Patient-level costing system pilot across Nottinghamshire Integrated Care System (ICS)

Tender description

Why the Work is Being Done Nottinghamshire STP, like other healthcare systems, comprises healthcare professionals within separate Providers and Commissioner bodies, resulting in a silo approach where patient care can be impacted by difficulties in seeing beyond each organisation. Funding has been secured for a six month project to test with Nottinghamshire, as an accelerator site for the national Integrated Care System programme, ways of overcoming these barriers to support a population view of patient care. This project aims to provide clinicians with a view of the patients total care provision through health and social care providers, thus establishing a new way of transforming healthcare. Problem to Be Solved GPs, hospital clinicians, community healthcare professionals and social workers do not have a single view of patient care across the Sustainability and Transformation Partnership (STP), to support best possible care of patients and allow care pathways to be improved. There is no current transparency of the cost of interventions and resources used across the care pathway. There is no mechanism to allow clinicians to access further clinical details from specialist data sets held outside the projects remit. Who Are the Users As a clinician/ manager within Nottinghamshire ICS: I need an accessible, flexible and easy to use source of information about patient care, regardless of care setting so I can identify opportunities to improve health outcomes. As NHS Improvement: We need to create a prototype solution for an ICS to link together data about care (including activity and cost) from different settings within an ICS , so we can support other ICS to manage the health needs of their population, including identifying opportunities to improve the delivery of care. Early Market Engagement N/A Work Already Done This is a new project. We are seeking a short discovery phase (up to 6 weeks), followed by an up to 18 week iterative Alpha phase (subject to a decision gateway at the end of discovery). Existing Team The Supplier will be working with members of the project team (in Nottinghamshire) including clinicians, and others responsible for service management and members of the Cost Collection and Analysis team (in NHS Improvement) including Project Lead and Product Manager. Current Phase Alpha Work Location The supplier will be expected to work closely with the NHS Improvement delivery team (located at Wellington House 133-155 Waterloo Road London SE1 8UG, and for some parts of the work will need to be physically located on site e.g. for data and infrastructure access); Additionally the supplier will be expected to work with the Nottinghamshire ICS delivery team (located at various locations in and around Nottingham, e.g. Nottingham University Hospital Hucknall Rd, Nottingham NG5 1PB. Working in Nottinghamshire is anticipated to make up to 50% of the engagement. Working Arrangments Members of the supplier team shall be on-site (London and Nottinghamshire) as required to support an agile delivery. The development team will host agile ceremonies (stand-ups, show-&-tell, review, retrospective, sprint planning and stakeholder workshops) which will be mandatory for the supplier staff/team. The successful Supplier will have access to patient-level information so prior experience handling sensitive data and demonstrable internal processes and training around Information Governance (IG) is required. Suppliers may be required to sign specific NHS Improvement data sharing agreement T&Cs to protect data disclosure (NDAs, etc.). Security Clearance N/A Additional T&Cs All IPR shall vest in NHS Improvement. No license or permission to use the artefacts delivered by the Supplier is granted except insofar as to deliver the requirements of NHSI. Skills & Experience Demonstrable expertise and experience designing scalable analytical solutions (e.g. discovery work to facilitate requirement elicitation, process design). (20 points) Demonstrable expertise and experience in data capture from multiple systems. (20 points) Proven track record of project delivery working with NHS data. (20 points) Demonstrable expertise and experience at an organisational level in data linkage between new data systems and existing data systems (including cloud integration). (20 Points) Demonstrable expertise and experience building on and maximising existing architecture and integrating it with new solutions (leveraging Microsoft SQL server/APS for analysis). (20 points) A minimum of five years of stakeholder engagement experience, including managing challenging stakeholders and those with clinical and/or non-technical backgrounds. (20 points) A minimum of three years’ experience in application of agile approaches to delivering complex systems, in line with GDS Service Standards. (10 points) Demonstrable expertise and experience using data visualisation packages (e.g. Tableau, Power BI). (10 points) Experience of handling sensitive data, demonstrated by information handling policies and processes. Recognised accreditation desirable. (10 points) Nice to Haves A comprehensive understanding of the NHS landscape. A substantial understanding of NHS costing data. Demonstrable experience using data blending packages (e.g. Alteryx). No. of Suppliers to Evaluate 5 Proposal Criteria Demonstration of in-depth understanding of our requirement. (20 points) Approach and methodology to requirements delivery and project management (including project plan and resource allocation) (30 points) A technical solution enabling scalable and future-proof target architecture development to meet high-level functional & non-functional requirements, without significant system refactoring. (30 points) A team that can deliver, including team structure, roles and CVs of anticipated resources you will deploy and a rationale regarding the skills and seniority mix. (30 points) In-depth understanding of NHS data across multiple stakeholders and systems. (20 Points) A robust understanding of Information Governance and its application in healthcare settings. (20 points) Approach and methodology to stakeholder mapping and engagement to address a wide variety of stakeholders, including clinicians. (20 points) Identification of risks and dependencies and proposed mitigations to manage them. (10 points) Relevance and quality of interview presentation. (20 points) Demonstration of a relevant case study as part of the interview and how it aligns to our requirements. (20 points) Answers to questions during the interview/presentation stage. (10 points) Price will be assessed on the basis of a like-for-like comparison of a costed resource profile which shortlisted suppliers will return as part of their proposal. Cultural Fit Criteria Agile and flexible to changing/uncertain requirements. (30 points) Transparent and collaborative when making decisions. (20 points) Share knowledge, experience and skills with other team members. (10 points) Payment Approach Capped time and materials Assessment Method Written proposal Case study Reference Presentation Evaluation Weighting Technical competence 70% Cultural fit 10% Price 20% Questions from Suppliers Budget range up to £450,000 including all expenses and exclusive of vat.