II.2.2) Additional CPV code(s)

85100000

II.2.3) Place of performance

NUTS code:

UKJ3

II.2.4) Description of the procurement

This is NOT a new award, this notice is being issued in order for a PCR Regulation 72 Modification Notice to be placed due to issues with Contracts Finder archived notices.

The Contract was advertised on 31st July 2014 following a full open and transparent tender process advertised on Contracts Finder. Crown Commercial Services archives have registered the original notice under reference 1495554 titled 'Advertisement for the provision of NHS Elective Treatment and Diagnostic Services for South Hampshire and the Isle of Wight'.

The Contract was awarded for 5 Years plus optional extension of 24 month commencing on 28th October 2015 and ends on 27th October 2022. Please note the Awarding Contracting Authority at the time was NHS Southampton City CCG, the new legal entity for the CCG is Hampshire, Southampton and Isle of Wight CCG. The Contract was awarded to Care UK Clinical Services Ltd who now operate as Practice Plus Group, Hospital Southampton , following the completion of the full tender process.

The service provides routine and urgent elective inpatient and outpatient care for adults and children 16 years and over in the following specialties:

• Orthopaedics including:

o Lower limb: Hip, Knee, Ankles and Foot

o Upper limb: Shoulder, elbow, wrists and hand.

o Excludes spinal surgery

• General Surgery

• Urology including cystoscopy

• Ear Nose and Throat

• Gynaecology: Excludes pre-natal, early pregnancy.

• Ophthalmology

• Anaesthetics, including Pain Management Interventions

• Diagnostic Radiology

• Diagnostic Endoscopy

• Pathology; routine samples

• Post-operative in-patient therapies; Physiotherapy, Speech and Language, and Occupational Therapy (internal consultant referral only)

• Oral Surgery NHS England Only

This service is commissioned to ensure sufficient and high quality local elective secondary care capacity for adults and children 16 years and over, including outpatients, diagnostics, elective inpatient and post-operative services. The catchment includes the populations of Hampshire, Southampton and Isle of Wight CCG, and associates to this contract, plus the wider Wessex catchment for referral for Oral Surgery.

The service should provide high quality and cost effective services to ensure that all patients are treated appropriately in line with adopted NICE clinical guidelines and mandatory technical appraisals, including local Individual Funding Request Policy Guidelines, clinical thresholds and referral criteria. Services should achieve all local and national waiting time targets and other key national and local key quality and performance targets.

The expected outcomes of the service are to:

• Provide safe and effective care in line with national best practice and local guidelines to optimise clinical outcomes;

• Deliver timely assessment, diagnosis and treatment for our population within NHS Constitutional waiting times

• Engage our communities and patients in the delivery of their healthcare, to support self-care, informed decisions and better personal experience and outcomes.

• Develop confident working relationships with referrers and consultant colleagues in other local providers to serve the best interests of the patient by minimising delays, providing advice, avoiding unnecessary tests or treatment, referring on or back when appropriate and providing clear communication and information

• Drive cost-efficiencies over the life of the contract

• Provide patient education and information in an engaging, user-friendly way, on message with the local system to help patients understand modern healthcare provision

• Participate in and contribute to local educational forums independently or in partnership with our other providers

• Meet the quality, safety and reporting arrangements as outlined in the NHS contract, ensuring a safe, effective and positive experience for the patient.

• Stimulate efficiencies and improvements through innovation to support a sustainable local health economy.

The service provides a 24- hour, 7 day inpatient facility to safe standards. It offers day time, evening and Saturday appointments with some weekend diagnostic and operating sessions for those who find it difficult to attend during working hours. The service accepts:

• Referrals for opinion from GPs, GPwERs, community based services, Tier 2 services, Acute Hospital Consultants (subject to agreed policies), and dentists; and provides daily accessible advice in response.

• Referrals for treatment from GPs, GPwERs, community based services, Tier 2 services, Acute Hospital Consultants, and dentists (in all cases, subject to agreed policies). The patient's referral will be logged upon receipt, and clinically assessed for appropriateness for the service to which it has been referred. Patients will receive general assessment, investigation, diagnosis and treatment for all planned care using agreed guidelines and operational procedures. If the referral would be more appropriately seen by another service, the referral should be transferred to that service, and the referring clinician informed, in accordance with local Commissioner policies. If the referral is inappropriate or does not meet the clinical threshold criteria, it should be returned to the referrer with advice.

The service is offered as an option for patients under national NHS Choices, where appropriate, delivering NHS Constitutional Standards. For non-dental activity, the provider receives the majority of referrals electronically via NHS E - Referrals. Dental activity should be received via Dental E - Referrals. Ophthalmology referrals should be received either through NHS e-RS or e-ERS via OPERA direct from Primary Eye Care Services (or otherwise agreed with commissioners).

The provider is a key partner in delivery of care in the local area and as such is expected to work in a collaborative and integrated fashion. This requires clinical collaboration with providers across the health system, adhering to locally-agreed pathways, including:

• Primary care medical, dental and optical practices, including Primary Eyecare Services Ltd (PES).

• Primary Care Networks and associated GP Federation Providers

• Southern Health NHS Foundation Trust (Mental Health, Acute and Community, including Community ENT Services)

• Solent NHS Trust (Community)

• Hampshire Hospitals NHS Foundation Trust (Acute)

• University Hospitals Southampton NHS Foundation Trust (Acute, Tertiary, Cancer Centre, Trauma Centre)

• Royal Bournemouth and Christchurch NHS Foundation Trust (Acute)

• Salisbury NHS Foundation Trust (Acute)

• Portsmouth Hospitals NHS Trust (Acute, Tertiary, Cancer Centre)

• Isle of Wight Healthcare Trust (Acute)

• Community-based services and clinicians from a range of disciplines including district nursing, podiatry and therapies, GPwERs and Tier 2 Community services such as MSK, Pain & Rheumatology, ENT, Dermatology, PES and Diagnostic specialists

• Other AQP providers across clinical pathways, including locally qualified providers of audiology and hearing aid services

• Southampton City, Hampshire and Isle of Wight Social Services

• Equipment services, including local Wheelchair centers

• Patient Transport Provider (South Central Ambulance Services)

• Blood Transfusion Services

• South Central Ambulance Services (PTS and 999)

• 111 and Out of Hours services

• Any community, primary care triage or alternative service models that are commissioned during the course of the contract.

II.2.13) Information about European Union funds

The procurement is related to a project and/or programme financed by European Union funds: No