Hospital and related services

Tender description

Warwickshire County Council Public Health and Coventry and Rugby CCG are jointly re-commissioning the Community TB Nursing service. The Community TB Nursing Service is a specialist nurse-led service that supports and provides care to patients diagnosed with TB within both Warwickshire and Coventry. The Team work with specialist medical staff to ensure a smooth patient journey from diagnosis to discharge and this includes supporting patients to take medication (Directly Observed Therapy DOT), referring for social support, home visits, tracing and testing contacts/family members for TB infection, managing incidents and outbreaks in the community and providing BCG vaccinations. The service provides information and advice to patients and carers and educational/TB awareness sessions to a wide range of professionals. Warwickshire County Council (WCC, lead commissioner) and Coventry and Rugcy CCG (CRCCG) wish to commission a single provider to deliver a Coventry and Warwickshire Community TB Service within Coventry and Warwickshire. This Service is being jointly commissioned by WCC Public Health and CRCCG, and has a focus on protecting public health through awareness raising among high risk communities, identification, testing and high quality treatment and care of TB patients and their close contacts to prevent wider spread and infection. NHS England West Midlands will also be third parties to the contract for the elements of the neonatal BCG programme being delivered through the service. Further, it is also expected that the provider will deliver the Latent TB case-finding programme for the Coventry Rugby area (commissioned by Coventry Rugby CCG, with NHS England as lead commissioners for this programme nationally). The service model cover a range of services involving multiple commissioners (see list below) who have come together to ensure the relevant BCG and TB pathways are streamlined, delivered cost effectively and meet the quality requirements as per the service specification: Background: — Warwickshire County Council and Coventry Rugby CCG are the responsible commissioners for the Community TB service, with Warwickshire County Council acting as lead commissioner for the proposed joint contract. — Coventry and Rugby CCG is the responsible commissioner for the Latent TB testing and treatment programme, to be delivered in the Rugby area. — NHS England (West Midlands) is the responsible commissioner for neonatal BCG for infants born in the area and those who have moved into the area (0-12 months of age), including for the elements delivered by the Community TB service. NHS England (West Midlands) wish to commission BCG vaccination for infants aged 0-12 months that have moved into the Coventry and Warwickshire area with an option to include neonatal BCG (in Warwickshire) at a later date. Should this arise during the life of the contract term, NHS England (West Midlands) will undertake a separate negotiation with the Provider and a contract variation will be issued.