Lambeth Nursing Home APMS

A Contract Award Notice
by NEL SOUTH EAST LONDON CCG

Source: Find a Tender
Type: Contract (Services)
Duration: not specified
Value: £2M

Sector: HEALTH
Published: 02 Mar 2021
Delivery: not specified
Deadline: n/a

Concepts

Location

Geochart for 1 buyers and 1 suppliers

1 buyer

NEL South East London CCG London

1 supplier

Lambeth Healthcare London

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.

Total Quantity or Scope

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). … 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 & 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 £608,959 (£269,467 based on total CQC bed registrations and the current LES value of £339,492).

Award Detail

1	Lambeth Healthcare (London) Reference: 004107-2021-1 Value: £1,826,877

CPV Codes

85121100 - General-practitioner services

Legal Justification

The justification for the award being made to the GP Federation is as follows: • The borough-wide GP Federation is the only provider who has coverage across the borough, with strong and established relationships with Primary Care in the borough. • The GP Federation is the only provider who can report the level of information required (due to already established data sharing agreements) and can report on the clinical care activity relating to the patients in Nursing Homes. • The proposed service is a specialist local provision which has a need for specific local knowledge and understanding, both of which are held by the GP Federation. • The GP Federation is working with current local Providers on a transition plan and is engaging with local key leads and stakeholders. • Existing local providers have informed the CCG that they no longer wish to provide the service where they currently do so. • Southwark and Bromley models have shown an APMS contracted practice is the most effective and supportive way of delivering care to this specific targeted cohort of patients. • The proposal will mirror the Southwark and Bromley models and will be cost neutral.