NHS England South (South East) - Primary Medical Services and Primary Care Plus Services to the homeless and vulnerably housed in Brighton & Hove

Tender description

NHS England South (South East) and Brighton and Hove City CCG seek to commission a provider to deliver both primary medical services and primary care plus services to the homeless and vulnerably housed in Brighton & Hove. The contract is due to commence on 1st February 2017 and will run for 3 years and two months, with the option to mutually agree a further two year extension. The contract will have a total maximum value of £3,444,048, including extension options. Brighton and Hove have a high level of homelessness and numbers are increasing. Those who find themselves homeless are often extremely vulnerable with complex health and care needs. They may be excluded from services or have difficulty engaging with mainstream services, relying instead on emergency or urgent care services. Services are often set up to respond to an individual need rather than provide holistic care. Improving health outcomes for the homeless population is a priority and a key element of the Brighton and Hove Better Care Plan. Based on evidence from elsewhere and findings from our homeless health audit, a proposal has been developed for an integrated and flexible model of care based on a hub and spoke. The aim is that the new model of care will improve access to health care and health outcomes, resulting in a reduced reliance on emergency and unplanned care. Another key element is to support patients to have more control over their care by empowering them to live independently. The provider will deliver: 1) Primary Medical Services and 2) Primary Care Plus – including strengthened primary care services, hub co-ordination and management, and an engagement model with peer support. It is a requirement that the provider take responsibility for BOTH the Primary Medical Services AND the Primary Care Plus elements. Other elements of the model are out of scope of this procurement. Further information on requirements can be found in the service specification. There has been a general practice aimed specifically at homeless people for a number of years in the city which has had a growing registered population (currently 1,391 registered on 1 April 2016 (assumed weighted list size is 1114). The service will be provided from the current premises in Morley Street in Brighton city centre (although there may be flexibility on this over the course of the contract). A prior information/early engagement notice was published in relation to this procurement in May 2016, seeking expressions of interest. Please note that this previous notice was an information gathering exercise rather than a call for competition in its own right. Although those who responded to that notice will be advised that this contract notice has been published, there will be no process exemptions or preferential treatment afforded to any parties who expressed an interest at that stage. Additional details/description is continued in Additional Text below.