Children and Young People's Mental Health Services (CAMHS) for Southend, Essex and Thurrock

Concepts

• southend on sea
• health services
• chelmsford
• basildon
• grays
• welwyn garden city
• colchester
• mental health services
• hours service
• independent mental health advocacy service

Location

Essex:

Description

The purpose of this Notice is to confirm the award of a contract to North East London NHS Foundation Trust (NELFT) to provide Children and Young People's Mental Health Services (CAMHS) across Southend, Essex and Thurrock. This award is being made following the successful completion of a procurement process. The contract advert (reference 2021/S 000-009636) was published by NHS West Essex Clinical Commissioning Group (CCG) on behalf of the 7 CCGs within Essex and the 3 Local Authorities. Since this contract notice was published, the CCGs have been replaced with 3 Integrated Care Boards in line with the Health and Care Act 2022. The contract began on 1st April 2022 for a period of 7-years with the option to extend for a further 3-years. The aggregate maximum value of the contract is £430m. The total price for the initial 7-year period is £154,885,967.

Total Quantity or Scope

The Thrive Model has been developed nationally. This has been endorsed by the 'Future in Mind' report, it is therefore the intention to replicate a version of the Thrive Model in delivering the new service. The model is a blend of Tier 2 and Tier 3 services with a seamless progression up or down for the service user. All children and families will receive support and services which are appropriate to their needs. For many children this is likely to be community based, and should be easily and quickly accessible. Most young people requiring CAMHS will present with mental health problems that are causing significant impairments in their day-to-day lives. These presentations can result in both the need for scheduled and/or unscheduled care. CAMHS will be available for all children and young people who are aged 0 - 18 (25 if SEND), and who meet the agreed CAMHS referral criteria. The eligibility criteria is set out within the service specification. The current service has in place the following teams, which are expected to be replicated in this new service: - 7 Community Hub Teams - 3 Intensive Support Teams (crisis teams) - 1 Eating Disorder Service - 1 Learning Disability with MH Service - 1 Single point of access (SPA) service - 1 out of hours service (out of hours SPA) The service will also include the provision of the following: - Eating disorder including ARFID & FREED - Crisis care/Home treatment team - CAMHS with LD and CAMHS with ASD Service - Youth offending provision (there will be a requirement to work connectively with the POWER programme) - There will be a comprehensive 0-25 support offer that reaches across mental health services for CYP and adults in all STPs/ICSs, the expectation is that this contract will fulfil this up to age 18 and will work connectively with our adult providers - CYP IAPT - Expansion of the single point of access to field more enquiries from GP, schools and other professionals - Inclusion onto the AMHP rota for qualified professionals And locally agreed care pathways for: - LAC Service (for CYP who are placed in local authority and have a diagnosable mental health condition, some of which will be placed in Essex from other areas) - Early intervention in psychosis in conjunction with the current EIP provider - information and advice at a minimum for emotional wellbeing and mental health referrals - Mental Health Schools Team (links between the teams and the service) - Community Learning Disability Team (provided by another provider) for those with a requirement for MH input - Paediatric pathways such as tics, Tourette’s, ASD, PDA As a part of the contract North East Essex have commissioned an additional Children and Young People's Mental Health Early Intervention Service (CYP EIS). The aims and objectives of this service are to provide: • An easy to access early intervention service for Children and Young people from age 10-18 years of age (up to 25 years of age if SEND) who meet the scope of this service • Mental and emotional support through a range of interventions suited to the need and patient centred requirement of the service user • Informal non-statutory advocacy when required to all young people supported by this service and who do not meet criteria for Independent Mental Health Advocacy service. • An early intervention disordered eating service • Seamless transitions of care • Partnerships with relevant stakeholders to improve outcomes for people using this service.

Award Detail

Renewal Options

The contract may be extended by an additional 36 months (from 1st April 2029 - 31st March 2032). The Authority may wish to introduce additional and/or expand the scope of services during the lifetime of the contract (“Contract modification(s)”). Such contract modifications will be contemplated where additional requirements are similar and or complementary to the services already included in the Specification, at any given time. Such expansion would be by the addition of services commissioned by the Authority and / or other Contracting Authorities, as named in the Contract Notice. To this end, the Bidder should be aware that after the award of contract, there is a possibility that the successful Bidder may be offered a variation to the contract to include the services set out in this section in accordance with Regulation 72 (1) (a) of the Public Contracts Regulations 2015 (as amended The Public Procurement (Amendment etc.) (EU Exit) Regulations 2020). NEE – EIS The services and associated specification and prices, commissioned within this contract may be subject to review and change. With the creation of the ICB, the services may be reviewed across the Suffolk and North East Essex footprint. Therefore the scope of the possible changes to be made to this contract shall relate to the potential introduction of a larger population to support the ICB footprint (i.e. the contract and specification may be amended to the Ipswich & East Suffolk and West Suffolk populations), through a variation to the contract in accordance with Regulation 72 (1) (a) of the Public Contracts Regulations 2015. Mental Health Support Teams – Mid and South Essex ICB is developing a multi-year trajectory and a regional plan for the future MHST Waves (Waves 5 to 10) from 2021/22 to 2023/24 in accordance with NHS Englands ‘Transforming Children and Young People’s Mental Health Provision Green Paper’. the Mental Health Support Teams are services which are designed to support the mental health and wellbeing of children and young people in and around schools and colleges. This is an existing service delivered by North East London NHS Foundation Trust (NELFT), but may be included within the main CAMHS Contract when this arrangement ends. It may also be that this service covers all 3 Essex ICBs as well as Mid and South Essex. NHS Long Term Plan - It is also recognised that the NHS Long Term Plan made a renewed commitment that mental health services will grow faster than the overall NHS budget, creating a new national ringfenced investment fund worth overall at least £2.3bn a year by 2023/24. This is to enable further service expansion and faster access to community crisis and mental health services for both adults and particularly children and young people amongst growing visibility and concern about areas of longstanding unmet health need, such as in young people’s mental health services. This means that during the life of the contract, the budget is likely to grow and the scope of the services being delivered as a part of this contract will increase. There may be additions to the scope that are unknown at the time of tender. Such modifications may be made where the additional requirements are complementary to, or align with the scope of services and reflect longer term aspirations both locally, regionally and nationally in delivery of the strategy.

Award Criteria

CPV Codes

• 85100000 - Health services

Indicators

• Options are available.

Other Information

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