Complex Patient Package.
Prior information notice
Services
Section I: Contracting authority
I.1)Name, addresses and contact point(s)
NHS Rotherham Clinical Commissioning Group
Oak House, Moorhead Way, Bramley
For the attention of: Squires Tony
S66 1YY Rotherham
UNITED KINGDOM
Telephone: +44 1143054212
E-mail:
Further information can be obtained from: The above mentioned contact point(s)
I.2)Type of the contracting authority
Body governed by public law
I.3)Main activity
Health
I.4)Contract award on behalf of other contracting authorities
The contracting authority is purchasing on behalf of other contracting authorities: no
Section II.B: Object of the contract (Supplies or services)
II.1)Title attributed to the contract by the contracting authority:
Complex Patient Package.
II.2)Type of contract and place of delivery or of performance
Service category No 25: Health and social services
NUTS code UKE31
II.3)Information on framework agreement
II.4)Short description of nature and quantity or value of supplies or services:
Rotherham Clinical Commissioning Group (CCG) is seeking to appoint a provider to support a clinical pathway for patient X.
Diagnosis:
X is a young person who has moderate to severe learning disability and autism, and presents with significant behaviours that challenge. X has autism with complex sensory needs but is fully mobile and has no significant physical health problems.
Pen Picture X has spent the last 2 years in a hospital setting with a significant package of care including staffing of 4:1. At times X requires the use of rapid tranquillisation, but this has been reducing over the past 12 months.
X requires regular periods of short-term physical intervention to minimise incidents of head banging, finger biting, self induced vomiting and assaultive behaviour. The frequency of these incidents vary, but is usually in the region of 30-70 per week, although these vary in intensity significantly. The clinical team feel that some of this behaviour is driven by a need for the increased sensory stimulation experienced during restraint.
X has a complex, mixed diagnosis and has had significant input from a variety of national specialists, including South London and Maudsley NHS Foundation Trust and the Improving Lives Team. It is expected that this involvement will be maintained, at least in the short-medium term and any potential provider will be expected to work in partnership with these experts.
X is supported in an environment for which he has exclusive access, including living and open space. He will engage in some activities during the day, such as jigsaws, indoor cricket and, particularly, play with water. His engagement is variable and dictated by his mood and behaviour throughout the day. The clinical team have had limited success in identifying triggers for behaviour that challenges and have subsequent difficulty predicting activity for the day.
X's expressive language skills are limited, but have shown some improvement over recent months, where he has been better able to make his likes and dislikes better known. Communication remains a significant issue and barrier to care, which any provider would be expected to address.
X has a supportive family, who will visit most days. English is not their 1st language and translation services have been required occasionally.
What does the future look like?
- In the immediate future, X will need the comprehensive support and legal framework of a hospital setting. Any provider will need the appropriate infrastructure to support the provision of high staffing numbers, and contingencies to deal with sickness, etc.
- It is expected that X will transfer to a less restrictive, residential placement at the earliest opportunity. Ideally, within the next 12 months. Any provider will be expected to develop coherent plans to support this aspiration.
- X will need the support of a comprehensive psychological formulation and behavioural analysis, which is reviewed regularly.
- To support communication difficulties there will be a requirement for formal SALT assessment and ongoing support.
- Regular, and meaningful occupational therapy will be required.
- X requires appropriate education opportunities to support skill development.
What are the specific outcomes which all of those around the person should be working towards?
- Reducing dependence on support,
- Reduction in high levels of anxiety,
- Reduction in challenging behaviours,
- Reduction for the requirement of physical interventions,
- Reducing/eliminating the need for rapid tranquillisation,
- Maintaining family relationships,
- Develop X's community presence,
- Develop X's communication skills,
- Enabling and supporting X to manage change through improving coping skills with predictability of routines and tolerance of some managed changes.
What are our expectations of any potential placement?
- For X to be supported appropriately,
- For X to be safe,
- A stable staff group who are skilled in the management of behaviours that challenge,
- Staff to work closely with family and education to develop a full understanding of X and X's complexity of need,
- For X to improve his ability to express their needs,
- X's independence in the facility and community to be encouraged and progressed,
- For the placement to support family visits,
- X to be supported to reach their full potential.
What time scales are we expecting any potential placement to work towards?
Commencement of service provision is expected to commence in April 2016 with any potential transition to commence in early March 2016.
How will we monitor this?
- Provider will submit monthly progress reports about the individual based on an agreed support plan and contract specification.
- Provider will submit a quarterly placement report containing a detailed overview of progress to date and any future support plans.
- Case Manager will make review visits as required to maintain contact with Service User and develop a relationship with the Provider and staff team. This is currently on a fortnightly basis.
Future Arrangements:
90 minute meet the provider sessions have been identified on the following dates where further information will be available:
- 6.10.2015,
- 8.10.2015,
- 9.10.2015,
- 13.10.2015.
These sessions will be held at:
NHS Rotherham Clinical Commissioning Group, Oak House, Moorhead Way, Bramley, Rotherham, South Yorkshire, S66 1YY.
Bidders should express their interest in attending 1 of the events by registering on the https://www.nhssourcing.co.uk website. Please send a message through the online messaging system confirming the attendees (maximum 3 per organisation), their job title and a contact telephone number. Please indicate your availability to attend the above mentioned dates and the CCG will allocate the date to avoid clashing with other providers. Please confirm your attendance no later than 16:00 on 1.10.2015.
All subsequent documentation will be published through this eTendering portal.
The CCG would like potential providers to submit a written overview of their proposal in response to the requirements as set out in the PIN.
Diagnosis:
X is a young person who has moderate to severe learning disability and autism, and presents with significant behaviours that challenge. X has autism with complex sensory needs but is fully mobile and has no significant physical health problems.
Pen Picture X has spent the last 2 years in a hospital setting with a significant package of care including staffing of 4:1. At times X requires the use of rapid tranquillisation, but this has been reducing over the past 12 months.
X requires regular periods of short-term physical intervention to minimise incidents of head banging, finger biting, self induced vomiting and assaultive behaviour. The frequency of these incidents vary, but is usually in the region of 30-70 per week, although these vary in intensity significantly. The clinical team feel that some of this behaviour is driven by a need for the increased sensory stimulation experienced during restraint.
X has a complex, mixed diagnosis and has had significant input from a variety of national specialists, including South London and Maudsley NHS Foundation Trust and the Improving Lives Team. It is expected that this involvement will be maintained, at least in the short-medium term and any potential provider will be expected to work in partnership with these experts.
X is supported in an environment for which he has exclusive access, including living and open space. He will engage in some activities during the day, such as jigsaws, indoor cricket and, particularly, play with water. His engagement is variable and dictated by his mood and behaviour throughout the day. The clinical team have had limited success in identifying triggers for behaviour that challenges and have subsequent difficulty predicting activity for the day.
X's expressive language skills are limited, but have shown some improvement over recent months, where he has been better able to make his likes and dislikes better known. Communication remains a significant issue and barrier to care, which any provider would be expected to address.
X has a supportive family, who will visit most days. English is not their 1st language and translation services have been required occasionally.
What does the future look like?
- In the immediate future, X will need the comprehensive support and legal framework of a hospital setting. Any provider will need the appropriate infrastructure to support the provision of high staffing numbers, and contingencies to deal with sickness, etc.
- It is expected that X will transfer to a less restrictive, residential placement at the earliest opportunity. Ideally, within the next 12 months. Any provider will be expected to develop coherent plans to support this aspiration.
- X will need the support of a comprehensive psychological formulation and behavioural analysis, which is reviewed regularly.
- To support communication difficulties there will be a requirement for formal SALT assessment and ongoing support.
- Regular, and meaningful occupational therapy will be required.
- X requires appropriate education opportunities to support skill development.
What are the specific outcomes which all of those around the person should be working towards?
- Reducing dependence on support,
- Reduction in high levels of anxiety,
- Reduction in challenging behaviours,
- Reduction for the requirement of physical interventions,
- Reducing/eliminating the need for rapid tranquillisation,
- Maintaining family relationships,
- Develop X's community presence,
- Develop X's communication skills,
- Enabling and supporting X to manage change through improving coping skills with predictability of routines and tolerance of some managed changes.
What are our expectations of any potential placement?
- For X to be supported appropriately,
- For X to be safe,
- A stable staff group who are skilled in the management of behaviours that challenge,
- Staff to work closely with family and education to develop a full understanding of X and X's complexity of need,
- For X to improve his ability to express their needs,
- X's independence in the facility and community to be encouraged and progressed,
- For the placement to support family visits,
- X to be supported to reach their full potential.
What time scales are we expecting any potential placement to work towards?
Commencement of service provision is expected to commence in April 2016 with any potential transition to commence in early March 2016.
How will we monitor this?
- Provider will submit monthly progress reports about the individual based on an agreed support plan and contract specification.
- Provider will submit a quarterly placement report containing a detailed overview of progress to date and any future support plans.
- Case Manager will make review visits as required to maintain contact with Service User and develop a relationship with the Provider and staff team. This is currently on a fortnightly basis.
Future Arrangements:
90 minute meet the provider sessions have been identified on the following dates where further information will be available:
- 6.10.2015,
- 8.10.2015,
- 9.10.2015,
- 13.10.2015.
These sessions will be held at:
NHS Rotherham Clinical Commissioning Group, Oak House, Moorhead Way, Bramley, Rotherham, South Yorkshire, S66 1YY.
Bidders should express their interest in attending 1 of the events by registering on the https://www.nhssourcing.co.uk website. Please send a message through the online messaging system confirming the attendees (maximum 3 per organisation), their job title and a contact telephone number. Please indicate your availability to attend the above mentioned dates and the CCG will allocate the date to avoid clashing with other providers. Please confirm your attendance no later than 16:00 on 1.10.2015.
All subsequent documentation will be published through this eTendering portal.
The CCG would like potential providers to submit a written overview of their proposal in response to the requirements as set out in the PIN.
II.5)Common procurement vocabulary (CPV)
85110000
II.6)Scheduled date for start of award procedures
II.7)Information about Government Procurement Agreement (GPA)
II.8)Additional information:
The Contracting Authority intends to use an eTendering system in this procurement exercise and reserves the right to use a reverse auction.
Section III: Legal, economic, financial and technical information
III.1)Conditions relating to the contract
III.1.1)Main financing conditions and payment arrangements and/or reference to the relevant provisions governing them:
III.2)Conditions for participation
III.2.1)Information about reserved contracts
Section VI: Complementary information
VI.1)Information about European Union funds
VI.2)Additional information:
The Contracting Authority intends to use an eTendering system in this procurement exercise and reserves the right to use a reverse auction.
VI.3)Information on general regulatory framework
VI.4)Date of dispatch of this notice:
10.9.2015