Sherford New Town Health Facility Market Testing Open Day Event

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Sherford New Town Health Facility Market
Testing Open Day Event

• Rebecca Harriott
• Deputy Chief Executive
• Devon Primary Care Trust
• 1 May 2008

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Purpose of Day

• To help Devon PCT design a successful procurement
  process
• To make information available to potential
  service providers

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Format of Day

• Agenda - information giving
• Some limited time for questions
• Lunchtime - post-its and display boards
• Afternoon - questions and discussion

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About Devon PCT

• Formed Oct 06 merger of 6 former PCTs
• 750,000 population
• 2500 square miles
• 29 towns, 24 community hospitals
• 1 billion budget

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Devon PCT Strategic Framework - For Consultation

• Urgent Care
• - Integrated urgent care centres
• - Rapid direct access to diagnostics and
  specialist opinion
• - Access to routine minor injury services
• - Care plans for those with complex needs
• - Out of hours nursing
• Planned Care
• - Local care centres for routine clinical
  assessment and treatment
• - Improved access to outpatients, diagnostics
  and surgery outside of acute hospitals
• - Development of self care and early
  intervention
• Maternity
• - Clinically integrated and co-ordinated
• - Reduced length of stay
• Staying Healthy

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Sherford New Town Health Facility Market
Testing Open Day Event
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Investing in Health and Social Care Services for
Sherford and the Surrounding Areas

• Sue Scrivener
• Major Capital Developments Manager
• Devon Primary Care Trust

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Partnership Working and Joint Planning

• The Case of Need is being developed in
  conjunction with colleagues in
• Plymouth Hospitals Trust
• Plymouth teaching Primary Care Trust
• General Practices
• Devon County Council (Social Services, Extra
  Care Housing and Childrens Trust)
• South Hams District Council
• South West Ambulance Trust
• Devon Partnership Trust
• Patient and Public Involvement representatives
  (South Hams Area)

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Case for Change

• New Sherford community
• Lack of health facilities in Ivybridge/Yealm
  locality
• Vital part of Plymouth area whole community
  strategy (Vanguard) to provide much needed
  capacity
• Crucial step in meeting national and local
  imperatives

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Priorities for Local Healthcare Community

• Reducing inequalities in health and ensuring
  fairer access
• Actively supporting people with long-term ill
  health or disabling conditions
• Removing needless delay from all aspects of
  diagnosis and treatment
• Increasing access to specialist diagnosis locally
• Avoiding needless use of hospital services
• Enhancing range of services closer to peoples
  homes
• Providing integrated services with
  multi-disciplinary providers to suit patients and
  families total needs
• Supporting the local community

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Figure 5. Geographic Map Showing Commissioning
Boundary and GP Practice
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Population Assumptions by 2021

• Sherford New Community 12,500
• Existing Ivybridge/Yealm locality 34,000
• 65 of Plympton and Plymstock area 43,500
• TOTAL 90,000

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Activity

• Day Case/Minor Surgery 3500 procedures
• Plain Film X-ray 7,500
• Outpatients 20,000
• Minor Injury Unit 15,000 (open 7am-9pm)
• Haemodialysis 10 stations 38 patients
• Community Services

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Timescales

• These are dependent on
• Which procurement route is taken
• Clarification of any building/leasing issues
• Approval by Devon PCT Board and NHS South West
• Aim To move forward as soon as possible so that
  the building can be built in line with the
  Developers timescales for this area of the town
  of Sherford

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Sherford New Town Health Facility Market
Testing Open Day Event
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Procurement Processes for Healthcare Services

• Claire Yardley
• Procurement Marketing Manager
• Devon Primary Care Trust

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Interested Providers?

• Focus on two routes for commissioning
• services
• Formal Tendering Process
• Any Willing Provider (AWP) model

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Formal Tendering Process

• To be used
• Purchasing an exclusive service from a single or
  limited number of providers
• For example GMS/PMS/APMS/SPMS/Dental

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Formal Tendering Process

• Do the procurement regulations apply?
• Part A priority services (full regulations
  apply)
• Part B residual services (regulations partly
  apply)
• Procurement of Healthcare Services is Part B
• Obligations
• To ensure no discrimination against potential
  service providers
• And
• If procurement exceeds financial threshold a
  post-award notice is published in OJEU

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Formal Tendering Process

• Good practice to use procurement processes
• use tactica (e-tendering system)
• Invite expressions of interest national advert
• Providers express interest and PQQ issued for
  completion
• Shortlist
• Post draft service specification and criteria and
  weightings - tactica
• Invitation to tender set closing date (3-4
  weeks)
• Pre-offer meeting
• Receive tender from potential providers
• Initial Evaluation/ Final Evaluation
• Award contract Post award activity

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Formal Tendering Process

• Timescales
• No timescale for tender responses
• As a guide 6 months (approx)
• GP and Primary Care Services are needed from the
  end of December 2010
• May/June 2010 start procurement process

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Any Willing Provider

• To be used
• - Elective Care
• - Multiple Providers
• - Not restricted to practice lists

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Any Willing Provider

• Process idea!
• Providers to be accredited by the PCT
• Service Specification posted
• Provider to submit business case
• Assessed by steering group against criteria
• Compliance with quality standards
• Contract monitoring no guarantee of volume or
  payment

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Any Willing Provider

• Issues
• Any accredited provider meeting criteria and
  quality standards will be able to provide service
• Multiple providers
• No deadline for business cases ongoing
  process
• Timescale between 2-3 months

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Summary

• When to use the commissioning routes
• Tendering - Is the service proposal requiring the
  commissioning of a single service provider?
• AWP Model - Is the service proposed for elective
  care and not restricted to specific practice
  lists?

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Contacts

• Tenders will be advertised and posted at
• https//tactica.belmin.com
• AWP Service Specification
• www.devonpct.nhs.uk
• Procurement of Healthcare Services Policy
• Claire.Yardley_at_nhs.net

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Questions?