II.1.1) Title
3 Lots High Consequence Infectious Diseases Adult and Child Interim Acute Inpatient Service
Reference number: BravoSolutions project_831
II.1.2) Main CPV code
85000000
II.1.3) Type of contract
Services
II.1.4) Short description
NHS Arden and Greater East Midlands CSU (AGCSU) on behalf of NHS England — Specialised Commissioning (referred to as the Commissioner(s)) is inviting suitably qualified and experienced providers to deliver high consequence infectious diseases adult and child interim acute inpatient service to serve the NHS England Specialised commissioning area: North, Midlands and East and London and the South.
The procurement will consist of three (3) lots covering:
Lot 1: North (1 provider) — Adult services and Paediatric services;
Lot 2: Midlands and East (1 provider) — Adult services and Paediatric services;
Lot 3: London and South (2 providers) — Adult services and Paediatric services.
As a result of this procurement an agreement will be established with the successful bidders for a period of 2 years with the commissioner with the option to extend the contract for up to a further 1 years. This is a new service and is expected to be fully operational, providing services from 1.4.2018.
II.1.6) Information about lots
This contract is divided into lots:
Yes
II.1.7) Total value of the procurement
Value excluding VAT:
1 652 000.00
GBP
Lot No: 1
II.2.1) Title
Lot 1: North (1 provider) — Adult services and Paediatric Services
II.2.2) Additional CPV code(s)
85000000
II.2.3) Place of performance
NUTS code:
UKC
UKD
UKE
Main site or place of performance:
The North.
II.2.4) Description of the procurement
The purpose of a Special Isolation Unit (Airborne) is the safe and effective treatment of HCID that are known or suspected to be transmissible from person to person via the airborne route.
The aim of the service is provide a treatment facility that can safely and effectively manage a confirmed airborne HCID, such as MERS. The unit must be able to admit a patient and start treatment within 6 hours of a confirmed diagnosis. Adult units will each have the capacity to care for at least 2 and preferably up to 4 patients. Paediatric units will each have the capacity to treat up to 2 children aged 16 and under. The preferred commissioning option is that the adult and paed units are located on the same site.
Units must be able to:
1) Maintain appropriate facilities and infrastructure for patient care (the Special Isolation Unit):
(i) ensure clear segregation of clean and potentially contaminated areas of the Special Isolation Unit. Clearly delineated pathways through the unit for staff, patients, visitors, supplies and waste should be integrated into the structural design;
(ii) ensure patient isolation suites within the unit are at negative pressure relative to the rest of the unit. Facilities should comply with Health Building Note 04-01 Supplement 1 for isolation facilities for infectious patients in acute settings. Air should be HEPA(or equivalent) filtered before discharge into the atmosphere;
(iii) ensure environmental monitoring is built-in to monitor the performance of negative pressure ventilation systems;
(iv) ensure that all surfaces are easy to clean. Floor, walls and other surfaces must be impervious to water and resistant to damage from disinfectants;
(v) ensure security against disruption and crime with appropriate lock down procedures and access and egress records in place to allow for any epidemiological follow up of potential contacts;
(vi) allow for secure and direct transfer of patients from ambulance to unit;
(vii) the Special Isolation Unit must be designed to allow delivery of Level 3 critical care to patients with airborne HCID;
2) Maintain a cadre of competent staff who have demonstrated through regular training and exercising that they are capable of operating a safe system of work while providing optimal clinical care:
(i) relevant staff groups (doctors, nurses, support staff such as physiotherapists and radiographers) must undergo regular training in the safe system of work, including the use of personal protective equipment, and demonstrate relevant competencies. Sufficient staff need to be trained and available to maintain an operational Special Isolation Unit for 3 weeks of continuous clinical care;
(ii) training must be complemented by exercising that tests the whole safe system of work;
(iii) records of training and exercising must be maintained;
(iv) clinical care will be delivered by Infectious Diseases and ICU specialists. It must be possible to deliver level 3 critical care to patients with airborne HCID within the Special Isolation Unit for adults.
For children it must be possible to deliver Level 3 critical care in an appropriate facility as above, within the Critical Care Unit.
Lot 1 is estimated at 400 000 GBP for the duration of the contract. There is an option for a provider to be a network lead the value of which is 26 000 GBP for the life of the contract for the paediatric part and 26 000 GBP for the life of the contract for the adults part.
II.2.5) Award criteria
Price
II.2.11) Information about options
Options:
Yes
Description of options:
With the option to extend the contract for up to a further 1 years. This option has been considered when calculating the entire contract value above.
II.2.13) Information about European Union funds
The procurement is related to a project and/or programme financed by European Union funds:
No
Lot No: 2
II.2.1) Title
Lot 2: Midlands and East (1 provider) — Adult services and Paediatric Services
II.2.2) Additional CPV code(s)
85000000
II.2.3) Place of performance
NUTS code:
UKF
UKG
UKH
Main site or place of performance:
Midlands and East.
II.2.4) Description of the procurement
The purpose of a Special Isolation Unit (Airborne) is the safe and effective treatment of HCID that are known or suspected to be transmissible from person to person via the airborne route.
The aim of the service is provide a treatment facility that can safely and effectively manage a confirmed airborne HCID, such as MERS. The unit must be able to admit a patient and start treatment within 6 hours of a confirmed diagnosis. Adult units will each have the capacity to care for at least 2 and preferably 4 patients. Paediatric units will each have the capacity to treat up to 2 children aged 16 and under. The preferred commissioning option is that the adult and paed units are located on the same site.
Units must be able to:
1) Maintain appropriate facilities and infrastructure for patient care (the Special Isolation Unit);
(i) ensure clear segregation of clean and potentially contaminated areas of the Special Isolation Unit. Clearly delineated pathways through the unit for staff, patients, visitors, supplies and waste should be integrated into the structural design;
(ii) ensure patient isolation suites within the unit are at negative pressure relative to the rest of the unit. Facilities should comply with Health Building Note 04-01 Supplement 1 for isolation facilities for infectious patients in acute settings. Air should be HEPA(or equivalent) filtered before discharge into the atmosphere;
(iii) ensure environmental monitoring is built-in to monitor the performance of negative pressure ventilation systems;
(iv) ensure that all surfaces are easy to clean. Floor, walls and other surfaces must be impervious to water and resistant to damage from disinfectants;
(v) ensure security against disruption and crime with appropriate lock down procedures and access and egress records in place to allow for any epidemiological follow up of potential contacts;
(vi) allow for secure and direct transfer of patients from ambulance to unit;
(vii) the Special Isolation Unit must be designed to allow delivery of level 3 critical care to patients with airborne HCID;
2) Maintain a cadre of competent staff who have demonstrated through regular training and exercising that they are capable of operating a safe system of work while providing optimal clinical care:
(i) relevant staff groups (doctors, nurses, support staff such as physiotherapists and radiographers) must undergo regular training in the safe system of work, including the use of personal protective equipment, and demonstrate relevant competencies. Sufficient staff need to be trained and available to maintain an operational Special Isolation Unit for 3 weeks of continuous clinical care;
(ii) training must be complemented by exercising that tests the whole safe system of work;
(iii) records of training and exercising must be maintained;
(iv) clinical care will be delivered by Infectious Diseases and ICU specialists. It must be possible to deliver level 3 critical care to patients with airborne HCID within the Special Isolation Unit for adults.
For children it must be possible to deliver Level 3 critical care in an appropriate facility as above, within the Critical Care Unit.
Lot 2 is estimated at 400 000 GBP for the duration of the contract. There is an option for a provider to be a network lead the value of which is 26 000 GBP for the life of the contract for the paediatric part and 26 000 GBP for the life of the contract for the adults part.
II.2.5) Award criteria
Price
II.2.11) Information about options
Options:
Yes
Description of options:
With the option to extend the contract for up to a further 1 years. This option has been considered when calculating the entire contract value above.
II.2.13) Information about European Union funds
The procurement is related to a project and/or programme financed by European Union funds:
No
Lot No: 3
II.2.1) Title
Lot 3 London and South (2 Providers) — Adult services and Paediatric Services
II.2.2) Additional CPV code(s)
85000000
II.2.3) Place of performance
NUTS code:
UKI
UKJ
UKK
Main site or place of performance:
London and the South.
II.2.4) Description of the procurement
The purpose of a Special Isolation Unit (Airborne) is the safe and effective treatment of HCID that are known or suspected to be transmissible from person to person via the airborne route.
The aim of the service is provide a treatment facility that can safely and effectively manage a confirmed airborne HCID, such as MERS. The unit must be able to admit a patient and start treatment within 6 hours of a confirmed diagnosis. Adult units will each have the capacity to care for at least 2 and preferably 4 patients. Paediatric units will each have the capacity to treat up to 2 children aged 16 and under. The preferred commissioning option is that the adult and paed units are located on the same site.
Units must be able to:
1) Maintain appropriate facilities and infrastructure for patient care (the Special Isolation Unit):
(i) ensure clear segregation of clean and potentially contaminated areas of the Special Isolation Unit. Clearly delineated pathways through the unit for staff, patients, visitors, supplies and waste should be integrated into the structural design;
(ii) ensure patient isolation suites within the unit are at negative pressure relative to the rest of the unit. Facilities should comply with Health Building Note 04-01 Supplement 1 for isolation facilities for infectious patients in acute settings. Air should be HEPA (or equivalent) filtered before discharge into the atmosphere;
(iii) ensure environmental monitoring is built-in to monitor the performance of negative pressure ventilation systems;
(iv) ensure that all surfaces are easy to clean. Floor, walls and other surfaces must be impervious to water and resistant to damage from disinfectants;
(v) ensure security against disruption and crime with appropriate lock down procedures and access and egress records in place to allow for any epidemiological follow up of potential contacts;
(vi) allow for secure and direct transfer of patients from ambulance to unit;
(vii) the Special Isolation Unit must be designed to allow delivery of level 3 critical care to patients with airborne HCID;
2) Maintain a cadre of competent staff who have demonstrated through regular training and exercising that they are capable of operating a safe system of work while providing optimal clinical care:
(i) relevant staff groups (doctors, nurses, support staff such as physiotherapists and radiographers) must undergo regular training in the safe system of work, including the use of personal protective equipment, and demonstrate relevant competencies. Sufficient staff need to be trained and available to maintain an operational Special Isolation Unit for 3 weeks of continuous clinical care;
(ii) training must be complemented by exercising that tests the whole safe system of work;
(iii) records of training and exercising must be maintained;
(iv) clinical care will be delivered by Infectious Diseases and ICU specialists. It must be possible to deliver level 3 critical care to patients with airborne HCID within the Special Isolation Unit for adults.
For children it must be possible to deliver Level 3 critical care in an appropriate facility as above, within the Critical Care Unit.
Lot 3 is estimated at 400 000 GBP per provider for the duration of the contract (or 800 000 GBP in total). There is an option for a provider to be a network lead the value of which is 26 000 GBP for the life of the contract for the paediatric part and 26 000 GBP for the life of the contract for the adults part.
II.2.5) Award criteria
Price
II.2.11) Information about options
Options:
Yes
Description of options:
With the option to extend the contract for up to a further 1 years. This option has been considered when calculating the entire contract value above.
II.2.13) Information about European Union funds
The procurement is related to a project and/or programme financed by European Union funds:
No
IV.1.1) Type of procedure
Award of a contract without prior publication of a call for competition
Justification for selected award procedure:
No tenders or no suitable tenders/requests to participate in response to open procedure
Explanation
No suitable tenders have been submitted in response to an open procedure and the initial conditions of the contract are not substantially altered.
Procurement was held in 2017/2018 to enable the 4 regions of England to have a local service for this cohort of diseases. Suitably qualified providers were invited to deliver:
— Lot 1: North (1 provider),
— Lot 2: Midlands and East (1 provider);
— Lot 3: London and South (2 providers).
No suitable bids were received for Lot 2 (Midlands and East). A national shortfall in capacity to deal with an outbreak of these diseases is likely if NHS England do not commission the capacity for Midlands and East with another provider.
IV.1.8) Information about Government Procurement Agreement (GPA)
The procurement is covered by the Government Procurement Agreement:
No
Contract No: Lot 2 Midlands and East (one provider) - Adult services and Paediatric services
Title: Lot 2 Midlands and East (1 provider) — Adult services and Paediatric services
The contract has been awarded to a group of economic operators:
No
NHS Arden and GEM CSU is managing this Procurement in accordance with the Light Touch regime of the Public Contracts Regulations 2015 (the “Regulations”). Neither the publication of this notice nor the employment of any particular terminology nor any other indication shall be taken to mean that the contracting authorities intend to hold themselves bound by any of the Regulations save those applicable to the procurement of Light Touch regime services.