Mental Health Accommodation

{
  "id": "008914-2022",
  "tag": [
    "tender"
  ],
  "date": "2022-04-01T17:58:06+01:00",
  "ocid": "ocds-h6vhtk-03296d",
  "buyer": {
    "id": "GB-FTS-4622",
    "name": "Essex County Council"
  },
  "tender": {
    "id": "DN600944",
    "lots": [
      {
        "id": "1",
        "title": "Lot 1 - Intensive Assessment Beds (IAB) North-East & West Essex",
        "status": "active",
        "hasOptions": false,
        "hasRenewal": false,
        "description": "The requirement is for six Intensive enablement beds located in North-East Essex, which will accept referrals from individuals who have connection with either North-East or West Essex. The six-bed provision located in the North-East Essex area will cover both areas.\nThe primary purpose of this service is to provide a safe, community-based setting for assessments to be undertaken for people ready for discharge from hospital settings, including Personality Disorder and rehabilitation units. Referrals may also be made from the community for people who do not need an inpatient-based assessments and or/treatment.  Referrals will be managed a per the referral procedures which will be confirmed when contracts are awarded.\nIAB services will be CQC registered and deliver regulated personal care tasks alongside mental health support where needed.\nThe service will provide an opportunity to ensure individuals are appropriately assessed to receive the right support, at the right time and in the right place and receive the right resources to meet their identified assessed needs   once discharged from the scheme Comprehensive Care Act and community-based assessments undertaken within the IAB schemes  are a key element of the new model for recovery in Mental Health Accommodation and this will be a new service within ECC.\nThe service will provide a community setting where individuals can be assessed to identify the best placement to support their recovery, avoiding hospital admission where possible.\nThe successful provider will be expected to work as part of a Multi-Disciplinary Team (MDT) which will be based on site.\nThe MDT will include Mental Health professionals and partners relevant to providing holistic support such as Drug and Alcohol and other community services.\nThe provider will have expertise and knowledge of accommodation-based services, keeping people safe while assessments are undertaken\nProviders will need a robust understanding and knowledge of undertaking assessments and evaluating risk.\nProviders are required to have an awareness and understanding of the new model for Mental Health Supported Accommodation as they will be supporting referrals into other parts of the system and required to work collaboratively with other providers.",
        "contractPeriod": {
          "durationInDays": 1800
        },
        "submissionTerms": {
          "variantPolicy": "allowed"
        }
      },
      {
        "id": "2",
        "title": "Lot 2 -  Complex (Tier 1) in North-East & West Essex",
        "status": "active",
        "hasOptions": false,
        "hasRenewal": false,
        "description": "Complex (Tier 1) services are for people with complex mental health presentations who require a supported recovery setting to achieve their goals.\nSpecifically, this service:\n\tWill provide intensive support to people with complex presentations and chaotic behaviours, including personal care tasks where required.\n\tSupports the mental health of individuals which is liable to fluctuate, with a focus on assertive interventions and de-escalation of potential mental health crises.\n\tRequires that the provider will be expected to work with a Multi-Disciplinary Team (MDT) which will be based on site.\n\tIncludes an MDT which will comprise mental health professionals and partners relevant to providing holistic support such as Drug and Alcohol and other community services.\n\tMust focus on the social determinants of mental health: economic and environmental factors such as discrimination and social exclusion; adverse early life experiences; poor education; unemployment and job insecurity; poverty, income inequality, poor housing quality and neighborhood deprivation; poor access to sufficient healthy food.\nEssex County Council (ECC) will be responsible for all contracting arrangements as the commissioner for these services, which are jointly funded with North-East and West Essex Health partners.\nPlease note that Essex Partnership University Foundation Trust (EPUT) have the delegated authority to provide social care services for Mental Health.\nComplex (Tier 1) services will be Care Quality Commission (CQC) registered with the ability to provide short stay accommodation and support for individuals.\nThe service will operate 7 days a week, 52 weeks a year (including Christmas and all Bank Holidays).\nThe service provider will have a flexible approach to manage demand and individuals’ requirements and be willing to respond to changing pressures in the wider health and social care system.\nService will provide time limited intervention, through intensive support and assertive engagement which will be up to 6 months.\nIn general:\n\tSupport must be person-centred, outcome and strengths-focused.\n\tThe individual sets their own goals and is encouraged and supported to take the lead in their support planning and reviews of recovery progress.\n\tThe provider supports individuals to focus on their strengths, help build their confidence and supports them to achieve greater independence.\n\tEncourages positive risk taking whilst ensuring safety through robust risk assessments.\n\tUses technology to promote independence, informed choice and build coping strategies.\nSpecifically for Complex provision:\n\tIntensive Recovery focused support within a Psychologically Informed Environment (PIE) where possible.\n\tProvider working directly with an onsite MDT.\n\tLength of stay up to 6 months.\n\tWorkforce highly skilled and include peers / experts by experience.\n\tSupport able to engage and empower individuals with complex and serious mental health presentations.\n\tCQC registered and fully compliant with current guidance and all statutory requirements and ECC requirements.\n\tPersonal care tasks may be needed, and the workforce should be fully trained in accordance with CQC requirements to deliver integrated personal care and support as required in support plans.\n\tProvider is connected to community resources.\n\tProvider will ensure individuals are engaged in meaningful activity that contributes to the achievement of their goals.",
        "contractPeriod": {
          "durationInDays": 1800
        },
        "submissionTerms": {
          "variantPolicy": "allowed"
        }
      },
      {
        "id": "3",
        "title": "Lot 3 - High, Medium or Low (Tier 2-3) North-East Essex",
        "status": "active",
        "hasOptions": false,
        "hasRenewal": false,
        "description": "High Needs (Tier 2) services are for individuals with high level mental health needs who require a supported recovery setting to achieve their aspirations by building upon their strengths, skills, and knowledge, and ensuring they are leading their support plans.\nThis service is not CQC registered.\nThe service will operate 7 days a week, 52 weeks a year (including Christmas and all Bank Holidays).\nThe service provider will have a flexible approach to manage demand and individuals’ requirements and be willing to respond to changing pressures in the wider health and social care system.\nThe service will provide time limited intervention, through assertive engagement, the length of stay being based on individual needs. There will be a focus on supporting individuals to move out of the accommodation into mainstream housing as soon as they are able, and Individual Service Plans (ISP’s) will be in place to support this.\nWithin High Needs Provision:\n\tKey working arrangements should be in place to deliver person-centred and outcomes focused recovery support.\n\tIndividuals set their own goals and are supported to lead their support planning and personal progress reviews.\n\tThe provider supports individuals to focus on their strengths, build their confidence\n\tand to maximise their recovery potential and independence.\n\tCommunity resources and local connections are in place to help individuals to\n\taccess support.\n\tPositive risk taking is encouraged whilst ensuring safety through robust risk assessments.\n\tTechnology is used to promote independence, inform choice and build practical coping strategies.\n\tWorkforce will be highly skilled and include peers and experts by experience\n\tThe support meets the needs of individuals with complex presentations.\n\t24/7 staffing with waking night support as well as Concierge (to manage community\n\tsafety issues).\n\tThe provider will actively support individuals to ensure they are engaged in meaningful activity that contributes to the achievement of their goals.\nProviders will actively support individuals moving on, whether the person is stepping\ndown into lower support accommodation (Tier 3) or into their mainstream accommodation. Some people may not require further support.\nProviders must request a Care Co-ordinator review to assess and confirm the\nmove-on readiness of individuals at the point they are identified as ready and ensure move-on planning includes initial resettlement support arrangements and on-going support arrangements needed.\nMedium to Low (tier 3) services are for people who require support to achieve their aspirations by building upon their strengths, skills and knowledge, and ensuring they take the lead in the development of their personal support plans and recovery progress.\nThese services support incremental independence for people who need a recovery setting, to help them develop the confidence, personal resilience, practical skills and Mental Health management strategies needed to underpin their recovery and wellbeing to help sustain independent move-on.\nAlthough this service level is for people who have achieved or are close to achieving their personal recovery potential, an appropriate support response is needed to sustain progress and ensure that any signs of relapse are identified early and prevented from escalating.\nGenerally, much of the support needed will be to support independence and identify and access suitable housing options with individuals and help them consolidate their recovery to support their move on. Once housing options are identified and agreed, the support will focus on helping individuals plan their transition into independent housing and linking them to community services that are available to help them integrate and manage independently in the communities where they will be living.\nOur ambition with this specification is to create clustered facilities with smaller properties within walking distance of a ‘hub’ which has staff on site and overnight support\nThe service will operate 7 days a week, 52 weeks a year (including Christmas and all Bank Holidays)\nThe service provider will have a flexible approach to manage demand and individuals’ requirements and be willing to respond to changing pressures in the wider health and social care system.\nThe service will provide time limited intervention through assertive engagement, the length of stay being based on individual needs. There will be a focus on supporting individuals to move out of the accommodation into mainstream housing as soon as they are able.\nWithin Medium to Low needs provision:\n\tSupport must be person-centred, outcome and recovery focused.\n\tThe individual sets their own goals and leads their support planning and progress reviews.\n\tIndividuals are supported to focus on their strengths, build their confidence, achieve their recovery potential, and maximise their independence.\n\tIndividuals are supported to access community services and develop personal community networks.\n\tIndividuals are actively encouraged and supported to engage in seeking employment or meaningful activity.\n\tIndividuals are supported to apply positive risk taking in the context of safe and robust risk assessments.\n\tWeb based systems and online services are integrated into support delivery to facilitate equal access to online opportunities and systems e.g. benefits and job applications, and to integrate online support into personal coping strategies.\nProviders will actively support people moving into their mainstream accommodation via an agreed package of support.\nProviders must alert an individual’s EPUT Care Co-ordinator at the point they and the individual agree they are ready to move on from supported accommodation.\nEssex County Council is the commissioner for both these services, which are jointly funded with North-East and West Essex Health partners and will be responsible for all contracting arrangements.\nPlease note that Essex Partnership University Foundation Trust (EPUT) have the delegated authority to provide social care services for Mental Health.",
        "contractPeriod": {
          "durationInDays": 1800
        },
        "submissionTerms": {
          "variantPolicy": "allowed"
        }
      },
      {
        "id": "4",
        "title": "Lot 4 - High, Medium or Low (Tier 2-3) West Essex",
        "status": "active",
        "hasOptions": false,
        "hasRenewal": false,
        "description": "High Needs (Tier 2) services are for individuals with high level mental health needs who require a supported recovery setting to achieve their aspirations by building upon their strengths, skills, and knowledge, and ensuring they are leading their support plans.\nThis service is not CQC registered.\nThe service will operate 7 days a week, 52 weeks a year (including Christmas and all Bank Holidays).\nThe service provider will have a flexible approach to manage demand and individuals’ requirements and be willing to respond to changing pressures in the wider health and social care system.\nThe service will provide time limited intervention, through assertive engagement, the length of stay being based on individual needs. There will be a focus on supporting individuals to move out of the accommodation into mainstream housing as soon as they are able, and Individual Service Plans (ISP’s) will be in place to support this.\nWithin High Needs Provision:\n\tKey working arrangements should be in place to deliver person-centred and outcomes focused recovery support.\n\tIndividuals set their own goals and are supported to lead their support planning and personal progress reviews.\n\tThe provider supports individuals to focus on their strengths, build their confidence\n\tand to maximise their recovery potential and independence.\n\tCommunity resources and local connections are in place to help individuals to\n\taccess support.\n\tPositive risk taking is encouraged whilst ensuring safety through robust risk assessments.\n\tTechnology is used to promote independence, inform choice and build practical coping strategies.\n\tWorkforce will be highly skilled and include peers and experts by experience\n\tThe support meets the needs of individuals with complex presentations.\n\t24/7 staffing with waking night support as well as Concierge (to manage community\n\tsafety issues).\n\tThe provider will actively support individuals to ensure they are engaged in meaningful activity that contributes to the achievement of their goals.\nProviders will actively support individuals moving on, whether the person is stepping\ndown into lower support accommodation (Tier 3) or into their mainstream accommodation. Some people may not require further support.\nProviders must request a Care Co-ordinator review to assess and confirm the\nmove-on readiness of individuals at the point they are identified as ready and ensure move-on planning includes initial resettlement support arrangements and on-going support arrangements needed.\nMedium to Low (tier 3) services are for people who require support to achieve their aspirations by building upon their strengths, skills and knowledge, and ensuring they take the lead in the development of their personal support plans and recovery progress.\nThese services support incremental independence for people who need a recovery setting, to help them develop the confidence, personal resilience, practical skills and Mental Health management strategies needed to underpin their recovery and wellbeing to help sustain independent move-on.\nAlthough this service level is for people who have achieved or are close to achieving their personal recovery potential, an appropriate support response is needed to sustain progress and ensure that any signs of relapse are identified early and prevented from escalating.\nGenerally, much of the support needed will be to support independence and identify and access suitable housing options with individuals and help them consolidate their recovery to support their move on. Once housing options are identified and agreed, the support will focus on helping individuals plan their transition into independent housing and linking them to community services that are available to help them integrate and manage independently in the communities where they will be living.\nOur ambition with this specification is to create clustered facilities with smaller properties within walking distance of a ‘hub’ which has staff on site and overnight support\nThe service will operate 7 days a week, 52 weeks a year (including Christmas and all Bank Holidays)\nThe service provider will have a flexible approach to manage demand and individuals’ requirements and be willing to respond to changing pressures in the wider health and social care system.\nThe service will provide time limited intervention through assertive engagement, the length of stay being based on individual needs. There will be a focus on supporting individuals to move out of the accommodation into mainstream housing as soon as they are able.\nWithin Medium to Low needs provision:\n\tSupport must be person-centred, outcome and recovery focused.\n\tThe individual sets their own goals and leads their support planning and progress reviews.\n\tIndividuals are supported to focus on their strengths, build their confidence, achieve their recovery potential, and maximise their independence.\n\tIndividuals are supported to access community services and develop personal community networks.\n\tIndividuals are actively encouraged and supported to engage in seeking employment or meaningful activity.\n\tIndividuals are supported to apply positive risk taking in the context of safe and robust risk assessments.\n\tWeb based systems and online services are integrated into support delivery to facilitate equal access to online opportunities and systems e.g. benefits and job applications, and to integrate online support into personal coping strategies.\nProviders will actively support people moving into their mainstream accommodation via an agreed package of support.\nProviders must alert an individual’s EPUT Care Co-ordinator at the point they and the individual agree they are ready to move on from supported accommodation.\nEssex County Council is the commissioner for both these services, which are jointly funded with North-East and West Essex Health partners and will be responsible for all contracting arrangements.\nPlease note that Essex Partnership University Foundation Trust (EPUT) have the delegated authority to provide social care services for Mental Health.",
        "contractPeriod": {
          "durationInDays": 1800
        },
        "submissionTerms": {
          "variantPolicy": "allowed"
        }
      }
    ],
    "items": [
      {
        "id": "1",
        "relatedLot": "1",
        "deliveryAddresses": [
          {
            "region": "UKH3"
          }
        ],
        "additionalClassifications": [
          {
            "id": "85000000",
            "scheme": "CPV",
            "description": "Health and social work services"
          }
        ]
      },
      {
        "id": "2",
        "relatedLot": "2",
        "deliveryAddresses": [
          {
            "region": "UKH3"
          }
        ],
        "additionalClassifications": [
          {
            "id": "85000000",
            "scheme": "CPV",
            "description": "Health and social work services"
          }
        ]
      },
      {
        "id": "3",
        "relatedLot": "3",
        "deliveryAddresses": [
          {
            "region": "UKH3"
          }
        ],
        "additionalClassifications": [
          {
            "id": "85000000",
            "scheme": "CPV",
            "description": "Health and social work services"
          }
        ]
      },
      {
        "id": "4",
        "relatedLot": "4",
        "deliveryAddresses": [
          {
            "region": "UKH3"
          }
        ],
        "additionalClassifications": [
          {
            "id": "85000000",
            "scheme": "CPV",
            "description": "Health and social work services"
          }
        ]
      }
    ],
    "title": "Mental Health Accommodation",
    "status": "active",
    "coveredBy": [
      "GPA"
    ],
    "bidOpening": {
      "date": "2022-04-01T18:00:00+01:00"
    },
    "legalBasis": {
      "id": "32014L0024",
      "scheme": "CELEX"
    },
    "lotDetails": {
      "maximumLotsBidPerSupplier": null
    },
    "awardPeriod": {
      "startDate": "2022-04-01T18:00:00+01:00"
    },
    "description": "ECC and partners have ambitious plans for its new model of Mental Health Supported Accommodation, to develop an integrated health and social care response to meet the needs of individual who require supported accommodation. A comprehensive review of the health and social care system as a whole for supporting people with mental health needs has been undertaken. The numbers of people requiring support with complex needs has increased over recent years and traditional approaches to supported accommodation and reliance on residential provision for people with complex needs do not deliver the outcomes that people tell us support their recovery\nThis Mental Health Accommodation Specification sets out the requirements for enabling people who require support in a Supported Living setting to achieve their outcomes and aspirations by building upon their strengths, skills and knowledge and ensuring they are directing their care and support plans.\nBased on broad stakeholder engagement and co-produced with individuals with lived experience, ECC is procuring a range of provision at different Tiers to support the differing needs of People with Mental Health needs across Essex who require support in accommodation.\nThe new model reflects the need for a system change to broaden the provision to match more complex needs to the best recovery settings, and to reduce the number of people placed outside of the County boundary.\nThere will be four service levels complementing a whole system change, which include Intensive Assessment Beds and support in the community:\n\tIntensive Assessment Beds\n\tComplex (Tier 1)\n\tHigh (Tier 2)\n\tMedium and Low (Tier 3)\nThe implementation of the new model is starting in 2022 in the North East and West quadrant.\nThe ITT is composed of 4 lots covering the new services in the quadrants where the implementation in starting this year:\nLot 1 – Intensive Assessment Beds for North East and West\nLot 2 – Complex services for North East and West\nLot 3 – High, Medium and Low services for North East\nLot 4 - High, Medium and Low services for West",
    "tenderPeriod": {
      "endDate": "2022-05-13T12:00:00+01:00"
    },
    "contractTerms": {
      "hasElectronicPayment": true,
      "hasElectronicOrdering": true,
      "electronicInvoicingPolicy": "allowed"
    },
    "hasRecurrence": false,
    "classification": {
      "id": "85000000",
      "scheme": "CPV",
      "description": "Health and social work services"
    },
    "submissionTerms": {
      "languages": [
        "en"
      ],
      "bidValidityPeriod": {
        "durationInDays": 120
      }
    },
    "submissionMethod": [
      "electronicSubmission"
    ],
    "procurementMethod": "open",
    "mainProcurementCategory": "services",
    "submissionMethodDetails": "https://procontract.due-north.com/Register",
    "procurementMethodDetails": "Open procedure"
  },
  "parties": [
    {
      "id": "GB-FTS-4622",
      "name": "Essex County Council",
      "roles": [
        "buyer"
      ],
      "address": {
        "region": "UKH3",
        "locality": "Chelmsford",
        "postalCode": "CM1 1QH",
        "countryName": "United Kingdom",
        "streetAddress": "County Hall, Market Road"
      },
      "details": {
        "url": "https://www.essex.gov.uk/",
        "buyerProfile": "https://www.essex.gov.uk/",
        "classifications": [
          {
            "id": "REGIONAL_AUTHORITY",
            "scheme": "TED_CA_TYPE",
            "description": "Regional or local authority"
          },
          {
            "id": "07",
            "scheme": "COFOG",
            "description": "Health"
          }
        ]
      },
      "identifier": {
        "legalName": "Essex County Council"
      },
      "contactPoint": {
        "url": "https://procontract.due-north.com/Register",
        "name": "Ms Celine Couston",
        "email": "celine.couston@essex.gov.uk"
      }
    },
    {
      "id": "GB-FTS-307",
      "name": "High Court, Royal Courts of Justice",
      "roles": [
        "reviewBody"
      ],
      "address": {
        "locality": "London",
        "postalCode": "WC2A 2LL",
        "countryName": "United Kingdom",
        "streetAddress": "The Strand"
      },
      "identifier": {
        "legalName": "High Court, Royal Courts of Justice"
      }
    }
  ],
  "language": "en",
  "initiationType": "tender"
}