Section one: Contracting authority/entity
one.1) Name and addresses
NHS Hertfordshire and West Essex Integrated Care Board
Charter House Parkway
Welwyn Garden City
AL8 6JL
Contact
Jayapriya Mani
Country
United Kingdom
NUTS code
UKH23 - Hertfordshire
Internet address(es)
Main address
https://www.hertsandwestessex.icb.nhs.uk/
Buyer's address
Section two: Object
two.1) Scope of the procurement
two.1.1) Title
Integrated Urgent Care (including GP Extended Access) Services for West Essex CCG
Reference number
ACE-0334-2018-West
two.1.2) Main CPV code
- 85100000 - Health services
two.1.3) Type of contract
Services
two.2) Description
two.2.3) Place of performance
NUTS codes
- UKH23 - Hertfordshire
two.2.4) Description of the procurement at the time of conclusion of the contract:
The Integrated Urgent Care Service for patients in West Essex includes:
• NHS 111 call- handling service
• NHS 111 on-line service
• Clinical Assessment Service (CAS)
• Primary Care Out of Hours (OOH) service
two.2.7) Duration of the contract, framework agreement, dynamic purchasing system or concession
Start date
1 April 2019
End date
31 March 2028
In the case of framework agreements, provide justification for any duration exceeding 4 years
The ICB considers that the modification is permitted pursuant to the Health Care Services (Provider Selection Regime) Regulations 2023 under regulation 13(1)(a) i.e. on the basis that the possibility of modifying the contract to incorporate service provision in Hertfordshire was clearly and unambiguously provided for in the contract documents.
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 four. Procedure
four.2) Administrative information
four.2.1) Contract award notice concerning this contract
Notice number: 2018/S 135-308364
Section five. Award of contract/concession
Contract No
C263990
Title
HUC
five.2) Award of contract/concession
five.2.1) Date of conclusion of the contract/concession award decision:
27 June 2024
five.2.2) Information about tenders
The contract/concession has been awarded to a group of economic operators: No
five.2.3) Name and address of the contractor/concessionaire
HUC
Ascots Lane Welwyn Garden City Hertfordshire
Welwyn Garden City
AL7 4HL
Country
United Kingdom
NUTS code
- UKH23 - Hertfordshire
National registration number
30301R
Internet address
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: £53,225,060
Section six. Complementary information
six.3) Additional information
This is a Provider Selection Regime (PSR) contract modification notice, under the Health Care Services (Provider Selection Regime) Regulations 2023. For the avoidance of doubt, the provisions of the Public Contracts Regulations 2015 do not apply to this modification. This contract has now been formally modified.
The decision to modify the contract was taken by the NHS Hertfordshire and West Essex ICB Commissioning Committee at a meeting on 14 September 2023 and by the ICB Board Meeting held on 22 September 2023.
One conflict of interest was identified among the members of the Commissioning Committee. The conflicted member left the meeting for the discussion and decision-making on this agenda item.
Four conflicts of interest were identified among the members of the ICB Board. The conflict members left the meeting for the discussion and decision-making on this agenda item.
six.4) Procedures for review
six.4.1) Review body
High Court
The Strand
London
WC2A 2LL UK
Country
United Kingdom
Internet address
Section seven: Modifications to the contract/concession
seven.1) Description of the procurement after the modifications
seven.1.1) Main CPV code
- 85100000 - Health services
seven.1.3) Place of performance
NUTS code
- UKH23 - Hertfordshire
seven.1.4) Description of the procurement:
The IUC service for Hertfordshire and West Essex includes:
• NHS 111 call- handling service,
• NHS 111 on-line service,
• Clinical Assessment Service (CAS),
• Primary Care Out of Hours (OOH) service
The contract will also include the Acute In Hours Visiting Service for East and North Hertfordshire patients.
seven.1.5) Duration of the contract, framework agreement, dynamic purchasing system or concession
Start date
1 April 2019
End date
31 March 2028
In the case of framework agreements, provide justification for any duration exceeding 4 years:
The ICB considers that the modification enables continuity of service provision for the Integrated Urgent Care service which is integral to supporting the delivery of system wide urgent care priorities. The modification also aligns to the option set out in the initial procurement for Hertfordshire IUC services to be incorporated into the West Essex IUC contract ensuring the ICB acts transparently
seven.1.6) Information on value of the contract/lot/concession (excluding VAT)
Total value of the contract/lot/concession:
£126,807,743
seven.1.7) Name and address of the contractor/concessionaire
HUC
Ascots Lane Welwyn Garden City Hertfordshire
Welwyn Garden City
AL7 4HL
Country
United Kingdom
NUTS code
- UKH23 - Hertfordshire
National registration number
30301R
Internet address
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 contract has been modified to incorporate the provision of IUC services in Hertfordshire as well as West Essex with effect from 27 June 2024 to 31 March 2028. There is no change in the length of the contract. The modification will result in an increase to the estimated lifetime value of the contract of £73,582,683.00.
The precise annual value of the contract will be calculated in accordance with the principles used to calculate the financial value for the period 1 April 2025 to 31 March 2026 as follows. The financial value for the period 1 April 2025 to 31 March 2026 will be the 2024-25 financial value adjusted by the national cost uplift and efficiency factors for 2025/26. The Co-ordinating Commissioner reserves the right to review the application of the cost uplifts and efficiency factors as part of the 2025-26 contract planning process.
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:
The ICB considers that the modification enables continuity of service provision for the Integrated Urgent Care service which is integral to supporting the delivery of system wide urgent care priorities. The modification also aligns to the option set out in the initial procurement for Hertfordshire IUC services to be incorporated into the West Essex IUC contract ensuring the ICB acts transparently, fairly and proportionately.
The ICB considers that the modification is permitted pursuant to the Health Care Services (Provider Selection Regime) Regulations 2023 under regulation 13(1)(a) i.e. on the basis that the possibility of modifying the contract to incorporate service provision in Hertfordshire was clearly and unambiguously provided for in the contract documents.
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: £53,225,060
Total contract value after the modifications
Value excluding VAT: £126,807,743