Section one: Contracting authority/entity
one.1) Name and addresses
NHS Midlands and Lancashire CSU
Heron House, 120 Grove Road
Stoke on Trent
ST4 4LX
Contact
Raj Sandhu
Telephone
+44 782872500
Country
United Kingdom
NUTS code
UK - United Kingdom
Internet address(es)
Main address
Section two: Object
two.1) Scope of the procurement
two.1.1) Title
Alliance Contract for Community Based Elective Care (LLR)
two.1.2) Main CPV code
- 80000000 - Education and training services
two.1.3) Type of contract
Services
two.2) Description
two.2.1) Title
Alliance Contract for Community Based Elective Care (LLR).
two.2.3) Place of performance
NUTS codes
- UK - United Kingdom
two.2.4) Description of the procurement at the time of conclusion of the contract:
To offer all Leicester, Leicestershire & Rutland (LLR) patients a choice which includes end-to-end Integrated care pathways for routine elective care that are delivered within Leicester, Leicestershire & Rutland through an Alliance partnership agreement.
Outcomes: Demonstrate the ability and flexibility to achieve each of the following key outcomes -
1. Flex according to the needs of individual patients quickly and efficiently and to offer them choice (including, where appropriate, out of County): demonstrating effective dialogue with and response to patients.
2. Innovate & continually improve whole care pathways & quality outcomes in LLR: demonstrating clinical quality, innovation, safety & patient experience.
3. Realize maximum cost savings/efficiencies to the LLR health economy including use of fixed assets: demonstrating efficiency.
4. Minimize delays to implementing effective integration (end to end pathways and shared care): demonstrating ability to bring partners together including social care and collaborate successfully.
5. Actively shift care closer to home: demonstrating local care for pathways and localities where clinically appropriate and financially viable.
6. Enable commissioners to keep a lead role and effectively hold providers to account: demonstrating accountability.
7. Deliver the Better Care Together strategy of the local health economy: demonstrating managerial feasibility and capacity
The Alliance Contract partners work together to deliver specific strategic outcomes described above. Since the original contract was awarded, referral triage has been added to the service provided in order to support delivery of the strategic outcomes above.
The services within the contract include community based elective care daycase, new and follow up outpatients in:
General surgery ; Endoscopy; Orthopaedics; Ophthalmology; Ear nose and throat; General medicine; Elderly care; Diabetic management; Dermatology; Rheumatology; Cardiology; Gynaecology; Gastroenterology; Urology; Plastic surgery; Neurology; Nephrology; Maxillo/facial surgery; Pain management; Paediatrics; Diagnostics including imaging.
two.2.7) Duration of the contract, framework agreement, dynamic purchasing system or concession
Duration in months
12
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
RS/LLR/Modification/01
five.2) Award of contract/concession
five.2.1) Date of conclusion of the contract/concession award decision:
1 April 2021
five.2.2) Information about tenders
The contract/concession has been awarded to a group of economic operators: Yes
five.2.3) Name and address of the contractor/concessionaire
LLR NHS Partners (Leicestershire Partnership Trust, University Hospitals of Leicester, LLR Provider Company Ltd)
University Hospitals of Leicester NHS Trust Level 3, Balmoral Building, Leicester Royal Infirmary, Infirmary Square,
Leicester
LE1 5WW
Country
United Kingdom
NUTS code
- UK - United Kingdom
The contractor/concessionaire is an SME
No
five.2.3) Name and address of the contractor/concessionaire
Leicester, Leicestershire and Rutland Provider Company Limited
The Byre Unit 6 Narborough Wood Park
Leicester
LE19 4XT
Country
United Kingdom
NUTS code
- UK - United Kingdom
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: £163,748,876
Section six. Complementary information
six.3) Additional information
The original value of the contract was £138,769,140
The actual spent value of the contract over the 7 years is £163,748,876. The increase is due to the tariff and choice rules which limit commissioner ability to contain spend.
The modification contract value is £29,140,152.
The total contract value including the modification will be £192,889,028
six.4) Procedures for review
six.4.1) Review body
East Leicestershire and Rutland
Room G30, Pen Lloyd Building, County Hall, Glenfield
East Leicestershire and Rutland
Leicester
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
- 85000000 - Health and social work services
seven.1.3) Place of performance
NUTS code
- UK - United Kingdom
seven.1.4) Description of the procurement:
Services
seven.1.5) Duration of the contract, framework agreement, dynamic purchasing system or concession
Duration in months
12
seven.1.6) Information on value of the contract/lot/concession (excluding VAT)
Total value of the contract/lot/concession:
£192,889,028
seven.1.7) Name and address of the contractor/concessionaire
University Hospitals of Leicester NHS Trust
Level 3 Balmoral Building, Leciester Royal Infirmiary, Infirmiary Square
Leicester
LE1 5WW
Country
United Kingdom
NUTS code
- UK - United Kingdom
The contractor/concessionaire is an SME
No
seven.1.7) Name and address of the contractor/concessionaire
Leicester, Leicestershire, and Rutland Provider Company Ltd
Byre Unit 6, Knarborough Wood Park, Desford Road,
Leicester
LE19 4XT
Country
United Kingdom
NUTS code
- UK - United Kingdom
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):
The original value of the contract was £138,769,140
The actual spent value of the contract over the 7 years is £163,748,876.
The original value of the contract was £138,769,140
The actual spent value of the contract over the 7 years is £163,748,876. The increase is due to the tariff and choice rules which limit commissioner ability to contain spend.
The modification contract value is £29,140,152.
The total contract value including the modification will be £192,889,028
The nature of the services will continue as provided prior to the modification. The majority of the services are subject to patient choice and national payment terms. The modification is for provision of these services for an additional year, therefore affecting the duration and value of the contract.
Nature and extent of the modifications (with indication of possible earlier changes to the contract)
This modification is to extend the existing contract for 12 months effective from 1st April 2021 to 31st March 2022 to the incumbent providers to maintain service provision, consistent with PCR 2015 Regulation 72(1)(b).
The increase is due to the tariff and choice rules which limit commissioner ability to contain spend.
The modification contract value is £29,140,152.
The total contract value including the modification will be £192,889,028
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:
Nature and extent of the modifications (with indication of possible earlier changes to the contract)
This modification is to extend the existing contract for 12 months effective from 1st April 2021 to 31st March 2022 to the incumbent providers to maintain service provision, consistent with PCR 2015 Regulation 72(1)(b).
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: £163,748,876
Total contract value after the modifications
Value excluding VAT: £192,889,028