Section one: Contracting authority
one.1) Name and addresses
SALISBURY NHS FOUNDATION TRUST
ADDRESS
Salisbury
SP2 8BJ
Contact
Simon Dennis
Telephone
+44 1722336262
Country
United Kingdom
Region code
UK - United Kingdom
Internet address(es)
Main address
https://nhs.bravosolution.co.uk/nhs_collaborative/web/login.html
one.2) Information about joint procurement
The contract is awarded by a central purchasing body
one.3) Communication
Access to the procurement documents is restricted. Further information can be obtained at
https://nhs.bravosolution.co.uk/nhs_collaborative/web/login.html
Additional information can be obtained from the above-mentioned address
Tenders or requests to participate must be submitted electronically via
https://nhs.bravosolution.co.uk/nhs_collaborative/web/login.html
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
Restrictive Intervention Training in Ambulance Services on behalf of NHS England/Improvement
Reference number
C1546.389
two.1.2) Main CPV code
- 80000000 - Education and training services
two.1.3) Type of contract
Services
two.1.4) Short description
To engage an experienced provider of conflict resolution, disengagement and physical intervention training and learning to provide a risk assessed comprehensive, accessible and innovative training and learning program. The programme must be, which is evidence based and adopts a human rights and restraint reduction approach whilst also meeting the unique needs of the national ambulance sector.
2.2 Objectives
(i) Conduct a national training needs analysis to identify a suite of restrictive intervention skills which to increase and maintain the safety of staff and patients
(ii) Review the current conflict resolution training (CRT) offer in each trust in order to develop an interoperable restrictive intervention learning programme which combines this existing CRT offer
(iii) Understand current restrictions on abstractions with ambulance service staff for attendance at statutory and mandatory training and subsequently develop a package that can be delivered
(iv) Produce an ambulance service bespoke learning programme which includes interactive, multimedia methods of delivery and innovative solutions to ensure minimal disruption to service delivery and satisfy current (future) Covid restrictions
(v) The programme that is developed will need to meet national, legislative and organisational requirements and duties
(vi) Produce a learning programme which can be delivered by inhouse qualified learning and development specialists through a train-the-rainer model
(vii) Provide a method of on-going quality assurance
two.1.5) Estimated total value
Value excluding VAT: £250,000
two.1.6) Information about lots
This contract is divided into lots: No
two.2) Description
two.2.3) Place of performance
NUTS codes
- UK - United Kingdom
two.2.4) Description of the procurement
Invitation to Quote
SPECIFICATION
Restrictive Intervention Training in Ambulance Services
1. Background
Violence to NHS staff
1.1 The NHS Long Term Plan and NHS People Plan require action be taken, a "redoubling" of our efforts, to prevent and reduce incidents of violence and abuse in the workplace.
One of the NHS People Plan Promises is that all our people feel supported, safe and secure at work.
"The health and safety of our people are paramount. Leaders across the NHS have a statutory duty of care to prevent and control violence and abuse in the workplace - in line with existing legislation - so that people never feel fearful or apprehensive about coming to work."
1.2 The NHS Staff Survey 2020 found:
• that 14.5% of all staff responding to the Survey said, they had experienced at least one incident of physical violence from patients, service users, their relatives, or other members of the public in the last 12 months. Staff within Ambulance Trusts continue to report far higher levels of violence - 33.4% more than double the national average.
• A similar picture is reported for staff experiencing bullying, harassment or abuse from patients, service users, their relatives, or other members of the public over the past 12 months. The national average is 26.7% but almost double for staff in ambulance trusts at 46.7%.
1.3 In support of this the increasing violence, NHS England and Improvement published the NHS Violence Prevention and Reduction (VPR) Standard . The Standard is a risk-based framework to establish a systematic approach to protecting staff. The new NHS standard contract requires that all trusts must now have due regard for the standard.
1.4 The NHS violence prevention and reduction standard requires providers to take a public health approach to prevention. In doing so, providers are required to ensure a training needs analysis on violence (informed by the VPR standard risk assessment) has been undertaken, and suitable and sufficient training and support are accessible and provided to all staff.
1.5 The Association of Ambulance Chief Executives (AACE) is increasing its commitment to preventing and reducing violence and abuse to ensure the safety and security of all staff in their work. This is being led by a newly established violence prevention and reduction hub.
1.6 Training needs are identified by the National Education Network for Ambulance Services with guidance and standards being given to each UK ambulance trust. Each trust is required to have a relevant and appropriate conflict resolution package on offer for all employees which may include disengagement, assault avoidance, breakaway techniques, however this will vary in content and delivery across each trust.
1.7 There is a gap in the training provision at present in the delivery of an evidence-based training package on restrictive interventions within an ambulance setting. Restrictive interventions/restraint have been discussed in the ambulance sector previously within various national forums but a specific training package has never been formally recognised or delivered. Anecdotally, ambulance service VPR teams are aware that restrictive interventions are undertaken by operational colleagues but cannot confirm with any degree of certainty the legitimacy, safety or effectiveness to which this restrictive intervention is applied. This could prove problematic should an adverse event occur as a result of a restrictive interventions. Data on the number of incidents requiring restrictive interventions applied is inconsistent and currently unobtainable at a sector-wide level.
1.8 For the purpose of this tender, restrictive interventions are defined as actions taken by ambulance personnel which may restrict or subdue an individual's movement or freedom to move, in order to remove or reduce the risk of danger to individuals or to ensure management / control of a dangerous situation. We recognise other terminology used could include, but is not limited to, physical restraint, use of force, manual restraint and safe holding.
2. Aim and objectives of the project
2.1 Aim
To engage an experienced provider of conflict resolution, disengagement and physical intervention training and learning to provide a risk assessed comprehensive, accessible and innovative training and learning program. The programme must be, which is evidence based and adopts a human rights and restraint reduction approach whilst also meeting the unique needs of the national ambulance sector.
2.2 Objectives
(i) Conduct a national training needs analysis to identify a suite of restrictive intervention skills which to increase and maintain the safety of staff and patients
(ii) Review the current conflict resolution training (CRT) offer in each trust in order to develop an interoperable restrictive intervention learning programme which combines this existing CRT offer
(iii) Understand current restrictions on abstractions with ambulance service staff for attendance at statutory and mandatory training and subsequently develop a package that can be delivered
(iv) Produce an ambulance service bespoke learning programme which includes interactive, multimedia methods of delivery and innovative solutions to ensure minimal disruption to service delivery and satisfy current (future) Covid restrictions
(v) The programme that is developed will need to meet national, legislative and organisational requirements and duties
(vi) Produce a learning programme which can be delivered by inhouse qualified learning and development specialists through a train-the-rainer model
(vii) Provide a method of on-going quality assurance
3. Project outcome
The project will establish develop and implement an evidence-based restrictive intervention training and learning package for the UK NHS ambulance service that engenders a human rights and restraint reduction approach, this will be achieved by:
• A review of the existing training provisions held and delivered by NENAS and other contracted ambulance service providers in the field of conflict resolution
• Identifying an evidence based, best practice approach to training restrictive intervention and restraint reduction in the ambulance sector
• Reviewing appropriate studies and legislation required in the use of restrictive interventions
• Providing monthly progress updates to the project steering group (terms of reference and membership to be agreed)
Developing an evidence based best practice training package that is bespoke to the UK ambulance sector
4. Approach
Oversight for the project will be through a project steering group that will work with the supplier to help shape the work and provide guidance where required. The steering group will provide updates to the AACE VPR hub.
It is anticipated that the supplier will undertake the review using a mixed methodology, drawing upon available data, survey findings, studies and literature.
Consultation and engagement with key stakeholders across the NHS including professional bodies will be necessary to gain additional insights to support the review.
Monthly progress updates to the project steering group (terms of reference and membership to be agreed).
Presentation of findings to senior executive groups within both AACE and the NHS England and Improvement Violence Prevention and Reduction Team (details to be confirmed in discussion with the project steering group and supplier).
5. Timeframe
Work to commence in year 2021-22, with project timeline to be agreed between the supplier and the project steering group but to be completed no later than mid- November 2022.
6. Supplier requirements
• Knowledge of ambulance services
• Knowledge and understanding of ambulance services' training provisions and restrictions
• Knowledge of restrictive interventions, restraint and use of force in a clinical setting
• Working knowledge of the restraint reduction network and their associated training standards
(viii) Experience in designing, developing, and facilitating multimedia learning programmes for large organisations which can follow a train-the-trainer model
(ix) Experience of developing bespoke learning packages which provide innovative solutions to sector / organisational restrictions such as release of staff, lone workers, demand pressures, limited resources and current (future) Covid restrictions
(x) Project management experience within a large/national healthcare organisation
(xi) Experience in providing innovative solutions and bespoke packages which meet national, legislative and organisational requirements
(xii) Project design and delivery, working to an agreed brief and outcomes
two.2.5) Award criteria
Price is not the only award criterion and all criteria are stated only in the procurement documents
two.2.7) Duration of the contract, framework agreement or dynamic purchasing system
Duration in months
12
This contract is subject to renewal
No
two.2.10) Information about variants
Variants will be accepted: No
two.2.11) Information about options
Options: No
Section three. Legal, economic, financial and technical information
three.2) Conditions related to the contract
three.2.3) Information about staff responsible for the performance of the contract
Obligation to indicate the names and professional qualifications of the staff assigned to performing the contract
Section four. Procedure
four.1) Description
four.1.1) Type of procedure
Open procedure
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.2.2) Time limit for receipt of tenders or requests to participate
Date
23 May 2022
Local time
12:00pm
four.2.4) Languages in which tenders or requests to participate may be submitted
English
four.2.6) Minimum time frame during which the tenderer must maintain the tender
Duration in months: 12 (from the date stated for receipt of tender)
four.2.7) Conditions for opening of tenders
Date
24 May 2022
Local time
8:00am
Section six. Complementary information
six.1) Information about recurrence
This is a recurrent procurement: No
six.2) Information about electronic workflows
Electronic ordering will be used
Electronic invoicing will be accepted
Electronic payment will be used
six.3) Additional information
The following Contracting Authorities are entitled to place Orders:
Salisbury NHS Foundation Trust and all bodies listed below :
Central Government Departments, Local Government and Public Corporations :
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Please note Central Government departments may be subject to Government Digital Service approval before using the Framework Agreement.
Local Authorities (England and Wales)
National Parks Authorities
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Educational Establishments in England and Wales, maintained by the Department for Education including Schools, Universities and Colleges listed :
Police Forces listed by the College of Policing, plus Police Scotland and Police Service of Northern Ireland
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Police Forces and Special Police Forces in the United Kingdom, and/or Police and Crime Commissioners (as defined by the Police Reform and Social Responsibility Act 2011) and/or the Police Authorities (as defined in the Police Act 1964, Police Act 1996, Serious Organised Crime and Police Act 2005, Police and Justice Act 2006, Police, Public Order and Criminal Justice (Scotland) Act 2006), and other relevant legislation for the constituent parts of the United Kingdom, for their respective rights and interests
Fire and Rescue Services in the United Kingdom
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NHS Bodies England
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Hospices in the UK
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Registered Social Landlords (Housing Associations)
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Third Sector and Charities in the United Kingdom
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Any corporation established, or a group of individuals appointed to act together, for the specific purpose of meeting needs in the general interest, not having an industrial or commercial character, and (i) financed wholly or mainly by another contracting authority listed above in this section of this Framework Agreement;
(ii) subject to management supervision by another contracting authority listed above in this section of this Framework Agreement; or
(iii) more than half of the board of directors or members of which, or, in the case of a group of individuals, more than half of those individuals, are appointed by another contracting authority listed above in this section of this Framework Agreement
(iv) an association of or formed by one or more of the Contracting Authorities listed above in this section of this Framework Agreement
Entities which are not public sector bodies may also use the Framework Agreement if the Authority is satisfied that:
• such entity is calling-off goods and/or services directly, solely and exclusively in order to satisfy contractual obligations to one or more public sector bodies, all of which are entitled to use the Framework Agreement on their own account;
• all goods to be called-off by it are to be used directly, solely and exclusively to provide goods and/or services at sites occupied by such public sector body(ies); and
• it will pass the benefit of the call-off contract to such public sector body(ies) directly, in full and on a purely "pass-through" basis. Accordingly there must be no mark-up, management fee, service charge or any similar cost solely in relation to the supply of goods and/or services imposed on the relevant public sector body(ies), who must be able to benefit from the terms of the Framework Agreement in a like manner and to the same extent as if using the Framework Agreement on its/their own account.
Any 'bodies governed by public law' which under the Public Contracts Regulations 2015 means bodies that have all of the following characteristics
(a)they are established for the specific purpose of meeting needs in the general interest, not having an industrial or commercial character;
(b) they have legal personality; and
(c) they have any of the following characteristics:-
(i) they are financed, for the most part, by the State, regional or local authorities, or by other bodies governed by public law;
(ii) they are subject to management supervision by those authorities or bodies; or
(iii) they have an administrative, managerial or supervisory board, more than half of whose members are appointed by the State, regional or local authorities, or by other bodies governed by public law.
six.4) Procedures for review
six.4.1) Review body
The High Court, England & Wales
London
Country
United Kingdom