Lot 3 - Community ENT - Southwest Hampshire

Contracts

• Lot 3 - Community ENT - Southwest Hampshire · Southern Health Foundation Trust

  Signed

  26 Mar 2015

  Value

  £3,321,605

  Status

  active

• Lot 3 - Community ENT - Southwest Hampshire · Southern Health Foundation Trust

  Signed

  26 Mar 2015

  Value

  £545,028

  Status

  active

  • Change This Modification Notice is being published to notify the extension of the contract for the Southern Health Integrated Community ENT Service for 18 months, under Reg 72(1)(c) Public Contract Regulation 2015, due to circumstances which a diligent Contracting Authority could not have foreseen. The modification does not alter the overall nature of the contract. Following the Modification Notice, the Community ENT Service will continue to treat all appropriate conditions suitable for management and treatment in a community setting including: • Ear • Hearing loss unilateral and bilateral where not thought to be age related (55yrs) to the Adult hearing Aid Service, following the hearing aid pathway • Conditions requiring surgical opinion/resolution The service will continue to provide high quality and cost effective services to ensure that all patients are treated appropriately in line with adopted NICE clinical guidelines and mandatory technical appraisals, including local Individual Funding Request Policy Guidelines, clinical thresholds and referral criteria. The service expectations and referral criteria/routes are the same as outlined in Section II 'Description of the procurement at the time of conclusion of the contract' above. The provider is a key partner in delivery of care in the local area and as such is expected to work in a collaborative and integrated fashion. This requires clinical collaboration with providers across the health system, adhering to locally-agreed pathways, as outlined in Section II 'Description of the procurement at the time of conclusion of the contract' above., Need for modification brought about by circumstances which a diligent contracting authority/entity could not foresee: The Covid pandemic has resulted in emergency measures which have delayed the process of reviewing, consulting on and agreeing the commissioning strategy and re-procurement of the Community ENT Service contract. The Covid pandemic and related unforeseen circumstances have resulted in significant delays to the scheduled service review and subsequent re-tendering activity, for example as: • Management of the Covid-19 response, both in terms of immediate measures and the subsequent recovery of diagnostic and elective activity (in between Covid Waves), has necessarily been the focus of the contracting authority, the incumbent provider and key partners and stakeholders since March 2020. • Resources in the contracting authority were redirected to support frontline activities including direct care for patients, efforts to support supply chain activities and vaccination programmes in line with national guidance around removing routine burdens and freeing up as much capacity as possible to focus on the pandemic response. • Resources in the wider system, including Acute and Community NHS Trusts and providers, Primary Care, Community and Tier 2 Providers and Clinicians, and other partners/ stakeholders, all of whom would have been engaged in the review and re-tendering exercise, were redirected to support frontline activities and the pandemic response. • The ability to undertake meaningful engagement and consultation as part of any review process has been limited by the pandemic, for example as infection prevention control guidance has precluded the convening of patient and public groups. The pandemic and related emergency measures has also meant that: • Data (e.g. activity and demand), which is essential to inform future commissioning strategies and models, is now out of date. The last 'steady state' data available is from 2019/20, prior to the pandemic. • Data gathered during the pandemic is not relevant or comparable. • Ways of working, patient behaviours and care pathways have all changed as a result of the pandemic. As noted in national guidance, it is vital that future work takes account of lessons learned during Covid, by locking in beneficial change and addressing both opportunities and weaknesses highlighted since March 2020. • As such, the 2019/20 baseline cannot be viewed as a reliable source for modelling future requirements. Given the pandemic is still ongoing, as is the analysis of lessons learned from Covid, and this will be essential to developing robust and future proof service models which meet the needs of our population. At the same time, the restructure of the NHS including the merging of CCGs is going ahead despite the disruption caused by the pandemic. As such, the health and care landscape is changing significantly. The Hampshire, Southampton and Isle of Wight CCG has been formed, bringing opportunities to consider demand and capacity modelling, speciality reviews and innovative models of care across a wider geography. Further changes are anticipated with the formation of Integrated Care Boards in 2022. The Contracting Authority considers the above issues have resulted in a set of circumstances which a diligent Contracting Authority could not have foreseen. Accordingly, Hampshire, Southampton and IOW CCG has decided there is a requirement to extend the existing contract for Integrated Community ENT Service with Southern Health for 18 months outside of the terms originally procured under Reg 72(1)(c) Public Contract Regulation 2015. The modification will enable a review to be undertaken in order to inform decisions about the type and scope of service required to meet future needs, based on robust data gathering, patient, clinical and stakeholder engagement, and lessons learned from the pandemic and the NHS restructure. The modification will also enable a robust, competitive procurement to be undertaken, including an adequate mobilisation period to minimise any risk of service discontinuity or negative impacts on patients or the wider system. The modification does not alter the overall nature of the contract and any increase in price does not exceed 50% of the value of the original contract. The extension value for the 18 months is £545,028 GBP (projected values); based on the contract providing services within the South West Hampshire geography, rather than the previous West Hampshire CCG geography which covered a wider

Bid statistics published by the authority

Dispute resolution & review bodies

• South of England Procurement servicesReview body Fareham