Section one: Contracting authority/entity
one.1) Name and addresses
Royal National Orthopaedic Hospital NHS Trust
Brockley Hill
Stanmore
HA7 4LP
Contact
Stephen Marshman
Country
United Kingdom
Region code
UKI74 - Harrow and Hillingdon
Internet address(es)
Main address
Buyer's address
Section two: Object
two.1) Scope of the procurement
two.1.1) Title
Managed Service Resident Doctors (RD’s)
Reference number
PRO-798-2024
two.1.2) Main CPV code
- 85100000 - Health services
two.1.3) Type of contract
Services
two.1.4) Short description
The Royal National Orthopaedic Hospital NHS Trust ("the Authority", "RNOH") required the provision of Managed Resident Doctors Services, operating 24/7.
The supplier will provide RNOH with Junior Clinical Fellow grade general medical and surgical cover for the entire RNOH (Stanmore campus) bed base 24 hours per day, 365 days per year (including weekends and bank holidays), for the full duration of the contract. Junior Clinical Fellow grade is considered to be of equal or greater experience to the UK post FACD 5.2 level. (FACD = Foundation Assessment of Competence Document).
The Authority intends to award a contract to NES UK Limited, following a Direct Award - Process C, in accordance with The Health Care Services (Provider Selection Regime) Regulations 2023 (“PSR 2023”).
Section six. Complementary information
six.6) Original notice reference
Notice number: 2024/S 000-033219
Section seven. Changes
seven.1.2) Text to be corrected in the original notice
Section number
II.1.4.1
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Provision of Managed Resident Doctors Services, operating 24/7, The supplier will provides RNOH with Junior Clinical Fellow grade general medical and surgical cover for the entire RNOH (Stanmore campus) bed base 24 hours per day, 365 days per year (including weekends and bank holidays), for the full duration of the contract. Junior Clinical Fellow grade is considered to be of equal or greater experience to the UK post FACD 5.2 level. (FACD = Foundation Assessment of Competence Document).
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The Royal National Orthopaedic Hospital NHS Trust ("the Authority", "RNOH") required the provision of Managed Resident Doctors Services, operating 24/7.The supplier will provide RNOH with Junior Clinical Fellow grade general medical and surgical cover for the entire RNOH (Stanmore campus) bed base 24 hours per day, 365 days per year (including weekends and bank holidays), for the full duration of the contract. Junior Clinical Fellow grade is considered to be of equal or greater experience to the UK post FACD 5.2 level. (FACD = Foundation Assessment of Competence Document).The Contracting Authority intends to award a contract under a Direct Award - Process C to NES UK Limited for 17 months, in accordance with The Health Care Services (Provider Selection Regime) Regulations 2023 (“PSR 2023”).
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I.1.8
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Stepehen Marshman
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Stephen Marshman
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II.2.4.1
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The RNOH aims to deliver safe, effective, high quality care at all times. However, in relation to medical, and in particular SHO cover, this has become increasingly challenging over the past few years. The Trust’s inability to attract and retain an adequate SHO workforce has resulted in a growing clinical risk for our services which is reflected within the Trust’s Risk Register and compounded by factors such as increasing inpatient acuity and weekend surgical activity.It has been well recognised for some time that the model for safe medical cover across the Trust needs to be revised and following significant consideration the priority for this identified as safe, reliable out of hours and emergency SHO level cover throughout the whole week. This is perceived to be the safe foundation from which further workforce transformation and remodelling can then be undertaken.The adoption of a managed contract Resident Doctor model to provide 24 hour cover 7 days a week through an external provider, comprising of 4 WTE doctors alternating between weeks of day shifts and night shifts, with a full week off between duty periods. A tender process would be undertaken to identify a preferred provider with the aim to implement the this service mode.Full OJEU restricted process was undertaken and the service was awarded to NES UK Limited on the 4th November 2019 and the contract expires on the 25th October 2024.The intention is to award a contract under the Most Suitable Provider Process to NES UK Limited for 17 months.
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The RNOH aims to deliver safe, effective, high quality care at all times. However, in relation to medical, and in particular SHO cover, this has become increasingly challenging over the past few years. The Trust’s inability to attract and retain an adequate SHO workforce has resulted in a growing clinical risk for our services which is reflected within the Trust’s Risk Register and compounded by factors such as increasing inpatient acuity and weekend surgical activity.It has been well recognised for some time that the model for safe medical cover across the Trust needs to be revised and following significant consideration the priority for this identified as safe, reliable out of hours and emergency SHO level cover throughout the whole week. This is perceived to be the safe foundation from which further workforce transformation and remodelling can then be undertaken.The adoption of a managed contract Resident Doctor model to provide 24 hour cover 7 days a week through an external provider, comprising of 4 WTE doctors alternating between weeks of day shifts and night shifts, with a full week off between duty periods. A tender process would be undertaken to identify a preferred provider with the aim to implement this service mode.A full OJEU restricted process was undertaken and the service was awarded to NES UK Limited on the 4th November 2019 and the contract expires on the 25th October 2024.The Contracting Authority intends to award a contract under a Direct Award - Process C to NES UK Limited for 17 months, in accordance with The Health Care Services (Provider Selection Regime) Regulations 2023 (“PSR 2023”).All key award criteria under PSR were considered when assessing providers, such as Quality and Innovation, Value, Integration, Collaboration and Service Sustainability, Improving Access, Reducing Health Inequalities and Facilitating Choice; and Social Value.
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II.2.5.1.1
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Most suitable provider process with regard to key criteria 100 Cost
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N/A
Section number
VI.4.1.1
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Independent Choice and Procurement Panel
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Independent PSR Review Panel