The NHS North West London Integrated Care Board (ICB), sought the services of Physical Health Checks and Flu Vaccinations and the eight (8) month contract was awarded to Brent Carers following a Direct Award.
The aim of the service is for Brent Carers Centre to support primary care with the offer of NHSE recommended screening and access to physical care interventions for individuals with SMI who are on the GP register. The focus is on supporting with improving the quality of physical healthcare for people with SMI, reduce premature mortality and address health inequalities.
The objective of this service is:
-To increase awareness, benefits and take up of Health Checks and flu vaccines by known SMI patients & their carers.
-Early identification of SMI patients in primary and community settings who have health conditions and needs.
-Support these patients to have their health conditions identified and treated at the earliest opportunity for improved health outcomes.
-Work with GP practices to prevent health deterioration from flu symptoms.
-Support GP Practices with the offer of addressing health inequalities of black and minority
ethnic groups with SMI.
-Work with and support the performance of GP's whose Health Checks and flu vaccine
records are below acceptable thresholds.
NHS North West London Integrated Care BoardLondonWAC-412161
Provision of Caretrack Software and Support Services: Software Licences - CHC
The NHS NW London ICB required the Provision of Caretrack Software and Support Services. This contract is for the renewal of licences for Caretrack databases, support consultancy.
The 2 year contract was awarded to CHS Healthcare Software Limited via the a Call-Off Contract for the G-Cloud 13 Framework Agreement (RM1557.13) -Lot 2: Cloud Software.
NHS North West London Integrated Care BoardLondonWAC-172639
MSI Reproductive Choices NW London Termination of Pregnancy Services (AQP TOPS)
National Unplanned Pregnancy Advisory Services (NUPAS) has been awarded to the AQP TOPS Service arrangement following market engagement to invite capable providers.
NHS North West London Integrated Care BoardLondonWAC-412070
National Unplanned Pregnancy Advisory Services (NUPAS) has been awarded to the AQP TOPS Service arrangement following market engagement to invite capable providers.
NHS North West London Integrated Care BoardLondonWAC-261694
RSR Advisory Services (Finance, Contracting and Training)
The contract has been awarded to RSR Consultants Ltd. following market engagement to invite capable providers. RSR Consultants Ltd. has been established as the only capable provider.
Provision of national finance payment mechanisms, cost benchmarking, contracting and technical advisory and training services in North West London.
NHS North West London Integrated Care BoardLondonWAC-422877
This contract covers 21 tableau creator licence renewals and one 8-core tableau server licence renewal.
The contract was awarded to Insight UK via the HealthTrust Europe LLP Framework Agreement for the provision of Enterprise Level ICT Solutions - reference number: SF050716.
NHS North West London Integrated Care BoardLondonWAC-281807
Effective Resource Management (ERM) Enhanced Service - Harrow
Five (5) Contracts have been awarded for the provision of Effective Resource Management (ERM) Enhanced services in the Harrow borough. The aim is to provide services to patients which focusses on maternal and children's health. The term of the contract is from 1st July 2022 for nine (9) months, ending 31st March 2023 with the option to extend by a further two (2) year period. The estimated total annual budget of all the contracts is £1,283,121.
2022/23 will be the 4th year of the Harrow Effective Resource Management (ERM) scheme and is an opportunity to develop, introduce, and manage a scheme that has tangible and measurable benefits and outcomes in return for the funding.
In line with NHS North West London priorities, this year's ERM supports the drive to transform work in maternity and children and young people's services, and has three main aims:
-Bolster the primary care workforce through supporting the PCNs' engagement and involvement with the work of the Harrow training hub.
-Progress the improvement of childhood immunisation awareness and rates.
-Develop, deliver, and make a case for effective and sustainable primary care/partner models in maternal and CYP health and wellbeing and prevention.
There are two specifications for the ERM. The education specification is worth 20% of the this year's ERM incentive payment which PCNs can achieve, and the service specification is worth 80%.
List of PCNs covered are:
-Harrow Collaborative
-Harrow East
-Harrow Health Alliance
-Harrow Healthsense
-Harrow Sphere
NHS North West London Integrated Care BoardLondonWAC-412037
Provision of support for SMI/CCMI Physical Health Checks and Flu Vaccinations (Ashford Place)
A variation to extend the existing contractual arrangements within Ashford Place was granted for a further period of 7 (seven) months. With effect from 1st August 2022 the contract expiry date will therefore change from 31st August 2022 to 31st March 2023. This is an extension to the SMI/CCMI health checks with the inclusion of Flu vaccinations.
Scope of service: Severe Mental Illness and Common Complex Mental Illness Physical Health and Flu Vaccinations.
Ashford Place will provide a peer support service that will support adults with lived experience of severe mental illness in the borough, including people from local BAME communities to access and receive a full annual physical health assessment and appropriate follow-up care.
The service will support with:
• Reducing inequality of health access and health outcome for SMI patients;
• Reducing excess morbidity and mortality rates for SMI patients;
• Reducing reliance on non-elective care for preventable acute physical conditions; and
• Increasing take up of flu vaccinations for individuals with severe mental illness.
NHS North West London Integrated Care BoardLondonWAC-257553
Provision of Severe Mental Illness - Health Check, Vaccination and Screening
The contract has been awarded to The Confederation, Hillingdon CIC following market engagement to invite capable providers. The Confederation, Hillingdon CIC has been established as the only capable provider.
The proposal is to support and encourage patients on the GP SMI register who DNA or decline SMI health checks, vaccine and screening. This will be done buy a Social Prescriber Link Worker who would work across the 6 primary care networks supporting with engagement of SMI patients through outreach work.
A Social Prescriber Link Worker Will enable people to have more control over their lives and signposts to further support and community groups. They also will help to reduce healthcare inequalities by supporting people to unpick complex issues affecting their wellbeing and help them to engage via a series of contacts with the individual.
The Social Prescriber Link Worker, would work closely with GP practices and MIND to identify appropriate patients specifically those from black and minority ethnic groups who need more intensive support for them to engage.
Ideally the individual will be able to engage the patients in their mother tongue and understand cultural barriers. From local data we can see that the highest level of prevalence are in the south of the borough where we know there's a high proportion of the population from black and minority ethnic groups.
By working closely with GP practices, they will also support with educating practice staff and helping to promote local mental health training undertaken by MIND.
NHS North West London Integrated Care BoardLondonWAC-420692
Asylum Seeker IAC Primary Care Provision (The Atrium Hotel)
Due to the urgency, a waiver was signed and awarded to Little Park Surgery (Hounslow), for the provision of Asylum Seeker IAC Primary Care Provision.
This service has been put in place in recognition of the emerging urgent clinical need of the Service Users (SUs) at The Atrium Hotel (TW14 0AW). The hotel is an Overnight Initial Accommodation Centre (OIAC) with a maximum capacity of 1100 SU's. SUs are placed by The Home Office following arriving into the country and initial assessments conducted following docking.
The aims of the service are:
- To provide immediate and necessary Primary Care provision for service users residing at the Atrium Hotel.
- To prevent unnecessary attendances at West Middlesex University Hospital UTC and A&E.
- To reduce health inequalities in asylum seeker populations in comparison with the general public and to allow for provision of general medical services to this cohort whilst residing in interim hotels.
NHS North West London Integrated Care BoardLondonWAC-257565
Due to the urgency, a waiver was signed and granted to Harrow community Transport for the Provision of Harrow Non-Emergency Patient Transport Service.
The aim of the service is to safely and effectively transport eligible patients between a place of residence and healthcare setting, in a timely manner, in order that they receive the healthcare that they need.
The Provider of this service will:
• Ensure that the service is responsive and open to all eligible patients
• Ensure resilience and continuity of service provision across the borough.
• Provide a single point of contact where all bookings and enquiries concerning patient transport will be managed and resolved.
Objectives
• Patients arrive on time for their appointments and / or treatments.
• Patients are picked up promptly following the completion of their appointments.
• Time spent travelling is minimised, and proportionate to the distance being travelled.
• The service responds effectively to transport requests made on the same day or at very short notice.
• Patients receive safe, reliable, considerate and compassionate care whilst using the transport service.
• Patients are well informed as to the expected time they will be picked up and the likely time of arrival at their destination.
• Continuous communication and collaboration with system-wide stakeholders.
• The service will meet the needs of patients seven days per week, including all public holidays.
• Provide a single point of contact where all bookings and enquiries concerning patient transport will be managed and resolved.
NHS North West London Integrated Care BoardLondonWAC-257613
Following an Early Engagement Notice issued in March 2022, an Open Procedure was run from April to September 2022.
Suppliers were invited to tender for the Provision of Primary Care Enhanced Frailty Service - Harrow Borough. Harrow Health CIC emerged as the successful bidder.
The North West London Borough of Harrow required an Enhanced Frailty Service to provide direct delivery of services for people experiencing frailty within the Harrow population, coordination of the system response to these elements through partner organisations and bringing together wider primary care commissioned services through the PCN DES services, in order to achieve the streamlined delivery of services. The Enhanced Frailty Service thus aims to provide a wrap-around service for frail vulnerable patients, with General Practice (GPs) at the heart of the service model, supported through a multi-disciplinary team of professionals. A patient's registered GP will provide the central service offer and will draw upon the wider expertise within primary care and the wider community and acute services.
NHS North West London Integrated Care BoardLondonWAC-423214
NHS North West London Integrated Care Board (NHS NWL ICB) wanted to commission NHS 111 integrated urgent care services and clinical assessment services (CAS).
NHS NWL ICB was looking for a collaborative provider response to deliver this service that will contribute and support an emergent London Regional 111 / IUC Provider Network. The collaborative provider/s would deliver an efficient Regional 111 call networking/ clinical response model.
Following an Early Engagement Notice issued in May 2022, an Open Procedure was run from June to July 2022.
The Procurement was divided into two lots:
• Lot 1: NHS 111 London Regional Call Handling and Clinical
Advisors Delivering Services to NWL Patients; and
• Lot 2: Clinical Assessment Service (CAS) for NWL Patients.
Following tender submissions and the evaluation thereof, it was recommended that the contract for Lot 2 be awarded to London Ambulance Service NHS Trust.
NHS North West London Integrated Care BoardLondonWAC-258404
Provision of 111 Call Handling and Clinical Advisors (Lot 1)
NHS North West London Integrated Care Board (NHS NWL ICB) wanted to commission NHS 111 integrated urgent care services and clinical assessment services (CAS).
NHS NWL ICB was looking for a collaborative provider response to deliver this service that will contribute and support an emergent London Regional 111 / IUC Provider Network. The collaborative provider/s would deliver an efficient Regional 111 call networking/ clinical response model.
Following an Early Engagement Notice issued in May 2022, an Open Procedure was run from June to July 2022.
The Procurement was divided into two lots:
• Lot 1: NHS 111 London Regional Call Handling and
Clinical Advisors Delivering Services to NWL Patients;
and
• Lot 2: Clinical Assessment Service (CAS) for NWL
Patients.
Following tender submissions and the evaluation thereof, it was recommended that the contract for Lot 1 be awarded to London Ambulance Service NHS Trust.
NHS North West London Integrated Care BoardLondonWAC-258405
Children and Young Peoples Targeted Emotional Wellbeing MH Services in Harrow
NHS NW London ICB required the Provision of Children and Young Peoples Targeted Emotional Wellbeing Mental Health Services in Harrow.
The Harrow Council and NHS North West London Integrated Care Board are joint commissioners of the service and may be referred to as the Commissioning Lead or Commissioners.
Historically, the London Borough of Harrow and NHS North West London Integrated Care Board ("NHS NW London ICB") have commissioned an emotional wellbeing service (EWB) called Harrow Horizons since April 2017 whose primary focus is to provide early intervention and prevention with the aim of supporting children and young people aged 0-19 (up to 25 with SEND) to overcome mild to moderate difficulties.
The new service will continue to be aimed at supporting families and carers who are most in need by improving mental health and emotional wellbeing.
This service will offer a blended model of training, support, advice and consultation for families and carers, as well as those professionals involved in their care, alongside offering a range of time-limited evidence-based interventions to children, young people and their families/carers within a community setting or school.
The primary aim of the service is to achieve the best possible outcomes for our children and families and bring about positive change whilst helping support CYP to achieve their optimum emotional health and wellbeing, and to reduce health inequalities. A service that builds resilience, enhances positive strengths and empowers children, young people, and their families/carers.
Additional information:
The aims of the service will be achieved by providing an excellent quality service that:
• Work with CYP and parents/carers in co-designing and reviewing care pathways engage young people in meaningful involvement of services, such as recruitment, feeding ideas into service design.
• Considers information within a cultural framework which demonstrates an understanding of cultural differences and any impact it may bear on assessment and response to the CYP's needs.
• A range of accessible and engaging evidence-based activity and/or therapeutic offer to meet the emotional wellbeing and mental health needs of CYP and their families/carers. Information provided to CYP and their family's needs to be clear, easy to understand and jargon free.
• Ensure that CYP have a single point of access for the service, and those who access the service are seen in a timely manner; providing initial and follow-up responsive assessments that are written and shared with the CYP and/or parent/carer and other appropriate professionals (e.g. SEN/education/Social Care). Ensuring that any additional vulnerability or inequality suffered by CYP (e.g. learning disability, autism, victim of child sexual exploitation) is properly considered when identifying appropriate interventions
• Work using a trauma informed approach and be accessible and responsive to Children Looked after recognising their particular vulnerabilities and additional adverse childhood experiences (ACEs) and that they are likely to require emotional support. Looked after Children should be prioritised for assessments and improved access. The use of a flagging system, offer of outreach and wider support to the care network around children looked after.
• Ensure that reasonable adjustments and adaptations are made to support the care of CYP with additional needs e.g. autistic children;
• Ensure that clear communication pathways and information sharing mechanisms are in place so that CYP and, where appropriate, their parents/carers experience a smooth journey through the care pathway;
• Ensure that all therapists are appropriately trained to meet the social, cultural, and linguistic needs of CYP and their families to enable them to be more involved and take more ownership of their care;
• Ensure CYP leaving the service have an agreed and documented discharge plan to ensure transition is processed smoothly.
The duration of the contract will be for 36 months with the option to extend by a further 24 months.
NHS North West London Integrated Care BoardLondonWAC-185820
Asylum Seeker IAC Primary Care Provision (Chiswick PCN at the Ramada Hotel)
A contract was awarded to Chiswick Health Practice for the Provision of Asylum Seeker Interim Primary Care Provision for a period of 4 months.
This service has been put in place in recognition of the additional clinical and administrative pressures placed on general practices in the proximity of asylum seeker hotels, given the complex care needs of asylum seekers and the volume of throughput in delivering health services for this patient population.
The aims of the service are:
• To reduce in patients attending Accident and
Emergency/Urgent Treatment Centre for minor illnesses;
• To reduce burden on Primary Care services in GMS
delivery;
• To improve patient access to community services;
• To improve patient choice and experience;
• To provide clarity regarding activity to inform on-going
commissioning needs;
• To provide an equitable, patient focussed and easily
accessible service;
• To provide clear pathways for the management of care
for patients from this vulnerable cohort; and
• To provide promotion of self-care techniques and
preventative measures to improve health and wellbeing
of Asylum Seekers.
NHS North West London Integrated Care BoardLondonWAC-257642
EcoNWL011 NHS NWL ICB Theatres Productivity Accelerator Support
NHS North West London ("NHS NW London") Integrated Care Board ("ICB") has secured a range of resources to provide support for immediate improvement in theatre productivity and ongoing support for improvement cycles beyond this project.
WL ICB is facing significant challenges:
- Providers are not able to meet rising demand and costs significantly exceed the available envelope.
To meet this challenge, NWL ICB is undertaking several productivity acceleration efforts. One key opportunity and priority for NWL ICB is theatre productivity across Trusts.
In November, BCG supported NWL ICB by analysing theatre productivity of LNWH and ICHT. In this effort, two key challenges were identified:
- Session scheduling (which does not sufficiently take workforce capacity and resilience into account, creating inefficiencies); and
- in-session productivity (touchtime utilisation for ICHT and patients per session for both ICHT and LNWH).
The effort also identified three (3) short-term opportunities:
(1) Deliver a higher proportion of sessions;
(2) increase the number of patients per session; and
(3) improve in-session productivity.
This will lead to more reliability, predictability, and stability - improving experience for both patients and staff and increasing the total number of patients treated.
NWL ICB now wants to deliver against these opportunities with speed. This will require further analyses to identify the optimal number of sessions; engagement and change management; best practice sharing; and the development of workforce initiatives to support scaling of resilient planning.
NWL ICB also seeks to roll-out key elements of this approach to Chelsea & Westminster Hospital and Hillingdon Hospital in addition to LNWH and ICHT.
Deliverables from this work (two main outcomes):
1. Immediate improvement in theatre productivity; and
2. Ongoing improvement cycles beyond the project.
NHS North West London Integrated Care BoardLondonWAC-412827
NHS North West London Integrated Care Board sought services from a provider for the Implementation of a Resilience Programme for Hillingdon GP Services.
The contract was awarded to Health Integration Partners Ltd, following a quoting exercise.
NHS North West London Integrated Care BoardLondonWAC-400902
NHS North West London Integrated Care Board (ICB) sought services from a capable provider, for the provision of an Implementation of a Resilience Programme for Harrow GP Services.
Following a quoting exercise, the contract was awarded to Health Integration Partners Ltd.
NHS North West London Integrated Care BoardLondonWAC-400673
NHS North West London Integrated Care Board (ICB) sought the provision of Resilience Support to GP Practices in West London.
Following a quoting exercise, the contract was awarded to Aggarwal Commercial Enterprises (ACE) LTD (Matar).
NHS North West London Integrated Care BoardLondonWAC-400681