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tenderUpdateFind a Tender · tender Update

Provision for STI Sampling

Buyer: Kent Community Health N H S Foundation Trust →

BuyerKent Community Health N H S Foundation Trust
StatustenderUpdate
DeadlineNot published
ValueValue not published
Published1 Aug 2024

What is being bought

Postal and online Sampling for STIs

Categories

Health services 85100000

Comparable-procurement analytics

Benchmarked against retained Find a Tender procedures with CPV division 85. The category anchor is Health services (85100000); this is a deliberately broad market comparator. The comparison is shown at several levels rather than pretending one company or region is always the best benchmark.

Comparison setProceduresReported bids per procedureNamed award suppliersPrice evidence
Market: CPV division 8538,3731 median · 19.7 average (22,930 of 38,373 with a bid count)1.8 average (24,592 of 38,373 with named award suppliers)10 comparable price pairs
Same buyer6Not published1.5 average (2 of 6 with named award suppliers)Not published

“Reported bids” is an official aggregate, sometimes reported per lot; it is the closest available competition measure. “Named award suppliers” are winners, not all applicants.

Price-outcome signal

Not enough comparable procedures currently publish both a GBP tender value and a usable lowest-valid-bid value to calculate a responsible price-reduction benchmark. Tenderline deliberately does not infer a saving from named award suppliers or from missing award values.

Procurement strategy & market signals

Framework agreementNot published
Dynamic purchasing systemNot published
Competitive procurementNot published
Recurring requirementNot published
Procurement method rationaleNot published
Rationale classificationsNot published
Special regimeNot published
Covered byNot published
Submission policyNot published
Selection criteriaNot published
Risk detailsNot published

Planning & early market engagement

BudgetNot published
No-engagement rationaleNot published
Planning documents0
Planning milestones0

No planning milestones published.

Related procurements

No linked framework, prior procurement or reprocurement published.

Documents & submission route

No documents are published in the current source record.

Source data inventory

Diagnostic view. “Not published” means this current release does not provide a value.

OCIDocds-h6vhtk-047e99
Latest release ID024204-2024
Latest release timestampThu Aug 01 2024 15:25:45 GMT+0000 (Coordinated Universal Time)
Sourcefind-a-tender
Official notice URLNot published
Tender statusNot published
Procurement methodNot published
Procurement method detailsNot published
Main procurement categoryservices
Above thresholdNot published
Legal basis32014L0024
Tender period: startNot published
Tender period: endNot published
Expression of interest deadlineNot published
Enquiry deadlineNot published
Award period: startNot published
Award period: endNot published
Submission method detailsNot published
Submission languagesNot published
Electronic catalogue policyNot published
Total tender valueNot published
Tender lots in source0
Tender items in source0
Tender documents in source0
Awards in latest release0
Contracts in latest release0
Parties in latest release1

Notice history

DateEventReference
1 Aug 2024tenderUpdate024204-2024
30 Jul 2024tenderUpdate023775-2024
18 Jul 2024award, contract022362-2024

All source data

Unmodified official OCDS data retained by Tenderline for this procurement process.

Complete current OCDS release JSON
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  "tag": [
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  "date": "2024-08-01T16:25:45+01:00",
  "ocid": "ocds-h6vhtk-047e99",
  "buyer": {
    "id": "GB-FTS-109585",
    "name": "Kent Community Health N H S Foundation Trust"
  },
  "tender": {
    "id": "C297529",
    "title": "Provision for STI Sampling",
    "amendments": [
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        "id": "2",
        "description": "Date of Contract Award: 01/08/2024\nDates for which the services are intended to be provided: 01/08/2024 - 31/07/2026 with an optional extension to 31/07/2028.\nEstimated Lifetime Contract Value: £887,600.00",
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            },
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    "legalBasis": {
      "id": "32014L0024",
      "scheme": "CELEX"
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    "description": "Postal and online Sampling for STIs",
    "classification": {
      "id": "85100000",
      "scheme": "CPV",
      "description": "Health services"
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      "name": "Kent Community Health N H S Foundation Trust",
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        "locality": "ASHFORD",
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        "countryName": "United Kingdom",
        "streetAddress": "110-120 Eureka Park,Upper Pemberton, Kennington"
      },
      "details": {
        "url": "https://www.kentcht.nhs.uk/"
      },
      "identifier": {
        "legalName": "Kent Community Health N H S Foundation Trust",
        "noIdentifierRationale": "notOnAnyRegister"
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      "contactPoint": {
        "name": "Connor Hubbard",
        "email": "connor.hubbard@nhs.net"
      }
    }
  ],
  "language": "en",
  "initiationType": "tender"
}
Complete JSON history (3 releases)
1 Aug 2024 · 024204-2024 · tenderUpdate
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    "name": "Kent Community Health N H S Foundation Trust"
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    "id": "C297529",
    "title": "Provision for STI Sampling",
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        "description": "Date of Contract Award: 01/08/2024\nDates for which the services are intended to be provided: 01/08/2024 - 31/07/2026 with an optional extension to 31/07/2028.\nEstimated Lifetime Contract Value: £887,600.00",
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              "text": "This is a Provider Selection Regime (PSR) confirmation of contract award notice. This contract has been awarded under the Health Care Services (Provider Selection Regime) Regulations 2023. For the avoidance of doubt, the provisions of the Public Contracts Regulations 2015 do not apply to this award. This contract has now been formally awarded using direct award process C."
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      "name": "Kent Community Health N H S Foundation Trust",
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      },
      "details": {
        "url": "https://www.kentcht.nhs.uk/"
      },
      "identifier": {
        "legalName": "Kent Community Health N H S Foundation Trust",
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  "language": "en",
  "initiationType": "tender"
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30 Jul 2024 · 023775-2024 · tenderUpdate
{
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  "date": "2024-07-30T12:35:44+01:00",
  "ocid": "ocds-h6vhtk-047e99",
  "buyer": {
    "id": "GB-FTS-109585",
    "name": "Kent Community Health N H S Foundation Trust"
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  "tender": {
    "id": "C297529",
    "title": "Provision for STI Sampling",
    "amendments": [
      {
        "id": "1",
        "unstructuredChanges": [
          {
            "where": {
              "section": "VI.3"
            },
            "newValue": {
              "text": "This is a Provider Selection Regime (PSR) intention to award notice. The awarding of this contract is subject to the Health Care Services (Provider Selection Regime) Regulations 2023. For the avoidance of doubt, the provisions of the Public Contracts Regulations 2015 do not apply to this award. The publication of this notice marks the start of the standstill period. Representations by providers must be made to decision makers by 31/07/2024. This contract has not yet formally been awarded; this notice serves as an intention to award under the PSR.\nAny representations must be made in writing and sent via email to connor.hubbard@nhs.net\nAward Decision Makers are:\n- Head of Service: Integrated Sexual Health\n- Chief Finance Officer\nThere were zero conflicts of interest identified.\nThe Key Criteria the authority considered when decision make was considered of equal importance and weighting due to the nature of the contract and it's service delivery. The rationale with reference to each criteria is as follows:\nQuality and Innovation:\nKCHFT have worked with Preventx since 2021 to deliver online STI home self-sampling services and have dispatched over 10,000 tests. Since commencement of the contract, SHUK have consistently met all KPI's that have been set and their patient experience and feedback has always been excellent.\nThrough the Preventx 'local clinic model', KCHFT are responsible for Clinical Patient Management (CPM) of their residents through the online service (including safeguarding flags, reactive results, management of positives). This provides a seamless journey when users need to be referred into clinic, which is particularly important when there is a reactive blood result. The local clinical model allows the KCHFT team to cross reference records on their clinical record system when a safeguarding flag is raised through the online service. In this time they have been able to further develop the offer to include additional tests such as Syphilis RPR, Hep B, Hep C, TV and MGen. We are also able to ask females if they have anal and/or oral sex and provide the appropriate swabs.\nPreventx also have developed a triage for users with mild and complex symptoms. If this was implemented, testing could be expanded (e.g., females with vaginal discharge being tested for TV). Preventx research on TV testing was presented at BASHH.\nValue:\nThe kits are produced in-house and posted first class, same day (before 4pm) Monday to Saturday. They include all required consumables (swabs, urine, microtubes for bloods), personalised instructions and links to videos.\nKits are CE marked, compact, discrete, and environmentally friendly. The packaging design ensures that the contents are protected in transit.\nAn SMS is sent 2 days after kit dispatch to coincide with user receiving kit with link to help videos. the instructions and SMS user prompts have been iteratively developed over 13 years and achieve a high return rate of 78% to 80.5%.\nSamples are tested in Preventx's in-house laboratory, which is a CQC registered UKAS and ISO 15189 accredited medical laboratory and only performs testing for our own services.\nOnce returned to the laboratory, samples are booked in and the user receives an SMS informing them they will receive their results within 72 hours.\nIn 2022, SH:UK dispatched over 1.3m kits and completed over 3.5 million tests in our laboratory. 98% of samples processed by the Preventx lab are turned around within 48 hours.\nAnother value adding element is the partnership that is provided with this contract as it also utilises the skill and knowledge of local services to follow up on treatments, partner notification and safeguarding flags that are raised. The framework from which this was procured originally clearly shows that from a cost perspective SH:Uk offered more competitive pricing than other online providers whilst still offering quality of service and value. The online service also offers value in the monetary sense in that we have never exceeded our prescribed budget but that it would also cost more for us as an organisation to be able to offer this service in house and our current lab provider does not have the infrastructure to be able to turn around tests results as quickly as SH:UK or indeed the IT portal for patients to be able to track their kits or access their test results.\nIntegration, Collaboration and Service sustainability:\nAt present within Medway our current commissioning contract is due to end March 2025, due to the short time frame involved and the uncertainty of future contracts it is necessary to look to this route of procurement rather than commence a full tender under PCR 2015 . This will ensure sustainability of service and integration into other related services for the people of Medway and continuation of service whilst the questions surrounding our main contract are resolved.\nImproving Access, Reducing health inequalities and facilitating choice:\nPreventx have been working in partnership with Kent Community Health NHS Foundation Trust to Medway residents since November 2021 in the delivery of an online home self-sampling service. Direct access to the service via www.sh.uk in addition to online referral routes including Sexual health | Sexual health | Medway Council and Welcome to Clover Street, the Medway sexual health hub.\nSince the service commenced, there have been over 10,000 orders fulfilled and over 7,000 screens completed.\nPreventx's service management and reporting has been developed in line with Public Health England's Sexual Health and Inequalities toolkit (2021) to monitor sexual health inequalities at a local level. We provide all orders and positives broken down by Gender; Sex and Sex with; Age; Ethnicity; Deprivation and Classification embedded in the service account management and reported to the service on a quarterly basis as a minimum.\nData from the Medway online self-sampling service demonstrates all cohorts of users in terms of gender; sexuality, sex with; age; ethnicity and deprivation access the service; often to a higher degree than their representation within the population. This Evidences the acceptance and accessibility of the service to Medway residents. Of note, users from African; Caribbean and White and Black African/ Caribbean backgrounds are accessing the service to higher proportion that within the population,\nSocial Value:\nPlastic waste is a significant issue, particularly in healthcare. Almost a quarter of the NHS's waste in England and Wales is plastic, according to NHS Supply Chain. Preventx recently changed all of their self testing Kits to reduce plastic and made a reduction of more than 80%, in doing this they are saving 10 tonnes of plastic per year and this does not include the environmental benefits due to a reduction in the weight of their testing kits. They achieved this in collaboration with service users via surveys and focus groups to help inform the changes. Other environmental factors for online testing mean that people do not have to travel to access services as this can be achieved from their own home. This reduces further carbon emissions related with the required travel to and from testing locations, and reduces the consequent potential air pollution in these areas. It also increases accessibility of services for patients, research also shows that online testing is acceptable for all demographics that may not access traditional healthcare services, which can lead to an improved social well-being as patients who cannot access services such as this due to location constraints, now have access."
            },
            "oldValue": {
              "text": "This is a Provider Selection Regime (PSR) intention to award notice. The awarding of this contract is subject to the Health Care Services (Provider Selection Regime) Regulations 2023. For the avoidance of doubt, the provisions of the Public Contracts Regulations 2015 do not apply to this award. The publication of this notice marks the start of the standstill period. Representations by providers must be made to decision makers by 31/07/2024. This contract has not yet formally been awarded; this notice serves as an intention to award under the PSR.\nAny representations must be made in writing and sent via email to connor.hubbard@nhs.net\nAward Decision Makers are:\n- Head of Service: Integrated Sexual Health\n- Chief Finance Officer\nThere were zero conflicts of interest identified.\nThe Key Criteria the authority considered when decision make was considered of equal importance and weighting due to the nature of the contract and it's service delivery. The rationale with reference to each criteria is as follows:\nQuality and Innovation:\nKCHFT have worked with Preventx since 2021 to deliver online STI home self-sampling services and have dispatched over 10,000 tests. SH:UK were also rated as outstanding in their last CQC review in all 5 domains Since commencement of the contract. SHUK have consistently met all KPI's that have been set and their patient experience and feedback has always been excellent.\nThrough the Preventx 'local clinic model', KCHFT are responsible for Clinical Patient Management (CPM) of their residents through the online service (including safeguarding flags, reactive results, management of positives). This provides a seamless journey when users need to be referred into clinic, which is particularly important when there is a reactive blood result. The local clinical model allows the KCHFT team to cross reference records on their clinical record system when a safeguarding flag is raised through the online service. In this time they have been able to further develop the offer to include additional tests such as Syphilis RPR, Hep B, Hep C, TV and MGen. We are also able to ask females if they have anal and/or oral sex and provide the appropriate swabs.\nPreventx also have developed a triage for users with mild and complex symptoms. If this was implemented, testing could be expanded (e.g., females with vaginal discharge being tested for TV). Preventx research on TV testing was presented at BASHH.\nValue:\nThe kits are produced in-house and posted first class, same day (before 4pm) Monday to Saturday. They include all required consumables (swabs, urine, microtubes for bloods), personalised instructions and links to videos.\nKits are CE marked, compact, discrete, and environmentally friendly. The packaging design ensures that the contents are protected in transit.\nAn SMS is sent 2 days after kit dispatch to coincide with user receiving kit with link to help videos. the instructions and SMS user prompts have been iteratively developed over 13 years and achieve a high return rate of 78% to 80.5%.\nSamples are tested in Preventx's in-house laboratory, which is a CQC registered UKAS and ISO 15189 accredited medical laboratory and only performs testing for our own services.\nOnce returned to the laboratory, samples are booked in and the user receives an SMS informing them they will receive their results within 72 hours.\nIn 2022, SH:UK dispatched over 1.3m kits and completed over 3.5 million tests in our laboratory. 98% of samples processed by the Preventx lab are turned around within 48 hours.\nAnother value adding element is the partnership that is provided with this contract as it also utilises the skill and knowledge of local services to follow up on treatments, partner notification and safeguarding flags that are raised. The framework from which this was procured originally clearly shows that from a cost perspective SH:Uk offered more competitive pricing than other online providers whilst still offering quality of service and value. The online service also offers value in the monetary sense in that we have never exceeded our prescribed budget but that it would also cost more for us as an organisation to be able to offer this service in house and our current lab provider does not have the infrastructure to be able to turn around tests results as quickly as SH:UK or indeed the IT portal for patients to be able to track their kits or access their test results.\nIntegration, Collaboration and Service sustainability:\nAt present within Medway our current commissioning contract is due to end March 2025, due to the short time frame involved and the uncertainty of future contracts it is necessary to look to this route of procurement rather than commence a full tender under PCR 2015 . This will ensure sustainability of service and integration into other related services for the people of Medway and continuation of service whilst the questions surrounding our main contract are resolved.\nImproving Access, Reducing health inequalities and facilitating choice:\nPreventx have been working in partnership with Kent Community Health NHS Foundation Trust to Medway residents since November 2021 in the delivery of an online home self-sampling service. Direct access to the service via www.sh.uk in addition to online referral routes including Sexual health | Sexual health | Medway Council and Welcome to Clover Street, the Medway sexual health hub.\nSince the service commenced, there have been over 10,000 orders fulfilled and over 7,000 screens completed.\nPreventx's service management and reporting has been developed in line with Public Health England's Sexual Health and Inequalities toolkit (2021) to monitor sexual health inequalities at a local level. We provide all orders and positives broken down by Gender; Sex and Sex with; Age; Ethnicity; Deprivation and Classification embedded in the service account management and reported to the service on a quarterly basis as a minimum.\nData from the Medway online self-sampling service demonstrates all cohorts of users in terms of gender; sexuality, sex with; age; ethnicity and deprivation access the service; often to a higher degree than their representation within the population. This Evidences the acceptance and accessibility of the service to Medway residents. Of note, users from African; Caribbean and White and Black African/ Caribbean backgrounds are accessing the service to higher proportion that within the population,\nSocial Value:\nPlastic waste is a significant issue, particularly in healthcare. Almost a quarter of the NHS's waste in England and Wales is plastic, according to NHS Supply Chain. Preventx recently changed all of their self testing Kits to reduce plastic and made a reduction of more than 80%, in doing this they are saving 10 tonnes of plastic per year and this does not include the environmental benefits due to a reduction in the weight of their testing kits. They achieved this in collaboration with service users via surveys and focus groups to help inform the changes. Other environmental factors for online testing mean that people do not have to travel to access services as this can be achieved from their own home. This reduces further carbon emissions related with the required travel to and from testing locations, and reduces the consequent potential air pollution in these areas. It also increases accessibility of services for patients, research also shows that online testing is acceptable for all demographics that may not access traditional healthcare services, which can lead to an improved social well-being as patients who cannot access services such as this due to location constraints, now have access."
            }
          }
        ]
      }
    ],
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      "id": "32014L0024",
      "scheme": "CELEX"
    },
    "description": "Postal and online Sampling for STIs",
    "classification": {
      "id": "85100000",
      "scheme": "CPV",
      "description": "Health services"
    },
    "mainProcurementCategory": "services"
  },
  "parties": [
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      "id": "GB-FTS-109585",
      "name": "Kent Community Health N H S Foundation Trust",
      "roles": [
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        "region": "UKJ4",
        "locality": "ASHFORD",
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        "streetAddress": "110-120 Eureka Park,Upper Pemberton, Kennington"
      },
      "details": {
        "url": "https://www.kentcht.nhs.uk/"
      },
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        "legalName": "Kent Community Health N H S Foundation Trust",
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  "initiationType": "tender"
}
18 Jul 2024 · 022362-2024 · award, contract
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        "description": "This contract is for the provision of STI sampling services, including:\n •\tOnline portal assessment for and provision of postal kit for STI and viral hepatitis testing (Gonorrhoea, Chlamydia, HIV Syphilis).\n•\t1st line treatment for uncomplicated Chlamydia infection\n•\tReferral and support into care\n•\tProvision of surveillance and monitoring data\n•\tProvision of condoms and lubricant\n•\tSign posting, information and support\nThe Authority is intending to award this contract to an existing provider following direct award process C as per the Provider Selection Regime\nThe approximate life time value of this contract is circa £887,600.00\nThe contract / services shall be provided from 01/08/2024 to a maximum term of 31/07/2028",
        "awardCriteria": {
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    ],
    "items": [
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    "procurementMethod": "limited",
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    "procurementMethodDetails": "Award procedure without prior publication of a call for competition",
    "procurementMethodRationale": "This is a Provider Selection Regime (PSR) intention to award notice. The awarding of this contract is subject to the Health Care Services (Provider Selection Regime) Regulations 2023. For the avoidance of doubt, the provisions of the Public Contracts Regulations 2015 do not apply to this award. The publication of this notice marks the start of the standstill period. Representations by providers must be made to the relevant authority by 31/07/2024. This contract has not yet formally been awarded; this notice serves as an intention to award under the PSR",
    "procurementMethodRationaleClassifications": [
      {
        "id": "D_OUTSIDE_SCOPE",
        "scheme": "TED_PT_AWARD_CONTRACT_WITHOUT_CALL",
        "description": "The procurement falls outside the scope of application of the directive"
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    ]
  },
  "parties": [
    {
      "id": "GB-FTS-109585",
      "name": "Kent Community Health N H S Foundation Trust",
      "roles": [
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      "address": {
        "region": "UKJ4",
        "locality": "ASHFORD",
        "postalCode": "TN254AZ",
        "countryName": "United Kingdom",
        "streetAddress": "110-120 Eureka Park,Upper Pemberton, Kennington"
      },
      "details": {
        "url": "https://www.kentcht.nhs.uk/",
        "classifications": [
          {
            "id": "BODY_PUBLIC",
            "scheme": "TED_CA_TYPE",
            "description": "Body governed by public law"
          },
          {
            "id": "07",
            "scheme": "COFOG",
            "description": "Health"
          }
        ]
      },
      "identifier": {
        "legalName": "Kent Community Health N H S Foundation Trust",
        "noIdentifierRationale": "notOnAnyRegister"
      },
      "contactPoint": {
        "name": "Connor Hubbard",
        "email": "connor.hubbard@nhs.net"
      }
    },
    {
      "id": "GB-COH-06603066",
      "name": "Preventx",
      "roles": [
        "supplier"
      ],
      "address": {
        "region": "UK",
        "locality": "Sheffield",
        "postalCode": "S9 2EQ",
        "countryName": "United Kingdom",
        "streetAddress": "Meadowhall Business Park, Carbrook Hall Road,"
      },
      "details": {
        "scale": "large"
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    {
      "id": "GB-FTS-106758",
      "name": "Kent Community Health NHS Foundation Trust",
      "roles": [
        "reviewBody"
      ],
      "address": {
        "locality": "Ashford",
        "countryName": "United Kingdom"
      },
      "identifier": {
        "legalName": "Kent Community Health NHS Foundation Trust"
      }
    }
  ],
  "language": "en",
  "contracts": [
    {
      "id": "022362-2024-1",
      "value": {
        "amount": 887600,
        "currency": "GBP"
      },
      "status": "active",
      "awardID": "022362-2024-1",
      "dateSigned": "2024-07-17T00:00:00+01:00"
    }
  ],
  "description": "This is a Provider Selection Regime (PSR) intention to award notice. The awarding of this contract is subject to the Health Care Services (Provider Selection Regime) Regulations 2023. For the avoidance of doubt, the provisions of the Public Contracts Regulations 2015 do not apply to this award. The publication of this notice marks the start of the standstill period. Representations by providers must be made to decision makers by 31/07/2024. This contract has not yet formally been awarded; this notice serves as an intention to award under the PSR.\nAny representations must be made in writing and sent via email to connor.hubbard@nhs.net\nAward Decision Makers are: \n- Head of Service: Integrated Sexual Health\n- Chief Finance Officer\nThere were zero conflicts of interest identified.\nThe Key Criteria the authority considered when decision make was  considered of equal importance and weighting due to the nature of the contract and it's service delivery. The rationale with reference to each criteria is as follows:\nQuality and Innovation: \nKCHFT have worked with Preventx since 2021 to deliver online STI home self-sampling services and have dispatched over 10,000 tests. SH:UK were also rated as outstanding in their last CQC review in all 5 domains Since commencement of the contract. SHUK have consistently met all KPI's that have been set and their patient experience and feedback has always been excellent. \nThrough the Preventx 'local clinic model', KCHFT are responsible for Clinical Patient Management (CPM) of their residents through the online service (including safeguarding flags, reactive results, management of positives). This provides a seamless journey when users need to be referred into clinic, which is particularly important when there is a reactive blood result. The local clinical model allows the KCHFT team to cross reference records on their clinical record system when a safeguarding flag is raised through the online service. In this time they have been able to further develop the offer to include additional tests such as Syphilis RPR, Hep B, Hep C, TV and MGen. We are also able to ask females if they have anal and/or oral sex and provide the appropriate swabs.\nPreventx also have developed a triage for users with mild and complex symptoms. If this was implemented, testing could be expanded (e.g., females with vaginal discharge being tested for TV). Preventx research on TV testing was presented at BASHH.\nValue:\nThe kits are produced in-house and posted first class, same day (before 4pm) Monday to Saturday. They include all required consumables (swabs, urine, microtubes for bloods), personalised instructions and links to videos. \nKits are CE marked, compact, discrete, and environmentally friendly. The packaging design ensures that the contents are protected in transit. \nAn SMS is sent 2 days after kit dispatch to coincide with user receiving kit with link to help videos. the instructions and SMS user prompts have been iteratively developed over 13 years and achieve a high return rate of 78% to 80.5%.\nSamples are tested in Preventx's in-house laboratory, which is a CQC registered UKAS and ISO 15189 accredited medical laboratory and only performs testing for our own services. \nOnce returned to the laboratory, samples are booked in and the user receives an SMS informing them they will receive their results within 72 hours. \nIn 2022, SH:UK dispatched over 1.3m kits and completed over 3.5 million tests in our laboratory. 98% of samples processed by the Preventx lab are turned around within 48 hours. \nAnother value adding element is the partnership that is provided with this contract as it also utilises the skill and knowledge of local services to follow up on treatments, partner notification and safeguarding flags that are raised.  The framework from which this was procured originally clearly shows that from a cost perspective SH:Uk offered more competitive pricing than other online providers whilst still offering quality of service and value.  The online service also offers value in the monetary sense in that we have never exceeded our prescribed budget but that it would also cost more for us as an organisation to be able to offer this service in house and our current lab provider does not have the infrastructure to be able to turn around tests results as quickly as SH:UK or indeed the IT portal for patients to be able to track their kits or access their test results. \nIntegration, Collaboration and Service sustainability:\nAt present within Medway our current commissioning contract is due to end March 2025, due to the short time frame involved and the uncertainty of future contracts it is necessary to look to this route of procurement rather than commence a full tender under PCR 2015 . This will ensure sustainability of service and integration into other related services for the people of Medway and continuation of service whilst the questions surrounding our main contract are resolved. \nImproving Access, Reducing health inequalities and facilitating choice:\nPreventx have been working in partnership with Kent Community Health NHS Foundation Trust to Medway residents since November 2021 in the delivery of an online home self-sampling service.  Direct access to the service via www.sh.uk in addition to online referral routes including Sexual health | Sexual health | Medway Council and Welcome to Clover Street, the Medway sexual health hub. \nSince the service commenced, there have been over 10,000 orders fulfilled and over 7,000 screens completed.\nPreventx's service management and reporting has been developed in line with Public Health England's Sexual Health and Inequalities toolkit (2021) to monitor sexual health inequalities at a local level. We provide all orders and positives broken down by Gender; Sex and Sex with; Age; Ethnicity; Deprivation and Classification embedded in the service account management and reported to the service on a quarterly basis as a minimum.\nData from the Medway online self-sampling service demonstrates all cohorts of users in terms of gender; sexuality, sex with; age; ethnicity and deprivation access the service; often to a higher degree than their representation within the population. This Evidences the acceptance and accessibility of the service to Medway residents. Of note, users from African; Caribbean and White and Black African/ Caribbean backgrounds are accessing the service to higher proportion that within the population,\nSocial Value:\nPlastic waste is a significant issue, particularly in healthcare. Almost a quarter of the NHS's waste in England and Wales is plastic, according to NHS Supply Chain. Preventx recently changed all of their self testing Kits to reduce plastic and made a reduction of more than 80%,  in doing this they are saving 10 tonnes of plastic per year and this does not include the environmental benefits due to a reduction in the weight of their testing kits. They achieved this in collaboration with service users via surveys and focus groups to help inform the changes. Other environmental factors for online testing mean that people do not have to travel to access services as this can be achieved from their own home. This reduces further carbon emissions related with the required travel to and from testing locations, and reduces the consequent potential air pollution in these areas. It also increases accessibility of services for patients, research also shows that online testing is acceptable for all demographics that may not access traditional healthcare services, which can lead to an improved social well-being as patients who cannot access services such as this due to location constraints, now have access.",
  "initiationType": "tender"
}