SEL ICB (Bexley) Health & Wellbeing Coaching and Community Health & Wellbeing Workers (CHWWs) with Social Prescribing Service Specification

There are approximately 26,000 people living with 3 or more long term conditions in the London Borough of Bexley. Under this contract, the provider will be expected to accept referrals from neighbourhood partners, and residents themselves, for Health & Wellbeing Coaching with Social Prescribing - for those living with multiple long term conditions. Whilst the Health & Wellbeing Coaches will have a base at the provider's premises, the expectation is that they will work in multiple locations within the neighbourhood, to meet residents and to work with local partners.

The provider will be expected to work closely with SEL Integrated Care Board (Bexley Place) to mobilise, deliver and evaluate the service model. The Commissioner may request that the provider modifies the delivery of the service if the findings from the evaluation or resident feedback gives just reason.

The commissioner is seeking to achieve, via this procurement, a service and provider that is committed to supporting the development of neighbourhood models of healthcare.

The 10-Year Health Plan mandates neighbourhood models of healthcare and these are currently being developed across England. In Bexley, by 2026, the borough will have in place three neighbourhoods each with a new integrated neighbourhood team.

The contract period for the service will be two years (and 5 months) with the option to extend for a further two years.

This is a Provider Selection Regime (PSR) intended approach 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 Procurement Act 2023 do not apply to this award.

It is NHS South East London Integrated Care Board's view, taking into account likely providers and all relevant information available at this time, that it is likely to be able to identify the most suitable provider for this service without running a competitive procurement.

We are not required to actively invite anyone to express interest but rather seek to notify the market of the intention.

For enquiries or to register interest, please contact [email protected] using the following reference: PRJ2285

Registered interest should be submitted no later than 23:59pm on Wednesday 26 August 2026.

Details of the Award Decision-Makers: NHS South East London Integrated Care Board. Additional information: The aim of CHWWs service is to improve wellbeing, increase independence and reduce avoidable reliance on urgent and acute services. The service will:

• Build trusted relationships within communities by being embedded in the neighbourhoods they serve and develop ongoing relationships with residents and families.
• Provide 5 Community Health and Wellbeing Workers to be based within our most socially deprived communities in the North of the borough targeted at Slade Green/ Erith.
• Identify, address and prevent health inequalities working proactively in a defined area of around 150-200 households.
• To work in partnership with selected Bexley GP practices (via an honorary contract arrangement) to encourage uptake of preventative and relevant interventions and to be part of the core neighbourhood health teams to support residents.
• Empower residents to take control of their own health and wellbeing ensuring they have access to appropriate support and aware of relevant services available.
• Prevention centred, aiming to resolve issues at household level before they escalate to help reduce pressures on hospitals, GP practices and social care systems.
• To undertake the necessary reporting required to assess impact on uptake of preventative interventions including immunisations, vaccinations, cancer screening, and health check interventions
• Undertake all the necessary engagement support available to mobilise the service effectively
• Take a whole-person, whole-household approach whereby, rather than concentrating on a single illness or condition, CHWWs look at the wider factors affecting health, including housing, finances, loneliness, employment, social connections, and access to services.
• Improve access to services by helping residents understand, access and navigate health, care and community services. This includes signposting, advocacy and supporting uptake of preventive interventions such as screenings, vaccinations, immunisations and NHS Health Checks.
• Support prevention and self-management encouraging CHWWs to help people take control of their own health and wellbeing through health conversations, behaviour change support and practical problem-solving.
• Act as a bridge between communities and services working closely with GP practices, Integrated Neighbourhood Teams, local authorities and voluntary sector organisations, connecting residents with appropriate support.

The key service requirements for this contract term are:

• Provider organisation to be an established provider of voluntary services based in the London Borough of Bexley, with a proven track record in currently delivering, community engagement, peer support and social prescribing, together with having strong established links with grassroot organisations
• An existing key partner in the delivery of the integrated neighbourhood teams in Bexley
• Provider to ensure Health and Wellbeing Coaches and Community Health & Wellbeing Workers receive appropriate training prior to commencing their resident facing role
• Provider to provide strategic and operational leadership to the Health and Wellbeing service
• Work in partnership with Bexley GP practices to identify residents through active case finding who would benefit from their service
• Be able to join up and integrate the data capture so the required health intelligence flows into the medical record
• Health and Wellbeing Coaches and CHWWs to be part of the core neighbourhood health team, supporting residents who are living with multiple long term conditions to make positive changes
• Provider to …