Section one: Contracting authority/entity
one.1) Name and addresses
NHS England
Three-Six-Zero - 360, Marlborough Street
Bristol
BS1 3NX
Contact
Hannah Morley
Country
United Kingdom
Region code
UKK11 - Bristol, City of
Justification for not providing organisation identifier
Not on any register
Internet address(es)
Main address
https://www.england.nhs.uk/south/
Buyer's address
Section two: Object
two.1) Scope of the procurement
two.1.1) Title
NHS England South West - Diabetic Eye Screening Programmes for Cornwall, Devon, Somerset, Gloucestershire and Bristol, North Somerset, South Gloucestershire (BNSSG)
Reference number
C185632
two.1.2) Main CPV code
- 85000000 - Health and social work services
two.1.3) Type of contract
Services
two.1.4) Short description
NHSE South West (The Commissioner) seeks to re-commission five Diabetic Eye Screening Programmes (DESP) to deliver screening to the eligible populations of Cornwall and Isles of Scilly (Lot 1), Devon (Lot 2), Somerset (Lot 3), Gloucestershire (Lot 4), and Bristol, North Somerset and South Gloucestershire (BNSSG) (Lot 5).
The eligible population includes patients over the age of 12 diagnosed with diabetes and registered with, or eligible to be registered with, a GP in the lot area, as well as individuals within prisons, secure units and the armed forces.
The aim of the DESP is to reduce the risk of sight loss amongst people with diabetes by the prompt identification and effective treatment, if necessary, of sight threatening diabetic retinopathy.
This will be achieved by delivering an evidence-based service that:
•Identifies the eligible population and ensures effective delivery with maximum coverage
•Is safe, effective, high quality, externally and independently monitored, and quality assured
•Leads to earlier detection, appropriate referral, effective treatment and improved outcomes
•Is delivered and supported by suitably trained, competent and qualified clinical and non-clinical staff who, where relevant, participate in recognised ongoing continuing medical education (CME), continuous professional development (CPD) and quality assurance (QA) schemes
•Has audit embedded in the service
•Works effectively with other stakeholders to ensure the care pathway is smooth and efficient
There are 3 key elements of service delivery, namely:
•Call/recall for all people with diabetes invited for routine digital screening; this is currently undertaken on an annual basis, but screening intervals are likely to extend to 2 years for people at low risk during the contract term, in line with national guidance
•Digital surveillance where individuals need more frequent screening
•Slit lamp bio-microscopy (SLB) for those individuals where normal photography is inappropriate (e.g. those having cataracts).
Optical Coherence Tomography (OCT) does not form part of this Contract at this time, though this position may change over the life of the contract in line with national guidance.
The Services will be commissioned using the national service specification for DESP Services, localised where appropriate.
The Contract term will be 6 years, with an option to extend for a further 3 years at the sole discretion of the Commissioner. The Contracts are due to commence on 1st April 2024.
The 9 year estimated contract values, based on predicted activity levels, are:
Lot 1 = £9,588,607
Lot 2 = £24,522,731
Lot 3 = £13,581,836
Lot 4 = £11,231,506
Lot 5 = £15,468,533
The Contract will operate on a hybrid basis with a fixed "block" element based upon the actual activity for routine screening in 2021/2022 plus a variable element for digital surveillance and SLB and a further variable element to incentivise uptake to 85%. Variable elements will be paid according to activity undertaken.
The Commissioner's ambition through the financial model is to encourage uptake of DESP to achieve or exceed the national achievable target of 85% uptake in routine screening (DE1).
National changes to screening frequency for low risk individuals are expected to be implemented during the contract term which will have an impact on activity. The subsequent impact on contract values will be agreed between the Provider and the Commissioner via contract variation.
This procurement is being carried out by NHS South, Central and West Commissioning Support Unit (SCW) on behalf of the Commissioners.
Interested providers will be able to view the opportunity and access the tender documentation via the 'Live Opportunities' list on the e-procurement system, Atamis, available on the following link: https://health-family.force.com/s/Welcome
Section six. Complementary information
six.6) Original notice reference
Notice number: 2023/S 000-017667
Section seven. Changes
seven.1) Information to be changed or added
seven.1.2) Text to be corrected in the original notice
Section number
II.1.4
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Short Description
Instead of
Text
The 9 year estimated contract values, based on predicted activity levels, are:
Lot 1 = £9,588,607
Lot 2 = £24,522,731
Lot 3 = £13,581,836
Lot 4 = £11,231,506
Lot 5 = £15,468,533
Read
Text
The 9 year estimated contract values, based on predicted activity levels, are:
Lot 1 = £9,663,708
Lot 2 = £24,764,019
Lot 3 = £13,741,086
Lot 4 = £11,373,272
Lot 5 = £15,547,780
Section number
II.1.5
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Estimated total value
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Text
£74,393,213
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Text
£75,089,865
Section number
II.2.4
Lot No
1
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Description of the procurement
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The 9 year estimated contract value, based on predicted activity levels, is £9,588,607.
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The 9 year estimated contract value, based on predicted activity levels, is £9,663,708.
Section number
II.2.6
Lot No
1
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Estimated value
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£9,588,607
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£9,663,708
Section number
II.2.4
Lot No
2
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Description of the procurement
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The 9 year estimated contract value, based on predicted activity levels, is £24,522,731.
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The 9 year estimated contract value, based on predicted activity levels, is £24,764,019.
Section number
II.2.6
Lot No
2
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Estimated value
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£24,522,731
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£24,764,019
Section number
II.2.4
Lot No
3
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Description of the procurement
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Text
The 9 year estimated contract value, based on predicted activity levels, is £13,581,836.
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The 9 year estimated contract value, based on predicted activity levels, is £13,741,086.
Section number
II.2.6
Lot No
3
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Estimated value
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£13,581,836
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£13,741,086
Section number
II.2.4
Lot No
4
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Description of the procurement
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Text
The 9 year estimated contract value, based on predicted activity levels, is £11,231,506.
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The 9 year estimated contract value, based on predicted activity levels, is £11,373,272.
Section number
II.2.6
Lot No
4
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£11,231,506
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£11,373,272
Section number
II.2.4
Lot No
5
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Description of the procurement
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The 9 year estimated contract value, based on predicted activity levels, is £15,468,533.
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The 9 year estimated contract value, based on predicted activity levels, is £15,547,780.
Section number
II.2.6
Lot No
5
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£15,468,533
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£15,547,780
seven.2) Other additional information
The services are healthcare services falling within Schedule 3 to the Public Contracts Regulations 2015 ("the Regulations") which are not subject to the full regime of the Regulations, but are instead governed by the "Light Touch Regime" contained within Chapter 3, Section 7 of the Regulations (Regulations 74 to 77).