C298925- Provision of Crisis House in Redbridge (Most Suitable Provider Process)

The Health Care Services (Provider Selection Regime) Regulations 2023, Paragraph 10 - The

Most Suitable Provider Process is being used to commission this service. This notice will be

live for fourteen (14) days from the date of publication.

This is a notice to inform the market of the intention to commission a contract for a Crisis

House in the London Borough of Redbridge.

Crisis Houses offer an alternative to hospital for users of service to remain in a communitybased setting with 24/7 mental health support, where they are at the centre of their own

high-quality, rights-based care as citizens within their local community. Currently there are

no such mental health crisis alternatives in Outer North East London.

NELFT proposes to commission a Crisis House within the London Borough of Redbridge.

Redbridge has a population of 306,000 and residents from an Asian background (52%) are

the largest ethnic group, followed by White British (23%). Residents with Bangladeshi and

Pakistani background also experience some of the worst health outcomes across the

borough. 12% of the Redbridge population is income deprived, which is lower than the

national average (12.9%). In Redbridge the levels of deprivation are concentrated in specific

areas. The South and Northeast of the borough have the highest rates of deprivation and the

highest levels are around Ilford. It also has a much higher rate of homelessness than the

other NELFT boroughs, which is of particular importance to the new service as those

affected can be up to 15 times more likely to suffer from Severe Mental Illness (SMI)

(Redbridge JSNA 2021).

The recent stakeholder engagement undertaken by PPL on behalf of NELFT in December

2023 identified key features of a service to support people in mental health crisis. One of the

comments from that engagement specifically stated:

"There is a need for a respite spot - somewhere where someone can be away from their

family environment and does not necessarily need an inpatient admission but needs a place

to go and decompress and prevent things escalating to a place they do need an admission."

This brief crisis intervention will seek to reduce the need for acute, inpatient admission;

support the private sector bed exit plan and contribute to the Trust's ambition of zero out of

area placements. The Crisis House will be a collaboration between NELFT Redbridge

community and crisis services and the Provider.

The key elements of the Crisis House are that it be voluntary sector delivered using a traumainformed, autism-informed and equity-focused approach; includes peer support in the

interventions and links with the person's support network, local community assets and other

key partner agencies. People accessing the Crisis House will be experiencing a period of

mental health crisis and will access the service to be and feel safe. People will be able to take

part in a choice of therapeutic support while in the Crisis House that will help towards crisis

resolution. Redbridge mental health services from NELFT will provide clinical input to the

service.

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The Provider will supply suitable accommodation in the London borough of Redbridge, which

will accommodate between seven and nine users of service.

Each user of service will have a furnished bedroom and will also have access to private toilet

and bathing facilities and kitchen and dining provision.

Users of service admitted will be allocated to their designated room with the Provider

logging and tracking this information for reporting during their stay. Upon the completion of

their stay, the Provider will be expected to clean and prepare the room within shortest period

possible to ensure there is a sufficient turnaround with rooms for future users of service. The

coproduced House Charter will inform users of service the consequences where intentional

damage has been caused. It will not be the responsibility of NELFT to pay for any repair work.

The property shall be secure for all members of staff and users of service within the building

with effective security & emergency measures in place; this shall include but is not limited to

the following:

• fire alarms & fitted detection systems within the property
• emergency lighting
• fire extinguishers
• fire doors
• gas and electricity compliance
• appropriate insurance.