National Clinical Audit of Stroke

The Healthcare Quality Improvement Partnership (HQIP) is seeking to commission an organisation that will support the delivery of the Sentinel Stroke National Audit Programme. The programme will initially be delivered for NHS-funded care in England and Wales but in future may include, Scotland, Northern Ireland, Jersey, Guernsey and Isle of Man. The total contract value is £2,280,000 excluding VAT for the duration of three years with potential to extend the contract for up to two additional years at a value of £760,000 per year. The aspirational intent as defined in the specification of this ITT has an anticipated value of up to £3,200,000. Based on the potential extension funding of up to 2 years and the aspiration intent, this contract has a potential ceiling value of up to £7,000,000 It is anticipated that the new service will commence in April 2023. Improvement aims and objectives of the project The SSNAP data driven healthcare quality improvement (QI) 3 year aims are to: • Contribute to the improvement of the thrombolysis rate to 14.5% (with a NHS LTP target of 20% by 2029) for all patients who could benefit from it • Contribute to the improvement of the mechanical thrombectomy rate to 8%-10% by 2029, including data and reporting to enable measurement for quality improvement through the communities of practice • Ensure stroke patients spend 90% of their admission on a specialised stroke unit Ensure ongoing dynamic development of Integrated Stroke Delivery Networks (ISDNs) data dashboards to support ISDNs and Integrated Care/Health Boards and regional directorates. • Evolve the post-acute care data set to enable community care and life after stroke services to measure for quality improvement including 6-month review, patient experience and outcome data • Ensure workforce and organisational data in acute and post-acute care pathways is available to benchmark and inform processes for improved outcomes in stroke care • Where possible, extend the audit to assess the quality of care delivered to patients who have had a stroke but are treated in non-stroke specific settings such as A&E or outpatient settings • Understand the processes of care given to patients that have been managed by stroke teams but are missing from national stroke data sets including patients who have had TIAs (transient ischemic attacks), minor strokes and/or stroke mimics. Whilst the contract value is listed as £2,280,000 for a duration of 3 years, Healthcare Quality Improvement Partnership reserve the right to invoke aspirational intent. The scope of this aspirational intent and value ranges are listed below and also under section 1.3.1 of the specification. The specification also outlines the mechanisms for invoking aspirational intent. It is important to note that HQIP are under no obligation to invoke any aspirational intent, or opt to invoke only certain elements of it. 1) Up to 24-month extension that mirrors the NCAPOP headline contract at £760,000 per year 2) As part of the National Clinical Audit and Patient Outcomes Programme, this project is required to remain responsive to future changes in clinical standards, service delivery and national clinical policy priorities. See Specification Section 2.10 and Section 9 where the future aspirational intention of this opportunity is to potentially include: • Different topics • Combining NCAPOP projects / programmes, including alignment across the programme, and / or joint working with other similar NCAPOP programmes Transitioning to different models of data collection and operational methods for the audit, e.g. different sources of routine data • Extending service coverage to include non-NHS funded care • Additional, associated or enhanced delivery of any aspect of the project • Other healthcare improvement initiatives either related to or linked with the project. Up to £1,000,000 3) Section 8 of the specification also outline HQIPs ability to include devolved nations during the contract as well as the criteria for inclusion. The value range along with the devolved nations applicable are described below. Scotland - £63,612 to £69,236 per annum Northern Ireland - £21,964 to £25,384 per annum Guernsey - £760 to £836 per annum Jersey - £1,140 to £1216 per annum Isle of Man - £988 to £1,140 per annum Please note, there is no commitment by the Authority at this stage to include any of the above aspirational intent Bidders should note that HQIP does not accept requests to amend the published Terms and Conditions of Contract after bid submission or prior to contract signature. Bidders must sign the Form of Tender to indicate acceptance of these Terms and Conditions of Contract. Failure to sign the Form of Tender will make your bid submission non compliant and subject to disqualification. In rare cases where a bidder wishes to raise a potential legal implication to agreeing to the terms and conditions, this must be raised during the published bidder clarification time window via the messaging module within the e-tendering portal so that it can be addressed via the standard process for all bidder clarifications.