Contract award notice
Results of the procurement procedure
Section I: Contracting
authority
I.1) Name and addresses
Luton Clinical Commissioning Group
The Lodge, 4 George Street West
Luton
WC1R 4AQ
UK
Contact person: Samuel Naxton, Senior Manager, Attain
Telephone: +44 7824456688
E-mail: samuel.naxton@attain.co.uk
NUTS: UKH21
Internet address(es)
Main address: www.lutonccg.nhs.uk
Address of the buyer profile: www.attain.bravosolution.co.uk
I.1) Name and addresses
Luton Borough Council
Town Hall, George Street
Luton
LU1 2BQ
UK
E-mail: samuel.naxton@attain.co.uk
NUTS: UKH21
Internet address(es)
Main address: www.luton.gov.uk
I.2) Joint procurement
The contract involves joint procurement
I.4) Type of the contracting authority
Body governed by public law
I.5) Main activity
Health
Section II: Object
II.1) Scope of the procurement
II.1.1) Title
Luton Community Services
Reference number: ACE-0281-2017-LUTON
II.1.2) Main CPV code
85100000
II.1.3) Type of contract
Services
II.1.4) Short description
Luton CCG and Luton Council are in the process of reviewing Community health service provision for the Luton population working towards developing a “Placed based” Community health service in line with the Integrated care system ((ICS) vision with Bedfordshire and Milton Keynes (The BLMK STP). To achieve the vision commissioners believe that true integration of services vertically and horizontally would best secure the identified needs of the population, improve quality and efficiency of services, realise seamless service provision across pathways and increase system sustainability. The service outcomes will reduce reliance on hospital based care and ensure that people have access to good quality, safe, locally delivered health care services including primary care, health and social care across Luton. The community services which are subject of this notice includes both children's and adult's services, and has a current estimated value of 24 900 000 GBP per annum.
II.1.6) Information about lots
This contract is divided into lots:
No
II.1.7) Total value of the procurement
Value excluding VAT:
39 944 684.00
GBP
II.2) Description
II.2.2) Additional CPV code(s)
85323000
II.2.3) Place of performance
NUTS code:
UKH21
Main site or place of performance:
The Luton population.
II.2.4) Description of the procurement
The traditional commissioner and provider split is acknowledged as no longer being a helpful paradigm to address the challenges faced by the NHS whilst importantly improving the Health and Wellbeing of the Luton’s population. This was also endorsed following initial engagement/feedback from Providers at an early Market engagement event held on 10.11.2017 (advertised on the Contracts Finder Website on 23.10.2017).
Consequently, commissioners agreed that a new approach is needed to change behaviour and incentivise providers which will support the design/development of new ways of working and models of delivery for integrated care to the population. As such tendering processes for community services contracts in Luton will be deferred for 18 months which will give local commissioners and local providers opportunity to work together to progress and deliver their visions for place-based community health and care services and work with the STP in readiness for an “integrated care” procurement exercise in 2019/20.
The rationale for the delay fits within the Priority 5 work programme of the STP. Primarily:
— The BLMK ICS Priority 5 work programme has not yet delivered the components to enable a successful outcomes based strategic commissioning of the services to take place,
— The national integrated care contract is not yet available and will be subject to public consultation in 2018,
— Due to the current stage of the BLMK STP programme, Luton place-based systems are not yet able to specify to the required level of detail the model of care and outcomes they are trying to achieve,
— The supply side is not considered to be mature enough to respond appropriately to an outcomes based procurement exercise,
— BLMK ICS lacks the activity data and clarity about the future model of care to be able to define its requirements with sufficient accuracy to reduce to an acceptable level the risk of challenge due to requesting significant contract variations early in the contract period,
— The risk of distracting commissioning and provider resources by initiating a procurement process is too great at the current stage in the BLMK ICS development. There is a risk that system transformation will be significantly delayed until the procurement process is concluded.
Therefore community service contracts are awarded to existing providers until 31.9.2020 to enable the BLMK ICS model to develop to sufficient maturity to be able to run an outcomes based commissioning process. Dedicated work to commence this outcomes based commissioning process would need to commence no later than August 2019.
It is likely than an outcomes based commissioning approach would need to comply with NHSE/NHSI’s Integrated Support and Assurance Process (ISAP) which may impact timelines.
II.2.5) Award criteria
Quality criterion: Quality
/ Weighting: 100 %
Price
/ Weighting:
100 %
II.2.11) Information about options
Options:
No
II.2.13) Information about European Union funds
The procurement is related to a project and/or programme financed by European Union funds:
No
Section IV: Procedure
IV.1) Description
IV.1.1) Type of procedure
Award of a contract without prior publication of a call for competition
Justification for selected award procedure:
The works, supplies or services can be provided only by a particular economic operator for the following reason: absence of competition for technical reasons
Explanation
The traditional commissioner and provider split is acknowledged as no longer being a helpful paradigm to address the challenges faced by the NHS whilst importantly improving the Health and Wellbeing of the Luton’s population. This was also endorsed following initial engagement/feedback from Providers at an early Market engagement event held on 10.11.2017 (advertised on the Contracts Finder Website on 23.10.2017).
Consequently, commissioners agreed that a new approach is needed to change behaviour and incentivise providers which will support the design/development of new ways of working and models of delivery for integrated care to the population. As such tendering processes for community services contracts in Luton will be deferred for 18 months which will give local commissioners and local providers opportunity to work together to progress and deliver their visions for place-based community health and care services and work with the STP in readiness for an “integrated care” procurement exercise in 2019/20.
The rationale for the delay fits within the Priority 5 work programme of the STP. Primarily:
— The BLMK ICS Priority 5 work programme has not yet delivered the components to enable a successful outcomes based strategic commissioning of the services to take place,
— The national integrated care contract is not yet available and will be subject to public consultation in 2018,
— Due to the current stage of the BLMK STP programme, Luton place-based systems are not yet able to specify to the required level of detail the model of care and outcomes they are trying to achieve,
— The supply side is not considered to be mature enough to respond appropriately to an outcomes based procurement exercise,
— BLMK ICS lacks the activity data and clarity about the future model of care to be able to define its requirements with sufficient accuracy to reduce to an acceptable level the risk of challenge due to requesting significant contract variations early in the contract period,
— The risk of distracting commissioning and provider resources by initiating a procurement process is too great at the current stage in the BLMK ICS development. There is a risk that system transformation will be significantly delayed until the procurement process is concluded.
A VEAT notice was published on 20.3.2018 outlining Commissioner intention. A 10-day standstill period was followed prior to entering into a contract, pursuant to regulation 99(3)(c) of the Public Contract Regs 2015.
IV.1.8) Information about Government Procurement Agreement (GPA)
The procurement is covered by the Government Procurement Agreement:
No
IV.2) Administrative information
IV.2.1) Previous publication concerning this procedure
Notice number in the OJ S:
2018/S 055-122452
Section V: Award of contract
A contract/lot is awarded:
Yes
V.2 Award of contract
V.2.1) Date of conclusion of the contract
13/03/2018
V.2.2) Information about tenders
Number of tenders received: 1
The contract has been awarded to a group of economic operators:
No
V.2.3) Name and address of the contractor
Cambridgeshire Community Services NHS Trust
Unit 3, Meadow Park, Meadow Lane
PE27 4LG
UK
NUTS: UKH
The contractor is an SME:
No
V.2.4) Information on value of the contract/lot (excluding VAT)
Total value of the contract/lot:
: 38 898 179.00
GBP
V.2.5) Information about subcontracting
Section V: Award of contract
A contract/lot is awarded:
Yes
V.2 Award of contract
V.2.1) Date of conclusion of the contract
13/03/2018
V.2.2) Information about tenders
Number of tenders received: 1
The contract has been awarded to a group of economic operators:
No
V.2.3) Name and address of the contractor
Virgin Care Services Ltd
Lynton House, 7-12 Tavistock Square
London
WC1H 9LT
UK
NUTS: UKI
The contractor is an SME:
No
V.2.4) Information on value of the contract/lot (excluding VAT)
Total value of the contract/lot:
: 319 005.00
GBP
V.2.5) Information about subcontracting
Section V: Award of contract
A contract/lot is awarded:
Yes
V.2 Award of contract
V.2.1) Date of conclusion of the contract
13/03/2018
V.2.2) Information about tenders
Number of tenders received: 1
The contract has been awarded to a group of economic operators:
No
V.2.3) Name and address of the contractor
Luton & Dunstable Hospital Foundation Trust
Lewsey Road
Luton
LU4 0DZ
UK
NUTS: UKH21
The contractor is an SME:
No
V.2.4) Information on value of the contract/lot (excluding VAT)
Total value of the contract/lot:
: 727 500.00
GBP
V.2.5) Information about subcontracting
Section VI: Complementary information
VI.3) Additional information
The following services are awarded to Cambridgeshire community services (CCS) from 1.4.2018 until the 31.9.2020:
— Continence Pads and Service 498 702 GBP per annum (Adults/Children),
— End of life psychology 94 071 GBP per annum,
— Children's eye service 219 253 GBP per annum,
— Nutrition and dietetics (Adults/Children) 566 753 GBP per annum,
— Children's occupational therapy 246279 GBP and,
— Speech and language therapy (Children) provision 466 552 GBP per annum,
— Total contract value: 2 091 610 GBP per annum.
The following services will also be awarded to CCS from 1.4.2019 to 31.9.2020 include:
— Community/district nursing service,
— Community phlebotomy service,
— Integrated discharge and GP Liaison service,
— Community falls service,
— Community cancer and palliative care and End of life services,
— Community tissue viability service,
— Community nurse led DVT service,
— Community nurse led Oral anti-coagulation monitoring clinic,
— TB Service, LTC — Community diabetes services,
— Community heart failure service,
— Community nurse led respiratory Service, LTC — Parkinson's Disease,
— At Home first integrated MDT,
— Children's continuing care team,
— Special needs nursing service Paediatric epilepsy nursing service,
— Paediatric community audiology,
— Looked after children team,
— Paediatric rapid response team,
— Community paediatrics (Medical) service,
— Integrated children (Community nursing),
— Pre-school feeding service,
— Haemoglobinopathy service and Newborn bloodspot screening,
— Community nurse led service — Oral Anticoagulation monitoring clinic,
— 0-19 Children's service,
— Health visitors,
— Public health nursing service for school aged children. Total contract value for service provision: 22 446 103 GBP per annum.
The following services are awarded to Virgin Healthcare from 1.4.2018 until 31.9.2020 include; Adult Neuro Rehab Case Management (ABI). Total contract value 127 602 GBP per annum.
Following consultation with stakeholders commissioners have agreed that the Adult speech and language therapy service (SaLT) will be directly awarded on a permanent basis to the Luton and Dunstable University Hospital Trust (LDH) and incorporated post 31.9.2020 into the overarching Acute contract. The value of the service provision is 291 000 GBP per annum. This decision is based on the hospital being deemed as the most capable provider based on their existing local service delivery of SaLT. The LDH is developing a robust team which will provide excellent opportunity to further develop a resilient workforce not only supporting retention of staff but also likely to be attractive to future candidates. The development of whole pathway delivery by a single provider will also ensure continuity for patients.
VI.4) Procedures for review
VI.4.1) Review body
Luton Clinical Commissioning Group
Luton
UK
E-mail: samuel.naxton@attain.co.uk
VI.5) Date of dispatch of this notice
06/04/2018