Prison Healthcare Services HMP Brixton & HMP/YOI Feltham

Lot 1 covers the provision of integrated healthcare services at HMP Brixton for an adult custodial population. Services will be delivered in line with the London Prison Healthcare New Models of Care and must provide safe, effective and patient-centred healthcare.

The Service will deliver reception and secondary screening; primary care; mental health services; substance misuse services; public health, screening and immunisations; pharmacy, diagnostics and pathology; sexual health and allied health services; smoking cessation; care for older people in custody; access to secondary and tertiary care; discharge planning; healthcare administration; and portering and cleaning of clinical areas. Dental services are excluded from the scope of this procurement as they are commissioned separately. The Service may also be required to support the Enhanced Support Service (ESS) model of care within HMP Brixton, including provision of ring-fenced nursing resource where specified.

The Service will be delivered through an integrated model covering early days in custody, planned care, urgent and emergency care, and release and transfer. It will work closely with HM Prison and Probation Service, commissioners, community providers and other partners to improve health outcomes, reduce health inequalities and support continuity of care and effective transitions between custody and community services.

The Authority intends to award the Lot 1 contract under the Competitive Process for an initial term of 5 years (60 months), with an optional extension of up to 2 years (24 months), giving a maximum term of 7 years (84 months). The initial term value is £47,878,945 and the approximate lifetime value, including the extension, is £67,030,523.

Lot 2 covers the provision of integrated healthcare services across HMP/YOI Feltham A and Feltham B. The chosen provider will deliver the Service across both sites under a single Lead Provider model, with separate service specifications applying to each part of the estate. Feltham A will be delivered in line with the Children and Young People Health and Wellbeing specification, the Healthcare Standards for Children and Young People in Secure Settings (2023) and other relevant national guidance and policy. Feltham B will be delivered in line with the London Prison Healthcare New Models of Care for the adult secure and detained estate.

The Service will deliver reception and secondary screening; primary care; mental health services; substance misuse services; public health, screening and immunisations; pharmacy services; diagnostics and pathology; sexual health services; allied health services; smoking cessation; access to secondary and tertiary care; discharge planning; healthcare administration; and portering and cleaning of clinical areas. Dental services are excluded from the scope of this procurement as they are commissioned separately.

At Feltham A, the Service will deliver a distinct, age-appropriate and therapeutic health and wellbeing model for children and young people. This will include integrated primary care, mental health and wellbeing support, safeguarding, proactive identification of need, coordinated care planning, and a whole-setting, trauma-informed approach in line with the Framework for Integrated Care. At Feltham B, the Service will follow the adult integrated care model covering early days in custody, planned care, urgent and emergency care, and release and transfer.

The Service will work closely with HM Prison and Probation Service, the Youth Custody Service, education providers, commissioners, community providers and other partners. Together they will support integrated care delivery, safeguarding and effective care transitions, improve health and wellbeing outcomes, reduce health inequalities, and ensure continuity of care for children, young people and adults across the Feltham estate.

The Authority intends to award the Lot 2 contract under the Competitive Process for an initial term of 5 years (60 months), with an optional extension of up to 2 years (24 months), giving a maximum term of 7 years (84 months). The initial term value is £39,465,375 and the approximate lifetime value, including the extension, is £55,251,525.