General-practitioner services

Tender description

NHS South East London CCG in intending to award a contract for a new Alternative Provider of Medical Services (APMS) GP Practice to cover the 10 Nursing Homes in Lambeth. The CCG is seeking to centralise the contractual arrangements for these 10 nursing homes under one new provider. This will support the new Network Contract Directed Enhanced Service (DES) requirements and the delivery of the Local Enhanced Service (LES). In light of the proposal to integrate commissioning arrangements with one GP contract provider, the revised LES spec has been incorporated into the GP contract to enable integrated service provision. This model: 1) Enables all patients to be registered with the same Practice, unifying clinical responsibility and core service provision; 2) Has a newly re-specified service specification (formerly the Local Enhanced Service) that is awarded to the same Provider; 3) Has responsibility for delivery of the EHCH PCN DES specification for Nursing Homes also contracted to the same Provider. SEL CCG (Lambeth borough team) has made a decision to centralise its commissioning arrangements for its current 10 Nursing Homes under one new provider. This is being taken forward as it will support the new PCN DES Enhanced Service requirements and the delivery of the Local Enhanced Service (LES). In light of the proposal to integrate commissioning arrangements with one GP contract provider, the revised LES spec has been incorporated into the GP contract to enable integrated service provision. The proposal is to award a new Lambeth APMS Nursing Home Contract to the Lambeth GP Federation (Lambeth Healthcare Ltd). The contract will be a 2-year contract with a 1-year option to extend. There are several drivers for this change which have influenced the decision: • several local practices currently delivering care within Nursing Homes have informed the CCG that they wish to serve notice on their contracts; • mounting cost pressures of delivering the service due to patients' needs within the Nursing Homes increasing; • alignment with models of delivery being implemented in other SEL CCG Boroughs (Bromley and Southwark); • subject to patient choice, it will enable residents to register with the same practice, which will be clinically and organisationally responsible for providing high quality and integrated local and core primary medical services. This will create a new GP practice initially responsible for all care for patients resident in Lambeth’s 10 Nursing Homes. In this way clinical responsibility is brought together, much greater resilience and innovation is possible than presently, and the model will be better suited to the vision of integrated care set out in the Enhanced Health in Care Homes Framework and the priorities of the Lambeth Neighbourhood and Wellbeing Delivery Alliance (NWDA). Initially the service will focus on unified registrations and care for residents in Lambeth’s 10 Nursing Homes – Laurels, Limetree, Windmill Lodge, St Mary’s, Havelock Court, Collingwood Court, Fairlie House, St Peter’s, Uplands and British Homes. The current proposed annual value of the APMS contract is anticipated to be GBP 608 959 (GBP 269 467 based on total CQC bed registrations and the current LES value of GBP 339 492).