Prime Contractor Musculoskeletal Integrated System

Prime Contractor Musculoskeletal Integrated System

The prime contractor will be responsible for developing and implementing an integrated and coordinated programme of MSK care within Bedfordshire.

UK-Bedford: Health services

2013/S 016-023249

Contract notice


Directive 2004/18/EC

Section I: Contracting authority

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

Bedfordshire Primary Care Trust
Gilbert Hitchcock House
For the attention of: James Wilks
MK40 2AW Bedford

Internet address(es):

General address of the contracting authority:

Address of the buyer profile:

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

National or federal agency/office
I.3)Main activity

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

Section II: Object of the contract

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

Prime Contractor Musculoskeletal Integrated System – Bedfordshire Clinical Commissioning Group
II.1.2)Type of contract and location of works, place of delivery or of performance

Service category No 25: Health and social services
Main site or location of works, place of delivery or of performance: Bedfordshire
NUTS code UKH22

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 prime contractor will be responsible for developing and implementing an integrated and coordinated programme of MSK care within Bedfordshire.
The key stages of the MSK system are:
– Stage 1 – Prevention, support for self care and advice to patients, carers and professionals
– Stage 2 – Primary Care assessment, investigation, management, and onward referral
– Stage 3 – Community-based specialist MSK triage, assessment, investigation & management
o Stage 3a – ‘Discharge’ (i.e. transfer) back to support by primary care or supported self-care
– Stage 4 – Hospital-based specialist MSK intervention and immediate rehabilitation
o Stage 4a – Shared decision making, patient choice, surgical listing and fitness for surgery assessment
o Stage 4b – ‘Discharge’ (i.e. transfer) back to support by community-based specialist MSK team, primary care or supported self-care
Prime Contractor Musculoskeletal Integrated System – Bedfordshire Clinical Commissioning Group
Situated within the NHS Midlands and the East region, Bedfordshire Clinical Commissioning Group (BCCG) has taken over from NHS Bedfordshire Primary Care Trust as the main commissioner of local NHS-funded care for approximately 440,000 population registered with its member practices. It has delegated responsibility in 2012/13 for commissioning services estimated at £470million. It’s members are 56 general practices organised into five localities based around natural population flows and well-established Practice Based Commissioning groups: Chiltern Vale, Bedford Locality, Ivel Valley, Leighton Buzzard and West Mid Bedfordshire. The Bedford locality is co-terminous with Bedford Borough Council, and the remaining four localities collectively cover the population of Central Bedfordshire Council. The locality structure is the main vehicle through which the roles and responsibilities of the Clinical Commissioning Group are exercised.
To invigorate change towards better value in healthcare locally, BCCG is adopting a fresh approach to commissioning which focuses on outcomes from both the patient and clinical perspective. Higher quality means better value and less waste, with patients getting the right care in the right place, first time.
Our strategic commissioning plan sets out three key areas of focus for our commissioning, each with a clear outcome-based target:
– Care right now: urgent or unscheduled care
We will improve patients’ experience of urgent care services, including walk-in centers, GP out of hours services and A&E services, so that more than 85% patients rate their overall experience as good or very good by 2015.
– Care for my condition into the future: planned care and long term conditions
We will increase the proportion of people with a long term condition who feel they have had enough support from local services to help manage their condition from 66% (in 2011) to 80% by 2015.
– Care when it’s just not that simple: addressing complex care needs
We will work with social care to increase to at least 85% the proportion of people aged 65 and over who are still at home three months after leaving hospital for rehabilitation in the community.
Through all our commissioning activities and newly placed contracts, we will be seeking to improve outcomes in these three key areas. This specification for MSK system of care is no exception, and we will be looking for a prime contractor that can clearly demonstrate how they will help us meet our ambitions in these key areas of focus.
The prime contractor will be responsible for planned (Musculoskeltal) MSK care and clinical delivery along with the financial and budgetary management, budgetary analysis and overall contract management of the system pathway. The prime contractor will be required to deliver an integrated system pathway for musculoskeletal services that envisages the patient experiencing a seamless service across their entire journey. It places an emphasis on prevention and self-care with the patient as an active agent rather than a passive recipient.
The contract model will be based on a fixed capitation approach, coupled with a gain share mechanism that will be triggered on the achievement of specifically identified super CQUINS (stretch type objectives) that will be articulated within the Invitation to Tender document, along with all of the more salient and granular elements of detail that will become available to the successfully shortlisted bidders
As set out in the PQQ document, the contracting authority will require specific experience of MSK clinical delivery as well as a track record of having managed Acute Service/s
The contract period will be five years with an estimated budget of between £115 to £125 million.
Please note Bids from partnerships and consortia are welcomed.
Jan 15th Formalised procurement notice in the European journal and supply to health
March5th Prequalification process closes
March 15th Invitation to tender issued
April 4th Shortlisted bidders collective dialogue day
June 14th Tender submissions closed
June 27th Tender submission clarification sessions
July 8th Contract Award
August 10th Contract signing
II.1.6)Common procurement vocabulary (CPV)

85100000, 79411000, 79412000

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

The contract is covered by the Government Procurement Agreement (GPA): yes
II.1.9)Information about variants
II.2)Quantity or scope of the contract
II.2.1)Total quantity or scope:

Estimated value excluding VAT:
Range: between 115 000 000 and 125 000 000 GBP
II.2.2)Information about options
II.2.3)Information about renewals
II.3)Duration of the contract or time limit for completion

Duration in months: 60 (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:
III.1.2)Main financing conditions and payment arrangements and/or reference to the relevant provisions governing them:
III.1.3)Legal form to be taken by the group of economic operators to whom the contract is to be awarded:
III.1.4)Other particular conditions
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: Suppliers Instructions How to Express Interest in this Tender~: 1. Register your company on the eSourcing portal (this is only required once) – Browse to the eSourcing Portal: and click the link to register – Accept the terms and conditions and click ‘continue’ – Enter your correct business and user details – Note the username you chose and click ‘Save’ when complete – You will shortly receive an email with your unique password (please keep this secure) 2. Express an Interest in the tender – Login to the portal with the username/password – Click the ‘PQQs / ITTs Open To All Suppliers’ link. (These are Pre-Qualification Questionnaires or Invitations to Tender open to any registered supplier) – Click on the relevant PQQ/ ITT to access the content. – Click the ‘Express Interest’ button at the top of the page. – This will move the PQQ /ITT into your ‘My PQQs/ My ITTs’ page. (This is a secure area reserved for your projects only) -You can now access any attachments by clicking ‘Buyer Attachments’ in the ‘PQQ/ ITT Details’ box 3. Responding to the tender – Click ‘My Response’ under ‘PQQ/ ITT Details’, you can choose to ‘Create Response’ or to ‘Decline to Respond’ (please give a reason if declining) – You can now use the ‘Messages’ function to communicate with the buyer and seek any clarification – Note the deadline for completion, then follow the onscreen instructions to complete the PQQ/ ITT – There may be a mixture of online & offline actions for you to perform (there is detailed online help available) You must then submit your reply using the ‘Submit Response’ button at the top of the page. If you require any further assistance please consult the online help, or contact the eTendering help desk.

III.2.2)Economic and financial ability
III.2.3)Technical capacity
III.2.4)Information about reserved contracts
III.3)Conditions specific to services contracts
III.3.1)Information about a particular profession
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

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

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

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

The Contracting Authority intends to use an eTendering system in this procurement exercise and reserves the right to use a reverse auction.
This notice is being voluntarily published for the tender of a Part B Health and Social Care Service
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:19.1.2013