Section one: Contracting authority/entity
one.1) Name and addresses
NHS Mid Essex Clinical Commissioning Group
Wren House, Colchester Road
Chelmsford
CM2 5PF
Country
United Kingdom
NUTS code
UKH3 - Essex
Internet address(es)
Main address
Section two: Object
two.1) Scope of the procurement
two.1.1) Title
Mid and South Essex Mental Health Services
Reference number
ACE-0581-2022-ALC
two.1.2) Main CPV code
- 85100000 - Health services
two.1.3) Type of contract
Services
two.2) Description
two.2.1) Title
Mid and South Essex Mental Health Services
two.2.2) Additional CPV code(s)
- 85120000 - Medical practice and related services
- 85140000 - Miscellaneous health services
- 85323000 - Community health services
two.2.3) Place of performance
NUTS codes
- UKH3 - Essex
Main site or place of performance
Mid Essex, Basildon and Brentwood, Thurrock, Southend-on Sea and Castle Point and Rochford
two.2.4) Description of the procurement at the time of conclusion of the contract:
The participating Contracting Authorities associated with this Modification Notice are NHS Mid Essex Clinical Commissioning Group (CCG), NHS Basildon and Brentwood CCG, NHS Castle Point and Rochford CCG, NHS Southend CCG, NHS Thurrock CCG (herein referred to as the 'Authority').
The Authority awarded a contract to Essex Partnership University NHS Foundation Trust (EPUT) for provision of Mental Health Services from 1st April 2019 to 31 March 2024 at an aggregate value of £555,684,000 over the 5 year term.
two.2.7) Duration of the contract, framework agreement, dynamic purchasing system or concession
Duration in months
60
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 five. Award of contract/concession
Contract No
CV34 - 19/24 Mental Health
Title
Mid and South Essex Mental Health Services
five.2) Award of contract/concession
five.2.1) Date of conclusion of the contract/concession award decision:
1 April 2019
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
Essex Partnership University NHS Foundation Trust
The Lodge, Lodge Approach, Runwell
Wickford
SS11 7XX
Country
United Kingdom
NUTS code
- UKH3 - Essex
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: £555,684,000
Section six. Complementary information
six.3) Additional information
The Contracting Authorities participating in the publication of this Modification Notice communicated herein are:
NHS Mid Essex Clinical Commissioning Group
Wren House, Colchester Road
Chelmsford
CM2 5PF
NHS Basildon & Brentwood Clinical Commissioning Group
Phoenix House, Christopher Martin Road, Basildon , SS14 3HG
https://basildonandbrentwoodccg.nhs.uk/
NHS Castle Point and Rochford Clinical Commissioning Group
Pearl House, 12 Castle Road, Rayleigh. SS6 7QF
https://castlepointandrochfordccg.nhs.uk/
NHS Southend Clinical Commissioning Group
6th Floor, Civic Centre, Victoria Avenue, Southend-on-Sea, SS1 9SB
NHS Thurrock Clinical Commissioning Group
Civic Offices 2nd Floor, New Road, Grays. RM17 6SL
https://www.thurrockccg.nhs.uk/
NHS North East Essex Clinical Commissioning Group
Severalls Business Park, Aspen House Stephenson Road
Colchester
CO4 9QR
https://www.neessexccg.nhs.uk/
NHS Ipswich and East Suffolk Clinical Commissioning Group
Endeavour House
8 Russell Road
Ipswich
IP1 2BX
https://ipswichandeastsuffolkccg.nhs.uk/
NHS West Suffolk Clinical Commissioning Group
West Suffolk House
Western Way
Bury St Edmunds
Suffolk
IP33 3YU
https://www.westsuffolkccg.nhs.uk/
six.4) Procedures for review
six.4.1) Review body
High Court of Justice of England and Wales
Strand
London
WC2A 2LL
Country
United Kingdom
six.4.4) Service from which information about the review procedure may be obtained
NHS Mid Essex Clinical Commissioning Group
Wren House, Colchester Road
Chelmsford
CM2 5PF
Country
United Kingdom
Internet address
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.1.3) Place of performance
NUTS code
- UKH3 - Essex
Main site or place of performance
Ipswich and East Suffolk, West Suffolk, North East Essex, Mid Essex, Basildon and Brentwood, Thurrock, Southend-on Sea and Castle Point and Rochford
seven.1.4) Description of the procurement:
During 2021/22 a Mental Health Taskforce was formed to review the mental health commissioning arrangements in Essex, to identify any gaps in process and make recommendations to improve the commissioning of mental health services across the County. One of the key recommendations was to streamline commissioning and contract management processes, with Accountable Officers making the commitment to a single contractual approach for the incumbent Provider, Essex Partnership University NHS Foundation Trust (EPUT).
As a result, the Authority has taken a decision to vary it's existing contract with EPUT for provision of Mental Health Services, from 1st April 2022 , to include the scope of mental health services for NHS North East Essex CCG, NHS Ipswich and East Suffolk CCG and NHS West Suffolk CCG, for the remaining term of two years, until 31st March 2024.
NHS Mid Essex CCG on behalf of the Authority, will be the lead commissioner, and NHS North East Essex CCG, NHS Ipswich and East Suffolk CCG and NHS West Suffolk CCG will be associates to the contract, managed via a Collaborative Commissioning Agreement.
The scope of additional mental health services being varied into the MSE Contract for Mental Health Services includes;
Non-Psychotic Mental Health Care Clusters 1 - 8
Specialist Perinatal Mental Health Community Service
Individual Placement and Support
Mild Cognitive Impairment
Dementia Enhanced Care Home Liaison Service
MH ANP GP pilot service – Advanced Nurse Practitioner
Adult Community Crisis Resolution and Home Treatment Service
Crisis Café Covering both Clacton and Tendring
Infant MH
Intensive Psychology Support Unit
Core 24 Mental Health Liaison Service
Eating Disorders
ADHD Services
The Authority may wish to introduce additional services during the remaining term of the contract ("Contract modifications"). Such contract modifications will be contemplated where additional requirements are similar and or complementary to the services already included in the Specification, at any given time. Such expansion would be by the addition of services commissioned by the Authority as named in the Contract Award Notice. To this end, the market should be aware that there is a possibility that the incumbent provider may be offered a variation to the contract to include (but not be limited to) the following list of Services in accordance with Regulation 72 (1) (a) of the Public Contracts Regulations 2015 (as amended The Public Procurement (Amendment etc.) (EU Exit) Regulations 2020). Any such modifications will be accompanied accordingly with appropriate Notice(s).
Inpatient Beds
Community Neighbourhood Mental Health
Primary care MH service
Early Intervention to Psychosis
Dementia Memory Assessment
Dementia Intensive Support Service
Personality Disorder and Complex Needs
Health and Housing
Individual Placement & Support (NEE / Suffolk)
Community Dementia Care Home Nurses
Mild Cognitive Impairment
Rehab pathway
seven.1.5) Duration of the contract, framework agreement, dynamic purchasing system or concession
Duration in months
24
seven.1.6) Information on value of the contract/lot/concession (excluding VAT)
Total value of the contract/lot/concession:
£90,008,000
seven.1.7) Name and address of the contractor/concessionaire
Essex Partnership University NHS Foundation Trust
The Lodge, Lodge Approach, Runwell
Wickford
SS11 7XX
Country
United Kingdom
NUTS code
- UKH3 - Essex
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):
When the original contract was awarded there was no reference within it to creation of or delivery within an Integrated Care Systems (ICS) as the concept had not been fully developed by NHSE yet. The NHS England current guidance is that where there are multiple commissioners for one provider, their preference is for one contract via collaborative arrangements in line with the establishment of ICSs. As such, these circumstances which have rendered the modification necessary are deemed unforeseen by the Authority.
The current MSE contract for Mental Health Services with EPUT has been varied to:
i) add North East Essex (NEE)CCG as an additional contracting authority (associate) to the contract,
ii) incorporate the Mental Health Services required by NEE CCG
iii) add Ipswich and East Suffolk CCG and West Suffolk CCG as an additional contracting authorities (associates) to the contract, and
iv) incorporate the Mental Health Services required by Ipswich and East Suffolk CCG and West Suffolk CCG.
The Authority deems that such modifications meet the grounds under Regulation 72 (1) (C) that they do not change the overall nature of the contract, for Mental Health Service delivery.
- The value of the North East Essex MH services are approx. £43.519 million per annum
- The value of the Ipswich and East Suffolk MH Services are £912,000 per annum
- The value of the West Suffolk MH Services are £573,000 per annum
The aggregated contract value associated with the scope of services above (pertaining to the element of the contract being modified), based on the remaining two years of the existing term is approx. £90,008,000 million. The total aggregate contract value of the existing mental health service contract over the five year term is £555,684,000. The proposed modification represents 16.2% of the original contract value and is therefore under the 50% threshold within Regulation 72 (1) (c) of the Public Contract Regulations 2015.
The new aggregate value of the contract over the entire duration of it's term, including modifications is therefore £645,692,000.
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:
When the original contract was awarded there was no reference within it to creation of or delivery within Integrated Care Systems (ICS) as the concept had not been fully developed by NHSE yet. The NHS England current guidance is that where there are multiple commissioners for one provider, their preference is for one contract via collaborative arrangements in line with the establishment of ICSs. The Essex MH Taskforce has thus recommended streamlined contract management and commissioning arrangements in order to align similar / complementary contracts which will reducing the risk of a misaligned approach to managing providers, which could result in a failure to understand themes that cut across the provider and respective CCG geographies. The Authority deems that such modifications meet the grounds under Regulation 72(1)(c) that they do not change the overall nature of the Contract, and represents 16.2% of the original contract value so is under the 50% threshold Regulation 72(1)(c).
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: £555,684,000
Total contract value after the modifications
Value excluding VAT: £645,692,000