Health and social work services

Tender description

NHS Arden and Greater East Midlands CSU (AGCSU) on behalf of NHS England - Specialised Commissioning (referred to as the Commissioners) 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 3 lots covering: — Lot 1 North (one provider) - Adult services and Paediatric services, — Lot 2 Midlands and East (one provider) - Adult services and Paediatric services, — Lot 3 London and South (two 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 April 2018. 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 to 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 two children aged sixteen 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) — 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. — ensure patient isolation suites within the unit are at a 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. — ensure environmental monitoring is built-in to monitor the performance of negative pressure ventilation systems. — ensure that all surfaces are easy to clean. Floor, walls and other surfaces must be impervious to water and resistant to damage from disinfectants. — 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. — allow for the secure and direct transfer of patients from an ambulance to the unit. — 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 — 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. — training must be complemented by exercising that tests the whole safe system of work — records of training and exercising must be maintained. — 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 for the duration of the contract. There is an option for a provider to be a network lead the value of which is £26k for the life of the contract for the pediatric part and £26k for the life of the contract for the adults part. 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 to 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 two and preferably four patients. Paediatric units will each have the capacity to treat up to two children aged sixteen 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) — 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, — ensure patient isolation suites within the unit are at a 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, — ensure environmental monitoring is built-in to monitor the performance of negative pressure ventilation system, — 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 for the duration of the contract. There is an option for a provider to be a network lead the value of which is £26k for the life of the contract for the paediatric part and £26k for the life of the contract for the adults part. 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 two and preferably four patients. Paediatric units will each have the capacity to treat up to two children aged sixteen 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 per provider for the duration of the contract (or £800,000 in total). There is an option for a provider to be a network lead the value of which is £26k for the life of the contract for the paediatric part and £26k for the life of the contract for the adults part.