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                    "id": "022157-2022",
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                        "title": "Autism diagnostic assessments for children (3 - 11 years) living in North and West Kent",
                        "status": "complete",
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                            "scheme": "CPV",
                            "id": "85100000",
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                        "description": "Provision of a bespoke, community-based team of appropriately qualified and experienced medical professionals that are competent and have expertise in undertaking Autism Spectrum Conditions diagnostic services for children and young people agreed 3 - 11 years referred to them through the KCHFT Community paediatric service.\nKCHFT community paediatric will refer on service users who are 3 - 11 years who have been identified as having a potential Autistic Spectrum Condition and who are currenting on the community paediatric waiting list for an autism diagnostic assessment.  The service will cover the geographic area of Dartford, Gravesham and Swanley and west Kent all referrals will be registered with a GP within these geographical areas.\nThe provider of the specialist community based multidisciplinary team will provide a timely, integrated, person-centred diagnostic assessment.  The provider will ensure that their clinical professional team has expertise in the assessment of ASC in children and young people. \nFollowing assessment, the provider will make recommendations to include how the service user can access existing resources and support from local services, signposting to community and voluntary organisations. Any recommendations in regards to accessing health services, social care and/or mental health services for any identified needs will need to be in line with each service's existing referral criteria. \nPredicted activity \nA minimum of 30 diagnostic assessments per month for 6 - 7 months (September 2022- March 2023)\nA maximum of 60 diagnostic assessments per month for 6 - 7 months (September 2022- March 2023) \nTotal activity: 210 - 420",
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                                "description": "Provision of Autism Spectrum Disorder clinics including assessment and diagnosis for children and young people 3 years to 11 years in Dartford, Gravesham and Swanley and west Kent delivered over a 7-month period (September 2022 - March 2023)\nThe provider will contribute to the bespoke face to face clinical MDTs for ASC assessment and diagnostics provided by KCHFT.  \nThe provider will provide a suitably qualified and experienced team of clinical staff (the Team) comprising of the following as appropriate:\nEither:\n•\tA consultant community paediatrician; or\n•\tA consultant child and adolescent psychiatrist\nPlus\n•\tA clinical psychologist; and/or\n•\tA speech and language therapist; and/or\n•\tAn occupational therapist\nThe Team will be (as appropriate): \n•\tregistered with the relevant professional regulatory body, e.g. Health Care Professions Council (HCPC) \n•\tclinically supervised by the provider, ensuring that all work falls within their Governance Framework.\nThe Team will undertake autism specific case history (using a standardised case history format) and a clinical observation assessment for autism reaching a conclusion regarding diagnosis and sharing this with the family at the time of assessment.\nThe autism diagnostic assessments will be undertaken utilising appropriate clinical assessment tools, e.g. Autism Diagnostic Observation Schedule (ADOS) and clinical judgement to support the differential diagnosis of autism spectrum disorder (ASD).  \nThe provider's clinical staff will supply and use their own Autism Diagnostic Observation Schedule (ADOS) Kits for each clinical assessment undertaken as well as the relevant ADOS Module forms that are required as part of the assessment (the cost of these forms will be covered by the provider).\nAll autism assessments will be carried out by two or three clinicians one of whom will always be either a consultant community paediatrician or consultant child and adolescent psychiatrist.  The others will be, either, a clinical psychologist, a speech and language therapist or an occupational therapist.\nAll assessments will follow the format detailed below:\n•\tADOS and developmental history carried out simultaneously\n•\tTeam confer and reach conclusion\n•\tConclusion offered to parents immediately with opportunity for feedback and questions\nFull diagnostic reports with signposting to local services will be sent out six to eight weeks after the assessment.\nWritten reports completed by the provider following each assessment will be distributed directly to the child's family and relevant professionals. Copies will be sent electronically via secure email (nhs.net or similarly encrypted email) and within six to eight weeks of the assessment being undertaken, to the KCHFT Community Paediatric Service to be added to the clinical files. \nThe provider will ensure that the content of the reports are clinically appropriate to the assessment carried out and details the assessment findings and recommendations made by their staff during the assessment. \nA full audit of the service will be provided at the end of the contract to include statistics on diagnosis rates, satisfaction scores and feedback from parents.\nAn identified provider staff member to be available five days per week as project manager for KCHFT staff to liaise with as required.\nWhere the individual exhibits behaviour which places them at risk of offending, then onward referral to the local forensic service for assessment may be required.\nService Coverage - Hours\nThe provider will deliver a minimum of 30 assessments per month, which is available throughout accepted business working times of 09.00hrs to 17.00hrs, Monday to Friday, some evenings e.g. 18.00hrs - 21.00hrs and most weekends (Saturday and Sunday) 09.00hrs - 17.00hrs \nScheduling of appointments (days and times) will be agreed by KCHFT with the provider based on staff availability and/or room availability at the sites being used. \nWork will take place at KCHFT sites detailed below (although the venue may be changed in response to clinical requirements or room availability):\n•\tHeathside Centre, Invicta House, Heath Road, Coxheath, Maidstone, Kent ME17 4AH\n•\tGravesham Community Hospital, Bath Street, Gravesend DA11 0DG\nReports / Information to service users \nThere will be a maximum of 8 weeks from completion of assessment to the provision of a written report with recommendations which incorporates:\n•\tPatient details\n•\tReport author, date and those present during assessment\n•\tDocuments seen before and during assessment\n•\tDiagnostic tools used, purpose and respective contributors\n•\tReferee history (e.g. developmental, family, educational)\n•\tReferee presentation (e.g. appearance, communication, empathy)\n•\tDiagnosis (e.g. meeting criteria, traits contributing to diagnosis, severity, further information required)\n•\tRecommendations (e.g. further assessments, signposting).\n•\tSign off and assessor declaration\nThe Supplier will ensure that the content of the reports are clinically appropriate to the\nassessment carried out and details the assessment findings and recommendations made by\ntheir staff during the assessment\nA full audit of the service will be provided at the end of the contract to include statistics on\ndiagnosis rates, satisfaction scores and feedback from service users and their families / carers.\nAn identified staff member from the Supplier to be available five days per week as project\nmanager for KCHFT staff to liaise with as required.\nLocation\nThe service will be carried out at the sites detailed below (although the venue may be changed in response to clinical requirements or room availability):\n•\tHeathside Centre, Invicta House, Heath Road, Coxheath, Maidstone, Kent ME17 4AH\n•\tGravesham Community Hospital, Bath Street, Gravesend DA11 0DG\nWhere delivering face to face clinics the provider will ensure that staff are able to travel in order to deliver services across the designated KCHFT sites in Dartford, Gravesham and Swanley and west Kent, in order to ensure that service users are able to access services in their local areas.  \nThe provider will ensure equitable access to their services and may include the use of technologies / digital provision, where agreed with KCHFT and appropriate to do so.\nDelivery period\n1 September 2022 - 31 March 2023",
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                        "procurementMethodRationale": "We have commenced the process to undertake a full procurement but as this process will take us 6 - 7 months to complete to ensure we continue to meet the needs of children and young people currently referred to KCHFT community paediatric service awaiting an autism diagnostic assessment we are going to use the provider (Psicon Ltd) we have contracted with previously via a single tender waiver for the work that needs to be undertake this financial year (2022/23). \nWe are doing this subject to a full competitive procurement and contract being in place for April 2023 to allow all potential suppliers equal opportunity to bid for future work.\nKCHFT will undertake a full procurement for this service provision commencing in August / September 2022 which treats all suppliers fairly and allows all potential suppliers equal opportunity to bid. \nThe process will including but is not limited to:\n•\tmarket engagement understand market capacity and capability, \n•\tagreement from the trust on contract length, and \n•\tensure robust contract defining supplier service requirements, service levels to be met to ensure supplier performance.\nEstimated timeline is outlined below for an open procedure and is subject to further discussions:\no\tMarket engagement/RFI                                         - now till Aug 22\no\tProcurement doc prep                                            - now Sept 22\no\tProcurement out to market                                   -  Sept 22- Nov 22\no\tEvaluation of tenders                                              - Nov 22 - Jan 23\no\tProcurement report, Trust sign off and standstill     - Jan-Feb 23\no\tContract sign and mobilisation                               - Mar 23"
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                    "title": "Autism diagnostic assessments for children (3 - 11 years) living in North and West Kent",
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                    "description": "Provision of a bespoke, community-based team of appropriately qualified and experienced medical professionals that are competent and have expertise in undertaking Autism Spectrum Conditions diagnostic services for children and young people agreed 3 - 11 years referred to them through the KCHFT Community paediatric service.\nKCHFT community paediatric will refer on service users who are 3 - 11 years who have been identified as having a potential Autistic Spectrum Condition and who are currenting on the community paediatric waiting list for an autism diagnostic assessment.  The service will cover the geographic area of Dartford, Gravesham and Swanley and west Kent all referrals will be registered with a GP within these geographical areas.\nThe provider of the specialist community based multidisciplinary team will provide a timely, integrated, person-centred diagnostic assessment.  The provider will ensure that their clinical professional team has expertise in the assessment of ASC in children and young people. \nFollowing assessment, the provider will make recommendations to include how the service user can access existing resources and support from local services, signposting to community and voluntary organisations. Any recommendations in regards to accessing health services, social care and/or mental health services for any identified needs will need to be in line with each service's existing referral criteria. \nPredicted activity \nA minimum of 30 diagnostic assessments per month for 6 - 7 months (September 2022- March 2023)\nA maximum of 60 diagnostic assessments per month for 6 - 7 months (September 2022- March 2023) \nTotal activity: 210 - 420",
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                            "description": "Provision of Autism Spectrum Disorder clinics including assessment and diagnosis for children and young people 3 years to 11 years in Dartford, Gravesham and Swanley and west Kent delivered over a 7-month period (September 2022 - March 2023)\nThe provider will contribute to the bespoke face to face clinical MDTs for ASC assessment and diagnostics provided by KCHFT.  \nThe provider will provide a suitably qualified and experienced team of clinical staff (the Team) comprising of the following as appropriate:\nEither:\n•\tA consultant community paediatrician; or\n•\tA consultant child and adolescent psychiatrist\nPlus\n•\tA clinical psychologist; and/or\n•\tA speech and language therapist; and/or\n•\tAn occupational therapist\nThe Team will be (as appropriate): \n•\tregistered with the relevant professional regulatory body, e.g. Health Care Professions Council (HCPC) \n•\tclinically supervised by the provider, ensuring that all work falls within their Governance Framework.\nThe Team will undertake autism specific case history (using a standardised case history format) and a clinical observation assessment for autism reaching a conclusion regarding diagnosis and sharing this with the family at the time of assessment.\nThe autism diagnostic assessments will be undertaken utilising appropriate clinical assessment tools, e.g. Autism Diagnostic Observation Schedule (ADOS) and clinical judgement to support the differential diagnosis of autism spectrum disorder (ASD).  \nThe provider's clinical staff will supply and use their own Autism Diagnostic Observation Schedule (ADOS) Kits for each clinical assessment undertaken as well as the relevant ADOS Module forms that are required as part of the assessment (the cost of these forms will be covered by the provider).\nAll autism assessments will be carried out by two or three clinicians one of whom will always be either a consultant community paediatrician or consultant child and adolescent psychiatrist.  The others will be, either, a clinical psychologist, a speech and language therapist or an occupational therapist.\nAll assessments will follow the format detailed below:\n•\tADOS and developmental history carried out simultaneously\n•\tTeam confer and reach conclusion\n•\tConclusion offered to parents immediately with opportunity for feedback and questions\nFull diagnostic reports with signposting to local services will be sent out six to eight weeks after the assessment.\nWritten reports completed by the provider following each assessment will be distributed directly to the child's family and relevant professionals. Copies will be sent electronically via secure email (nhs.net or similarly encrypted email) and within six to eight weeks of the assessment being undertaken, to the KCHFT Community Paediatric Service to be added to the clinical files. \nThe provider will ensure that the content of the reports are clinically appropriate to the assessment carried out and details the assessment findings and recommendations made by their staff during the assessment. \nA full audit of the service will be provided at the end of the contract to include statistics on diagnosis rates, satisfaction scores and feedback from parents.\nAn identified provider staff member to be available five days per week as project manager for KCHFT staff to liaise with as required.\nWhere the individual exhibits behaviour which places them at risk of offending, then onward referral to the local forensic service for assessment may be required.\nService Coverage - Hours\nThe provider will deliver a minimum of 30 assessments per month, which is available throughout accepted business working times of 09.00hrs to 17.00hrs, Monday to Friday, some evenings e.g. 18.00hrs - 21.00hrs and most weekends (Saturday and Sunday) 09.00hrs - 17.00hrs \nScheduling of appointments (days and times) will be agreed by KCHFT with the provider based on staff availability and/or room availability at the sites being used. \nWork will take place at KCHFT sites detailed below (although the venue may be changed in response to clinical requirements or room availability):\n•\tHeathside Centre, Invicta House, Heath Road, Coxheath, Maidstone, Kent ME17 4AH\n•\tGravesham Community Hospital, Bath Street, Gravesend DA11 0DG\nReports / Information to service users \nThere will be a maximum of 8 weeks from completion of assessment to the provision of a written report with recommendations which incorporates:\n•\tPatient details\n•\tReport author, date and those present during assessment\n•\tDocuments seen before and during assessment\n•\tDiagnostic tools used, purpose and respective contributors\n•\tReferee history (e.g. developmental, family, educational)\n•\tReferee presentation (e.g. appearance, communication, empathy)\n•\tDiagnosis (e.g. meeting criteria, traits contributing to diagnosis, severity, further information required)\n•\tRecommendations (e.g. further assessments, signposting).\n•\tSign off and assessor declaration\nThe Supplier will ensure that the content of the reports are clinically appropriate to the\nassessment carried out and details the assessment findings and recommendations made by\ntheir staff during the assessment\nA full audit of the service will be provided at the end of the contract to include statistics on\ndiagnosis rates, satisfaction scores and feedback from service users and their families / carers.\nAn identified staff member from the Supplier to be available five days per week as project\nmanager for KCHFT staff to liaise with as required.\nLocation\nThe service will be carried out at the sites detailed below (although the venue may be changed in response to clinical requirements or room availability):\n•\tHeathside Centre, Invicta House, Heath Road, Coxheath, Maidstone, Kent ME17 4AH\n•\tGravesham Community Hospital, Bath Street, Gravesend DA11 0DG\nWhere delivering face to face clinics the provider will ensure that staff are able to travel in order to deliver services across the designated KCHFT sites in Dartford, Gravesham and Swanley and west Kent, in order to ensure that service users are able to access services in their local areas.  \nThe provider will ensure equitable access to their services and may include the use of technologies / digital provision, where agreed with KCHFT and appropriate to do so.\nDelivery period\n1 September 2022 - 31 March 2023",
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                            "value": "Autism diagnostic assessments for children (3 - 11 years) living in North and West Kent"
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                            "value": "Provision of a bespoke, community-based team of appropriately qualified and experienced medical professionals that are competent and have expertise in undertaking Autism Spectrum Conditions diagnostic services for children and young people agreed 3 - 11 years referred to them through the KCHFT Community paediatric service.\nKCHFT community paediatric will refer on service users who are 3 - 11 years who have been identified as having a potential Autistic Spectrum Condition and who are currenting on the community paediatric waiting list for an autism diagnostic assessment.  The service will cover the geographic area of Dartford, Gravesham and Swanley and west Kent all referrals will be registered with a GP within these geographical areas.\nThe provider of the specialist community based multidisciplinary team will provide a timely, integrated, person-centred diagnostic assessment.  The provider will ensure that their clinical professional team has expertise in the assessment of ASC in children and young people. \nFollowing assessment, the provider will make recommendations to include how the service user can access existing resources and support from local services, signposting to community and voluntary organisations. Any recommendations in regards to accessing health services, social care and/or mental health services for any identified needs will need to be in line with each service's existing referral criteria. \nPredicted activity \nA minimum of 30 diagnostic assessments per month for 6 - 7 months (September 2022- March 2023)\nA maximum of 60 diagnostic assessments per month for 6 - 7 months (September 2022- March 2023) \nTotal activity: 210 - 420"
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                                    "value": "Provision of Autism Spectrum Disorder clinics including assessment and diagnosis for children and young people 3 years to 11 years in Dartford, Gravesham and Swanley and west Kent delivered over a 7-month period (September 2022 - March 2023)\nThe provider will contribute to the bespoke face to face clinical MDTs for ASC assessment and diagnostics provided by KCHFT.  \nThe provider will provide a suitably qualified and experienced team of clinical staff (the Team) comprising of the following as appropriate:\nEither:\n•\tA consultant community paediatrician; or\n•\tA consultant child and adolescent psychiatrist\nPlus\n•\tA clinical psychologist; and/or\n•\tA speech and language therapist; and/or\n•\tAn occupational therapist\nThe Team will be (as appropriate): \n•\tregistered with the relevant professional regulatory body, e.g. Health Care Professions Council (HCPC) \n•\tclinically supervised by the provider, ensuring that all work falls within their Governance Framework.\nThe Team will undertake autism specific case history (using a standardised case history format) and a clinical observation assessment for autism reaching a conclusion regarding diagnosis and sharing this with the family at the time of assessment.\nThe autism diagnostic assessments will be undertaken utilising appropriate clinical assessment tools, e.g. Autism Diagnostic Observation Schedule (ADOS) and clinical judgement to support the differential diagnosis of autism spectrum disorder (ASD).  \nThe provider's clinical staff will supply and use their own Autism Diagnostic Observation Schedule (ADOS) Kits for each clinical assessment undertaken as well as the relevant ADOS Module forms that are required as part of the assessment (the cost of these forms will be covered by the provider).\nAll autism assessments will be carried out by two or three clinicians one of whom will always be either a consultant community paediatrician or consultant child and adolescent psychiatrist.  The others will be, either, a clinical psychologist, a speech and language therapist or an occupational therapist.\nAll assessments will follow the format detailed below:\n•\tADOS and developmental history carried out simultaneously\n•\tTeam confer and reach conclusion\n•\tConclusion offered to parents immediately with opportunity for feedback and questions\nFull diagnostic reports with signposting to local services will be sent out six to eight weeks after the assessment.\nWritten reports completed by the provider following each assessment will be distributed directly to the child's family and relevant professionals. Copies will be sent electronically via secure email (nhs.net or similarly encrypted email) and within six to eight weeks of the assessment being undertaken, to the KCHFT Community Paediatric Service to be added to the clinical files. \nThe provider will ensure that the content of the reports are clinically appropriate to the assessment carried out and details the assessment findings and recommendations made by their staff during the assessment. \nA full audit of the service will be provided at the end of the contract to include statistics on diagnosis rates, satisfaction scores and feedback from parents.\nAn identified provider staff member to be available five days per week as project manager for KCHFT staff to liaise with as required.\nWhere the individual exhibits behaviour which places them at risk of offending, then onward referral to the local forensic service for assessment may be required.\nService Coverage - Hours\nThe provider will deliver a minimum of 30 assessments per month, which is available throughout accepted business working times of 09.00hrs to 17.00hrs, Monday to Friday, some evenings e.g. 18.00hrs - 21.00hrs and most weekends (Saturday and Sunday) 09.00hrs - 17.00hrs \nScheduling of appointments (days and times) will be agreed by KCHFT with the provider based on staff availability and/or room availability at the sites being used. \nWork will take place at KCHFT sites detailed below (although the venue may be changed in response to clinical requirements or room availability):\n•\tHeathside Centre, Invicta House, Heath Road, Coxheath, Maidstone, Kent ME17 4AH\n•\tGravesham Community Hospital, Bath Street, Gravesend DA11 0DG\nReports / Information to service users \nThere will be a maximum of 8 weeks from completion of assessment to the provision of a written report with recommendations which incorporates:\n•\tPatient details\n•\tReport author, date and those present during assessment\n•\tDocuments seen before and during assessment\n•\tDiagnostic tools used, purpose and respective contributors\n•\tReferee history (e.g. developmental, family, educational)\n•\tReferee presentation (e.g. appearance, communication, empathy)\n•\tDiagnosis (e.g. meeting criteria, traits contributing to diagnosis, severity, further information required)\n•\tRecommendations (e.g. further assessments, signposting).\n•\tSign off and assessor declaration\nThe Supplier will ensure that the content of the reports are clinically appropriate to the\nassessment carried out and details the assessment findings and recommendations made by\ntheir staff during the assessment\nA full audit of the service will be provided at the end of the contract to include statistics on\ndiagnosis rates, satisfaction scores and feedback from service users and their families / carers.\nAn identified staff member from the Supplier to be available five days per week as project\nmanager for KCHFT staff to liaise with as required.\nLocation\nThe service will be carried out at the sites detailed below (although the venue may be changed in response to clinical requirements or room availability):\n•\tHeathside Centre, Invicta House, Heath Road, Coxheath, Maidstone, Kent ME17 4AH\n•\tGravesham Community Hospital, Bath Street, Gravesend DA11 0DG\nWhere delivering face to face clinics the provider will ensure that staff are able to travel in order to deliver services across the designated KCHFT sites in Dartford, Gravesham and Swanley and west Kent, in order to ensure that service users are able to access services in their local areas.  \nThe provider will ensure equitable access to their services and may include the use of technologies / digital provision, where agreed with KCHFT and appropriate to do so.\nDelivery period\n1 September 2022 - 31 March 2023"
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                            "value": "We have commenced the process to undertake a full procurement but as this process will take us 6 - 7 months to complete to ensure we continue to meet the needs of children and young people currently referred to KCHFT community paediatric service awaiting an autism diagnostic assessment we are going to use the provider (Psicon Ltd) we have contracted with previously via a single tender waiver for the work that needs to be undertake this financial year (2022/23). \nWe are doing this subject to a full competitive procurement and contract being in place for April 2023 to allow all potential suppliers equal opportunity to bid for future work.\nKCHFT will undertake a full procurement for this service provision commencing in August / September 2022 which treats all suppliers fairly and allows all potential suppliers equal opportunity to bid. \nThe process will including but is not limited to:\n•\tmarket engagement understand market capacity and capability, \n•\tagreement from the trust on contract length, and \n•\tensure robust contract defining supplier service requirements, service levels to be met to ensure supplier performance.\nEstimated timeline is outlined below for an open procedure and is subject to further discussions:\no\tMarket engagement/RFI                                         - now till Aug 22\no\tProcurement doc prep                                            - now Sept 22\no\tProcurement out to market                                   -  Sept 22- Nov 22\no\tEvaluation of tenders                                              - Nov 22 - Jan 23\no\tProcurement report, Trust sign off and standstill     - Jan-Feb 23\no\tContract sign and mobilisation                               - Mar 23"
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