Patient Discharge Bridging Service

Service summary:<br/>

• Provide same-day or within-24-hour home-based support to enable timely and safe discharge from hospital.<br/>
• Deliver personal care and daily living support to eligible patients until their care is formally handed over to Adult Social Care.<br/>
• Operate under clear inclusion and exclusion criteria, supported by daily triage, robust governance oversight, and alignment with the MDT.<br/>
• Supply the required workforce, management structure, digital care-notes platform, reporting systems, and quality governance needed to safely deliver bridging care at a rolling capacity, trained to required CQC and NHS standards<br/>
• Source Care Teams from outside the local area to avoid placing additional pressure on local services.<br/>
• Work collaboratively with the Trust, local authorities, and community partners to ensure safe transitions and continuous monitoring of patient outcomes.<br/>
• Take responsibility for operational delivery, care coordination, risk management, data-sharing compliance, and performance reporting against KPIs, including discharge timeliness, length of stay, safe handover, and patient experience.<br/>
• Complete assessments for patients who are medically ready to be discharged upon arrival at home and prepare the referral for their ongoing pathway, in partnership with ESHT teams and appropriately Trained Assessors.<br/>
• The service Minerva provides to ESHT has a Rolling Care Capacity adjusted depending on the size of the service and patient numbers <br/><br/>This is a a established service, which has been stood up and down with Minerva serveral times since 2022. The intention is to award under the most suitable provider process. The maximum contract value including extensions is £4,000,000. The contract is nil comitment and services can be stood down up and down with 1 weeks notice.<br/><br/>Contract commencement - January 2026 - initial term 24 months, with option of a further 12 months. Additional information: The service was awarded equally across the five key criteria below (20%) each, as the Service felt each of the criteria require required equal consideration <br/><br/>Social Value was given 20% weighting as the relevant authority felt it was important to give some priority to social and environmental well-being.<br/>Quality & Innovation was weighted 20%, as the Authority wanted to ensure consideration was given to the requirements of the service, along with previous experience of innovation and quality improvement<br/>Value was weighted 20%, as the Authority felt it important to balance the cost of the service against the patient pathway and improved health outcomes<br/>Integration, collaboration & service sustainability was weighted at 20%, as the Authority must ensure the service model and service delivery are sustainable.<br/>Improving access and reducing health inequalities was weighted at 20% as it is important this service supports safe discharge of patients and implement patient specific packages of care.<br/>Award Decision Makers:<br/>Claire Lockwood - Service Manager<br/>Katy Lyne - Deputy Director of Operations<br/>Abigail Turner - Deputy Chief Operating Officer Community <br/><br/>No conflicts of interest declared