Online PrEP Service

Tender description

Hackney council and a number of other local authority areas in London, are anticipating procuring an online PrEP Service to be in place during 2024/25 and to run for a period of up to 2years. After the initial phase we envisage online PrEP being part of the online pan London service that is likely to be commissioned by the London Sexual Health Programme. We are keen to hear from providers who might want to be part of this pre-procurement process. Commissioners do not have a defined blueprint about how the service or services should be configured and delivered – we are keen to hear from the market. Please note that this Prior Information Notice (PIN) is not a call for competition at this stage. However, we would like to hear your ideas, particularly about how you might be involved in helping us to deliver our mandatory Public Health responsibilities, in flexible, responsive, cost-effective ways. Our requirements are likely to include (but may not be limited to):- 1) Providing an online service which determines a local resident is a) PrEP ready and PrEP eligible for initiation and/or/or b) ready and eligible for continuation of PrEP which has been initiated elsewhere. Including but not limited to STI testing, HIV test, kidney function test(s) and meets the prevailing clinical guidance for the provision of PrEP 2) Having established PrEP ready and eligible to prescribe PrEP in accordance with prevailing guidelines and for the cost of PrEP prescribing to be met by NHS England 3) For PrEP to be dispensed via postal service or for collection at a suitable collection point e.g. clinical service, community pharmacy 4) For repeat testing and PrEP continuation to be well integrated into the new online service offer 5) To ensure wide spread awareness of the online service amongst City and Hackney communities (and in other areas of London where this service is commissioned) to enable residents who are accessing PrEP at out area clinics to have a choice as to where to choose to receive PrEP, STI testing HIV testing e.g. online, within a local clinic or continue at an out of area location 6) For services to widen uptake and access to PrEP amongst groups currently PrEP eligible but with lower uptake e.g. heterosexual residents, global majority communities, gbmsm from socially disadvantaged backgrounds 7) To ensure appropriate geofencing is in place to restrict services to those people who are usually resident within the areas commissioning this service e.g. excluding work place addresses, parcel collection points 8) High quality, cost-effective services which can be rapidly scaled up depending upon demand 9) The service is likely to operate on an item of service/ tariff within a defined maximum budget and this may require access be reduced, throttled or capped in order to ensure budgets set for provision are not exceeded 10) Clinically safe and robust provision 11) Non-judgmental and confidential services 12) Services that identify and pro-actively address health inequalities 13) Services that use data and insights to continuously adapt and improve 14) Services that have built strong partnerships for referral of complex or ineligible patients to local clinical services Please respond by providing an outline of how you would want to play a part in helping us deliver our online PrEP service as described above by 12 noon on 26th July 2024. Do not attach any sales leaflets or internet links as part of your response these will not be reviewed. We may want to hold further face to face/MS Teams conversations in August 2024 with providers who we identify would assist us with developing this proposal further. Keywords: PrEP, HIV, Sexual Health