Pre-Transfer Clinical Discussion & Assessment Service (PTCDA) - Home Visiting

Concepts

• health and social work
• leicester
• east midlands ambulance service
• assessment service
• pre-transfer clinical discussion
• pre-transfer clinical discussion & assessment service
• home visits
• home visiting
• pre-transfer clinical discussion & assessment service (ptcda) service
• the ambulance service

Location

Leicester:

Geochart for 1 buyers and 1 suppliers

NHS Leicester Leicestershire & Rutland Icb

Charnwood GP Network

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Description

Pre-Transfer Clinical Discussion & Assessment Service (PTCDA) service, which is a multi-agency approach to improving care in the community.

Total Quantity or Scope

The Contract is for the GP visiting element of the Pre-Transfer Clinical Discussion & Assessment Service (PTCDA) service, which is a multi-agency approach to improving care in the community and reducing avoidable conveyances and admissions to secondary care, which involves primary care, East Midlands Ambulance Service (EMAS) and secondary care geriatricians. This contract covers one element of the service, namely the GP visiting service, where GPs undertake home visits for patients referred by the NHS University Hospitals of Leicester (UHL) Trust Consultant Geriatrician or Geriatric Emergency Doctor following contact from the ambulance service . The ICB is intending to award a contract to an existing provider following direct award process C, where the existing provider is satisfying the existing contract and will likely satisfy the proposed new contract, and the contract is not changing considerably, and the test for considerable change is not met. The contract is cost and volume with a maximum lifetime (2-year) value of £973,216. The dates between which the services are intended to be provided are: 01/04/2025 to 31/03/2026 with an option to extend up to 31/03/2027.

Award Detail

Award Criteria

CPV Codes

• 85000000 - Health and social work services

Legal Justification

This is a Provider Selection Regime (PSR) intention to award notice. The awarding of this contract is subject to the Health Care Services (Provider Selection Regime) Regulations 2023. For the avoidance of doubt, the provisions of the Public Contracts Regulations 2015 do not apply to this award. The publication of this notice marks the start of the standstill period. Representations by providers must be made to the relevant authority by the 26th February 2025. This contract has not yet formally been awarded; this notice serves as an intention to award under the PSR.

Other Information

** PREVIEW NOTICE, please check Find a Tender for full details. ** This is a Provider Selection Regime (PSR) intention to award notice. The awarding of this contract is subject to the Health Care Services (Provider Selection Regime) Regulations 2023. For the avoidance of doubt, the provisions of the Public Contracts Regulations 2015 do not apply to this award. The publication of this notice marks the start of the standstill period. Representations by providers must be made to decision makers by the 26th of February 2025. This contract has not yet formally been awarded; this notice serves as an intention to award under the PSR. Email address where written representations should be sent: llricb-llr.contracting@nhs.net Details of the award decision-makers: NHS LLR ICB Strategic Commissioning Group on 28th of January 2025. Any declared conflicts or potential conflicts of interest of individuals making the decision and how these were managed: - Conflicts of interest were identified among the members of the Strategic Commissioning Group. The non-conflicted members assessed the nature and risk of this conflict and decided to allow the conflicted member to participate in the discussion but was excluded from the decision-making. The Contracting Authority has assessed the provider's suitability and technical/ professional ability to pursue this service based on their current activities and performance. The provider's economic and financial standing has been considered in accordance with basic selection criteria schedule 16 of PSR. Relative importance and rationale for the key criteria, and the rationale for choosing the provider with reference to the key criteria: 1. Quality and innovation The provider evidences service delivery through producing demand and activity data, and patient safety reporting. There was 100% satisfaction reported by professionals from the most recent NHS Friends and Family Test feedback (February 2024). No concerns or complaints have been received about the Provider or the service. 2. Value The contract for the home visiting element is paid on a cost per session basis, resulting in a cost-effective service which significantly reduces demands and cost for more expensive acute services. 3. Integration, collaboration and service sustainability The Provider works in an integrated and collaborative way with system partners (UHL, EMAS and General Practice) to deliver the home visiting service element of the service. Patient level data is shared with partners across the system. The Provider has appropriate policies, procedures and systems in place to deliver the service. Through the delivery of this service, there is a reduction in the number of ambulance conveyances and ED attendances, which improves the quality of those services. The service is staffed by local LLR GPs, and learning from the service is shared with General Practices. The service is also able to prescribe medication and organise further treatment . 4. Improving access, reducing health inequalities and facilitating choice The home visiting element of the service is delivered in people's own homes, the service is accessible to all patients regardless of geography (Leicester, Leicestershire and Rutland wide) and protected characteristics, accessible to patients referred by the Geriatrician at UHL. Data requirements will be reviewed and updated for the future to collate information about health inequalities. 5. Social value The provider evidences social value by providing local employment and purchasing local goods and services, The provider has good performance for patients remaining in their own homes (approx. 83% of patients avoided an ED attendance) following treatment, leading to fewer patient journeys to alternative services (such as ED attendance, ambulance call-out, or GP Practice attendance). It is recognised that this cohort of patients spend an average of 9 days in hospital, and patients become deconditioned whilst in hospital, and through the ED avoidance outcomes achieved by this service, the service is having a positive impact on the wellbeing of the patients and their carers.