National Flexible Framework for the provision of On-Site Surgical and Medical Capacity Solutions

The overall aims of the Services are to provide NHS Organisations with fully compliant solutions which supplement the delivery of patient care by NHS Organisations in line with the NHS’ core Key Performance Indicators and standards including but not limited to: • A&E 4 hour wait targets; • elective 18 week Referral to Treatment targets; • cancelled procedures targets; • bed availability and utilisation targets; • timely and appropriate diagnostic testing targets; • urgent 2 week GP referral rules for suspected cancer; and • any core targets and standards introduced over the term of this framework. The Services will aim: • To provide high quality support that can be called upon at relatively short notice. • To prevent inappropriate waiting times for patients and assist NHS Organisations in meeting national targets and guidelines. • To enable delivery of a Patient Pathway from referral to treatment that removes unnecessary delay in treatment. • To deliver treatment that is safe and effective in facilities that are owned and operated by an NHS Organisation (that is to deliver an “insourcing” service). • To establish a positive working relationship between an NHS Organisation and the Supplier to facilitate and maximise service delivery, the emphasis being on timely, quality, cost effective, evidence-based care, with appropriate clinical protocols and audit where possible. • To provide medical, nursing or other staff as a part of the Services to perform clinical and support activities, including therapies and administration. • To help Trusts to avoid unnecessary, inappropriate primary and secondary referrals. • To provide tailored audit and review processes with national and locally agreed Key Performance Indicators. The Services will cover the full range of Surgical and Medical specialties and sub-specialities, including but not limited to: • Surgical specialties o Cardiothoracic o General o Neurosurgery o Oral & maxillofacial (including minor oral surgery) o Ophthalmic o Otolaryngology (ENT) o Paediatric o Plastic o Trauma & orthopaedic o Urology o Vascular • Medical specialties o Anaesthesia o Clinical oncology o Clinical radiology o Emergency medicine o Intensive care medicine o Medicine o Acute internal medicine o Allergy o Audiovestibular medicine o Cardiology o Clinical Genetics o Clinical neurophysiology o Clinical pharmacology and therapeutics o Dermatology o Endocrinology and diabetes o Gastroenterology o General internal medicine o Genitourinary medicine o Geriatric medicine o Immunology o Infectious diseases o Medical oncology o Medical ophthalmology o Neurology o Nuclear Medicine o Otolaryngology (ENT) o Palliative medicine o Pharmaceutical medicine o Rehabilitation medicine o Renal medicine o Respiratory medicine o Rheumatology o Sport and exercise medicine o Stroke medicine o Tropical medicine o Obstetrics and gynaecology o Occupational medicine o Ophthalmology o Paediatrics o Paediatric cardiology o Paediatrics o Pathology o Chemical pathology o Haematology o Histopathology o Medical microbiology and virology o Psychiatry o Child and adolescent psychiatry o Forensic psychiatry o General psychiatry o Liaison psychiatry o Medical psychotherapy o Old age psychiatry o Psychiatry of intellectual disability The Supplier will offer managed solutions covering full or partial Patient Pathways (e.g. outpatients, diagnostics, surgery, ward, administration). The extent to which the Supplier manages Patient Pathways will be agreed with the NHS Organisation and described in the Call Off Contract Project Specification. Any prescribing requirement will be agreed with the NHS Organisation and described in the Call Off Contract Specification. The Services may include Patient Pathway management tools, such as digital pathway management and digital triage solutions. The Services may include the sourcing by the Supplier of additional high quality capital equipment and/or infrastructure upgrades.