Section one: Contracting authority/entity
one.1) Name and addresses
NEL South East London CCG
160 Tooley Street
London
SE1 2TZ
Contact
Barend Henning
Country
United Kingdom
NUTS code
UKI45 - Lambeth
Internet address(es)
Main address
Buyer's address
one.4) Type of the contracting authority
Body governed by public law
one.5) Main activity
Health
Section two: Object
two.1) Scope of the procurement
two.1.1) Title
Lambeth Nursing Home APMS
Reference number
PRJ1015
two.1.2) Main CPV code
- 85121100 - General-practitioner services
two.1.3) Type of contract
Services
two.1.4) Short description
NHS South East London CCG in intending to award a contract for a new Alternative Provider of Medical Services (APMS) GP Practice to cover the 10 Nursing Homes in Lambeth.
The CCG is seeking to centralise the contractual arrangements for these 10 Nursing Homes under one new Provider. This will support the new Network Contract Directed Enhanced Service (DES) requirements and the delivery of the Local Enhanced Service (LES). In light of the proposal to integrate commissioning arrangements with one GP contract provider, the revised LES spec has been incorporated into the GP contract to enable integrated service provision.
This model:
1. Enables all patients to be registered with the same Practice, unifying clinical responsibility and core service provision;
2. Has a newly re-specified service specification (formerly the Local Enhanced Service) that is awarded to the same Provider;
3. Has responsibility for delivery of the EHCH PCN DES specification for Nursing Homes also contracted to the same Provider.
two.1.6) Information about lots
This contract is divided into lots: No
two.1.7) Total value of the procurement (excluding VAT)
Value excluding VAT: £1,826,877
two.2) Description
two.2.3) Place of performance
NUTS codes
- UKI45 - Lambeth
two.2.4) Description of the procurement
SEL CCG (Lambeth borough team) has made a decision to centralise its commissioning arrangements for its current 10 Nursing Homes under one new Provider. This is being taken forward as it will support the new PCN DES Enhanced Service requirements and the delivery of the Local Enhanced Service (LES).
In light of the proposal to integrate commissioning arrangements with one GP contract provider, the revised LES spec has been incorporated into the GP contract to enable integrated service provision.
The proposal is to award a new Lambeth APMS Nursing Home Contract to the Lambeth GP Federation (Lambeth Healthcare Ltd). The contract will be a 2-year contract with a 1-year option to extend.
There are several drivers for this change which have influenced the decision:
• Several local practices currently delivering care within Nursing Homes have informed the CCG that they wish to serve notice on their contracts
• Mounting cost pressures of delivering the service due to patients' needs within the Nursing Homes increasing.
• Alignment with models of delivery being implemented in other SEL CCG Boroughs (Bromley and Southwark)
• Subject to patient choice, it will enable residents to register with the same practice, which will be clinically and organisationally responsible for providing high quality and integrated local and core primary medical services.
This will create a new GP practice initially responsible for all care for patients resident in Lambeth’s 10 Nursing Homes. In this way clinical responsibility is brought together, much greater resilience and innovation is possible than presently, and the model will be better suited to the vision of integrated care set out in the Enhanced Health in Care Homes Framework and the priorities of the Lambeth Neighbourhood & Wellbeing Delivery Alliance (NWDA).
Initially the service will focus on unified registrations and care for residents in Lambeth’s 10 Nursing Homes – Laurels, Limetree, Windmill Lodge, St Mary’s, Havelock Court, Collingwood Court, Fairlie House, St Peter’s, Uplands and British Homes.
The current proposed annual value of the APMS contract is anticipated to be £608,959 (£269,467 based on total CQC bed registrations and the current LES value of £339,492).
two.2.11) Information about options
Options: No
two.2.13) Information about European Union Funds
The procurement is related to a project and/or programme financed by European Union funds: No
Section four. Procedure
four.1) Description
four.1.1) Type of procedure
Negotiated without a prior call for competition
- The works, supplies or services can be provided only by a particular economic operator for the following reason:
- absence of competition for technical reasons
Explanation:
The justification for the award being made to the GP Federation is as follows:
• The borough-wide GP Federation is the only provider who has coverage across the borough, with strong and established relationships with Primary Care in the borough.
• The GP Federation is the only provider who can report the level of information required (due to already established data sharing agreements) and can report on the clinical care activity relating to the patients in Nursing Homes.
• The proposed service is a specialist local provision which has a need for specific local knowledge and understanding, both of which are held by the GP Federation.
• The GP Federation is working with current local Providers on a transition plan and is engaging with local key leads and stakeholders.
• Existing local providers have informed the CCG that they no longer wish to provide the service where they currently do so.
• Southwark and Bromley models have shown an APMS contracted practice is the most effective and supportive way of delivering care to this specific targeted cohort of patients.
• The proposal will mirror the Southwark and Bromley models and will be cost neutral.
four.1.8) Information about the Government Procurement Agreement (GPA)
The procurement is covered by the Government Procurement Agreement: Yes
Section five. Award of contract/concession
A contract/lot is awarded: Yes
five.2) Award of contract/concession
five.2.1) Date of conclusion of the contract
18 February 2021
five.2.2) Information about tenders
The contract has been awarded to a group of economic operators: No
five.2.3) Name and address of the contractor/concessionaire
Lambeth Healthcare Ltd
Paxton Green Health Centre, 1 Alleyn Park
London
SE21 8AU
Country
United Kingdom
NUTS code
- UKI45 - Lambeth
The contractor/concessionaire is an SME
No
five.2.4) Information on value of contract/lot/concession (excluding VAT)
Total value of the contract/lot/concession: £1,826,877
Section six. Complementary information
six.4) Procedures for review
six.4.1) Review body
High Court of Justice of England and Wales Strand London WC2A 2LL
Strand
London
WC2A 2LL
Telephone
+44 2079476000
Country
United Kingdom
six.4.4) Service from which information about the review procedure may be obtained
NEL Commissioning Support Unit
75-77 Worship Street
London
EC2A 2DU
nelcsu.strategicprocurement@nhs.net
Country
United Kingdom