NHS England and NHS Improvement South East – Healthcare Services at Gatwick Immigration Removal Centre (Brook House and Tinsley House)

Description

NHS England and NHS Improvement South (South East) (NHSE/I) was seeking to recommission healthcare services at Gatwick Immigration Removal Centre (IRC). Gatwick IRC provides primary medical services to people who are detained whilst awaiting deportation from the United Kingdom. The IRC has two sites closely located: Brook House and Tinsley House. The service will deliver a comprehensive range of services in-house, to include physical health, mental health and substance misuse services. The National NHS Standard Contract will be used for this Service. The contract will be for a term of 7 years, commencing from 1st September 2021. The maximum value of the contract was £20,310,050 over the seven years. Lot 1: NHS England recommissioned this service using a prime provider model, in order to support integrated, patient centred care across the full range of service specialties required to manage the complex healthcare needs of those in the IRC setting. NHS England will hold a contract with the prime provider, who in turn can directly provide care and/or subcontract care to other specialist providers. The prime provider will be responsible for ensuring that all healthcare services operating within the IRC work in an integrated way, delivering seamless care pathways. Brook House has an operational capacity of 448. It has a robust secure physical environment including a segregation unit and holds a male population, many with complex needs. Tinsley House has an operational capacity of 162 and holds predominantly young men, although children and women are also detained in its family unit, which has a capacity of 16. Both Brook House and Tinsley House have a high turnover of arrivals and departures each month. It is recognised that this is a significant time of change and transition in terms of NHSE/I commissioning pathways, the Home Office review of detention enforcement policies, and the impact of COVID-19, all of which require excellent partnership working. The services included in the contract are: • GP provision • Primary care nursing and admin services • Pharmacy services (including mechanism for OOH provision) • Substance misuse services • Reception and transfer screening • Rule 34 and 35 assessment • Public health testing and screening • Optometry • Physiotherapy • Podiatry • Primary and secondary mental health and learning disability services • Sexual health services • Health promotion and prevention • Dental services (no dental suite on site) • Continuity of care including discharge planning and delivery of the RECONNECT programme • Application of Detention Service Orders as they relate to health provision. This procurement was carried out by NHS South, Central and West Commissioning Support Unit (SCW) on behalf of the Commissioners. The services are healthcare services falling within Schedule 3 to the Public Contracts Regulations 2015 ("the Regulations") which are not subject to the full regime of the Regulations, but is instead governed by the "Light Touch Regime" contained within Chapter 3, Section 7 of the Regulations (Regulations 74 to 77).