Complex Termination of Pregnancy (CTOP) Services across the South East

Description

The Commissioner is seeking suitable providers who have the capability and capacity to deliver Complex Termination of Pregnancy (CTOP) service, in line with the specified requirements, in the capacity of the Regional Network Lead Provider (Hub) responsible for the delivery, coordination and clinical governance of CTOP pathways across the South East region The procurement will establish one Regional Lead Centre (Hub) responsible for: • Hosting the Single Point of Access (SPOA) for all CTOP referrals in the South East. • Leading the Regional Multidisciplinary Team (MDT) to review, triage, and allocate cases across the network. • Delivering direct clinical care for patients requiring both medical and surgical terminations up to 23 + 6 weeks’ gestation. • Providing clinical governance and quality oversight for all Network Member Providers (Spokes). • Leading the training, upskilling, and maintenance-of-skills programme for the regional CTOP workforce, in line with the national CTOP service specification. • Coordinating regional data collection, audit, outcome reporting, and shared learning to ensure consistent standards of care across the South East. The aims of the service are to • Ensure that people needing NHS care for safe termination are always able to access specialised termination services up to 23 weeks 6 days of gestation (regardless of the legal ground) • Provide rapid access to local, safe, effective and satisfactory terminations for individuals excluded from treatment in routine termination services due to the complications posed to safe termination as a result of the patient’s medical needs or significant co-morbidities • Ensure that people with significant co-morbidities have access to NHS Centres at early gestation and in line with national gestation group (weeks) profiles where safe care requires NHS input • Maximise safety by providing local access to high quality expertise in specialised termination services up to 23 weeks 6 days of gestation with access to multidisciplinary teams and acute peri-abortion care when needed • Ensure that the quality of the care provided is nationally monitored and subject to a process of continued improvement (though a national dashboard) • Participate in national data collection to o improve understanding of service needs across the country to allow optimisation of outcomes and resources o improve understanding of optimal methods of treatment through analysis and publication of data o standardise the assessment criteria across all ISP specialist placement teams • Increase access to training opportunities in surgical terminations after 14 weeks of gestation, leading to a more robust workforce in termination services across sectors as well as an expansion of services at a greater range of gestational ages within NHS hospitals