Health services

Tender description

Lot 1:Termination of Pregnancy (ToPs). The contract duration for this lot will be 3 years (36 months) with an option to extend for a further 2 years (24 months). The potential total contract value for this lot is expected to be circa 9 300 000 GBP (1 860 000 GBP per annum) subject to whether the contract runs to its potential full term of 5 years. Lot 2: Non-scalpel Vasectomy Services. The contract duration for this lot will be 3 years (36 months) with an option to extend for a further 2 years (24 months). The potential total contract value for this lot is expected to be circa 1 720 000 GBP (344 000 GBP per annum) subject to whether the contract runs to its potential full term of 5 years. The successful provider will be required to deliver Termination of Pregnancy services for the registered populations of the following lead and associate Commissioners: — lead Commissioner – NHS Birmingham Cross City CCG (BXCCCG), — associate Commissioners – NHS Birmingham South Central CCG (BSCCCG) and NHS Solihull CCG (SCCG). Please note, as of the 1.4.2018 BXCCCG, BSCCCG and SCCG will merge to form NHS Birmingham and Solihull CCG. Aims and objectives of service. — to Provide a consistent, comprehensive, effective, accessible, legal and appropriate abortion service to service users. — to Provide a quality service informed by the Royal College of Obstetricians and Gynaecologists Guidance for the ''Care of Women Requesting Induced Abortion'' (the RCOG Guideline), the MEDFASH standards for sexual health service, and current best evidence. — to ensure that risk of infection and other complications to service users is minimised. — to ensure that opportunities for contraceptive counselling and sexual health screening are maximised especially chlamydia for patients at high risk. — to reduce the percentage of women seeking repeat terminations from current levels. — to provide nurse led consultations and ensure that doctors recruited are appropriately qualified. Objectives. — to offer high quality, impartial support and advice to all service users who request an abortion, regardless of age, ethnicity, language, disability, religious or personal circumstances. — to provide service users with access to an abortion as early as possible. — to provide abortion methods clinically appropriate for a service user's gestation and clinical circumstances. — to improve the sexual health of service users through providing sexual health screening for Chlamydia for 15 -24 year olds and other sexually transmitted infections (STI's) for all age groups for patients from Birmingham and Solihull. — to provide information and advice on all methods of contraception and the supply of the full range of long acting reversible contraceptive (LARC) methods. — to work with local Sexual Health Service provider/s to facilitate ongoing continuation of long term contraception for Birmingham and Solihull residents. This may involve requests to patients to share patient contact details with sexual health service for follow up, particularly with under 25s. Service description / care pathway. The service specification is designed to sit alongside the legislative provisions of the Abortion Act and the Care Standards Act, and is not designed to replicate these provisions, or to duplicate, replicate or supersede the work undertaken by the Care Quality Commission or the Secretary of State for Health or register or approve independent sector abortion clinics. However, there may be some areas where the requirements of legislation appear in this service specification – but duplication has been kept to a minimum. The service model is based on the RCOG Guideline on “The Care of Women requesting Induced Abortion” and current best practice https://www.rcog.org.uk/en/guidelines-research-services/guidelines/the-care-of-women-requesting-induced-abortion/. The service specification will be amended in line with any future guidance produced by the College. While the CCG will endeavor to update this service specification in line with any new guidance as quickly as possible, it is expected that the Service Providers will work pro-actively to agree a speedy variation of the contract to take account of any new guidance ahead of the production of a revised service specification. The successful provider will be required to deliver Vasectomy services for the registered populations of the following lead and associate Commissioners: — Lead Commissioner – NHS Birmingham Cross City CCG (BXCCCG). — Associate Commissioners – NHS Birmingham South Central CCG (BSCCCG), NHS Solihull CCG (SCCG) and NHS Sandwell and West Birmingham CCG. Please note, as of the 1.4.2018 BXCCCG, BSCCCG and SCCG will merge to form NHS Birmingham and Solihull CCG. Aims. To provide a cost effective, high quality, vasectomy service for Birmingham and Solihull (BSOL) Clinical Commissioning Group (Which will be formed from a merger of Birmingham Cross City CCG, Birmingham South Central CCG and Solihull CCG from the 1.4.2018) and Sandwell and West Birmingham Clinical Commissioning Group. The service shall comply with the standards and requirements set out in the RCOG Male and Female Sterilisation Evidence-based Clinical Guideline Number 4 (RCOG 2004) and any subsequent national guidance relating to the provision of vasectomy. Evidence base. Vasectomy (male sterilisation) should be considered to be a permanent method of contraception and is the most reliable form of contraception. The failure rate after negative post-operative semen analysis is approximately one per 2 000 men. Vasectomy carries a lower failure rate in terms of post-procedure pregnancies and that there is less risk related to the procedure than female sterilisation. Long-acting reversible contraceptive (LARC) should be considered first by couples before considering sterilisation as a permanent method of contraception. For those couples who choose sterilisation a vasectomy should be carried out in preference to female sterilisation as it carries a lower failure rate in terms of post-procedure pregnancy and there is less risk related to the procedure. The RCOG Guideline states that: “Couples in the UK who have completed their families still tend to choose sterilisation, despite the availability of long-acting methods that are easy to use and reversible in the event of wishing to resume childbearing with a new partner. “. Marital breakdown, change of partner or remarriage is not unusual. Such events would not be considered sufficient grounds to give an individual priority for funding reversal of sterilisation. Therefore, the NHS, other than in exceptional individual circumstances, will not fund reversal of the procedure. Aims and objectives of service. To provide a local, safe and effective vasectomy service, with a preference for non-scalpel, unless not clinically appropriate in line with the BSOL Vasectomy Policy. To provide a service with a maximum wait of eighteen weeks (from referral) unless the patient chooses otherwise. Service description/care pathway. The service will provide a full vasectomy pathway including counselling, procedure, and communications and sign off regarding sample analysis. There are three stages to the vasectomy service: Stage 1: Pre vasectomy counselling. Stage 2: Surgical operation. Stage 3: Post vasectomy testing.