Hastings Primary Care Hub NHS/SOEPS/21.822 CAN

The NHS East Sussex Clinical Commissioning Group ("CCG") are seeking bids from suitably qualified providers for the provision of a Primary Care Hub (PCH) service delivered from Hastings Station Plaza, led by Advanced Nurse Practitioners (ANP) and or appropriate Health Care Professionals and to include outreach and GP drop in clinic provision around Hastings and Rother.

Contract start date = 01 August 2022

Contract end date = 31 July 2025 (plus Commissioner option for extension for 2 years until 31 July 2027)

Key aims and Objectives

The CCG's aim is to deliver a robust, flexible and transformative model of care building on the Proof of Concept model currently being delivered from Hastings Station Plaza. The provider will work in partnership with local stakeholders and service providers to provide a new and innovative model of care. The model will support collaboration and partnership working with health, care and support services, reducing duplication, supporting seamless service delivery to key vulnerable groups and addressing health inequalities through the integrated delivery of the wider service offer available in Hastings and Rother for local people.

The service will primarily support the key vulnerable groups identified within the Equalities Health Impact Assessment (EHIA), Lone parents, Homeless and Rough Sleepers (including those in temporary accommodation), Veterans and Carers.

The service is offered for tender under a standard NHS contract for a period of 3 years commencing on the 1st August 2022 with option to extend for a maximum of a further two years. The total Financial Envelope for the maximum 5 year contract is £905,525 per annum, i.e. £4,527,625 in total. This figure includes £205,525 annual premises rent, which will be paid for by the CCG on a pass-through basis.

The closing date for ITT responses is 5pm on 17 January 2022. Tender documents are available at in-tendhost.co.uk/soepscommissioning/a… ↗ .

Please note: NHS England and Improvement have announced that the Sussex Health and Care Partnership, which is made up of all health and care organisations across East Sussex, West Sussex, and Brighton and Hove, has successfully met the criteria to become an Integrated Care System (ICS). An ICS is a way of working across health and care organisations that allows them to work closer together, to take collective responsibility of the health and wellbeing of populations across large areas.

It is not anticipated that the statutory responsibility or accountability of the individual health and care organisations working as an ICS will be affected, save for the expectation that CCG organisations will be abolished and functions transferred to the ICS. As a result of these intended healthcare reforms, the Contracting Authority, currently NHS East Sussex CCG, may change during the life of the contract.

Additional information: The service will offer the following:

1. Different operating times for drop-in services based on evidence of activity.
2. Advanced Nurse Practitioners (ANPs) and appropriate Health Care Professionals led service working within an in-reach and out-reach capacity and with regular, scheduled and documented clinical supervision and GP oversight, which would be best delivered through the Primary Care Network (PCN), to facilitate an aligned and collaborative patient service.
3. GP Drop in Clinics operating a minimum of eight hours a week over 2 or more sessions for patients who need treatment for acute illnesses, general health checks and support to seek medical attention when needed.
4. Advising and supporting patients who present without booked appointments on how to access other, more appropriate primary care services based on their need, either via NHS 111 CAS or their own registered GP; if required, people will be seen by a health professional when they present.
5. Provision of information and support to people who use drop-in facilities to improve their knowledge of the co-ordinated range of services that are available to them. Where appropriate the service will work with the patient's registered practice and/or the appropriate service to coordinate this support.
6. Offer a multi-disciplinary approach to the care of unregistered and vulnerable patients.
7. Development of new care pathways focused on wellness, signposting, care navigation and multi-agency delivery. There will be a strong focus on integration with other providers including voluntary and community sector providers to help secure future shift from treatment to health promotion and prevention of ill-health for local people.

The service will do this by:

• Providing medical interventions
• Providing case management and care coordination
• Providing medical and risk management
• Proactively engaging with service users and providing personalised care
• Working in an integrated, flexible and responsive way with other services in Hastings and Rother
• Listening, learning and responding to local needs
• Sharing learning, knowledge and service development with other services in Hastings and Rother

In addition, the service will provide:

• access to Primary Care services
• capacity for pre-bookable and same day appointments
• directly bookable appointments via Sussex NHS 111/CAS and UTCs
• patients directed to the correct service at the point of access thus encouraging an appropriate use of services
• referral where appropriate to Secondary Care services including two-week-waits
• effective communication of interventions and outcomes to core in-hours providers and the local urgent care system