79512000, 85141000, 85141220

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

The contract is covered by the Government Procurement Agreement (GPA): no

II.1.8)Lots

This contract is divided into lots: yes
Tenders may be submitted for one or more lots

II.1.9)Information about variants

Variants will be accepted: yes
II.2)Quantity or scope of the contract

II.2.1)Total quantity or scope:

Estimated value excluding VAT:
Range: between 45 000 000 and 130 000 000 GBP

II.2.2)Information about options

Options: yes
Description of these options: Option to extend the contract(s) for a further year.
Recourse to this option is at 48 months.
Provisional timetable for recourse to these options:
in months: 48 (from the award of the contract)

II.2.3)Information about renewals

This contract is subject to renewal: no

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

Duration in months: 60 (from the award of the contract)

Information about lots

Lot No: 1Lot title: Provision of 111 Services to 16 CCGs of the West Midlands

1)Short description

The 16 CCGs of the West Midlands (as identified at Section II.1.5) wish to procure an enhanced specification for NHS 111 services which will play a key role in the vision for integrated local urgent care in the region. The service will be staffed by trained advisors, supported by clinicians, using a specified clinical triage tool alongside local Directory of Services to assess caller needs and determine the most appropriate course of action, which may include dispatching an ambulance, providing clinical advice or information, providing reassurance, or referring the caller to an alternative service.
At a minimum, the service provider would be expected to demonstrate a capability to deliver the National Core Specification for NHS 111 produced by the UK Department of Health, NHS 111 Commissioning Standards published by NHS England (June 2014) and the Out of Hours National Quality Requirements (NQRs).
The Commissioners reserve the right for one of the CCGs, namely NHS Shropshire CCG, to withdraw its activity volumes from any contract awarded in respect of Lot 1 or 3 at its discretion following the first two years of the contract term stated at Section II.3) below. The activity volumes associated with this CCG are deemed to be of an insignificant scale and the CCGs do not anticipate that the removal of these volumes from the contract would affect the contract costs or resourcing model.
The current ‘Lot 1′ contract is delivered out of a building controlled by the NHS and delivered using NHS owned assets. The Commissioners require all bidders to submit a mandatory variant bid in respect of Lots 1 and 3 if proposing to submit a bid for those Lots.
Further details of the mandatory variant bid will be provided at ITT stage but will be based on the new contract being delivered (in so far as it relates to the Lot 1 element) from the existing NHS estate and using the existing assets.

2)Common procurement vocabulary (CPV)

85100000, 64200000, 85312310, 85000000, 85141000, 79512000, 85141220

3)Quantity or scope

Estimated value excluding VAT:
Range: between 33 000 000 and 95 000 000 GBP
4)Indication about different date for duration of contract or starting/completion
5)Additional information about lots

Lot No: 2Lot title: Provision of 111 Services to the Staffordshire CCG’s

1)Short description

The 6 CCGs of Staffordshire (as identified at Section II.1.5) wish to procure an enhanced specification for NHS 111 services which will play a key role in the vision for integrated local urgent care in the region. The service will be staffed by trained advisors, supported by clinicians, using a specified clinical triage tool alongside local Directory of Services to assess caller needs and determine the most appropriate course of action, which may include dispatching an ambulance, providing clinical advice or information, providing reassurance, or referring the caller to an alternative service.
At a minimum, the service provider would be expected to demonstrate a capability to deliver the National Core Specification for NHS 111 produced by the UK Department of Health, NHS 111 Commissioning Standards published by NHS England (June 2014) and the Out of Hours National Quality Requirements (NQRs).
The mandatory variant bid required for Lots 1 and 3 does not apply to Lot 2.

2)Common procurement vocabulary (CPV)

85100000, 64200000, 85000000, 85312310, 85141000, 79512000, 85141220

3)Quantity or scope

The CCGs covered by this lot are as follows:
— NHS Cannock Chase Clinical Commissioning Group;
— NHS East Staffordshire Clinical Commissioning Group;
— NHS North Staffordshire Clinical Commissioning Group;
— NHS South East Staffordshire Clinical Commissioning Group;
— NHS Stafford and Surrounds Clinical Commissioning Group;
— NHS Stoke-on-Trent Clinical Commissioning Group.
Estimated value excluding VAT:
Range: between 12 000 000 and 35 000 000 GBP
4)Indication about different date for duration of contract or starting/completion
5)Additional information about lots

Lot No: 3Lot title: Provision of 111 Services to the 22 CCGs of the West Midlands (provision of Lots 1 and 2)

1)Short description

The 22 CCGs of the West Midlands (as identified at Section II.1.5) wish to procure an enhanced specification for NHS 111 services which will play a key role in the vision for integrated local urgent care in the region. The service will be staffed by trained advisors, supported by clinicians, using a specified clinical triage tool alongside local Directory of Services to assess caller needs and determine the most appropriate course of action, which may include dispatching an ambulance, providing clinical advice or information, providing reassurance, or referring the caller to an alternative service.
At a minimum, the service provider would be expected to demonstrate a capability to deliver the National Core Specification for NHS 111 produced by the UK Department of Health, NHS 111 Commissioning Standards published by NHS England (June 2014) and the Out of Hours National Quality Requirements (NQRs).
The Commissioners reserve the right for one of the CCGs, namely NHS Shropshire CCG, to withdraw its activity volumes from any contract awarded in respect of Lot 1 or 3 at its discretion following the first two years of the contract term stated at Section II.3) below. The activity volumes associated with this CCG are deemed to be of an insignificant scale and the CCGs do not anticipate that the removal of these volumes from the contract would affect the contract costs or resourcing model.
The current ‘Lot 1′ contract is delivered out of a building controlled by the NHS and delivered using NHS owned assets. The Commissioners require all bidders to submit a mandatory variant bid in respect of Lots 1 and 3 if proposing to submit a bid for those Lots.
Further details of the mandatory variant bid will be provided at ITT stage but will be based on the new contract being delivered (in so far as it relates to the Lot 1 element) from the existing NHS estate and using the existing assets.

2)Common procurement vocabulary (CPV)

85100000, 64200000, 85312310, 85000000, 79512000, 85141000, 85141220

3)Quantity or scope

Estimated value excluding VAT:
Range: between 45 000 000 and 130 000 000 GBP
4)Indication about different date for duration of contract or starting/completion
5)Additional information about lots

Section III: Legal, economic, financial and technical information

III.1)Conditions relating to the contract

III.1.1)Deposits and guarantees required:

The Commissioners reserve the right to require deposits, guarantees, bonds or other appropriate forms of security. Requirements will be set out in the tender documents.

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

Bidders invited to tender will be advised of these in the Invitation to Tender documents including the form of contract.

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

Expressions of interest (through submission of a completed PQQ) in response to this contract notice may be submitted by a single bidder or a consortium. However, bidders should note that it is the Commissioners’ intention to award a single contract (using the NHS Standard Contract prevailing at the time of award) in respect of any Lot (in respect of which a decision is taken to award a contract) and there will be a sole/prime contractor under each contract. Accordingly the contract(s) must be with:
(a) one contractor which delivers all the services; or
(b) a consortium which collectively delivers all the services through a single legal entity (which will be the contractor); or
(c) a prime contractor which delivers some of the services itself and uses subcontractors for the delivery of the remainder.
The Commissioners reserve the right to require groupings of contractors to take a particular legal form or to require a single contractor to take primary liability or to require that consortium members other than the contractor also accept joint and several liability.

III.1.4)Other particular conditions

The performance of the contract is subject to particular conditions: yes
Description of particular conditions: As specified in the tender documents.
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: In accordance with Articles 45 to 50 of Directive 2004/18/EC and Regulations 23 to 25 of the Public Contracts Regulations 2006 and as set out in the pre-qualification questionnaire available from the e-tendering portal referred to in Section I.1.
It is also a requirement that the successful bidder(s) must be registered by the Care Quality Commission prior to award of a contract and, prior to service commencement (or any earlier date specified in the contract), will need to hold all relevant Consents (as defined in the NHS Standard Contract) and satisfy all Conditions Precedent specified in the contract(s).

III.2.2)Economic and financial ability

Information and formalities necessary for evaluating if the requirements are met: In accordance with Article 47 of Directive 2004/18/EC and Regulation 24 of the Public Contracts Regulations 2006 and as set out in further detail in the pre-qualification questionnaire available from the e-tendering portal referred to in section I.1.
Minimum level(s) of standards possibly required: Bidders will, amongst other matters, be evaluated by reference to certain financial ratios as specified in the PQQ and carry certain minimum levels of insurance as specified in the pre-qualification questionnaire.

III.2.3)Technical capacity

Information and formalities necessary for evaluating if the requirements are met:
In accordance with Articles 48 to 50 of Directive 2004/18/EC and Regulation 25 of the Public Contracts Regulations 2006 and as set out in the pre-qualification questionnaire that is available from the e-tendering portal referred to in Section I.1.
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: no
III.3.2)Staff responsible for the execution of the service

Section IV: Procedure

IV.1)Type of procedure

IV.1.1)Type of procedure

Restricted

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

Objective criteria for choosing the limited number of candidates: The number of bidders who will be invited to tender will be limited to those that meet the pre-qualification requirements specified in the documentation (that is those bidders who have: i) passed all pass/fail elements of the PQQ; ii) achieved the minimum pass mark on scored questions carrying a minimum threshold; achieved an overall PQQ score of not less than 50 %; and iv) not otherwise been disqualified.

Please refer to the Pre-Qualification Questionnaire documents available at: https://mlcsu.bravosolution.co.uk/web/login.shtml

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

Prior information notice

Notice number in the OJEU: 2014/S 207-366947 of 28.10.2014

IV.3.3)Conditions for obtaining specifications and additional documents or descriptive document

Payable documents: no

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

5.1.2015 – 12:00
IV.3.5)Date of dispatch of invitations to tender or to participate to selected candidates

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

Persons authorised to be present at the opening of tenders: no

Section VI: Complementary information

VI.1)Information about recurrence

This is a recurrent procurement: no

VI.2)Information about European Union funds

The contract is related to a project and/or programme financed by European Union funds: no

VI.3)Additional information

This OJEU notice is entirely voluntary, non-mandatory and does not mean that the Commissioners accept that the Public Contract Regulations 2006 (as amended) (the ‘Regulations’) apply to this procurement to any greater extent simply by virtue of the publication of the OJEU notice or as a result of adopting selection techniques in line with the requirements of the Regulations. This is a Part B service procurement. The process adopted for the procurement is akin to the Restricted Procedure but is not subject to the full Regulations in relation to this Procedure. Any references to terminology associated with a recognised procurement procedure is entirely voluntary and to the extent that any indication is given in the notice that the Commissioners will meet any particular requirement of the Regulations they reserve the right to change their approach at any point.
Bidders should note that TUPE may apply in connection with the letting of new contract(s) and further information will be provided at ITT stage.
Further background information about the Commissioners and their areas is contained in the MOI, pre-qualification questionnaire and the Supplier Briefing Event supporting presentation and subsequent documents released following that event. These documents are available with all other pre-qualification documents from the e-tendering portal referred to in Section I.1. Please note the Commissioners held a market engagement event on November 12th and 13th 2014 which was advertised in the Prior Information Notice referred to in Section IV.3.2. The materials from this event are available from the e-tendering portal referred to in Section I.1.
Note that the pre-qualification questionnaire, MOI and Supplier Briefing Event supporting presentation contain important background and contextual information.
The Commissioners reserve the right to amend, add to or withdraw all, or any part of, any tender document at any time during the tender exercise or to abandon this tender exercise and consider alternative procurement options without any liability to bidders or prospective bidders. To receive more information about this tender, including any amendments and/or clarifications and to request any clarifications and/or to respond to this tender you must register your interest in this tender on the e-tendering portal referred to in Section I.1.

In order to complete a PQQ please visit https://mlcsu.bravosolution.co.uk/web/login.shtml and select Project_322 and complete PQQ_347 accordingly.

For Technical Support in submitting your expression of interest contact the BravoSolution Help-Desk on +44 8003684850 orhelp@bravosolution.co.uk

VI.4)Procedures for appeal
VI.4.1)Body responsible for appeal procedures
VI.4.2)Lodging of appeals
VI.4.3)Service from which information about the lodging of appeals may be obtained

VI.5)Date of dispatch of this notice:

28.11.2014

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