Hospital Services Weston

Hospital Services Weston

A successful competitive transaction needs to ensure that Weston Hospital can: Respond appropriately to commissioning plans and intentions and the health needs of local people. Secure financial viability. Ensure the transaction is supported by key stakeholders including the hospitals clinical and managerial stakeholders and CCG commissioners, the local authority, the TDA and patient groups.

UK-Weston: Hospital services

2013/S 042-067209

Prior information notice


Directive 2004/18/EC

Section I: Contracting authority

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

Weston Area Hospital NHS trust
Weston Area Health NHS Trust
For the attention of: Martin Peat
BS23 4TQ Weston
Telephone: +44 1223596860

Internet address(es):

General address of the contracting authority:

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

I.2)Type of the contracting authority

Body governed by public law
I.3)Main activity

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

The contracting authority is purchasing on behalf of other contracting authorities: no

Section II.B: Object of the contract (Supplies or services)

II.1)Title attributed to the contract by the contracting authority:

Expressions of Interest
II.2)Type of contract and place of delivery or of performance

Service category No 25: Health and social services
II.3)Information on framework agreement
II.4)Short description of nature and quantity or value of supplies or services:

Midlands and East Strategic Projects Team (SPT) on behalf of NHS South, the NHS Trust Development Authority and Weston Area Hospital NHS Trust, is sounding the market providers for expressions of interest to engage in a competitive tendering process to find a partner organisation to deliver its requirements by either i) an acquisition by another NHS Acute Trust, Foundation Trust or other NHS Health Body; or (ii) an operating franchise.
NHS South commissioners and Weston Hospital NHS Trust agreed that a market procurement solution should be sought for Weston Area Health NHS Trust.
Weston Hospital has 265 beds including 10 maternity beds and 5 intensive care beds. It is an acute district general hospital providing services to over 212 000 people living predominantly in North Somerset. Weston Hospital has approximately 2000 members of staff and a current income of approximately GBP 96 m.
Weston Hospital is ranked in the top six most clinically efficient hospitals in the country in the 2012 in the annual Dr Foster Good Hospital guide and assessed as the most improved performer (percentage point decrease of patients with ‘new harm’ in relation to the Patient Safety Thermometer standards (HSJ Feb13)
Weston Hospital has been considering its options to achieve FT status and secure a long term future for health services for their patients and concluded in October 2012 to pursue a procurement route.
The Authority is now seeking to test the market to establish whether there is an appetite to pursue a franchise or acquisition opportunity.
A successful competitive transaction needs to ensure that Weston Hospital can:
— Respond appropriately to commissioning plans and intentions and the health needs of local people.
— Secure financial viability.
— Ensure the transaction is supported by key stakeholders including the hospitals clinical and managerial stakeholders and CCG commissioners, the local authority, the TDA and patient groups.
Commissioning Intent
The North Somerset CCG commissioning vision, priorities and plans are captured in the following headings: values and behaviours, Purpose and Vision; Strategic context and scale of challenge these are underpinned by the CCG’s top five priorities for 2012/13 and their longer term ambitions for 2015/17.
The top five priorities are:
— Design a financially sustainable integrated health and social care system.
— Improve quality and minimise harm to patients.
— Reduce health inequalities.
— Promote effective self care.
— Improve the help and support received following diagnosis of dementia.
The commissioners’ work will lead to inpatient hospital care becoming much more focused on care for patients who are more complex and very unwell and the facilities and workforce will need to reflect this shift in case mix.
As commissioners work to address quality issues they may need to make tough decisions about whether local services are able to provide the level of safety and quality they must expect for the population. Some of those decisions may need to be taken quite soon and those already under review include children’s services out of regular hours. This may lead to children who need admission to hospital out of regular hours being taken straight to Bristol or Taunton rather than Weston to ensure there is a specialist paediatrician there to receive them and oversee their care.
Commissioner expect a further reduction in the number of patients coming into hospital at end of life, through the continuing development of active involvement in care planning by patients, increased respect for personal choice and improved capacity and capability of community based services, helping patients and their families as well as care teams, to have the required confidence and resources to support people who wish to die at home.
It will be necessary to develop and implement the best clinical models of care and service configurations in order to secure the best outcomes for local people understanding that that sometimes means commissioners have to make difficult decisions in order to secure the best outcomes whilst commissioning services to be locally based where it is safe and cost effective to do so.
The challenges are significant but there is also huge opportunity and commissioners are confident that with the right partners they ‘will be able to develop something that will deliver excellence in the care of all our residents, and achieve our ambition of ‘Creating the healthiest community together’.
The following table summarises the Trust’s historic financial position and forecasted outturn for the current year:
Income and Expenditure 2010/11
£’000 2011/12
£’000 2012/13
NHS Patient Care 73,217 74,476 76,675
Other Patient Care 975 955 724
Non Patient Care 11,194 10,551 12,821
Non-Recurring Support 7,410 9,191 6,600
Total Income 92,796 95,713 96,820
Pay 62,173 63,267 63,372
Non pay 22,803 22,864 25,714
84,976 86,131 89,086
Financing costs 5,213 5,567 5,644
Surplus/(Deficit) 2,607 3,475 2,090
The financial position at month 10 2012/13 is that the Trust is reporting a GBP 1,5 million year to date surplus and is on line to deliver the outturn for the year.
The Trust has continued to improve its financial performance and delivered against all key statutory targets since 2007/08. However, whilst the Trust is forecasting a surplus in the current year and has achieved a surplus in each of the past two years, this has been after the receipt of non recurring income support from commissioners and the SHA. Given funding pressures in the local health economy, this non recurring funding will not be available in the future. With the loss of the non-recurring funding, commissioner income reductions and ongoing cost pressures the Trust is anticipating an annual deficit in excess of GBP 5 million.
Key Areas.
Prior to submitting an expression of interest, an interested organisation should:
— Be able to evidence how it will support patient choice and the provision of care closer to home for local people.
— Have experience of supporting the provision of integrated care between an acute Hospital and its local community health service and social care providers.
— Be clear about how its current services can support the on-going viability of acute services on site.
Organisations who wish to express an Interest in participating in a future competitive tender opportunity should respond by email to Midlands and East Strategic Projects Team (email address: by 12:00 noon on 4.3.2013.
Organisations submitting an expression of interest should also provide answers to the following:
Key Questions.
— Do you consider that your organisation would be willing to participate in a competitive process which involved Operating Franchise solutions being competed against NHS merger/acquisition solutions or vice versa?
— If you are an Independent Sector organisation, do you consider that you would be most likely to submit a bid on your own or partner with another organisation?
— If you are an NHS organisation , do you consider that you would be most likely to submit a bid on your own or partner with an Independent Sector organisation?
— If you consider that you are likely to submit a franchise bid, what would be your preferred length of contract?
— Based on the information provided do you consider that you would be able to provide a financially sustainable solution for the Trust?
— Do you consider that you would be able to manage/deliver services in a way that is consistent with the Trust’s and the commissioners’ intentions for services and how would you approach this?
The Authority will hold informal discussions with interested organisations during the week commencing 4.3.2013.
Providers should note that this is a market sounding exercise and that no procurement may follow this process. Any expenditure, work or effort undertaken by organisations prior to any subsequent procurement is a matter solely for their own commercial judgment.
The Authority reserves the right to withdraw from the process at any time or to not tender the service or to tender on a different basis. In such circumstances, and in any event, none of (NHS South, the NTDA, Weston Area Hospital NHS Trust and NHS Midlands and East SPT) and/ or their advisors shall be liable for any costs or loss of expenses whatsoever incurred by the respondent and company, agent, subsidiary or organisation may have contributed to any response submitted to this prior information notice.

This contract is divided into lots: no

II.5)Common procurement vocabulary (CPV)


II.6)Scheduled date for start of award procedures
II.7)Information about Government Procurement Agreement (GPA)
II.8)Additional information:

Likely start date 2015.

Section III: Legal, economic, financial and technical information

III.1)Conditions relating to the contract
III.1.1)Main financing conditions and payment arrangements and/or reference to the relevant provisions governing them:
III.2)Conditions for participation
III.2.1)Information about reserved contracts

Section VI: Complementary information

VI.1)Information about European Union funds

The contract is related to a project and/or programme financed by European Union funds: no
VI.2)Additional information:
VI.3)Information on general regulatory framework

VI.4)Date of dispatch of this notice:25.2.2013