DHSC: OHID: Digitisation of the NHS Health Check, Alpha phase v2-closed

Tender description

Work done so far The Discovery phase, led by NHSE, was completed in September 2022 and recommended that we progress to Alpha. Prior to this, in 2019, PHE conducted an NHS Health Check digital exemplar. This discovery and alpha prototyped and tested approaches to addressing barriers faced by end users, providers and commissioners to engage with the check. A systematic literature review was conducted to strengthen the evidence on the influences of NHS Health Check behaviours. The more recent discovery builds on this and looks to validate previous user needs and understand whether needs have changed, particularly in light of the Covid-19 pandemic. NHS Health Check review link: https://www.gov.uk/government/publications/nhs-health-check-programme-review 2019 PHE Digital Exemplar (discovery): https://www.healthcheck.nhs.uk/nhs-health-check-digital-exemplar/digital-exemplar-documents-and-resources/ The 2022 Discovery outcomes are provided as part of the tender documentation. Which phase the project is in Alpha Existing team The multidisciplinary Digital NHS Health Check team consists of policy leads, CVD and NHS Health Check subject matter specialists, digital transformation specialists, behavioural scientists, NHSE oversight and input, and programme delivery teams. Address where the work will be done The work can be delivered remotely however the successful supplier may need to travel to DHSC sites if required. Working arrangements The work will be delivered according to the standards and delivery principles documented in the Government Service Manual. Regular meetings will be held between the supplier and OHID delivery team via MS teams. We would expect these meetings to include all of the common agile ceremonies. Work may be carried out from multiple locations including the Supplier’s offices. Attendance at OHID offices in London may be required for meetings. Provide more information about your security requirements: Baseline Personnel Security Standard (BPSS) Latest start date 2023-04-24 Enter the expected contract length: 6 months Extension period: 3 months Special terms and conditions The contract will be divided into two separate parts. Schedule 1: Further exploration and research: In this phase, we will review all previous work completed, test different assumptions, designs and prototypes before deciding what options to take further in our second phrase. Schedule 2: Prototyping and testing potential solutions: There will be a break clause included between schedules 1 and 2. This is because allowing the work to progress onto schedule two will require the satisfactory assessment of the completed work under schedule 1, and subsequent authorisation to proceed to schedule 2 from the CDDO assurance board. Are you prepared to show your budget details?: Yes Indicative maximum: 1230000 Provide further information: A maximum of £1.23m (inclusive of VAT) is available to deliver schedules 1 and 2 of the project. Suppliers must submit responses, based on time and materials required to deliver the objectives and outcomes outlined in the specification. Tender responses need to appropriately apportion budget across the two schedules based on the objectives/outcomes. However, excessive weighting of resources to schedule 1, increases the risk of unaffordability of schedule 2 if the break clause were applied, and will not be considered acceptable. Allocation of resources of over 50% to schedule one will be scrutinised to ensure the cost balance is evidenced. Confirm if you require a contracted out service or supply of resource Contracted out service: the off-payroll rules do not apply Summary of work The Department for Health and Social care are seeking a multidisciplinary digital delivery team to deliver the alpha phase of a digital version of the existing NHS Health Check. This follows the conclusion of a successful Discovery in September 2022. Where the supplied staff will work No specific location (for example they can work remotely) Why the work is being done The NHS Health Check programme is commissioned by local authorities. It aims to prevent heart disease, stroke, type 2 diabetes and some cases of dementia and kidney disease among people aged 40-74 years in England. It assesses the top 6 risk factors for cardiovascular disease (CVD), calculating a person’s risk of a heart attack or stroke in the next 10 years and supporting people to access clinical management or prevention programmes to reduce their risk. A review of the programme, found that the programme could achieve greater impact through use of a digital approach to ‘transform all aspects of the NHS Health Check, including accessibility, scale, conduct and delivery.’ The Government’s commitment to develop a digital NHS Health Check was announced by the former Secretary of State for Health and Social Care and forms a part of DHSC’s Plan for Digital Health and Social Care. Our intention is to create a digital version of the NHS Health Check Programme. The vision is that this will be a national digital service, offering patients the same tests, access to results and support as an in-person check, increasing reach of the check and allowing in-person services to focus on those at highest risk. The business problem you need to solve Not enough eligible people are completing the NHS Health Check and participation has been declining year-on-year since 2014-15. Consequently, the programme is not contributing as much as it could to reducing premature cardiovascular disease (CVD) mortality and morbidity as a result of conditions including hypertension, heart disease, stroke, type 2 diabetes, kidney disease and some cases of dementia. The majority of NHS Health Checks are delivered in general practice. There is a need to diversify the delivery model in order to increase reach and allow in-person services to focus on those at highest risk. Following a Discovery in September 2022, we are seeking a supplier to provide multi-disciplinary delivery team to work with our in-house team to deliver an alpha phase and prototype and test different opportunities to provide a digitally transformed NHS Health Check. First user type: Members of the General Public Enter more details about this user type: We have conducted a detailed user needs analysis as part of the discovery which is available upon request. Users include: • Individuals eligible for an NHS Health Check, the primary end user of the digital NHS Health Check. • Upper tier local authorities, have a legal responsibility to commission the NHS Health Check. For reporting, they will want to know the numbers of individuals being invited to, and taking up, a digital NHS Health Check. • Providers commissioned by local authorities to deliver the NHS Health Check. They are responsible for inviting participants—including prioritising which eligible individuals should be invited and when—delivering the checks and ensuring that data are returned to the individuals and GP. • General practices, may be providers of the NHS Health Check. They are also responsible for assessing results of the NHS Health Check for their patients and providing clinical management for individuals who complete their check. • Office for Health Improvement and Disparities (OHID) – National ownership of the NHS Health Check programme. OHID within DHSC is responsible for strategic oversight and national implementation of all aspects of the NHS Health Check programme.