Alternative Provider Medical Services (APMS) at Minehead Medical Practice to NHS Somerset Integrated Care Board

NHS Somerset Integrated Care Board intends to award a contract to One Medicare t/a OnePrimaryCare LLP to deliver an Alternative Provider Medical Service at Minehead Medical Centre, in line with specified requirements.

The latest registered patient list size is 11,738 (NHS England January 2025). There is an opportunity for the provider of the new contract to potentially increase the registered list size and subsequent income through providing a good quality service.

The practice is situated in Minehead, a town in West Somerset with a population of 11,757 in the 2021 census. Minehead is in a remote area of West Somerset with the nearest town of Taunton around a 45-minute drive away. There is an Urgent Treatment Centre in Minehead although the nearest main hospital, including the Accident and Emergency Department is in Taunton. The distance to travel to the main hospital site and the Accident and Emergency Department in Taunton needs to be appropriately considered and incorporated in the delivery of services to patients.

The service will:

• Provide Primary Care Medical Services in accordance with the Alternative Medical Services Provider (APMS) contract.
• Offer registration to residents living within Minehead (see patient registration area within the tender documentation).
• Open from 08:00-18:30 Monday to Friday, excluding Bank Holidays.

The Contractor will:

• Provide GP led primary medical care services to patients residing in the Practice Registration Area and/or patients registered with the practice as temporary patients according to National Guidance as amended from time to time.
• Have an integrated and fully supported primary health care team to work in partnership with all other NHS and non-NHS healthcare Contractors and stakeholders (including, but not limited to, district nurses, social services, mental health services, acute trusts, voluntary and third sector services and Public Health England etc.) on the same basis as other GP practices in the area. This will include participating in and helping to integrate local collaborative models of working such as enhanced access arrangements, Primary Care Networks initiatives, NHS Somerset Integrated Care Board (ICB) Primary Care Strategy and other strategies that have elements that are relevant to primary care (e.g. mental health). In addition, the Contractor will engage and participate in future local collaborative models of working such as neighbourhood teams as and when they arise.
• Participate in the QOF and in the Delivery of Directed Enhanced Services (DES). The current list of Directed Enhanced Services is in Annex 1 of the service specification. It should be noted that these may change from time to time in line with national directions.
• The provider will form part of the local Primary Care Network requiring: -
• entering into the full Network Agreement
• agree data sharing agreements to support the delivery of extended hours
• sign up to the Network Contract DES on CQRS

Although not forming part of the APMS contract, the Provider will also provide Local Enhanced Services under a standard NHS Standard Contract.

The contract term will be for 3 years with an optional extension of any number of periods up to 2 years.

The contract value is £1,972,694 per annum giving a contract value of £5,918,082 for the initial contract period and £9,863,470 if the full extension period is adopted.

Additional monies up to a maximum of £300,000 is available for mobilisation and delivery of KPI's.

The new service is due to commence on the 24th January 2026.

This procurement was carried out by NHS South, Central and West Commissioning Support Unit (SCW) on behalf of the Commissioner.