Community Health Services

Concepts

• health and social work
• bealey community hospital discharge liaison early discharge team
• community health services
• bury
• crisis response children's community nursing team children's occupational therapy children's speech & language therapy special school
• provision of community health services
• stroke team community equipment store
• paediatric physiotherapy service neuro rehab
• range of services
• community

Location

Bury, Greater Manchester

Description

Provision of community health services for people in Bury, covering a range of services: Adult Speech Language Therapy Adults Occupational Therapy Audiology Community Eye Service Community Nursing Continence and Stoma Trial Without Catheter (TWOC) Community Cardiac Community IV Therapy Dietetics Physiotherapy Posture and Mobility Respiratory Team / COPD Bealey Community Hospital Discharge Liaison Early Discharge Team/Neuro Rehab/Stroke Team Community Equipment Store Rapid Response / Crisis Response Children's Community Nursing Team Children's Occupational Therapy Children's Speech Language Therapy Special School Nursing Bury Walk-in Centre Prestwich Walk-in-Centre Safeguarding/ LAC Specialist Palliative Care Resettlement Special School (A002) Paediatric Physiotherapy Service Neuro Rehab (A019) Woundcare and Lymphoedema Podiatry VAC Therapy

Total Quantity or Scope

Award of a 12 month contract, with the option to extend for a further 12 months, without prior publication of a call for competition. Annual contract value £19.2m

Award Detail

CPV Codes

• 85000000 - Health and social work services

Indicators

Legal Justification

NHS Bury CCG are beginning to grow an evidence base to demonstrate how, in future, health, voluntary, and social care partners may collaborate more effectively to delivery integrated care. The recent decision taken by the LCO Programme Board to integrate further services, remains a significant aspiration, during 2021. Due to the Covid-19 pandemic, since March 2020, services have been operating differently, with some services stood down in line with Covid-19 national guidance, others operating differently under NCA business continuity arrangements, with re-deployment of clinical staff to areas of pressure and parts of community health services reshaped as part of the Bury Health Care Transformation Programme; the NCA are, responding to the third wave of Covid-19, incorporating the learning from 2020. The current contract for the provision of the services in scope is due to expire on 30 June 2021, which is the end of the 2 year agreement originally put in place. This contract was awarded to enable the identification and planning of the long term approach to community services provision. The planning of community health services provision in Bury has, to a significant extent, been paused and consequently substantially delayed as a result of the Covid-19 pandemic. The clarity of what is needed from the health and care system from community health services has therefore not yet been worked through, due to the need to prioritise Covid-19 arrangements. In reality, both commissioner and provider services have lacked the capacity to simultaneously manage the pandemic and review services to the extent required to inform a confidence to commission the services which will be fit for purpose for the future. There is significant uncertainty at this time in respect of both future operational and financial requirements in respect of community health services, due to Covid-19 and future planning requirements of the NHS. Capacity of both the CCG and provider services should be considered, and recognition given to the benefit of ensuring that these currently stretched resources are not distracted from continuing to deliver optimal outcomes for Bury residents at this time. There is clear benefit from maintaining continuity of current services provision to ensure continuity for staff and patients, to avoid uncertainty, to minimise risk of ineffective or unsafe delivery of care and to ensure leadership of the ongoing development of the Bury LCO. In addition, an extension to current arrangements will ensure critical, robust planning can be undertaken to formulate the long term future requirements of these services. Having regard to these factors, the contracting authority has assessed that the incumbent provider is the only capable provider at this time to deliver critical continuity of essential services through this interim contract. Observing its obligations under both the NHS (Procurement Patient Choice and Competition) (No.2) Regulations 2013, and the Public Contract Regulations (2015), NHS Bury CCG has assessed the appropriateness to award the contract directly through a non-competitive process. Salford Royal NHS Foundation Trust is assessed to be the only provider being able to deliver this requirement at this time.

Other Information

Services are delivered from a number of community based sites and within people's own homes, such as community nursing. Some services specified above, such as Walk in Centres for example, have been suspended due to different operating arrangements in respect of Covid 19. The CCG is seeking to engage with providers who would be interested in contributing to the future delivery of community services, and anticipate hosting an initial engagement event during April 2021 covering the CCG's strategic approach to integrated health and care delivery in Bury, and beginning to define the role of community services providers within this. Annex D1 - General procurement - Justification for non-compete Extreme urgency brought about by events unforeseeable for the contracting authority