Managed Service Resident Doctors (RD’s)

{
  "id": "033253-2024",
  "tag": [
    "tenderUpdate"
  ],
  "date": "2024-10-16T10:28:47+01:00",
  "ocid": "ocds-h6vhtk-04ac5f",
  "buyer": {
    "id": "GB-FTS-69933",
    "name": "Royal National Orthopaedic Hospital NHS Trust"
  },
  "tender": {
    "id": "PRO-798-2024",
    "title": "Managed Service Resident Doctors (RD’s)",
    "amendments": [
      {
        "id": "1",
        "unstructuredChanges": [
          {
            "where": {
              "section": "II.1.4.1"
            },
            "newValue": {
              "text": "The Royal National Orthopaedic Hospital NHS Trust (\"the Authority\", \"RNOH\") required the provision of Managed Resident Doctors Services, operating 24/7.The supplier will provide RNOH with Junior Clinical Fellow grade general medical and surgical cover for the entire RNOH (Stanmore campus) bed base 24 hours per day, 365 days per year (including weekends and bank holidays), for the full duration of the contract. Junior Clinical Fellow grade is considered to be of equal or greater experience to the UK post FACD 5.2 level. (FACD = Foundation Assessment of Competence Document).The Contracting Authority intends to award a contract under a Direct Award - Process C to NES UK Limited for 17 months, in accordance with The Health Care Services (Provider Selection Regime) Regulations 2023 (“PSR 2023”)."
            },
            "oldValue": {
              "text": "Provision of Managed Resident Doctors Services, operating 24/7, The supplier will provides RNOH with Junior Clinical Fellow grade general medical and surgical cover for the entire RNOH (Stanmore campus) bed base 24 hours per day, 365 days per year (including weekends and bank holidays), for the full duration of the contract. Junior Clinical Fellow grade is considered to be of equal or greater experience to the UK post FACD 5.2 level. (FACD = Foundation Assessment of Competence Document)."
            }
          },
          {
            "where": {
              "section": "I.1.8"
            },
            "newValue": {
              "text": "Stephen Marshman"
            },
            "oldValue": {
              "text": "Stepehen Marshman"
            }
          },
          {
            "where": {
              "section": "II.2.4.1"
            },
            "newValue": {
              "text": "The RNOH aims to deliver safe, effective, high quality care at all times. However, in relation to medical, and in particular SHO cover, this has become increasingly challenging over the past few years. The Trust’s inability to attract and retain an adequate SHO workforce has resulted in a growing clinical risk for our services which is reflected within the Trust’s Risk Register and compounded by factors such as increasing inpatient acuity and weekend surgical activity.It has been well recognised for some time that the model for safe medical cover across the Trust needs to be revised and following significant consideration the priority for this identified as safe, reliable out of hours and emergency SHO level cover throughout the whole week. This is perceived to be the safe foundation from which further workforce transformation and remodelling can then be undertaken.The adoption of a managed contract Resident Doctor model to provide 24 hour cover 7 days a week through an external provider, comprising of 4 WTE doctors alternating between weeks of day shifts and night shifts, with a full week off between duty periods. A tender process would be undertaken to identify a preferred provider with the aim to implement this service mode.A full OJEU restricted process was undertaken and the service was awarded to NES UK Limited on the 4th November 2019 and the contract expires on the 25th October 2024.The Contracting Authority intends to award a contract under a Direct Award - Process C to NES UK Limited for 17 months, in accordance with The Health Care Services (Provider Selection Regime) Regulations 2023 (“PSR 2023”).All key award criteria under PSR were considered when assessing providers, such as Quality and Innovation, Value, Integration, Collaboration and Service Sustainability, Improving Access, Reducing Health Inequalities and Facilitating Choice; and Social Value."
            },
            "oldValue": {
              "text": "The RNOH aims to deliver safe, effective, high quality care at all times. However, in relation to medical, and in particular SHO cover, this has become increasingly challenging over the past few years. The Trust’s inability to attract and retain an adequate SHO workforce has resulted in a growing clinical risk for our services which is reflected within the Trust’s Risk Register and compounded by factors such as increasing inpatient acuity and weekend surgical activity.It has been well recognised for some time that the model for safe medical cover across the Trust needs to be revised and following significant consideration the priority for this identified as safe, reliable out of hours and emergency SHO level cover throughout the whole week. This is perceived to be the safe foundation from which further workforce transformation and remodelling can then be undertaken.The adoption of a managed contract Resident Doctor model to provide 24 hour cover 7 days a week through an external provider, comprising of 4 WTE doctors alternating between weeks of day shifts and night shifts, with a full week off between duty periods. A tender process would be undertaken to identify a preferred provider with the aim to implement the this service mode.Full OJEU restricted process was undertaken and the service was awarded to NES UK Limited on the 4th November 2019 and the contract expires on the 25th October 2024.The intention is to award a contract under the Most Suitable Provider Process to NES UK Limited for 17 months."
            }
          },
          {
            "where": {
              "section": "II.2.5.1.1"
            },
            "newValue": {
              "text": "N/A"
            },
            "oldValue": {
              "text": "Most suitable provider process with regard to key criteria\t100\tCost"
            }
          },
          {
            "where": {
              "section": "VI.4.1.1"
            },
            "newValue": {
              "text": "Independent PSR Review Panel"
            },
            "oldValue": {
              "text": "Independent Choice and Procurement Panel"
            }
          }
        ]
      }
    ],
    "legalBasis": {
      "id": "32014L0024",
      "scheme": "CELEX"
    },
    "description": "The Royal National Orthopaedic Hospital NHS Trust (\"the Authority\", \"RNOH\") required the provision of Managed Resident Doctors Services, operating 24/7.<br/><br/>The supplier will provide RNOH with Junior Clinical Fellow grade general medical and surgical cover for the entire RNOH (Stanmore campus) bed base 24 hours per day, 365 days per year (including weekends and bank holidays), for the full duration of the contract. Junior Clinical Fellow grade is considered to be of equal or greater experience to the UK post FACD 5.2 level. (FACD = Foundation Assessment of Competence Document).<br/><br/>The Authority intends to award a contract to NES UK Limited, following a Direct Award - Process C, in accordance with The Health Care Services (Provider Selection Regime) Regulations 2023 (“PSR 2023”).",
    "classification": {
      "id": "85100000",
      "scheme": "CPV",
      "description": "Health services"
    },
    "mainProcurementCategory": "services"
  },
  "parties": [
    {
      "id": "GB-FTS-69933",
      "name": "Royal National Orthopaedic Hospital NHS Trust",
      "roles": [
        "buyer"
      ],
      "address": {
        "region": "UKI74",
        "locality": "Stanmore",
        "postalCode": "HA7 4LP",
        "countryName": "United Kingdom",
        "streetAddress": "Brockley Hill"
      },
      "details": {
        "url": "https://www.rnoh.nhs.uk",
        "buyerProfile": "https://www.rnoh.nhs.uk"
      },
      "identifier": {
        "legalName": "Royal National Orthopaedic Hospital NHS Trust"
      },
      "contactPoint": {
        "name": "Stephen Marshman",
        "email": "stephen.marshman@nhs.net"
      }
    }
  ],
  "language": "en",
  "initiationType": "tender"
}

{
  "id": "033219-2024",
  "tag": [
    "award",
    "contract"
  ],
  "bids": {
    "statistics": [
      {
        "id": "1",
        "value": 1,
        "measure": "bids",
        "relatedLot": "1"
      }
    ]
  },
  "date": "2024-10-15T19:00:07+01:00",
  "ocid": "ocds-h6vhtk-04ac5f",
  "buyer": {
    "id": "GB-FTS-69933",
    "name": "Royal National Orthopaedic Hospital NHS Trust"
  },
  "awards": [
    {
      "id": "033219-2024-1",
      "status": "active",
      "suppliers": [
        {
          "id": "GB-FTS-127114",
          "name": "NES HOLDINGS (UK) LIMITED"
        }
      ],
      "relatedLots": [
        "1"
      ]
    }
  ],
  "tender": {
    "id": "PRO-798-2024",
    "lots": [
      {
        "id": "1",
        "status": "cancelled",
        "hasOptions": false,
        "description": "The RNOH aims to deliver safe, effective, high quality care at all times. However, in relation to medical, and in particular SHO cover, this has become increasingly challenging over the past few years. The Trust’s inability to attract and retain an adequate SHO workforce has resulted in a growing clinical risk for our services which is reflected within the Trust’s Risk Register and compounded by factors such as increasing inpatient acuity and weekend surgical activity. <br/><br/>It has been well recognised for some time that the model for safe medical cover across the Trust needs to be revised and following significant consideration the priority for this identified as safe, reliable out of hours and emergency SHO level cover throughout the whole week. This is perceived to be the safe foundation from which further workforce transformation and remodelling can then be undertaken. <br/><br/>The adoption of a managed contract Resident Doctor model to provide 24 hour cover 7 days a week through an external provider, comprising of 4 WTE doctors alternating between weeks of day shifts and night shifts, with a full week off between duty periods. A tender process would be undertaken to identify a preferred provider with the aim to implement the this service mode.<br/><br/>Full OJEU restricted process was undertaken and the service was awarded to NES UK Limited on the 4th November 2019 and the contract expires on the 25th October 2024. <br/><br/>The intention is to award a contract under the Most Suitable Provider Process to NES UK Limited for 17 months.",
        "awardCriteria": {
          "criteria": [
            {
              "name": "Most suitable provider process with regard to key criteria",
              "type": "cost",
              "description": "100"
            }
          ]
        }
      }
    ],
    "items": [
      {
        "id": "1",
        "relatedLot": "1",
        "deliveryLocation": {
          "description": "Royal National Orthopaedic Hospital NHS Trust<br/>Brockley Hill<br/>Stanmore<br/>HA7 4LP"
        },
        "deliveryAddresses": [
          {
            "region": "UKI74"
          }
        ],
        "additionalClassifications": [
          {
            "id": "85110000",
            "scheme": "CPV",
            "description": "Hospital and related services"
          },
          {
            "id": "85111000",
            "scheme": "CPV",
            "description": "Hospital services"
          },
          {
            "id": "85141000",
            "scheme": "CPV",
            "description": "Services provided by medical personnel"
          }
        ]
      }
    ],
    "title": "Managed Service Resident Doctors (RD’s)",
    "status": "complete",
    "legalBasis": {
      "id": "32014L0024",
      "scheme": "CELEX"
    },
    "description": "Provision of Managed Resident Doctors Services, operating 24/7, The supplier will provides RNOH with Junior Clinical Fellow grade general medical and surgical cover for the entire RNOH (Stanmore campus) bed base 24 hours per day, 365 days per year (including weekends and bank holidays), for the full duration of the contract. Junior Clinical Fellow grade is considered to be of equal or greater experience to the UK post FACD 5.2 level. (FACD = Foundation Assessment of Competence Document).",
    "classification": {
      "id": "85100000",
      "scheme": "CPV",
      "description": "Health services"
    },
    "procurementMethod": "limited",
    "mainProcurementCategory": "services",
    "procurementMethodDetails": "Award procedure without prior publication of a call for competition",
    "procurementMethodRationale": "This is a Provider Selection Regime (PSR) intention to award notice. The awarding of this contract is subject to the Health Care Services (Provider Selection Regime) Regulations 2023. For the avoidance of doubt, the provisions of the Public Contracts Regulations 2015 do not apply to this award. The publication of this notice marks the start of the standstill period. Representations by providers must be made to decision makers by 25th October 2024. This contract has not yet formally been awarded; this notice serves as an intention to award under the PSR",
    "procurementMethodRationaleClassifications": [
      {
        "id": "D_OUTSIDE_SCOPE",
        "scheme": "TED_PT_AWARD_CONTRACT_WITHOUT_CALL",
        "description": "The procurement falls outside the scope of application of the directive"
      }
    ]
  },
  "parties": [
    {
      "id": "GB-FTS-69933",
      "name": "Royal National Orthopaedic Hospital NHS Trust",
      "roles": [
        "buyer"
      ],
      "address": {
        "region": "UKI74",
        "locality": "Stanmore",
        "postalCode": "HA7 4LP",
        "countryName": "United Kingdom",
        "streetAddress": "Brockley Hill"
      },
      "details": {
        "url": "https://www.rnoh.nhs.uk",
        "buyerProfile": "https://www.rnoh.nhs.uk",
        "classifications": [
          {
            "id": "BODY_PUBLIC",
            "scheme": "TED_CA_TYPE",
            "description": "Body governed by public law"
          },
          {
            "id": "07",
            "scheme": "COFOG",
            "description": "Health"
          }
        ]
      },
      "identifier": {
        "legalName": "Royal National Orthopaedic Hospital NHS Trust"
      },
      "contactPoint": {
        "name": "Stepehen Marshman",
        "email": "stephen.marshman@nhs.net"
      }
    },
    {
      "id": "GB-FTS-127114",
      "name": "NES HOLDINGS (UK) LIMITED",
      "roles": [
        "supplier"
      ],
      "address": {
        "region": "UKH17",
        "locality": "NORWICH",
        "postalCode": "NR1 1NJ",
        "countryName": "United Kingdom",
        "streetAddress": "100 Prince Of Wales Road"
      },
      "details": {
        "url": "https://neshealthcare.co.uk/",
        "scale": "sme"
      },
      "identifier": {
        "legalName": "NES HOLDINGS (UK) LIMITED"
      }
    },
    {
      "id": "GB-FTS-108768",
      "name": "Independent Choice and Procurement Panel.",
      "roles": [
        "reviewBody",
        "reviewContactPoint"
      ],
      "address": {
        "locality": "London",
        "postalCode": "SE1 8UG",
        "countryName": "United Kingdom",
        "streetAddress": "Wellington House"
      },
      "details": {
        "url": "https://www.england.nhs.uk"
      },
      "identifier": {
        "legalName": "Independent Choice and Procurement Panel."
      }
    }
  ],
  "language": "en",
  "contracts": [
    {
      "id": "033219-2024-1",
      "value": {
        "amount": 372000,
        "currency": "GBP"
      },
      "status": "active",
      "awardID": "033219-2024-1",
      "dateSigned": "2024-10-14T00:00:00+01:00"
    }
  ],
  "description": "This is a Provider Selection Regime (PSR) intention to award notice. The awarding of this contract is subject to the Health Care Services (Provider Selection Regime) Regulations 2023. For the avoidance of doubt, the provisions of the Public Contracts Regulations 2015 do not apply to this award. The publication of this notice marks the start of the standstill period. Representations by providers must be made to the relevant authority by 25th October 2024. This contract has not yet formally been awarded; this notice serves as an intention to award under the PSR. Contact: stephen.marshman@nhs.net<br/><br/>The decision-makers were: General Manager, Medical Directorate at the Royal National Orthopaedic Hospital NHS Trust; Deputy Chief Executive at the Royal National Orthopaedic Hospital NHS Trust; The decision was ratified by the Royal National Orthopaedic Hospital NHS Trust Executive Committee on 9th September 2024. No conflicts of interest were declared.<br/><br/>The key criteria considered for the recommendation to award is based on the experience and capacity of providers to accurately and within required timescales. The existing provider is satisfying its existing contract, will likely satisfy the new contract to a sufficient standard, and the proposed contracting arrangements are not changing considerably and the term of the existing contract is due to expire and RNOH proposes a new contract to replace the existing contract at the end of its term. To enter into a new contract for a period of 17 months.",
  "initiationType": "tender"
}