Health services

Tender description

NHS Midlands and Lancashire Commissioning Support Unit are conducting this procurement on behalf of West Lancashire Clinical Commissioning Group. The service is required to be a single point of access for all chronic pain referrals to ensure that only appropriate referrals are forwarded to secondary care and the majority of patients are managed and cared for outside secondary care. The project aims to meet the needs of patients with chronic pain, for example providing advice around physical activity, nutritional and psychological needs and the use of tools and technology to help them self manage the pain they are experiencing. The NHS England 5 Year Forward View recommends patients ‘with long-term conditions’ are empowered and also recognises the importance of ‘promoting wellbeing and independence’. It also states that ‘patients should have direct control over care provided to them’. Further information is available at https://www.contractsfinder.service.gov.uk/Notice/ae02ce71-5 NHS West Lancashire CCG's commissioning intentions include an aspiration to remodel chronic pain services to help contribute to the triple aim of improved population health, high quality holistic care for patients and reduced cost. The remodelled service should be developed giving due consideration to the four pillars of the CCG's overarching clinical strategy as set out below: Collective accountability. Care co-ordination. Population management. Progressive IT infrastructure. Also considering working closely with health and social care and linking with other services in the health economy as necessary to ensure cohesion and integration for the benefit of the patients. The Vision also describes how it will be essential to demonstrate how services will be provided sensitive to local health and service need, addressing health inequalities, wrapped around the patient and focussed on our neighbourhoods; whilst also contributing to time savings in Primary Care and a reduction in attendance at A&E for chronic pain. The Supplier should share the CCG's vision for change and be willing to work with the CCG to drive the transformational change, understanding the need for whole system transformation including: Changing cultural beliefs and behaviours across organisational boundaries and throughout the healthcare system. Providing modern and innovative IT enabled healthcare services which supports patients at all levels of complexity to remain at the highest level of independence that they can achieve. Integrating a range of health, social care and third sector services. Influencing supply chain organisations to deliver better outcomes for patients. The Supplier service will be expected to deliver the following: Improved health and health outcomes for the population of West Lancashire that suffer with Chronic Pain. High quality holistic care for patients that suffer with Chronic Pain. Reduced cost (delivering savings to the CCG) compared to the current cost of Pain treatment in West Lancashire. A single point of access for all chronic pain referrals to ensure that only appropriate referrals are forwarded to secondary care and the majority of patients are managed and cared for within the community setting. Assess and manage patients within the service making use of alternative service providers which may include, but is not limited to, those provided by the voluntary, community and faith sector (VCFS) and local councils. Provide individuals with up-to -date, evidence-based and accessible information to support them in taking personal responsibility when making decisions about their own health, care and wellbeing. Maximise and enable empowerment and self-care through education, self-management plans and current plus emerging technology where appropriate. Patients should be offered online access to their health records. Appropriate pathways should be designed for the main groups of patients, i.e. newly diagnosed chronic pain patients, those patients known to primary care with established chronic pain and patients that need further support after being discharged from the service for less than a year. If patients do need access to ongoing advice/treatments from the provider they can do so as part of a maintenance package of care on a self-referral basis for up to one year after discharge. This maintenance package of care should be made up of an indicative number of follow ups. The maintenance package of care should also have a clear exit strategy from the service. Innovative use of current and emerging technology to drive the service in the way patients are managed, and to support patients to self-manage and take control of their care and health. Patients must be informed about the benefits and risks of conservative treatment measures, medication and surgery. Reduction in secondary care attendance for patients with chronic pain. Reduction in admissions to A&E for patients with chronic pain. The description is continued in II.2.11.