Health and social work services

Tender description

Leicester, Leicestershire and Rutland (LLR) Clinical Commissioning Groups (CCG’s) wish to publish their intent with regards to the following service: Clinical Navigation Hub Service procurement. The CCG’s intent and purpose of this PIN is to make the market aware of the service and seek expressions of interest from providers that can deliver this service. The CCG’s are interested to hear from providers in the market for this service. The contract value for 2017/18 is circa 2 800 000 GBP per annum, activity reported during this period was an average of 6884 cases per month and 2048 calls per month. The current staffing model is GP led, however commissioners intend to remodel to a hybrid model consisting of both GPs and nurses with an aim to reduce the current contract value. Commissioners wish to offer a contract for a period of five years plus an option to extend for a further 2 years, commencing from 1.10.2018. The overall vision for LLR is for an integrated, coherent and intelligible urgent care system with patients supported to access the right service via enhanced clinical navigation through a LLR Clinical Navigation Hub. The Clinical Navigation Hub will be supported by 24/7 community urgent care services, with reduced duplication and improved information sharing and signposting between providers. Achieving this vision depends upon collaboration between providers, with a joint clinical governance framework supporting front line staff. The LLR model is a hybrid model is a virtual clinical navigation model, currently encompassing NHS 111 East Midlands and the LLR Clinical Navigation Hub (CNH) with onward referral services. The strategic direction is to include, within the virtual hub, EMAS and the LLR Integrated Point of Access and to expand the onward referral services linked to the clinical navigation services. The role of NHS 111 East Midlands within the virtual hub is to identify patients who would benefit from enhanced clinical assessment and to either provide the clinical assessment required (for example ambulance dispositions categories to be determined based on Ambulance Response Programme as agreed) or to transfer the case electronically to the CNH for a range of agreed patient cohorts and for ED disposition outcomes (for example ED illness dispositions). The overall aim is to reduce demand for acute emergency care services and increasingly meet people’s needs in lower acuity settings, including self-care. The Commissioners wish to continue to develop the current service.