Adults Community Services and Children's Community Services to the Bath and North East Somerset, Swindon, Wiltshire and Somerset Integrated Care System

Description

NHS Bath and North East Somerset, Swindon and Wiltshire Integrated Care Board ("BSW ICB"), Somerset Integrated Care Board ("SICB"), Bath and North East Somerset ("BaNES") Council, Swindon Borough Council and Wiltshire Council (the "Local Authorities") are responsible for commissioning Health and Care Services including Public Health Services within their localities. References below to the "Commissioners" are to BSW ICB, SICB and the Local Authorities collectively. This procurement is driven by the need to re-procure Community Services throughout all life stages. In line with the BSW Care Model, the life stages being procured are defined within two main groupings: • Starting Well o To provide children, young people, and families with support and care in the community, physical and emotional wellbeing, Community health and targeted support. • Living/Aging Well o Supporting self-care and prevention, proactive care and support, responding to urgent needs, rehabilitation and recovery from ill health and/or crisis. The Dying Well element explored as part of the Market Engagement covering Palliative and end of life care in all settings and bereavement support is included in the two main groupings. The procurement seeks to appoint a sole provider or consortium of providers with a nominated lead provider to provide a service which is innovative, meets patients' expectations and fits the needs of the BSW population now and throughout the contract period. Contracts will be for an initial term of 7 years with a possible extension of any period up to a further 2 years at the discretion of the Commissioner. Services are planned to commence from 01/04/2025. The scope and value of the contract with the Provider will be based on the initial financial envelope. As a minimum, the Provider will be responsible for the delivery of the core services that are defined within the Memorandum of Information within a budget of c. £138m (including VAT) per annum. There is a potential that the scope and value may change through the procurement process and during the contract term. The Commissioners are seeking services to be delivered innovatively in a way that meets the needs of the population now and throughout the contract period. As such, the Commissioners will expect the Provider to continuously engage with stakeholders and, in agreement with Commissioners, evolve the services ensuring they are fit for purpose and meets patients' needs. The services needs to work in an integrated manner offering seamless community-based care, particularly from a patient's viewpoint. Due to the complexity of the re-commissioning, and the complex nature of the community services being commissioned, the Commissioners are using a phased approach to secure the transformational change required. To enable this change and further integration of services, the Commissioners reserve the right to include the services defined as 'reserved services' within the Memorandum of Information within any contract without recourse to a further notice or procurement process. The combined total value of these reserve services is estimated to be c. £17m (including VAT) per annum. Any further investment in addition to the c. £138m (including VAT) per annum available for core services and the c.£17m (including VAT) per annum available for reserve services will be determined during the procurement process or the contract term alongside opportunities to improve value for money. As such, Commissioners have taken a view that over the life of the contract further investment and inflationary increase may be required which has been included in the total estimated value of the contract. This procurement is being managed by NHS South, Central and West Commissioning Support Unit ("SCW") on behalf of BSW ICB and the three local authorities (Banes, Swindon and Wiltshire). Lot 1: NHS Bath and North East Somerset, Swindon and Wiltshire Integrated Care Board ("BSW ICB"), Somerset Integrated Care Board ("SICB"), Bath and North East Somerset ("BaNES") Council, Swindon Borough Council and Wiltshire Council (the "Local Authorities") are responsible for commissioning Health and Care Services including Public Health Services within their localities. References below to the "Commissioners" are to BSW ICB, SICB and the Local Authorities collectively. This procurement is driven by the need to re-procure Community Services throughout all life stages. In line with the BSW Care Model, the life stages being procured are defined within two main groupings: • Starting Well o To provide children, young people, and families with support and care in the community, physical and emotional wellbeing, Community health and targeted support. • Living/Aging Well o Supporting self-care and prevention, proactive care and support, responding to urgent needs, rehabilitation and recovery from ill health and/or crisis. The Dying Well element explored as part of the Market Engagement covering Palliative and end of life care in all settings and bereavement support is included in the two main groupings. The procurement seeks to appoint a sole provider or consortium of providers with a nominated lead provider to provide a service which is innovative, meets patients' expectations and fits the needs of the BSW population now and throughout the contract period. Contracts will be for an initial term of 7 years with a possible extension of any period up to a further 2 years at the discretion of the Commissioner. Services are planned to commence from 01/04/2025. The scope and value of the contract with the Provider will be based on the initial financial envelope. As a minimum, the Provider will be responsible for the delivery of the core services that are defined within the Memorandum of Information within a budget of c. £138m (including VAT) per annum. There is a potential that the scope and value may change through the procurement process and during the contract term. The Commissioners are seeking services to be delivered innovatively in a way that meets the needs of the population now and throughout the contract period. As such, the Commissioners will expect the Provider to continuously engage with stakeholders and, in agreement with Commissioners, evolve the services ensuring they are fit for purpose and meets patients' needs. The services needs to work in an integrated manner offering seamless community-based care, particularly from a patient's viewpoint. Due to the complexity of the re-commissioning, and the complex nature of the community services being commissioned, the Commissioners are using a phased approach to secure the transformational change required. To enable this change and further integration of services, the Commissioners reserve the right to include the services defined as 'reserved services' within the Memorandum of Information within any contract without recourse to a further notice or procurement process. The combined total value of these reserve services is estimated to be c. £17m (including VAT) per annum. The procurement includes a negotiation process which will allow for understanding and development of the services including transformation plans over an agreed period to address the priorities set out in the service specifications. This will then be formalised in the contractual framework. The principles underpinning the approach to service delivery are set out in MOI section 2.5.4 including: • Population focussed • Informed by the experts and those with lived experience • Rewarding roles and careers • Support delivery of the BSW Together Integrated Care Strategy • Ensure consistency of offer • Meet the specification of requirements • Deliver the scope of services • Work collaboratively • Focus on value for money • Use technology better • Achieve environmental sustainability • Allow time for innovation and collaboration. Specific outcome measures will be developed with providers as part of this process. Contracts will be for an initial term of 7 years with a possible extension of any period up to a further 2 years at the discretion of the Commissioner. Services are planned to commence from 01/04/2025.