Contract

Total pancreatectomy with islet autotransplantation (TPIAT) service

  • NHS England - Specialised Commissioning

F03: Contract award notice

Notice identifier: 2023/S 000-009267

Procurement identifier (OCID): ocds-h6vhtk-038779

Published 30 March 2023, 11:39am



Section one: Contracting authority

one.1) Name and addresses

NHS England - Specialised Commissioning

80 London Road

London

SE1 6LH

Contact

Josselin Canevet

Email

josselin.canevet@nhs.net

Country

United Kingdom

Region code

UK - United Kingdom

Internet address(es)

Main address

www.england.nhs.uk

Buyer's address

https://uk.eu-supply.com/ctm/Company/CompanyInformation/Index/68205

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

Total pancreatectomy with islet autotransplantation (TPIAT) service

Reference number

62207

two.1.2) Main CPV code

  • 85000000 - Health and social work services

two.1.3) Type of contract

Services

two.1.4) Short description

NHS Arden and Greater East Midlands Commissioning Support Unit (AGCSU), on behalf of NHS England Highly Specialised Services (referred to as the Commissioner), is undertaking a market engagement exercise to understand the current and future capacity and capability of providers and potential providers within this highly specialised area. All interested parties, including incumbent providers, are encouraged to register their interest and participate in the market engagement questionnaire which will provide feedback to commissioners. Please note that this is not a call for competition although the commissioner would encourage all potential providers to respond to this market engagement exercise. The outcome of this market engagement will help inform commissioners of the current and future capacity and capability of the market and will be considered to inform the commissioning approach.

two.1.6) Information about lots

This contract is divided into lots: Yes

two.1.7) Total value of the procurement (excluding VAT)

Value excluding VAT: £11,953,206.60

two.2) Description

two.2.1) Title

i) Lot 1 - North comprising the NHS England Regions: the North East and Yorkshire; the North West

Lot No

1

two.2.2) Additional CPV code(s)

  • 85000000 - Health and social work services
  • 85100000 - Health services

two.2.3) Place of performance

NUTS codes
  • UKE - Yorkshire and the Humber
  • UKD - North West (England)
  • UKC - North East (England)

two.2.4) Description of the procurement

This market engagement exercise is to re-commission a service for the provision of the Total pancreatectomy with islet autotransplantation (TPIAT) service from April 2023.

NHS England is looking to re-commission TPIAT services for adult patients with hereditary chronic pancreatitis and who are at high risk of developing pancreatic cancer and for patients with acquired intractable chronic pancreatitis who meet specific clinical criteria

The primary goal of surgery is to remove the cause of the symptoms i.e. the pancreas (total pancreatectomy) with an aim to control pain resistant to other therapies; islet auto transplantation (a procedure where the patient’s own islets are isolated and infused into their liver) is intended to prevent or lessen the very brittle (hard to control) diabetes mellitus which is an inevitable result of total pancreatectomy.

We would like to receive responses from incumbent and potential provider(s) who are able to meet all of the following key criteria:

a) Expertise in the assessment and management of patients with chronic pancreatitis;

b) Access to a specialist pain management service;

c) Experience of pancreatic surgery and expertise in the management of patients who have undergone total pancreatectomy;

d) Experience of islet transplantation including an on-site islet isolation laboratory licenced by the Human Tissue Authority conforming to Good Manufacturing Practice;

e) Having in place a specialist team with expertise in the management of complex Type 1 diabetes mellitus, including the full range of therapeutic options (including insulin pumps and psychological assessment) and expertise;

• (The above criteria may be evidenced for example by, number and range of patients on caseload, multi-disciplinary team experienced in the care of patients with chronic pancreatitis, published research papers)

f) Having in place information governance processes that permit the collection of the specified clinical outcome data;

g) Experience of engaging positively with associated patient support groups.

The services will be provided in four centres (one per defined geographical catchment area) which provide a high volume Hepato-pancreatobiliary service with significant experience in managing severe chronic pancreatitis, carrying out pancreatectomy; undertaking islet cell transplantation and having in place an appropriate multi-disciplinary team.

Incumbent providers are required to respond to this market engagement exercise along with any prospective providers who can meet the service requirements.

The Lots will be as follows:

i) Lot 1 - North comprising the NHS England Regions: the North East and Yorkshire; the North West,

ii) Lot 2 - the Midlands comprising the NHS England Regions: the Midlands; the East of England

iii) Lot 3 - London comprising the NHS England Region: London

iv) Lot 4 - the South: comprising the South East and the South West

The questionnaire is available through the EU Supply portal: https://uk.eu-supply.com/login.asp?B=agcsu

The reference is 62207 and the closing date for submission of the completed questionnaire will be: 12pm, midday on Tuesday 20th December 2022.

Applications may be made jointly where partners can demonstrate appropriate expertise and meet the service criteria set out in the questionnaire and referenced documents.

The anticipated contract period is 3 years.

The commissioner reserves the right to direct award where competition is absent.

The existing contracts are due to expire on 31st March 2023 and the Commissioner is running this market engagement exercise to ascertain whether there is competition in the market and to help inform future commissioning plans.

This notice is to advise incumbent and prospective providers in the market of the commissioner’s intention to commission this service and to provide an opportunity to engage with and participate in a market engagement questionnaire.

two.2.5) Award criteria

Quality criterion - Name: Quality / Weighting: 100

Price - Weighting: 0

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

two.2.14) Additional information

The outcome of this market engagement will help inform commissioners of the current and future capacity and capability of the market and will be considered with other evidence to inform the commissioning approach.

two.2) Description

two.2.1) Title

ii) Lot 2 - the Midlands comprising the NHS England Regions: the Midlands; the East of England

Lot No

2

two.2.2) Additional CPV code(s)

  • 85000000 - Health and social work services
  • 85100000 - Health services

two.2.3) Place of performance

NUTS codes
  • UKH - East of England
  • UKG - West Midlands (England)
  • UKF - East Midlands (England)

two.2.4) Description of the procurement

This market engagement exercise is to re-commission a service for the provision of the Total pancreatectomy with islet autotransplantation (TPIAT) service from April 2023.

NHS England is looking to re-commission TPIAT services for adult patients with hereditary chronic pancreatitis and who are at high risk of developing pancreatic cancer and for patients with acquired intractable chronic pancreatitis who meet specific clinical criteria

The primary goal of surgery is to remove the cause of the symptoms i.e. the pancreas (total pancreatectomy) with an aim to control pain resistant to other therapies; islet auto transplantation (a procedure where the patient’s own islets are isolated and infused into their liver) is intended to prevent or lessen the very brittle (hard to control) diabetes mellitus which is an inevitable result of total pancreatectomy.

We would like to receive responses from incumbent and potential provider(s) who are able to meet all of the following key criteria:

a) Expertise in the assessment and management of patients with chronic pancreatitis;

b) Access to a specialist pain management service;

c) Experience of pancreatic surgery and expertise in the management of patients who have undergone total pancreatectomy;

d) Experience of islet transplantation including an on-site islet isolation laboratory licenced by the Human Tissue Authority conforming to Good Manufacturing Practice;

e) Having in place a specialist team with expertise in the management of complex Type 1 diabetes mellitus, including the full range of therapeutic options (including insulin pumps and psychological assessment) and expertise;

• (The above criteria may be evidenced for example by, number and range of patients on caseload, multi-disciplinary team experienced in the care of patients with chronic pancreatitis, published research papers)

f) Having in place information governance processes that permit the collection of the specified clinical outcome data;

g) Experience of engaging positively with associated patient support groups.

The services will be provided in four centres (one per defined geographical catchment area) which provide a high volume Hepato-pancreatobiliary service with significant experience in managing severe chronic pancreatitis, carrying out pancreatectomy; undertaking islet cell transplantation and having in place an appropriate multi-disciplinary team.

Incumbent providers are required to respond to this market engagement exercise along with any prospective providers who can meet the service requirements.

The Lots will be as follows:

i) Lot 1 - North comprising the NHS England Regions: the North East and Yorkshire; the North West,

ii) Lot 2 - the Midlands comprising the NHS England Regions: the Midlands; the East of England

iii) Lot 3 - London comprising the NHS England Region: London

iv) Lot 4 - the South: comprising the South East and the South West

The questionnaire is available through the EU Supply portal: https://uk.eu-supply.com/login.asp?B=agcsu

The reference is 62207 and the closing date for submission of the completed questionnaire will be: 12pm, midday on Tuesday 20th December 2022.

Applications may be made jointly where partners can demonstrate appropriate expertise and meet the service criteria set out in the questionnaire and referenced documents.

The anticipated contract period is 3 years.

The commissioner reserves the right to direct award where competition is absent.

The existing contracts are due to expire on 31st March 2023 and the Commissioner is running this market engagement exercise to ascertain whether there is competition in the market and to help inform future commissioning plans.

This notice is to advise incumbent and prospective providers in the market of the commissioner’s intention to commission this service and to provide an opportunity to engage with and participate in a market engagement questionnaire.

two.2.5) Award criteria

Quality criterion - Name: Quality / Weighting: 100

Price - Weighting: 0

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

two.2.14) Additional information

The outcome of this market engagement will help inform commissioners of the current and future capacity and capability of the market and will be considered with other evidence to inform the commissioning approach.

two.2) Description

two.2.1) Title

iii) Lot 3 - London comprising the NHS England Region: London

Lot No

3

two.2.2) Additional CPV code(s)

  • 85000000 - Health and social work services
  • 85100000 - Health services

two.2.3) Place of performance

NUTS codes
  • UKI - London

two.2.4) Description of the procurement

This market engagement exercise is to re-commission a service for the provision of the Total pancreatectomy with islet autotransplantation (TPIAT) service from April 2023.

NHS England is looking to re-commission TPIAT services for adult patients with hereditary chronic pancreatitis and who are at high risk of developing pancreatic cancer and for patients with acquired intractable chronic pancreatitis who meet specific clinical criteria

The primary goal of surgery is to remove the cause of the symptoms i.e. the pancreas (total pancreatectomy) with an aim to control pain resistant to other therapies; islet auto transplantation (a procedure where the patient’s own islets are isolated and infused into their liver) is intended to prevent or lessen the very brittle (hard to control) diabetes mellitus which is an inevitable result of total pancreatectomy.

We would like to receive responses from incumbent and potential provider(s) who are able to meet all of the following key criteria:

a) Expertise in the assessment and management of patients with chronic pancreatitis;

b) Access to a specialist pain management service;

c) Experience of pancreatic surgery and expertise in the management of patients who have undergone total pancreatectomy;

d) Experience of islet transplantation including an on-site islet isolation laboratory licenced by the Human Tissue Authority conforming to Good Manufacturing Practice;

e) Having in place a specialist team with expertise in the management of complex Type 1 diabetes mellitus, including the full range of therapeutic options (including insulin pumps and psychological assessment) and expertise;

• (The above criteria may be evidenced for example by, number and range of patients on caseload, multi-disciplinary team experienced in the care of patients with chronic pancreatitis, published research papers)

f) Having in place information governance processes that permit the collection of the specified clinical outcome data;

g) Experience of engaging positively with associated patient support groups.

The services will be provided in four centres (one per defined geographical catchment area) which provide a high volume Hepato-pancreatobiliary service with significant experience in managing severe chronic pancreatitis, carrying out pancreatectomy; undertaking islet cell transplantation and having in place an appropriate multi-disciplinary team.

Incumbent providers are required to respond to this market engagement exercise along with any prospective providers who can meet the service requirements.

The Lots will be as follows:

i) Lot 1 - North comprising the NHS England Regions: the North East and Yorkshire; the North West,

ii) Lot 2 - the Midlands comprising the NHS England Regions: the Midlands; the East of England

iii) Lot 3 - London comprising the NHS England Region: London

iv) Lot 4 - the South: comprising the South East and the South West

The questionnaire is available through the EU Supply portal: https://uk.eu-supply.com/login.asp?B=agcsu

The reference is 62207 and the closing date for submission of the completed questionnaire will be: 12pm, midday on Tuesday 20th December 2022.

Applications may be made jointly where partners can demonstrate appropriate expertise and meet the service criteria set out in the questionnaire and referenced documents.

The anticipated contract period is 3 years.

The commissioner reserves the right to direct award where competition is absent.

The existing contracts are due to expire on 31st March 2023 and the Commissioner is running this market engagement exercise to ascertain whether there is competition in the market and to help inform future commissioning plans.

This notice is to advise incumbent and prospective providers in the market of the commissioner’s intention to commission this service and to provide an opportunity to engage with and participate in a market engagement questionnaire.

two.2.5) Award criteria

Quality criterion - Name: Quality / Weighting: 100

Price - Weighting: 0

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

two.2.14) Additional information

The outcome of this market engagement will help inform commissioners of the current and future capacity and capability of the market and will be considered with other evidence to inform the commissioning approach.

two.2) Description

two.2.1) Title

iv) Lot 4 - the South: comprising the South East and the South West

Lot No

4

two.2.2) Additional CPV code(s)

  • 85000000 - Health and social work services
  • 85100000 - Health services

two.2.3) Place of performance

NUTS codes
  • UKK - South West (England)
  • UKJ - South East (England)

two.2.4) Description of the procurement

This market engagement exercise is to re-commission a service for the provision of the Total pancreatectomy with islet autotransplantation (TPIAT) service from April 2023.

NHS England is looking to re-commission TPIAT services for adult patients with hereditary chronic pancreatitis and who are at high risk of developing pancreatic cancer and for patients with acquired intractable chronic pancreatitis who meet specific clinical criteria

The primary goal of surgery is to remove the cause of the symptoms i.e. the pancreas (total pancreatectomy) with an aim to control pain resistant to other therapies; islet auto transplantation (a procedure where the patient’s own islets are isolated and infused into their liver) is intended to prevent or lessen the very brittle (hard to control) diabetes mellitus which is an inevitable result of total pancreatectomy.

We would like to receive responses from incumbent and potential provider(s) who are able to meet all of the following key criteria:

a) Expertise in the assessment and management of patients with chronic pancreatitis;

b) Access to a specialist pain management service;

c) Experience of pancreatic surgery and expertise in the management of patients who have undergone total pancreatectomy;

d) Experience of islet transplantation including an on-site islet isolation laboratory licenced by the Human Tissue Authority conforming to Good Manufacturing Practice;

e) Having in place a specialist team with expertise in the management of complex Type 1 diabetes mellitus, including the full range of therapeutic options (including insulin pumps and psychological assessment) and expertise;

• (The above criteria may be evidenced for example by, number and range of patients on caseload, multi-disciplinary team experienced in the care of patients with chronic pancreatitis, published research papers)

f) Having in place information governance processes that permit the collection of the specified clinical outcome data;

g) Experience of engaging positively with associated patient support groups.

The services will be provided in four centres (one per defined geographical catchment area) which provide a high volume Hepato-pancreatobiliary service with significant experience in managing severe chronic pancreatitis, carrying out pancreatectomy; undertaking islet cell transplantation and having in place an appropriate multi-disciplinary team.

Incumbent providers are required to respond to this market engagement exercise along with any prospective providers who can meet the service requirements.

The Lots will be as follows:

i) Lot 1 - North comprising the NHS England Regions: the North East and Yorkshire; the North West,

ii) Lot 2 - the Midlands comprising the NHS England Regions: the Midlands; the East of England

iii) Lot 3 - London comprising the NHS England Region: London

iv) Lot 4 - the South: comprising the South East and the South West

The questionnaire is available through the EU Supply portal: https://uk.eu-supply.com/login.asp?B=agcsu

The reference is 62207 and the closing date for submission of the completed questionnaire will be: 12pm, midday on Tuesday 20th December 2022.

Applications may be made jointly where partners can demonstrate appropriate expertise and meet the service criteria set out in the questionnaire and referenced documents.

The anticipated contract period is 3 years.

The commissioner reserves the right to direct award where competition is absent.

The existing contracts are due to expire on 31st March 2023 and the Commissioner is running this market engagement exercise to ascertain whether there is competition in the market and to help inform future commissioning plans.

This notice is to advise incumbent and prospective providers in the market of the commissioner’s intention to commission this service and to provide an opportunity to engage with and participate in a market engagement questionnaire.

two.2.5) Award criteria

Quality criterion - Name: Quality / Weighting: 100

Price - Weighting: 0

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

two.2.14) Additional information

The outcome of this market engagement will help inform commissioners of the current and future capacity and capability of the market and will be considered with other evidence to inform the commissioning approach.


Section four. Procedure

four.1) Description

four.1.1) Type of procedure

Award of a contract without prior publication of a call for competition in the cases listed below

  • The procurement falls outside the scope of application of the regulations

Explanation:

Award of a contract without prior publication of a call for competition in the Find a Tender service in the cases listed below

• The contract falls outside the scope of application of the regulation

Explanation

The market engagement exercise revealed a lack of competition in the market for this highly specialised service and only 1 response per Lot was received. Provision was clearly made in the documentation that a direct award would be considered if competition was absent as a result of the market engagement exercise in line with Regulation 32 (2) (b) (ii). Please note that the contract values included in this award will be subject to an annual uplift.

four.1.8) Information about the Government Procurement Agreement (GPA)

The procurement is covered by the Government Procurement Agreement: Yes

four.2) Administrative information

four.2.1) Previous publication concerning this procedure

Notice number: 2022/S 000-033149


Section five. Award of contract

Contract No

1

Lot No

1

Title

i) Lot 1 - North comprising the NHS England Regions: the North East and Yorkshire; the North West

A contract/lot is awarded: Yes

five.2) Award of contract

five.2.1) Date of conclusion of the contract

30 March 2023

five.2.2) Information about tenders

Number of tenders received: 1

The contract has been awarded to a group of economic operators: No

five.2.3) Name and address of the contractor

The Newcastle upon Tyne Hospitals NHS Foundation Trust

Newcastle

Country

United Kingdom

NUTS code
  • UKC - North East (England)
The contractor is an SME

No

five.2.4) Information on value of contract/lot (excluding VAT)

Total value of the contract/lot: £2,858,188.47


Section five. Award of contract

Contract No

2

Lot No

2

Title

ii) Lot 2 - the Midlands comprising the NHS England Regions: the Midlands; the East of England

A contract/lot is awarded: Yes

five.2) Award of contract

five.2.1) Date of conclusion of the contract

30 March 2023

five.2.2) Information about tenders

Number of tenders received: 1

The contract has been awarded to a group of economic operators: No

five.2.3) Name and address of the contractor

University Hospitals of Leicester NHS Trust

Leicester

Country

United Kingdom

NUTS code
  • UKF - East Midlands (England)
The contractor is an SME

No

five.2.4) Information on value of contract/lot (excluding VAT)

Total value of the contract/lot: £2,860,849.43


Section five. Award of contract

Contract No

3

Lot No

3

Title

iii) Lot 3 - London comprising the NHS England Region: London

A contract/lot is awarded: Yes

five.2) Award of contract

five.2.1) Date of conclusion of the contract

30 March 2023

five.2.2) Information about tenders

Number of tenders received: 1

The contract has been awarded to a group of economic operators: No

five.2.3) Name and address of the contractor

King’s College Hospital NHS Foundation Trust

London

Country

United Kingdom

NUTS code
  • UKI - London
The contractor is an SME

No

five.2.4) Information on value of contract/lot (excluding VAT)

Total value of the contract/lot: £3,229,996.20


Section five. Award of contract

Contract No

4

Lot No

4

Title

iv) Lot 4 - the South: comprising the South East and the South West

A contract/lot is awarded: Yes

five.2) Award of contract

five.2.1) Date of conclusion of the contract

30 March 2023

five.2.2) Information about tenders

Number of tenders received: 1

The contract has been awarded to a group of economic operators: No

five.2.3) Name and address of the contractor

Oxford University Hospitals NHS Foundation Trust

Oxford

Country

United Kingdom

NUTS code
  • UKJ - South East (England)
The contractor is an SME

No

five.2.4) Information on value of contract/lot (excluding VAT)

Total value of the contract/lot: £3,004,172.53


Section six. Complementary information

six.3) Additional information

Award of a contract without prior publication of a call for competition in the Find a Tender service in the cases listed below

• The contract falls outside the scope of application of the regulation

Explanation

The market engagement exercise revealed a lack of competition in the market for this highly specialised service and only 1 response per Lot was received. Provision was clearly made in the documentation that a direct award would be considered if competition was absent as a result of the market engagement exercise in line with Regulation 32 (2) (b) (ii). Please note that the contract values included in this award will be subject to an annual uplift.

six.4) Procedures for review

six.4.1) Review body

Arden & GEM Commissioning Support Unit

Derby

Country

United Kingdom

six.4.2) Body responsible for mediation procedures

Arden & GEM Commissioning Support Unit

Derby

Country

United Kingdom

six.4.4) Service from which information about the review procedure may be obtained

Arden & GEM Commissioning Support Unit

Derby

Country

United Kingdom