Procurement – case studies

AQP review

NHS South Lincolnshire CCG

SouthLincsCCG

Overview

The CCGs’ approach to procurement and to contracting is to operate within both legal and policy frameworks and to actively use procurement as a tool to strengthen commissioning outcomes that improve healthcare provision and outcomes for its patient population.

Medicines management review

NHS South Lincolnshire CCG

SouthLincsCCG

Overview

Medicines are the most frequently utilised treatment intervention. The total cost to the NHS was over £12.9 billion in 2011. It is estimated that around 14% of total CCG budgets will be spent on prescribed medicines.

Medicines optimisation, simply put, encompasses all the functions and roles associated with medicines management. It also focuses on how people use their medicines. It is estimated that £1bn could be saved on reducing medicines waste.

Audiology services procurement

NHS North East Essex CCG

Client logo

Overview

  • Delivery of a patient-centred, direct access adult hearing service providing effective and integrated continuity of clinical care for all patients.
  • Service for adults (50+) enabling them to receive high-quality, efficient services delivered closer to home with short waiting times and high levels of responsiveness to local needs.
  • Objective to meet growing demand and improve patient choice.
  • ‘One-stop shop’ approach to cover referral, assessment, fitting and follow up services.

Adult drug and younger persons’ substance misuse procurement: public health services procurement

Derby City Council

Derby City Council logo

Overview

A new approach to the delivery of services was required:

  • Service specifications required updating to reflect new national strategy and recovery and re-integration treatment ethos.
  • Barriers existed within services preventing delivery of seamless integrated care.
  • Payment by Results was due to be rolled out within drug treatment agencies and would have an impact on the management of contracts.
  • The funding structures were changing due to the establishment of new Public Health functions.

Mental health and immediate care services procurement

NHS Luton CCG

Luton CCG logo

Overview

  • £320m contract successfully let for seven year period using competitive dialogue process.
  • Requirement to re-commission community and mental health services as contracts were coming to an end.
  • CCG had desire to integrate services and improve quality of service through updated specifications and KPIs.
  • Patient and public engagement was needed to inform what process and outcome improvements were most desirable.
  • Market knowledge was poor with anecdotal evidence that there was innovative solutions were being delivered elsewhere.
  • Procurement process was proposed which would appoint the most capable providers to increase quality of care for patients, ensure value for money is achieved and support deliver wider CCG strategic objectives.

Community family support procurement

NHS Hull CCG

NHS Hull CCG logo

Overview

  • £550,000 contract successfully let for a five year period using the open process.
  • Requirement to re-commission community family support services as contracts were coming to an end.

Acute treatment service – Chiltern Vale Locality

NHS Bedfordshire CCG

Bedfordshire CCG logo

Overview

  • Four contracts awarded across four locations within the locality from 01/11/14 to 31/03/16 with an option to extend for a further one year.
  • A contract value of £120,000 to establish several community-based acute treatment services within Chiltern Vale locality.
  • Key aim of the procurement was to reduce reliance on acute hospital services and provide a more comprehensive primary care service, closer to the patients’ homes.
  • Key objective was to provide patients with access to high quality, effective and timely treatment for minor injuries that would otherwise have presented at an Accident & Emergency department of a local hospital.

Replacement of several locally enhanced services for Derby City Council

Derby City Council

Derby City Council logo

Overview

  • The replacement of five locally enhanced services covering GP and pharmacy services across the city of Derby.
  • Development of a framework to replace the current LES services.
  • Contract value was £1.5m over the five projects (Lots).
  • Changes in budgetary constraints a key driver for change.

Care closer to home – market engagement

NHS North East Essex CCG

Client logo

Overview

  • Supporting North East Essex CCG to undertake effective market engagement with local and national providers to support the Care Closer to Home work stream.
  • NEE Commissioning Intention to bring Care closer to the patient through transforming services through a single lead provider.
  • Facilitating collaboration and joint working across the two CCGs.
  • Delivery of the Care Closer To Home (CC2H) vision across the North Essex footprint.
  • Engagement with the market and supporting providers to forge partnerships/alliances to enable the implementation of a lead/prime provider model.

Mental health, specialist learning disability (LD) and child and adolescent mental health services (CAMHS) procurement

NHS Bedfordshire CCG

Bedfordshire CCG logo

Overview

  • Bedfordshire CCG (BCCG) issued a tender for £288m – co-commissioned with two Bedfordshire councils.
  • Delivery of integrated mental health services improving quality, health outcomes, increasing capacity and reducing provision gaps.
  • Strong pre-procurement market engagement to facilitate provider understanding of the process and alliance opportunities.
  • Supporting BCCG to make a decision in relation to the most appropriate route to market.
  • Facilitating collaboration and joint working between BCCG and the two councils.

Dermatology integrated system of care procurement

NHS Bedfordshire CCG

Bedfordshire CCG logo

Overview

  • There was a recognition that the existing service was fragmented in terms of its provision across the five localities in Bedfordshire as a legacy of the two former Primary Care Trusts.
  • A system wide dermatology model of care was developed in partnership with stakeholders including clinicians, patients and commissioners.
  • Subsequently a steering group developed a robust service specification and key outcome measures.
  • The preferred model of contract was a prime contractor model.

Luteinising hormone releasing hormone (LHRH) analogues for prostate cancer across Derbyshire

NHS Southern Derbyshire CCG

Client logo

Overview

  • Historically there was a service across Derbyshire that allowed consultants to use any LHRH product in the treatment of prostate cancer.
  • Continuation of treatment then continued in the primary care setting under the supervision of GPs.
  • GPs and consultants could select from a limited range of products that are licensed for this use.
  • This has resulted in a disparity of rates prescribed and administered by GPs and at a varied cost rate to the CCGs.
  • These products had never been tendered for and there were no contractual arrangements in place with providers.
  • The total annual expenditure was approximately £1.6m.

Primary care psychological therapies (PCPT)

NHS West Essex CCG

West Essex CCG logo

Overview

  • Fragmented IAPT service in place.
  • Access targets not being met.
  • Requirement to put in place three components – (1) Core IAPT Compliant Primary Care Step Model, (2) Phased integration of other Mental Health Care Clusters currently within secondary care, and (3) development of a Primary Care Mental Health Liaison Service.
  • Fragmented interfaces between services for people with common mental health disorders and other parts of both the physical and mental health system(s).
  • £1.2m annual value.

Non emergency patient transport services (NEPTS)

NHS North East Essex CCG

Client logo

Overview

Multiple providers delivering contracts with inconsistent service standards, leading to unnecessary fragmentation and complexities. Opportunity to:

  • Manage capacity and meet changing demand safely
  • Improve service user and carer outcomes
  • Ensure equity of access and outcomes including those for people with protected characteristics
  • Maximise vehicle and staff utilisation
  • Personalise care as far as possible in the arrangements made for service users or carers
  • Offer an appropriate level of support and information for those using the service including signposting to alternative transport where a patient does not meet eligibility
  • Ensure adequate data collection so good monitoring of activity and performance can be undertaken.

Provision of an IAPT and recovery college service structured dialogue process

NHS Thurrock CCG

Thurrock CCG

Overview

  • Following two unsuccessful procurements and a single award waiver being approved, this process would seek to demonstrate due diligence in awarding to a competent provider.
  • To support the development of a robust and transparent process to identify and appoint a provider for mental health services in Thurrock.
  • To contribute to the delivery of the proposed integrated Primary Care Mental Health model and would enhance the support GPs require to manage people presenting with common mental health problems and where clinical assessments allow people being discharged from secondary care.