Traditional Ambulatory Care Services

Traditional Ambulatory Care Services

Ambulatory Care Sensitive Conditions (ACSC) and Traditional Ambulatory Care Services based at Bridgwater Community Hospital.

United Kingdom-Yeovil: Health and social work services

2013/S 141-245794

Contract notice

Services

Directive 2004/18/EC

Section I: Contracting authority

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

Somerset Clinical Commissioning Group
Wynford House, Lufton Way
Contact point(s): SW Commissioning Support Unit
For the attention of: Garry Mitchell – Senior Category Manager
BA22 8HR Yeovil
UNITED KINGDOM
Telephone: +44 1392405261
E-mail: garry.mitchell@nhs.net

Internet address(es):

General address of the contracting authority: https://tactica-live.advanced365.com/login.asp

Address of the buyer profile: https://tactica-live.advanced365.com/login.asp

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: no

Section II: Object of the contract

II.1)Description
II.1.1)Title attributed to the contract by the contracting authority:

Ambulatory Care Sensitive Conditions (ACSC) and Traditional Ambulatory Care Services based at Bridgwater Community Hospital.
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: Bridgwater Community Hospital.
NUTS code UKK23

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)

Somerset Partnership NHS Foundation Trust is currently in the process of constructing a new Community Hospital for the population of Bridgwater. Somerset Clinical Commissioning Group (CCG) is seeking to appoint a suitably qualified and experienced healthcare service provider for the delivery of an innovative service that will broaden and drive improvements in the delivery of ACSC and Traditional Ambulatory Care Services within the Bridgwater Community hospital.
Somerset CCG are looking for a provider that will not only deliver traditional ambulatory care services but will also deliver a holistic and a whole system approach for patients by exploring a rural take on the Kings Fund report ‘Emergency Hospital Admissions for Ambulatory Care-Sensitive Conditions: Identifying the Potential for Reductions’:
— reactively selecting patient groups that have already presented at A&E, acute outpatients or inpatients and working to meet their needs in the community hospital setting
— proactively selecting patient groups that are at increased risk of becoming inpatients at acute hospitals, A&E or in need of frequent outpatient appointments.
Potential providers should note that Somerset County has a dispersed, rural population and therefore some elements of the report may not be applicable to this area.
Somerset CCG defines Traditional Ambulatory Care as a personal health care consultation, treatment or intervention using medical technology or clinical procedures delivered on an outpatient basis (i.e. where the patients stay at the hospital or clinic, from the time of registration to discharge, occurs on the same calendar day)
Traditional Ambulatory Care covers:
— Blood transfusions, where medical assessment and review is not required.
— Management of PICC Lines
— Intra venous infusion for osteoporosis treatment
— Intravenous therapies
— Venesection
— Urological procedures including:
– change or removal of urethral catheters
– TWOC (trial without catheter)
– Measure urinary flow rates and checks of residual flow
– Change of supra pubic catheter
The potential provider will be required to work closely with the Somerset Urgent and Emergency Care Steering Group in order to identify and transfer patients from the acute setting.
There will be a clear link between ambulatory care services and the Frail Elderly Pathway and long-term conditions. The ambulatory care pathway will not exclude palliative care patients.
The potential providers will be asked to provide a population/patient-based approach and to work with patients in order to move them towards a self-management approach where appropriate; inevitably this will require enhanced secondary care clinical input. Somerset CCG envisages the service will have two approaches – rapid access and planned procedures, therefore this will be a medically led model rather than a nurse led model.
To achieve the aims of the service, any potential service provider will need to demonstrate how they intend to create a holistic model of care that takes into consideration mental health, transport and social care needs. In addition the strands of the Equality and Diversity model will need to be catered for.
The successful bidder will perform the services from the new Bridgwater Community Hospital and will lease clinic space from Somerset Partnership NHS Foundation Trust who will own the new community Hospital facilities.
The aim of the procurement is to acquire sustainable, high quality, value for money provision of ASCS and traditional ambulatory care for the community. The service will:
— support local waiting times, targets and activity plans
— provide patient choice and diversity
— provide assurance to the commissioner on performance and service delivery
— have patient-focused outcomes, that are derived by individual patients
The volume of activity for the successful applicant will be dependent on the service design, provider ambition and patient choice.
The potential providers will be asked to provide a population / patient-based approach to the services.
The volume of activity for the successful applicant will be dependent on the service design, provider ambition and patient choice. Somerset CCGs published Commissioning Plan includes a key ambition to ‘help people recover from episodes of ill health and injury’ and as part of that intend ‘to develop and implement ambulatory care pathways’ across the county
It is the commissioner’s intention to work closely with bidders through a two stage Invitation to Negotiate process to produce an innovative ACSC and traditional Ambulatory Care service specification in line with Somerset CCG strategy.
II.1.6)Common procurement vocabulary (CPV)

85000000, 85110000, 85111000, 85323000

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: no
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:

Somerset Clinical Commissioning Group (CCG) is seeking to appoint a suitably qualified and experienced healthcare service provider for the delivery of an innovative service that will broaden and drive improvements in the delivery of ACSC and Traditional Ambulatory Care Services within the Bridgwater Community hospital.
Estimated value excluding VAT:
Range: between 600 000 and 6 000 000 GBP
II.2.2)Information about options
II.2.3)Information about renewals

This contract is subject to renewal: yes
Number of possible renewals: 2
II.3)Duration of the contract or time limit for completion

Duration in months: 36 (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:

Parent company and other guarantees may be required in certain circumstances see the invitation to tender for further details.
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:

Joint and severable liability.
III.1.4)Other particular conditions

The performance of the contract is subject to particular conditions: no
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: Any supplier may be disqualified who does not respond to the following in the requisite manner:
1) Suppliers are required to express an interest in the OJEU process and complete PQQ documents (where applicable) via the Trusts eSourcing system TACTICA – which is accessed at https://tactica-live.advanced365.com – please make sure that you are registered to avoid any future delays.

2) Information and formalities necessary for evaluating if requirements are met:
(a) Is bankrupt or is being wound up, where his affairs are being administered by the court, where he has entered into an arrangement with creditors, where he has suspended business activities or is in any analogous situation arising from a similar procedure under national laws and regulations;
(b) Is the subject of proceedings for a declaration of bankruptcy, for an order for compulsory winding up or administration by the court or of an arrangement with creditors or of any other similar proceedings under national laws and regulations;
(c) Has been convicted by a judgment which has the force of res judicata in accordance with the legal provisions of the country of any offence concerning his professional conduct;
(d) Has been guilty of grave professional misconduct proven by any means which the contracting authorities can demonstrate;
(e) Has not fulfilled obligations relating to the payment of social security contributions in accordance with the legal provisions of the country in which he is established or with those of the country of the contracting authority;
(f) Has not fulfilled obligations relating to the payment of taxes in accordance with the legal provisions of the country in which he is established or with those of the country of the contracting authority;
(g) Is guilty of serious misrepresentation in supplying the information required under this Section or has not supplied such information;
(h) Has been the subject of a conviction for participation in a criminal organisation, as defined in Article 2(1) of Council Joint Action 98/733/JHA;
(i) Has been the subject of a conviction for corruption, as defined in Article 3 of the Council Act of 26.5.1972 and Article 3(1) of Council Joint Action 98/742/JHA3 respectively;
(j) Has been the subject of a conviction for fraud within the meaning of
Article 1 of the Convention relating to the protection of the financial interests of the European Communities;
(k) Has been the subject of a conviction for money laundering, as defined in Article 1 of Council Directive 91/308/EEC of 10.6.1991 on prevention of the use of the financial system for the purpose of money laundering.
Bidders who have been convicted of a Bribery Act 2010 offence under section 1 (offences relating to bribing another person) or section 6 (bribery of foreign public officials) will be excluded.
In addition to the Provisions of Freedom of Information Act, Bidders will have due regard to the Trusts obligations on Transparency which are set out in more detail at
www.businesslink.gov.uk/transparency/procurement and all offers will be submitted on the basis that the contract when awarded may be published in full in accordance with H M Government Transparency Guidance.

The Trust will also be utilising the supplier information database (SID4gov) to manage and assess general pre-qualification information in the form of a profile. As well as responding to the tender via TACTICA, candidates are requested to provide or update their profile on the SID4gov as follows:
a) candidates should register on SID4gov at http://sid4gov.cabinetoffice.gov.uk by clicking on the Register Organisation tab and select the Supplier button .

b) to continue with the registration process Suppliers must have a current DUNS Number. If a Supplier does not have a DUNS Number there is a link to the D&B UK website to request a DUNS Supplier Number.
c) Suppliers who already have a published profile on SID4gov must confirm that information is up to date ;i) candidates should ensure all relevant sections of their NHS SID4gov profile are completed to demonstrate their ability to meet the short listing criteria applicable to this contract. PLEASE NOTE ALL RESPONSES TO OJEU SHOULD BE MADE THROUGH TACTICA
eSOURCING SYSTEM – REGISTRATION IS REQUIRED ON SID4GOV TO UPDATE OR PROVIDE COMPANY PROFILES ONLY

III.2.2)Economic and financial ability

Information and formalities necessary for evaluating if the requirements are met: As per III.2.1. above
III.2.3)Technical capacity

Information and formalities necessary for evaluating if the requirements are met:
As per III.2.1. above
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

Legal persons should indicate the names and professional qualifications of the staff responsible for the execution of the service: no

Section IV: Procedure

IV.1)Type of procedure
IV.1.1)Type of procedure

Negotiated
Some candidates have already been selected (if appropriate under certain types of negotiated procedures) no
IV.1.2)Limitations on the number of operators who will be invited to tender or to participate

Envisaged minimum number 3: and maximum number 10
Objective criteria for choosing the limited number of candidates: The criteria will be set down within the PQQ.
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 yes
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:

RFT 3204
IV.3.2)Previous publication(s) concerning the same contract

no
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

19.8.2013 – 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

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

The contract will be for a 3 year period with an option to extend for two further periods, each of 12 months duration.
This is a procurement for services specified in part B of schedule 3 of the Public Contracts Regulations 2006 (‘Part B services’). Accordingly, and notwithstanding the advertising of this procurement exercise in the Official Journal, the Public Contracts Regulations 2006 (as amended) (the ‘Regulations’) only apply in part. The procurement exercise will be conducted in accordance with the information contained in the tender documentation.
The Authority has voluntarily advertised this procurement exercise in the Official Journal, solely in order to reach as wide an audience as possible. The Authority has been constrained by the forms used by the Publications Office to describe the procurement procedure as “Negotiated Procedure” but the Authority does not bind itself to conduct the procurement process in accordance with the Negotiated Procedure, as described in the Regulations, nor to abide by any other part of the Regulations which does not expressly apply to procurements for part B services. Neither a reference during or after this procurement process to the Regulations or the use of language or terminology common to the Regulations shall require the Authority to conduct a full procurement in accordance with the Regulations. This notice is being placed for advertising purposes only.
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 to this tender on the following site: https://tactica-live.advanced365.com

This is the only route through which NHS Somerset Clinical Commissioning Group will conduct communications with Potential Bidders, and accept completed Pre-Qualification Questionnaires.
Full project information will only be available within the Tatica portal and the CCG’s web site, when the procurement process is formally launched.

VI.4)Procedures for appeal
VI.4.1)Body responsible for appeal procedures
VI.4.2)Lodging of appeals

Precise information on deadline(s) for lodging appeals: Somerset CCG will allow a minimum 10 calendar day standstill period between notifying the award decision and awarding the contract. Unsuccessful tenderers and applicants are entitled to receive reasons for the decision, including the characteristics and relative advantages of the winning bid and the reasons why the tenderer/applicant was unsuccessful. Should additional information be required it should be requested of the addressee in section I.1. Aggrieved parties who have been harmed or are at risk of harm by breach of the procurement rules have the right to take action in the High Court (England and Wales). Any such action is subject to strict time limits and must be brought in accordance with the Public Contracts Regulations 2006 as amended by the Public Contracts (Amendment) Regulations 2009 and the Public Procurement (Miscellaneous Amendments) Regulations 2011.
VI.4.3)Service from which information about the lodging of appeals may be obtained

VI.5)Date of dispatch of this notice:19.7.2013