Health services

Tender description

It should be noted that this is a prior information notice with the future call for competition and its purpose is to make the market aware of the CCG's commissioning intentions and understand the interest and capability of the market. NHS Midlands and Lancashire Commissioning Support Unit are seeking interest on behalf of NHS Telford and Wrekin Clinical Commissioning Group and NHS Shropshire Clinical Commissioning Group (CCG's) for the provision of ADHD Services. The CCGs are looking to commissioning an ADHD Service to support individuals who require diagnosis and or post diagnosis support. This service is a bespoke specialist service not part of a mental health contract. It should be noted that this is a prior information notice with the future call for competition and its purpose is to make the market aware of the CCG's Commissioning Intentions and understand the interest and capability of the market. NHS Telford and Wrekin CCG and NHS Shropshire CCG (CCG’s) are looking to commission a service to support individuals who require ADHD diagnosis and or post diagnosis support. This service is a bespoke specialist service not part of a mental health contract. This requires the service to ensure good liaison with local mental health and autism services. Working with the national prevalence data the CCG's would expect 7 000 adults across the STP area to have ADHD with up to 60 % requiring some specialist support at some time during their lives. Local data indicates that nearly 400 people in Telford and Wrekin alone have been referred to the local service over the past 4 years. Aim: To provide a specialist assessment and diagnostic service to adults with a suspected ADHD and those with a confirmed diagnosis residing in Shropshire, Telford and Wrekin. Service objectives: — to enable adults with suspected ADHD who do not have a diagnosed learning disability to obtain a timely diagnosis of their condition, — to provide a local, weekly clinic, for the review and ongoing treatment of complex and non-complex patients, to include prescribing and monitoring, — to signpost people with ADHD to other agencies and sources of support as appropriate, — to provide guidance on self-help strategies and recommendations for patients in support of self-care, — to signpost patients with an unconfirmed diagnosis to appropriate services and support networks. The adult Specialist ADHD Service shall provide a local assessment and diagnosis service to support people with suspected ADHD and those with a diagnosis of ADHD to include prescribing. The service shall aim to complete an assessment within 18 weeks of receiving a referral for an individual. The provider shall be required to undertake Shared Care in relation to prescribing medication with the patient’s GP, where the GPs have signed up to the Shared Care Agreement. Longer term support for patients with a diagnosis shall be accessed by providers of adult mental health and community care including social care. The contract is anticipated to be for 5 years with a possible extension of 2 further years. Contract value is estimated to be 284 000 GBP per annum and will have a 5 % cap and collar. Activity will be paid on an activity basis as follows: — new diagnosis 585,00 GBP, — F/U Titration 142,50 GBP, — new patient but with diagnosis 292,50 GBP, — 5 minute script 25,00 GBP. Any future contract shall be bound by the NHS Standard Terms and Conditions. Ideallly providers should have CQC good or above rating, if not improvement plans must be in place. Providers must be willing to work with other local services. Bidders that wish to express interest should complete the questionnaire included within Bravo, the questionnaire is to establish the suitability and capability to provide such a service. Should interest be received by more than one capable bidder, which will be assessed on a pass/fail basis, those bidders will be invited into the future tender process should the commissioner proceed with the procurement.