Special Educational Setting (SES) Sight Test Service for Children and Young People

Description

NHS Mid and South Essex Integrated Care Board (the Authority) intends to award an Integrator contract to deliver the Special Educational Setting (SES) Sight Test Service for children and young people through local accredited optometry practices, following the Most Suitable Provider (MSP) process under the Health Care Services (Provider Selection Regime) Regulations 2023. Children under 16 (or up to 19 in full-time education) are entitled to free NHS eye tests, but pupils in special education schools face barriers to access. A successful NHS England pilot demonstrated benefits of delivering sight tests and advice in school settings. The NHS Long Term Plan committed to this service for residential settings, extended in 2023 to day schools. Funding is now recurrently allocated to ICBs from 2025/26. The ICB considers an integrator model most suitable, where a lead organisation coordinates and performance-manages local optometrists rather than the ICB holding multiple contracts. This approach supports Essex-specific partnerships, supply chain accountability, integration, measurable value, and social impact. In applying the Process, the Authority has assessed the five Key Criteria and reviewed NHSE pre-market engagement data to confirm provider capability and local connections. Based on this, the Authority believes it can identify the MSP without a competitive process. The scope of the service is to deliver sight tests for pupils attending special education schools across Essex (including activity associated with the Authority’s successor Essex ICB’s geographical footprint which covers North East Essex and West Essex also). There are an estimated 4,400 pupils in total across Essex within these schools and the service is based on an assumed uptake of 80%, equating to approximately 3520 sight tests per year. Further details are available in sections II.2.4), II.2.14), and VI.3). Lot 1: The Authority proposes to procure an Integrator organisation via the Most Suitable Provider Process (MSP) in accordance with the Provider Selection Regime (PSR). The contract will be a block contract commencing 9 February 2026 – 8 January 2028. Scope and Responsibilities The Integrator will: • Validate pupil numbers and financial assumptions during mobilisation. • Establish IT systems and reporting mechanisms. • Engage schools to promote service uptake. • Recruit and train subcontractors (optometrists). • Ensure delivery of annual sight tests for pupils in special education schools across Essex. Further details are in Docs 3a and 3b – Specification. Contractual Framework • The Integrator contract will use the Standard NHS Contract (short form), covering all performance and risk requirements. • Subcontractor agreements will be governed by the General Ophthalmic Services (GOS) Contract, per the national model. • Delivered under a block funding model, capped at NHS England allocation. Activity above the cap is at the Integrator’s risk; underspend will be reinvested into service improvement. • Provisions allow permitted modifications under Regulations and NHS Standard Contract change control. Known future modification: geographic expansion beyond Mid and South Essex to the wider Essex ICB footprint. Estimated Value The estimated aggregate value (including known modifications) is £570,000. Important Notice for Potential Providers The Authority will only consider organisations that: • Meet basic selection criteria (Reg 19). • Are not excluded or excludable (Reg 20). • Demonstrate capability across the five key criteria (Reg 5). Basic Selection Criteria Providers must: • Have a General Optical Council (GOC)-registered optometrist in senior leadership. • Hold an existing local contract for ease of mobilisation. • Demonstrate a proven track record in: o Partnerships with local accredited optometry practices. o Collaboration with independent and national opticians. o Working with the Local Optical Committee (LOC). o Commissioning and managing NHS eye care services, including subcontracting. • Ensure compliance with specification and contract terms across subcontractors, operating within the fixed tariff of at least £85 per sight test. • Show strong experience of and understanding of the GOS contract and governance. Key Criteria Assessment Providers must demonstrate capability across five areas: 1. Quality and Innovation (20%) o Experience delivering large-scale community eye care. o Proven model integrating independent and multiple practices with robust assurance. o Innovative digital platforms for referral and coordination. o Integration with hospital ophthalmology services. o Delivery of enhanced services (e.g., MECS, post-cataract care, glaucoma monitoring). 2. Value (20%) o Financial model reinvesting into NHS eye care. o Leveraging local infrastructure to minimise costs. o Centralised contracting and IT systems for efficiency. o Evidence of cost savings through reduced hospital reliance. 3. Integration, Collaboration, Sustainability (20%) o Strong relationships with local services and LOC. o Governance structures to sustain delivery across diverse networks. 4. Access and Health Inequalities (20%) o Accessible care close to home, including rural areas. o Contracting with independent and multiple practices. o Enhanced services for vulnerable groups. 5. Social Value (20%) o Commitment to reinvestment, workforce development, and local economic resilience. o Funded clinical training for subcontractors. o Subcontracting model supporting local economies and sustainable employment. Providers unable to meet these criteria should not apply. The Authority will only consider organisations evidencing equivalent scale, governance, digital infrastructure, hospital integration, and reinvestment mechanisms. Additional information: Further details can be found at sections VI.3.