Section one: Contracting authority
one.1) Name and addresses
Leicestershire Partnership NHS Trust
Bridge Park Plaza, Bridge Park Road
Thurmaston, Leicester
LE4 8PQ
Contact
North of England Commercial Procurement Collaborative on behalf of Leicestershire Partnership NHS Trust
Country
United Kingdom
NUTS code
UKF21 - Leicester
Internet address(es)
Main address
Buyer's address
one.3) Communication
The procurement documents are available for unrestricted and full direct access, free of charge, at
https://health-family.force.com/s/Welcome
Additional information can be obtained from the above-mentioned address
Tenders or requests to participate must be submitted electronically via
https://health-family.force.com/s/Welcome
Tenders or requests to participate must be submitted to the above-mentioned address
Electronic communication requires the use of tools and devices that are not generally available. Unrestricted and full direct access to these tools and devices is possible, free of charge, at
https://health-family.force.com/s/Welcome
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
Provision of Bespoke Inpatient Adult Eating Disorder (AED) service for Northants/Leicestershire
Reference number
C245956
two.1.2) Main CPV code
- 85111500 - Psychiatric hospital services
two.1.3) Type of contract
Services
two.1.4) Short description
To deliver a bespoke inpatient eating disorder service to a young adult outside of the usual contractual and financial framework for adult eating disorder inpatient services.
The person’s complexity of presentation and current acuity levels on the units. require us to procure a bespoke option that can meet the person’s treatment needs within a time-limited inpatient admission.
two.1.5) Estimated total value
Value excluding VAT: £4,000,000
two.1.6) Information about lots
This contract is divided into lots: No
two.2) Description
two.2.3) Place of performance
NUTS codes
- UKF2 - Leicestershire, Rutland and Northamptonshire
two.2.4) Description of the procurement
To deliver a bespoke inpatient eating disorder service to a young adult outside of the usual contractual and financial framework for adult eating disorder inpatient services.
Due to the person’s complexity of presentation and current acuity levels, we are looking to procure a bespoke option that can meet the person’s treatment needs within a time-limited inpatient admission.
Below is a summary of the care that will be required:
• 24-hour care in an inpatient eating disorder environment under a section of the mental
health act.
• A multi-disciplinary team that can meet the person’s medical, psychological and social
needs.
• Nasal Gastronomy (NG) feeding under restraint
• Ability to manage high levels of distress including self-harm, verbal abuse and assaultive
behaviour.
• A long-term segregation (LTS) environment initially with the ability to transfer out of LTS as
soon as is reasonably possible.
• Clear focus on least restrictive practice.
• Ability to make reasonable adjustments for a working diagnosis of autism
• Advocacy.
• Carer support.
Required Service / Aims of Admission
One of the main aims of the admission would be to increase Body Mass Index (BMI) or
restore weight, reduce the current restrictions (including LTS), develop a life plan (to
support discharge planning) and prepare for discharge. It will involve a commitment to meet
with the external stakeholders regularly and be actively involved in any legal framework
planning that will be needed for discharge e.g. Condition Of Participation (COP) or Depravation of Liberty Safeguards (DOLs).
There should be regular reviews to assess the relative risks versus benefits (both physical and psychological) of the treatment plan, particularly given the likely high level of restraint and the need for LTS. This balance may shift as the BMI increases.
The overarching aim should be that treatment should be in the person’s best interests.
The service will need to be able to deliver the required expertise in the treatment of eating disorders (in accordance with the specification for AED inpatient services) whilst also making the necessary adjustments in relation to Autism Spectrum Disorder (ASD). This will include access to Multi-Disciplinary Team interventions and close monitoring of mental and physical state by the medical and nursing team.
The environment should be no more restrictive than is necessary.
Proposed care plan
1. Adequate nutritional input under specialist dietetic guidance with clear target BMI goal and rate of weight increase
2. Psychological support to ensure adherence to nutrition plan
3. CBT-E informed care from MDT for continuous messaging re. need to address nutritional deficit, understanding food/fatness fears as illness to support motivation for change and recovery.
4. Provision of NG feeding at least daily, if unable to adhere to oral intake
5. Physical monitoring, weekly blood tests and weight, pulse, BP daily.
6. Medical support to manage physical complaints, complications eg. refeed syndrome
7. Administration of medication.
8. ASD adjustment, includes clarity, precise communication style, consistency, limited decision making, addressing sensory needs, PEACE Pathway strategies
9. Occupational Therapist to structure daily activities, social interests, examine educational input
10. Management of acutely disturbed state associated with feeding and violence towards staff, with need for Restraint. This has required bespoke team of at least 5 to 1.
11. Use of Safety Pod (under review with mx, but standard use on EDUs)
12. Segregation: initial plan for short term management away from other patients because of past risk and assault. This will need to be reviewed regularly.
13. Provision for one-to-one time to facilitate working towards emotional literacy work and then formal psychology. CBT-E informed therapeutic work. Autism self-awareness/understanding/acceptance
14. Support to re-socialise with peers, family and friends.
15. Support to navigate the transition from child-teen-youth to adult including physical development,
16. Family therapy
17. Support sessions for staff involved.
18. Active discharge planning.
two.2.5) Award criteria
Price is not the only award criterion and all criteria are stated only in the procurement documents
two.2.6) Estimated value
Value excluding VAT: £4,000,000
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
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 three. Legal, economic, financial and technical information
three.1) Conditions for participation
three.1.2) Economic and financial standing
Selection criteria as stated in the procurement documents
three.1.3) Technical and professional ability
Selection criteria as stated in the procurement documents
Section four. Procedure
four.1) Description
four.1.1) Type of procedure
Open procedure
Accelerated procedure
Justification:
This ITT is issued subsequent to Prior Information Notice reference: 2023/S 000-036040.
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: 2023/S 000-036040
four.2.2) Time limit for receipt of tenders or requests to participate
Date
29 April 2024
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: 3 (from the date stated for receipt of tender)
four.2.7) Conditions for opening of tenders
Date
15 April 2024
Local time
2:00pm
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
six.4) Procedures for review
six.4.1) Review body
North of England Commercial Procurement Collaborative (NOE CPC)
Savile Street East,
Sheffield,
S4 7UQ
Country
United Kingdom