PRJ-1278-NHSE-Care Homes GP APMS SEL ICB Southwark ITT

NHS South East London Integrated Care Board (NHS SEL ICB) (hereafter referred to as the “The ICB”) under delegated commissioning on behalf of NHS England (hereafter referred to as “the Authority”) invites Expressions of Interest (EOI) and completed Invitation to Tender (ITT) submissions from all suitable providers for the delivery of Care Home GP Services and specified enhanced services under Alternative Provider Medical Services (APMS) Contracts delivered directly to nursing and residential home residents within the borough of Southwark.

Background of the Service:

This service covers South East London and is a dedicated primary care service for older adult residents living in residential and nursing care homes in Southwark.

The service will operate under an APMS primary care contract and provide core General Medical Services together with an enhanced service specification for medical support for nursing and residential home residents in an agreed list of Care Homes in Southwark.

The service will provide GP services to a cohort of 393 Older People residing in an agreed list Nursing and Care Homes.

Contract Length and Value:

The contract will have an initial term of 5 years (60 months), followed by an optional extension of 5 years (60 months) plus 5 years (60 months) at the discretion of the commissioner . If all available extension is taken up in full the contract will have a maximum duration of 15 years (180 months).

The indicative contract value for this service for 2024/25 is £569,000 and over the five years the indicative contract value will be £2,541,629

Over the 15 years, if contract is extended to its full duration, the total indicative maximum contract value will be £6,822,000

The indicated contract value shown is dependent on the number of patient registrations and the maximum bed capacity/occupancy.

Desired Service;

This service aims to address the specific extended primary healthcare needs of Residents in Nursing and Residential care homes within the borough of Southwark. Southwark Integrated Care Board (ICB) recognise the benefits of working in partnership with the homes as part of a wider multi-disciplinary team (MDT) and wish to ensure the highest quality of care for patients within the Homes and to avoid unnecessary hospital admissions.

There are four main elements to the service:

i. Multi-disciplinary Team (MDT)

ii. General Practice services

iii. Scheduled visits by provider

iv. Medication Reviews

The overall aim of the Extended Primary Care Service to Nursing and Residential Care homes is the provision of quality care for Residents of the Home through high standards of primary care services supported by an MDT approach including:

• Providing a proactive, preventative, and coordinated service
• Improve the quality of care to people in Nursing and Residential Care Homes, ensuring that all residents receive a dedicated medical service.
• Minimise the risk and complications within this vulnerable group, which includes residents with highly complex needs by providing and monitoring a comprehensive programme of care.
• To provide proactive and coordinated care in managing chronic disease and medicines including care planning especially around discharge and end of life care.
• To reduce reliance on Out of Hours for crisis management as well as reduction in inappropriate unplanned admissions and A&E attendances
• To reduce inappropriate prescribing and wastage of medication

The Procurement is being managed by the NHS London Commercial Hub (NHS LCH) hosted by NEL ICB, on behalf of the Authority, in connection with a competitive Invitation to Tender (ITT) exercise that is being conducted via a process, based in part on the open procedure under the Public Contract Regulations 2015 (“the Regulations” (as amended)).