Section one: Contracting authority/entity
one.1) Name and addresses
NHS Hampshire, Southampton and Isle of Wight CCG
Newport
lauren.robinson@soeprocurement.nhs.uk
Country
United Kingdom
NUTS code
UKJ35 - South Hampshire
Internet address(es)
Main address
Section two: Object
two.1) Scope of the procurement
two.1.1) Title
Community Musculoskeletal Physiotherapy Service
Reference number
F8872
two.1.2) Main CPV code
- 85100000 - Health services
two.1.3) Type of contract
Services
two.2) Description
two.2.1) Title
Community Musculoskeletal Physiotherapy Service
two.2.2) Additional CPV code(s)
- 85100000 - Health services
two.2.3) Place of performance
NUTS codes
- UKJ34 - Isle of Wight
Main site or place of performance
Isle of Wight
two.2.4) Description of the procurement at the time of conclusion of the contract:
The Isle of Wight Community MSK Physiotherapy Service offers a range of treatment modalities to patients with musculoskeletal problems, referred by GPs on the Isle of Wight, with the specific aim of preventing onward referrals to secondary care and improving the ability of patients to self-manage any future musculoskeletal issues related to their presenting problems.
The requirement is to treat the following Musculoskeletal conditions including, but not limited to:
• Musculoskeletal pain and dysfunction
• Stiffness
• Muscle weakness
• Instability
• Reduced mobility of joints and muscles
• Back pain
The original contract awarded for 3 years plus 24-month extension from 1 April 2016 following a competition process advertised via OJEU 2015/S 123-225750. Due to Covid-19 the contracting authority extended the arrangements by 12 months until 31 March 2022 via 2020/S 092-221175 Modification notice.
Further information including service specification can be found at: https://in-tendhost.co.uk/soepscommissioning/aspx/Home
The service requirements are:
• To provide a high quality physiotherapy service for Isle of Wight patients who are referred to the Community MSK Physiotherapy Service. .
• The service will be based on best practice and will provide an appropriate assessment, follow up treatment, review and discharge.
• Provide a high quality and compassionate community care service for patients and ensure the provider meets all recommended standards.
• Provide services that comply with accepted best practice, relevant guidelines in clinical practice and robust governance arrangements.
• Provide a robust mix of suitably trained and/or qualified staff that have access to appropriate equipment as required to fulfil their duties.
• Ensure consistent and continuous care between health professionals, and effective and efficient communication.
• Provide a comprehensive assessment for all patients on first attendance.
• Agree a treatment programme with identified goals that is agreed with the patient/carers.
• Be patient centred and increase patient satisfaction.
• Undertake:
o Patient experience surveys
o Clinical practice audits
o Review of patient complaints received
Service description/care pathway:
• Receive referrals in writing from GP's and Independent Sector Providers including Spire Hospitals and the Southampton Treatment Centre (STC).
• Provide acknowledgement of referrals to the patient within ten working days.
• On referral patients will be allocated appointments which are convenient for them.
• The patient will be reminded, no more than 48 working hours before, of the appointment either by telephone or texting, as agreed with the patient.
• Treatment will consist of:
o Assessment - on first attendance all patients will be given a comprehensive assessment
o Treatment - a treatment plan with identified goals will be agreed with the patient
o Patients will be discharged from the Physiotherapy Service when the identified goals have been achieved or when in some instances it has been determined that Physiotherapy input is of no more assistance to the individual. This decision will be made in consultation with the individual and or carers
o All patients will be given self-help and self-management advice
o Where appropriate, patient/carer information leaflets will be provided. In addition recognised/accepted voluntary/charity information leaflets will be available.
o Where appropriate, patient exercise sheets will be provided for individual home exercise programmes
o A copy of the discharge information will be given or sent to the patient
• Ensure that clinical effectiveness and outcome evaluation is coordinated by the clinical lead and that outcome is continually assessed across a broad range of domains.
• Ensure that standardised self-rated and objective physical measures are used throughout assessment and treatment.
• Collect a wide range of demographic data, and data recording patients' expectations and satisfaction with the service, for purposes of audit.
Quality Assurance
• The provider is monitored via the current regular monthly monitoring template to ensure a quality service is delivered in line with the agreed service specification.
• The current contract with the provider has well established processes in place which enable rapid access to:
o quality reporting and audit cycles to attain confidence in sustained delivery of a high-quality service provision
o clinical governance processes and clinical supervision practices
o the development of Service Development and Improvement Plan(s) (SDIP) as appropriate.
two.2.7) Duration of the contract, framework agreement, dynamic purchasing system or concession
Start date
1 April 2022
End date
31 March 2023
Section four. Procedure
four.2) Administrative information
four.2.1) Contract award notice concerning this contract
Notice number: 2020/S 092-221175
Section five. Award of contract/concession
Contract No
F8872
five.2) Award of contract/concession
five.2.1) Date of conclusion of the contract/concession award decision:
5 January 2022
five.2.2) Information about tenders
The contract/concession has been awarded to a group of economic operators: No
five.2.3) Name and address of the contractor/concessionaire
Ascenti Physio Ltd
Portsmouth
Country
United Kingdom
NUTS code
- UKJ - South East (England)
The contractor/concessionaire is an SME
No
five.2.4) Information on value of the contract/lot/concession (at the time of conclusion of the contract;excluding VAT)
Total value of the procurement: £960,000
Section six. Complementary information
six.4) Procedures for review
six.4.1) Review body
NHS South of England Procurement Services
fareham
Country
United Kingdom
Section seven: Modifications to the contract/concession
seven.1) Description of the procurement after the modifications
seven.1.1) Main CPV code
- 85100000 - Health services
seven.1.2) Additional CPV code(s)
- 85100000 - Health services
seven.1.3) Place of performance
NUTS code
- UKJ34 - Isle of Wight
seven.1.4) Description of the procurement:
The Isle of Wight Community MSK Physiotherapy Service offers a range of treatment modalities to patients with musculoskeletal problems, referred by GPs on the Isle of Wight, with the specific aim of preventing onward referrals to secondary care and improving the ability of patients to self-manage any future musculoskeletal issues related to their presenting problems.
The requirement is to treat the following Musculoskeletal conditions including, but not limited to:
• Musculoskeletal pain and dysfunction
• Stiffness
• Muscle weakness
• Instability
• Reduced mobility of joints and muscles
• Back pain
The original contract awarded for 3 years plus 24-month extension from 1 April 2016 following a competition process advertised via OJEU 2015/S 123-225750. Due to Covid-19 the contracting authority extended the arrangements by 12 months until 31 March 2022 via 2020/S 092-221175 Modification notice.
Further information including service specification can be found at: https://in-tendhost.co.uk/soepscommissioning/aspx/Home
This notice is detailing the requirement for a contract for 12 months +6 Months option extension from 1st April 2022.
seven.1.5) Duration of the contract, framework agreement, dynamic purchasing system or concession
Duration in months
18
seven.1.6) Information on value of the contract/lot/concession (excluding VAT)
Total value of the contract/lot/concession:
£960,000
seven.1.7) Name and address of the contractor/concessionaire
Ascenti Physio Ltd
Portsmouth
Country
United Kingdom
NUTS code
- UKJ - South East (England)
The contractor/concessionaire is an SME
No
seven.2) Information about modifications
seven.2.1) Description of the modifications
Nature and extent of the modifications (with indication of possible earlier changes to the contract):
Due to the impact of the pandemic, the MSK pathway transformation programme was suspended. Work re-commenced in September 2021 during the latter part of the NHS Phase 3 Recovery but was subsequently re-suspended to respond to the Omicron variant and vaccination programme requirements.
Therefore, there is a need to commission the incumbent, Ascenti Ltd, for a further 12 months from 1 April 2022 to 31 March 2023 with an option to extend for a further 6 months in line with Public Contract Regulation 72 1(c) due to the unforeseeable continuing impact of Covid-19 and system response to it.
This has been in consideration of:
• The current national requirement to prioritise response to the pandemic, urgent and emergency care and recovery of elective services
• The necessity of ensuring that the local population has continuity of service
• The material changes to the existing CCG/ICS structure commencing 1 July 2022 with potential impact on workforce and governance timelines
The modification will:
o Maintain stability in the medium term, to ensure the best possible outcomes and experience for our patients
o Support the wider system with current capacity issues within NHS Trusts, which won't be resolved within this time frame
o Enable a proactive, rapid response to reduce impact on patients
o Enable service continuity as Ascenti already have the staffing, equipment, capacity and established governance processes required, as well as systems which link with primary and secondary care clinical systems so enabling accurate and timely onward referrals and data transfer
o Benefit from established clinical relationships
o Support patient confidence, with a provider already known to local patients during a period of heightened change resulting from the pandemic
o Enable a review of all MSK pathway requirements across the newly formed CCG (and ICS as of July 2022) to align where possible and, to facilitate procurement at scale opportunities and future proofing of long-term commissioning intentions
The need for modification brought about by circumstances which a diligent contracting authority/entity could not have foreseen (Art. 43(1)(c) of Directive 2014/23/EU, Art. 72(1)(c) of Directive 2014/24/EU, Art. 89(1)(c) of Directive2014/25/EU).
The Covid-19 outbreak has given rise to an urgent need for the continuation of the supply of Community Musculoskeletal Physiotherapy Service. This does not give NHS Isle of Wight CCG sufficient time to comply with undertaking a procurement process under the Public Contracts Regulations 2015 following the Light Touch Procurement Regime for Healthcare Services (see also Procurement, Patient Choice and Competition Regulations 2013). This PCR Regulation 72 Modification Notice is being published to notify the extension on the contract. The modification does not alter the overall nature of the contract.
The annual contract value is £640,000 per annum
seven.2.2) Reasons for modification
Need for modification brought about by circumstances which a diligent contracting authority/entity could not foresee.
Description of the circumstances which rendered the modification necessary and explanation of the unforeseen nature of these circumstances:
Due to the impact of the pandemic, the MSK pathway transformation programme was suspended. Work re-commenced in September 2021 during the latter part of the NHS Phase 3 Recovery but was subsequently re-suspended to respond to the Omicron variant and vaccination programme requirements.
Therefore, there is a need to commission the incumbent, Ascenti Ltd, for a further 12 months from 1 April 2022 to 31 March 2023 with an option to extend for a further 6 months in line with Public Contract Regulation 72 1(c) due to the unforeseeable continuing impact of Covid-19 and system response to it.
This has been in consideration of:
• The current national requirement to prioritise response to the pandemic, urgent and emergency care and recovery of elective services
• The necessity of ensuring that the local population has continuity of service
• The material changes to the existing CCG/ICS structure commencing 1 July 2022 with potential impact on workforce and governance timelines
The modification will:
o Maintain stability in the medium term, to ensure the best possible outcomes and experience for our patients
o Support the wider system with current capacity issues within NHS Trusts, which won't be resolved within this time frame
o Enable a proactive, rapid response to reduce impact on patients
o Enable service continuity as Ascenti already have the staffing, equipment, capacity and established governance processes required, as well as systems which link with primary and secondary care clinical systems so enabling accurate and timely onward referrals and data transfer
o Benefit from established clinical relationships
o Support patient confidence, with a provider already known to local patients during a period of heightened change resulting from the pandemic
o Enable a review of all MSK pathway requirements across the newly formed CCG (and ICS as of July 2022) to align where possible and, to facilitate procurement at scale opportunities and future proofing of long-term commissioning intentions
The need for modification brought about by circumstances which a diligent contracting authority/entity could not have foreseen (Art. 43(1)(c) of Directive 2014/23/EU, Art. 72(1)(c) of Directive 2014/24/EU, Art. 89(1)(c) of Directive2014/25/EU).
The Covid-19 outbreak has given rise to an urgent need for the continuation of the supply of Community Musculoskeletal Physiotherapy Service. This does not give NHS Isle of Wight CCG sufficient time to comply with undertaking a procurement process under the Public Contracts Regulations 2015 following the Light Touch Procurement Regime for Healthcare Services (see also Procurement, Patient Choice and Competition Regulations 2013). This PCR Regulation 72 Modification Notice is being published to notify the extension on the contract. The modification does not alter the overall nature of the contract.
The annual contract value is £640,000 per annum
seven.2.3) Increase in price
Updated total contract value before the modifications (taking into account possible earlier contract modifications, price adaptions and average inflation)
Value excluding VAT: £3,829,401
Total contract value after the modifications
Value excluding VAT: £4,789,401