Lewisham Care Homes APMS

Description

This is a prior information notice of an upcoming procurement process for GP Primary Medical Services and additional services under APMS Contracts delivered directly to nursing home residents, residential care home residents and extra care housing tenants across the Lewisham Borough. South East London Integrated Care Board (NHS South East London) under delegated commissioning on behalf of NHS England will soon be undertaking a procurement process to select a service provider to deliver GP Primary Medical Services and additional services under APMS Contracts delivered directly to nursing home residents, residential care home residents and extra care housing tenants across the Lewisham Borough. The SEL ICB is currently developing the draft service requirements which is being informed by service user and stakeholder feedback. SEL ICB wish to request market feedback from potentially interested providers to inform the upcoming procurement process. In order to assist the Commissioners with testing its assumptions and proposed service requirements, a market engagement questionnaire (MEQ) has been published to explore the market's feedback on the following areas: • Outline of service requirements and KPI's • timescales for procurement and mobilisation of the new contract • proposed contract duration and financial model. Although, this pre-market engagement does not form any part of the formal procurement process, it will inform how the new service is commissioned. Information gained from this exercise will be used to inform the final service specification and expected outcomes from the procurement process. Background This service covers the London Borough of Lewisham and is a dedicated primary care service for older adult residents living in residential and nursing care homes, and extra care housing. Residential and nursing care home residents are amongst the most frail and vulnerable, with significant clinical complexity. Residents are three times more likely to fall in a care home than in their own home. Falls prevention is a core part of the early training for care homes and an essential component of mitigating against avoidable hospital admissions. Outline The service will operate under an APMS primary care contract and provide core General Medical Services together with an enhanced service specification for medical support for nursing home residents, residential care home residents and extra care housing tenants. The enhanced service is designed to take a multi-disciplinary approach to proactive case management, support prescribing priorities and deliver both routine and urgent care 'in-hours'. It is envisaged that the service will in addition, pilot the delivery of a remote advice and support service to residents and staff of mental health and learning disability residential homes within the borough, The pilot will be scoped and co-developed by the provider working in collaboration with key stake holders and service users. Additional information: Patient Cohort The service will provide GP services to a cohort of 637 Older People residing in Nursing and Care Homes and 180 Residents of Extra Support Housing with the addition of 310 from mental health and Learning disability care homes for the advice and support pilot service. Aims and objectives The aims of the service are to: • deliver a proactive patient centred model of integrated case management adopting a multidisciplinary approach to case management. • provide a responsive service which adapts over time to patient feedback and to changes in evidence concerning medical care for the Nursing Home resident; • provide clinical leadership to improve the overall quality of care for patients in Nursing Homes; • develop effective working relationships with Nursing Homes, acute hospitals and other stakeholders which will allow the provider to effectively deliver against the objective of this service; • Improve consistency and remove variation across the borough in quality of care. • improve the quality of medical support to the patient; • improve patient satisfaction and outcomes; • improve end of life care and deliver Gold Standard Framework for Nursing Homes (GSFCH) • improve management of long-term conditions, frailty and dementia; • improve the wider wellbeing of all residents; • support delivery of the Enhanced Health in Care Homes PCN DES service requirements Please complete the MS Forms Market Engagement Questionnaire (see Link section) Contract value The indicative contract value is approximately £500k per annum. This figure is based on the current number of care home beds which will be broken down by bed occupancy in the ITT stage of procurement Contract Duration The contract will have an initial term of 5 years (60 months), followed by an optional extension of 5 years (60 months) plus 5 years (60 months) at the discretion of the commissioner. If all available extension is taken up in full the contract will have a maximum duration of 15 years (180 months). The purpose of this PIN is to inform the market of a possible procurement. In issuing this PIN and engaging with the market, the Authority is not committing to carrying out any procurement. The services in the scope of this procurement fall within Schedule 3 to the Public Contracts Regulations 2015 ("the Regulations") which are not subject to the full regime of the Regulations, but is instead governed by the "Light Touch Regime" contained within Chapter 3, Section 7 of the Regulations (Regulations 74 to 77).

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