Health and social work services

Description

NHS England and NHS Improvement South (South East) (the Commissioner) sought to commission a prime provider model for the provision of integrated healthcare services to HMP YOI Winchester, in order to support integrated, patient centred care across the full range of service specialities detailed in the service specification(s). 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 also be responsible for ensuring that all healthcare services operating within the prison work in an integrated way, delivering seamless care pathways. The contract is due to commence on the 1 July 2020, with a contract duration of 7 years. This procurement has been carried out by NHS South, Central and West Commissioning Support Unit (SCW) on behalf of the Commissioners. HMP Winchester is a Category B Local Prison that serves the local courts, with a small 129 bed category C Resettlement Unit (West Hill). Winchester has an operational capacity of approx. 700 and is able to take men from the age of 18 upwards. This service will be commissioned as part of the overall Offender Health pathway within the prison and as such this model will ensure an integrated, recovery orientated service delivery system both within the prison and onwards into the community. The service will focus on delivering person-centred care within seamless, integrated structured clinical and psychosocial interventions/services in prison and facilitating arrangements through the gate into the community to ensure effective continuity of care. The provider must develop close collaborative working relationships with HMPPS management and staff in HMP Winchester. The service is to be made available to all prisoners within the establishment. The provider must meet the unique needs of the establishments and take into account the needs of the population within that establishment. The services being commissioned include (please see service specifications for further information and full lists of services required): • General practitioners provision; • Primary care nursing; • Dental services; • Pharmacy services (including mechanism for OOH provision); • Inpatient unit facility; • Substance misuse services (including substance misuse wing); • Optometry; • Podiatry; • Audiology; • Primary and secondary mental health and learning disability services; • Health promotion and prevention; • Appropriate administrative and data management support (including data intelligence and reporting resource; date and intelligence analysis); • Musculoskeletal therapies; • Smoking cessation; • Blood Born Viruses testing to include funding, access and delivery (including provision of testing facilities where necessary); • Consultant-led pain management clinics; • Therapies; • Sexual Health screening (Tiers 1, 2). In addition the provider will be responsible for ensuring effective and meaningful pathways of care are established with secondary care/diagnostics and other services outside of this specification, including hospital-based services, to meet patient’s health needs. Social care provision will be included within the contract via a Section 75 agreement with the Local Authority. NHS England are implementing a shared approach to the management of Escorts and Bedwatches. In order to ensure the provider can manage escort and bed watch services in an effective and efficient manner and to protect the provider against significant bed watch and escort costs that are out of their control, NHS England will include a risk share agreement scheme within the contract. NHS England will be contracting for the services using the long form 2019/20 NHS Standard Contract for the provision of Healthcare Services, with an APMS contract module in Schedule 2L of the contract particulars for the provision of GP Services and a PDS contract for the provision of Dental services. A tripartite agreement will be necessary between the commissioner, the prime provider and the prime provider’s dental services provider if the prime provider cannot hold a PDS contract directly. The maximum annual contract value for the service is GBP 5 838 077, with a maximum total contract lifecycle value of GBP 40 866 539 inclusive of escorts and bed watches budget.