Section one: Contracting authority
one.1) Name and addresses
NHS Herefordshire & Worcestershire Integrated Care Board
Kirkham House, John Comyn Drive, Perdiswell
Worcester
WR3 7NS
Contact
Lyle Lloyd
Country
United Kingdom
Region code
UKG1 - Herefordshire, Worcestershire and Warwickshire
Justification for not providing organisation identifier
Not on any register
Internet address(es)
Main address
https://herefordshireandworcestershire.icb.nhs.uk
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
Primary Care Local Enhanced Services for NHS Herefordshire and Worcestershire Integrated Care Board
two.1.2) Main CPV code
- 85121000 - Medical practice services
two.1.3) Type of contract
Services
two.1.4) Short description
This Contract Award Notice is placed by Midlands and Lancashire Commissioning Support Unit on behalf of NHS Herefordshire and Worcestershire Integrated Care Board to confirm the direct award of contracts for Local Enhanced Services for 2024/45 pursuant to Regulation 8 (Direct Award Process B) of the NHS Provider Selection Regime (PSR) regulations. Local Enhanced Services are services outside of the national GP contract providing a wider range of primary medical services to meet local population needs and priorities. Local Enhanced Services are included as an appendix to each Practice's General Medical Service's (GMS) Contract. A description of each contract is provided in Section II.2.4 below.
two.1.6) Information about lots
This contract is divided into lots: No
two.1.7) Total value of the procurement (excluding VAT)
Value excluding VAT: £6,957,822
two.2) Description
two.2.2) Additional CPV code(s)
- 85121100 - General-practitioner services
two.2.3) Place of performance
NUTS codes
- UKG11 - Herefordshire, County of
- UKG12 - Worcestershire
Main site or place of performance
The Counties of Herefordshire and Worcestershire.
For further details, please see Section II.2.4 below for the of list of GP Practices which are the main sites or places of performance.
two.2.4) Description of the procurement
The purpose of this Contract Award Notice is to advise that NHS Herefordshire and Worcestershire Integrated Care Board has directly awarded contracts for Local Enhanced Services pursuant to Regulation 8 (Direct Award Process B) under the the NHS Provider Selection Regime for the period of 1st April 2024 to 31st March 2025 to 78 GP Practices across the Herefordshire and Worcestershire geographical area.
These are existing Local Enhanced Services provided by existing providers.
Below is a description of each Local Enhanced Service to be provided:
Safe Prescribing: this service provides funding for practices within Worcestershire to manage systems for initiation, where clinically appropriate, and an ongoing enhanced level of monitoring of prescribed medicines.
Phlebotomy: blood tests to monitor, diagnose and treat patients in primary care, reducing the number of patient visits to hospital proving convenient, local services to patients.
Treatment Room: includes a wide variety of work such as phlebotomy, dressings, suture removal, ear syringing, wound care, 12 Lead Electrocardiograms (ECGs).
Diabetes: management of patients with insulin, including insulin initiation for Type 2 diabetes, some with shared care, and Glucagon-like peptide-1 (GLP-1) Analogue treatment.
Leg Ulcer: support for Leg Ulcer Healing beyond that defined in the General Medical Services (GMS) contract; the pathway includes assessment by an appropriately qualified Practice Nurse/District Nurse, treatment of Venous Leg ulcers for ambulant service users, and follow up provision of hosiery and advice, including repeat doppler testing to ensure ongoing stability of compression hosiery. District Nurses will treat housebound patients on their caseload, utilising Leg Club mode wherever possible.
Compression Bandaging: service includes doppler assessment, application of compression bandaging and dressings in line with treatment plan.
Deep Vein Thrombosis (DVT): exact service requirements differ across the geographical area, but all include the provision of a diagnostic service for patients with suspected DVT and initial anti-coagulation.
Spirometry: diagnostic spirometry in primary care for early detection and diagnosis of respiratory conditions including Chronic Obstructive Pulmonary Disease (COPD) and/or Asthma. The service enables patients to be managed more appropriately and improves longer term outcomes.
Fractional Exhaled Nitric Oxide (FeNO) Testing: FeNO testing in primary care is used to help diagnose Asthma by identifying people, not currently on the Asthma register, who are likely to respond to treatment with inhald corticosteroids (ICS).
Prostate-Specific Antigen (PSA) - Stable Prostate Cancer: patients with prostate cancer or a raised PSA receive monitoring and management within primary care if clinically indicated. WF specification includes stable long term patients.
Ring Pessaries: Vaginal Ring Pessary treatment for utero-vaginal prolapse.
12 Lead ECG: 12-Lead ECG is used as a diagnostic tool in the management of confirmed and suspected Cardiovascular Disease within primary care close to patients' homes, to include recoding and interpretation of routine ECGs.
Cardiology - 24 Hour ECG: facilitates diagnosis, management and treatment of arrhythmias within a primary care setting. The service includes: clinical evaluation of the patient, education of the patient on equipment safety, fitting and removal of ambulatory ECG testing equipment, production of a permanent record (electronic or paper based) record of the investigation results, and specialist referral if required.
Safeguarding Multi Disciplinary Team (MDT) Meetings: to ensure that all relevant information is submitted by GPs in a timely fashion to child protection case conferences, including production of Parents Report, Child Safeguarding Summary and completion of an electronic audit.
Safeguarding Network Model: New Safeguarding Network Operating Model to embed good practice and support safeguarding work linked to the safeguarding reporting enhanced service. Supports GP practices working as part of a network to achieve consistent, safe and effective approach to safeguarding.
Microsuction: a primary care based ear canal clearance service to patients aged 18 years and over, separate to ear syringing. Requires specialist equipment.
Managing Menorrhagia: increases the availability of levonorgestrel-releasing intrauterine system (LNG-IUS) in the management of menorrhagia in primary care.
Discharge to Assess (D2A)/Step-Up Step-Down Beds: the service requires a primary care clinician to attend the home to review the patient within 24 hours of admission, including a review of patients' ongoing medical and medication needs, and subsequent visits as required.
Complex Care Homes: there are two homes (Pirton Grange Care Home and Inspire Care) within Worcestershire caring for complex neuro disability patients. The service requires a weekly GP session at the care homes and is based on an assessment of clinical complexity and time required.
Care Home Flu Antiviral: GP practices to respond to a Public Health England alert of a localised community outbreak of influenza by ensuring appropriate clinical assessment and the prescribing of antivirals.
Below is the estimated annual budget value for 2024/25 for each Local Enhanced Service, broken down by county area:
Safe Prescribing: Herefordshire £454,811 / Worcestershire £1,661,049 / Total £2,115,860
Phlebotomy: Herefordshire £431,606 / Total £431,606
Treatment Room: Worcestershire £1,059,160 / Total £1,059,160
Diabetes: Herefordshire £366,657 / Worcestershire £1,092,585 / Total £1,459,242
Leg Ulcers: Herefordshire £152,949 / Total £152,949
Compression Bandaging: Worcestershire £171,023 / Total £171,023
DVT: Herefordshire £50,285 / Worcestershire £90,071 / Total £140,356
Spirometry: Herefordshire £79,615 / Worcestershire: £170,426 / Total £250,041
FeNO: Worcestershire: £58,827 / Total £58,827
PSA: Worcestershire £251,250 / Total £251,250
Ring Pessaries: Worcestershire £130,000 / Total £130,000
12-Lead ECG: Herefordshire £108,948 / Total £108,948
Cardiology - 24 hr ECG: Worcestershire £90,421 / Total £90,421
Safeguarding MDT Meetings: Herefordshire £15,177 / Worcestershire £51,503 / Total £66,680
Safeguarding Network Model : Worcestershire: £183,000 / Total £183,000
Microsuction: Worcestershire: £127,034 / Total £127,034
Managing Menorrhagia: Herefordshire £18,857 / Worcestershire £53,129 / Total £71,986
D2A/Step Up Step Down: Worcestershire £33,000 / Total £33,000
Clinically Complex Care Homes: Worcestershire £20,000 / Total £20,000
Flu Antivirals in Care Homes: Herefordshire £5,000 / Worcestershire £31,440 / Total £36,440
Local Enhanced Services Grand Total: Herefordshire £1,683,906 / Worcestershire £5,273,916 / Total £6,957,822
Below is the list of 78 GP Practices within Herefordshire and Worcestershire:
Abbey Medical Practice
Abbottswood Medical Centre
Albany House Surgery
Alton Street Surgery
Aylmer Lodge Cookley Partnership
Barbourne Health Centre
Barnt Green Surgery
Belmont Medical Centre
Bewdley Medical Centre
Bredon Hill Surgery
Cantilupe Surgery
Catshill Surgery
Chaddesley Corbett Surgery
Church Street Surgery
Churchfields Surgery
Colwall Surgery
Corbett Medical Practice
Cornhill Surgery
Crabbs Cross Medical Centre
Crabbs Cross Surgery
Cradley Surgery
Davenal House Surgery Partnership
DeMontfort Medical Centre
Elbury Moor Medical Centre
Elgar House Surgery
Fownhope Medical Centre
Glebelands Surgery
Golden Valley Practice
Great Witley Surgery
Grey Gable Surgery
Hagley Surgery
Haresfield Surgery
Hereford Medical Group
Hillview Medical Centre
Hollyoaks Medical Centre
Hollywood Medical Practice
Kidderminster Medical Centre
Kington Medical Practice
Knightwick Surgery
Ledbury Health Partnership
Malvern Health Centre
Merstow Green Medical Practice
Mortimer Medical Practice
Much Birch Surgery
New Barn Close Surgery
New Court Surgery
New Road Surgery, Bromsgrove
New Road Surgery, Rubery
Northumberland House Surgery
Nunwell Surgery
Ombersley Medical Centre
Pendeen Surgery
Pershore Medical Practice
Riverside Surgery
Ryeland Surgery
Salters Medical Practice
Severn Valley Medical Practice
Spa Medical Practice
Spring Gardens Medical Practice
St Johns House Medical Centre
St John's Surgery
St Martins Gate Surgery
St Saviours Surgery
St Stephen's Medical Partnership
Stanmore House Surgery
Stourport Medical Centre
Tenbury Surgery
The Bridge Surgery
The Dow Surgery
The Ridgeway Surgery
The Surgery Kingstone
Thorneloe Lodge Surgery
Upton Surgery
Wargrave House
Weobley & Staunton on Wye Surgeries
Whiteacres Medical Centre
Winyates Surgery
Wolverley Surgery
two.2.5) Award criteria
Price
two.2.11) Information about options
Options: No
two.2.14) Additional information
This is a Provider Selection Regime (PSR) confirmation of contract award notice. This contract has been awarded under the Health Care Services (Provider Selection Regime) Regulations 2023, Regulation 8. For the avoidance of doubt, the provisions of the Public Contracts Regulations 2015 do not apply to this award.
The Local Enhanced Service Contracts were approved at the meeting of the NHS Herefordshire and Worcestershire Integrated Care Board Strategic Commissioning Committee on 13th March 2024.
A declaration of interest register was circulated to Strategic Commissioning Committee members, with no further declarations or conflicts raised during the meeting. The meeting was confirmed as quorate.
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:
This is a Provider Selection Regime (PSR) confirmation of contract award notice. This contract has been awarded under the Health Care Services (Provider Selection Regime) Regulations 2023 Direct Award Process B.
For the avoidance of doubt, the provisions of the Public Contracts Regulations 2015 do not apply to this award.
four.1.8) Information about the Government Procurement Agreement (GPA)
The procurement is covered by the Government Procurement Agreement: No
Section five. Award of contract
A contract/lot is awarded: Yes
five.2) Award of contract
five.2.1) Date of conclusion of the contract
31 March 2024
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
Please see Section II.2.4
Herefordshire and Worcestershire
Country
United Kingdom
NUTS code
- UKG1 - Herefordshire, Worcestershire and Warwickshire
Justification for not providing organisation identifier
Not on any register
The contractor is an SME
No
five.2.4) Information on value of contract/lot (excluding VAT)
Total value of the contract/lot: £6,957,822
Section six. Complementary information
six.3) Additional information
For the purposes of this notice, a value must be inputted at Section V.2.2. however, this is superseded by the information stated in Section II.2.4.
six.4) Procedures for review
six.4.1) Review body
NHS Herefordshire and Worcestershire Integrated Care Board
Kirkham House, John Comyn Drive, Perdiswell
Worcester
WR3 7NS
Country
United Kingdom