REQUEST FOR QUOTATION (RFQ)

Transcription

1 REQUEST FOR QUOTATION (RFQ) RFQ Title: Emergency Physician Online Support Province of British Columbia RFQ Number: EPOS-ETP-PRP Issue date: November 13, 2012 Closing date: November 26, 2012 Closing time: 2:00 PM Pacific Time RFQ CONTACT OFFICE: All enquiries related to this Request for Quotation (RFQ), including any requests for information and clarification, are to be directed, in writing, to the following RFQ Contact Office. Information obtained from any other source is not official and should not be relied upon. Emergency and Health Services Commission (EHSC), Procurement and Contract Management Branch DELIVERY OF RESPONSES: Responses must be faxed to or ed to before the closing date and time indicated above and responses must be clearly marked with the name and address of the Respondent, the RFQ number, and the RFQ title. RESPONDENT SECTION INSTRUCTIONS: The Respondent should print and complete the Respondent Section of this cover page and include it with their response. RESPONDENT SECTION: The following response is submitted in reply to the above-referenced RFQ. Through submission of this response I agree to all of the terms and conditions of the RFQ. I have carefully read and examined the RFQ and have conducted such other investigations as were prudent and reasonable in preparing my response. I agree to be bound by statements and representations made in my response. Signature of Respondent: Legal Name of Respondent (and Doing Business As Name, if applicable): Printed Name of Respondent: Address of Respondent: Title of Respondent: Date: Respondent phone, fax and address (if available):

2 TABLE OF CONTENTS 1 OVERVIEW SUMMARY AND DEFINITIONS Organizational Overview Context For The Request Summary of Requirements Definitions REQUIREMENTS, SERVICES, TERM & MAXIMUM AMOUNT Mandatory physician Requirements Desirable physician Requirements Services Term Maximum Amount RESPONSE Response Requirements Desirable Criteria Interview Response Format APPENDIX A DEFINITIONS APPENDIX B RESPONSE LETTER APPENDIX C RESPONDENT RESPONSE FORM APPENDIX D - RFQ TERMS AND CONDITIONS EPOS RFQ v3.5 Page 2 of 18

3 1 OVERVIEW SUMMARY AND DEFINITIONS 1.1 ORGANIZATIONAL OVERVIEW The Emergency and Health Services Commission (EHSC) is provided under the Emergency and Health Services Act and has the legislated mandate to provide British Columbians with access to pre-hospital emergency services, and non-emergency health and information services. The EHSC is responsible for the BC Ambulance Service (BCAS), BCBedline service (BCBL), BC Trauma Program and other programs. Created in 1974 the BCAS is tasked with the provision of public ambulance service across the Province. BCAS is the largest provider of emergency medical services in Canada and one of the largest in North America. BCAS serves over 4.4 million British Columbians and responds to calls for emergency 911 and inter-hospital transfer services across six health authorities covering 944,700 square kilometres. In 2010/11 BCAS paramedics responded by ground to 471,568 events 379,713 prehospital (911) events, and 91,855 inter-facility transfers. BCAS also transported an additional 7,732 patients by air ambulance. BCAS employs 3,994 individuals 3,594 paramedic and dispatch staff, 250 support staff and 150 excluded management staff. BCAS operates from 184 ambulance stations, five administration offices, and three dispatch centres. BCAS has a fleet of 540 vehicles, including 478 ambulances and 62 support vehicles and dedicated ambulance aircraft. For more information visit BCBedline ( provides assistance for physicians with the timely transfer of acute care patients to the appropriate level of care and facility. It coordinates the transfer of all critical care patients and authorizes all transfers out of the province or out of the country. BCBedline is transitioning to the Patient Transfer Network service. Trauma Services BC is one of the newest Provincial program under EHSC established to coordinate and integrate trauma services across all regions. The goal is to create an optimal, efficient and inclusive system for BC. The EHSC Medical Programs Branch oversees the medically related functions of the Commission. This includes, but is not limited to, development of medical policy, standards and protocols for pre-hospital care; clinical performance management (monitoring the delivery of, and recommending means to improve patient care); medical education; and, integrating cutting edge medical research into the process of care. EPOS RFQ v3.5 Page 3 of 18

4 1.2 CONTEXT FOR THE REQUEST Currently, pre-hospital care for 911 ground response has no formal direct physician clinical support of a predictable, archive-able and structured nature. This gap in pre-hospital ground clinical support does not exist for critical care transports or infant transport team programs in the BCAS. This type of support for ground paramedic 911 responses represents the standard of care for most North American EMS systems. The first purpose of this project is to establish a system of clinical support provided through direct communication technology to on call physicians defined as Primary Response Physicians (PRPs). With patient transfers of an inter-facility nature further assistance is needed in facilitating sending/receiving physician decision making; in prioritizing and coordinating patient transfers; in assisting inter-facility patient transfer paramedics; and assisting sending physicians with direct clinical advice and support as needed, in a timely fashion. Thus, the second component of this project is to assist the Patient Transfer Network (PTN) in the construction of an Emergency Transport Physician (ETP) cohort to provide clinical support in the management of complex inter-facility transports as required. It is important to note that ETPs will only participate on inter-facility transfers where an issue has arisen, and only provide clinical support to sending physicians where specialist patient transfer procedures do not currently exist. 1.3 SUMMARY OF REQUIREMENTS The purpose of this RFQ is to identify practicing physicians interested in providing the following services: Emergency Transfer Physician (ETP), to provide clinical support and impact assessments of complex inter-facility patient transfers, where specialist patient transfer procedures do not currently exist Primary Response Physician (PRP), to provide emergency clinical support to paramedics engaged in complex pre-hospital care Current plans for the service involve providing the ETP and PRP roles from remote locations via mobile technology. Each physician will provide a specified number of shifts per month. Some shifts will be ETP focused and some PRP focused. The intent is not to mix roles on shifts, though ETPs will provide emergency clinical support to inter-facility patient transfer ground-based paramedics. 1.4 DEFINITIONS Throughout the RFQ, the following definitions apply: 1. BC Bid means the electronic tendering service maintained by the Province; 2. BC Bid Website means the website, or any replacement, maintained by BC Bid at 3. Contract means a written contract executed by the EHSC and a Qualified Physician; 4. must or mandatory means a requirement that must be met for a Response to receive consideration; EPOS RFQ v3.5 Page 4 of 18

5 5. Qualified Physician means a Respondent to this RFQ who has satisfied any and all conditions set by the EHSC; 6. Respondent means an individual or company that submits, or intends to submit, a Response; 7. Response means a submission received by the EHSC from a Respondent in reply to this RFQ; 8. RFQ or Request for Qualifications means the process described in this document; 9. should or desirable means a requirement having a significant degree of importance to the objectives of this RFQ. Please also see Appendix A Definitions for additional terms used throughout this RFQ. EPOS RFQ v3.5 Page 5 of 18

6 2 REQUIREMENTS, SERVICES, TERM & MAXIMUM AMOUNT 2.1 MANDATORY PHYSICIAN REQUIREMENTS ETPs and PRPs must meet the following criteria: Be certified in Emergency Medicine. Certification in Emergency Medicine is defined as one or more of the following: CCFP(EM), CCFP and ABEM, FRCP(C). *Physicians who are currently pursuing certification in Emergency Medicine through one of the above mentioned programs will be considered Be duly licensed to practise Medicine in British Columbia for all age groups with active current clinical appointment in an Emergency Department. 2.2 DESIRABLE PHYSICIAN REQUIREMENTS ETP Knowledge Required Orientation and on-going education will be provided for the following knowledge areas, though physicians with significant knowledge in these areas will be given preference: Knowledge of emergency service provision in British Columbia, including the EMS system and patient transfer processes in particular Knowledge of specialist procedures in British Columbia Knowledge of EHSC Services EHSC Paramedic Treatment Guidelines and Protocols EHSC Service Level Agreement and Performance Guidelines EHSC Policies (including Code of Conduct) BCAS/EHSC Systems & Processes BCAS fleet status and capabilities Knowledge of BC Healthcare Services Specialized units (Stroke, Trauma, etc) - Scope Of Practice, Hours of operation, Contact Numbers Hospitals and Other Facilities Capabilities, Hours of operation, Contact Numbers Knowledge of BC Transport Services - Capabilities, Restrictions, Contact Numbers and Hours of Operation Education and orientation will be provided for the following knowledge areas: EHSC EPOS Physician Guidelines EHSC PTN Processes PRP Knowledge Required Orientation and on-going education will be provided for the following knowledge areas, though physicians with significant knowledge in these areas will be given preference: EPOS RFQ v3.5 Page 6 of 18

7 Knowledge of emergency service provision in British Columbia, including the EMS system and pre-hospital processes in particular Knowledge of specialist procedures in British Columbia Knowledge of EHSC Services EHSC Paramedic Treatment Guidelines and Protocols EHSC Paramedic Scope of Practice and Licensing EHSC EPOS Physician Guidelines EHSC Service Level Agreement and Performance Guidelines EHSC Policies (including Code of Conduct) BCAS/EHSC Systems & Processes BCAS fleet status and capabilities Knowledge of BC Healthcare Services Skills Required Specialized units (Stroke, Trauma, etc) - Scope Of Practice, Hours of operation, Contact Numbers Hospitals and Other Facilities Capabilities, Hours of operation, Contact Numbers Knowledge of BC Transport Services - Capabilities, Restrictions, Contact Numbers and Hours of Operation The following skills are required for both ETP and PRP roles: Professional an ability to provide ethically sound, timely, calm, clear and nonprovocative services that focus on patient safety at all times Scholar be active in publishing research on evidence-based health-care practices Positivity an ability to remain positive in adversity and continue to be an advocate for health services, such that other physicians are enthusiastic about this service, its participants and the health care benefits Management skills - an ability to lead discussions if required, and help others reach decisions that have the best interests of the patient foremost Collaboration skills - an ability to find common ground without aggression or capitulation Communication skills - an ability to receive and impart emergency information quickly, accurately and effectively, and follow-up with clear, concise and effective case management Advanced problem solving - an ability to find an acceptable solution in a timeframe that best suits patient safety requirements EPOS RFQ v3.5 Page 7 of 18

8 2.3 SERVICES ETP & PRP Service Provision Current plans for the service involve providing the ETP and PRP roles from remote locations via mobile technology. Each physician will provide a specified number of shifts per month. Some shifts will be ETP focused and some PRP focused. The intent is not to mix roles on shifts, though ETPs will provide emergency clinical support to inter-facility non-ccp patient transfer paramedics if required. Both ETP and PRP services will require the following: Physicians on shift to be available and able to meet response time targets, and not engaged in other activities that might reduce that availability Documentation of every case that the physician provides advice for ETP Services It is expected that with most patient transfers, the ETP will not normally be called. ETPs will also NOT be engaged where existing specialist procedures exist. ETPs will provide the following services: Provide clinical assistance to Sending and/or Receiving Physicians involved in a patient transfer. Provide clinical support to inter-facility ground-based paramedics involved in a patient transfer. Provide clinical support to CTNs (Clinical Transfer Nurses) in determining the clinical impact of various resources, routing decisions, and priorities allocated to a patient transfer plan. The CTN will: Confirm the need for a high acuity transfer Triage cases (if required) and determine urgency and priorities of high priority transfers Confirm care required for transfer including special medical resources Facilitate and confirm appropriate destination of patient(s) Provide clinical assistance to Dispatch Officers in the PTCC (Patient Transfer Coordination Centre), where resource allocation or prioritisation conflicts exist. Provide support to the PTCC if solicited regarding determination of appropriate transport vehicle (ground, rotor, fixed wing) Provide medical guidance and assistance to physicians if solicited where patients are requiring care prior to transport. Provide clinical support in order to facilitate the preparation of the patient for transport including working (if required) with the CCP transport team, CC Transport Advisor or other specialists. Provide medical input or subject matter expertise input with respect to policy or procedural development or educational content such that decision making 1 See College of Physicians link: Medical Records EPOS RFQ v3.5 Page 8 of 18

9 departments are better informed and up-to-date. Participate in, and provide medical expertise for, quality reviews in partnership with QSRMA, EHSC, health authorities and PTN in the context of providing EPOS services. Report to, and assist, the Medical Director for EPOS services on EPOS clinical standards, practices, protocols and processes. Engage in education, reviews, meetings and conference calls as requested by the PMD, including attendance in person at a bi-annual EPOS physician conference or meeting. The framework for the ETP role is as follows: Calls are expected to last from 10 to 30 minutes but may be longer, or require on-going assistance during the patient transfer, depending upon case load. Calls should be treated as high priority calls and will require rapid response times PRP Services PRPs will provide the following services: Provide emergency clinical support to paramedics involved in pre-hospital situations Provide liaison between hospitals and BCAS Paramedics to help resolve patient care issues and interactions Assist BCAS in meeting its continuing medical educational and quality improvement goals Provide medical input or subject matter expertise input with respect to policy or procedural development or educational content such that decision making departments are better informed and up-to-date. Participate in, and provide medical expertise for, quality reviews in partnership with QSRMA, EHSC, health authorities and PTN in the context of providing EPOS services. Report to, and assist, the Medical Director for EPOS services on EPOS clinical standards, practices, protocols and processes Engage in education, reviews, meetings and conference calls as requested by the Medical Director, including attendance in person at a bi-annual EPOS physician conference or meeting. The framework for the PRP role is as follows: Calls are expected to last between 2 and 5 minutes Calls should be treated as emergency calls and will require immediate response times EPOS RFQ v3.5 Page 9 of 18

10 2.4 TERM The Term of the Contract will be for one (1) year with an option to extend for additional three (3) 1-year Terms at the sole discretion of EHSC. 2.5 MAXIMUM AMOUNT The estimated maximum amount of the Contract is $65,000 per year based on an estimated time commitment of 450 hours per year provided at the following compensation rates: 1. Hours Daytime hours: 07:00 19:00 Evening hours: 19:00 23:00 Night-time hours: 23:00 07:00 Note that physicians are expected to provide 15 minutes after their shift to transition any calls from one shift to the next at no extra compensation. 2. Shifts 3. Types of Pay Physicians will provide an equal number of Daytime and Night Shifts. Shifts will either be ETP or PRP shifts; the type of shift the physician will provide will be dependent on call volumes (to be determined) and as required by the Medical Director. Physicians will provide both ETP and PRP shifts Shifts will be 12 hours + 15 unpaid transition minutes A Night Shift = Evening hours + Night hours Physicians providing a Night Shift may NOT provide availability for Evening hours only, unless requested by the Medical Director. Daytime On-Call Pay: $30 per hour for being available to receive calls. Evening On-Call Pay: $30 per hour for being available to receive calls. Night-time On-Call Pay: $40 per hour for being available to receive calls. Daytime Call-Received Pay: If a call is received, the physician will be paid one (1) hour of normal BCMA specialist physician rates (currently $ /hour). Subsequent calls during that hour will not incur additional compensation. The hour will be deemed to be concluded when sixty (60) minutes has passed with no calls received, whereupon On-Call-Pay will resume. Night-Time Call Received Pay: If a call is received, the physician will be paid normal BCMA specialist physician rates (currently $ /hour) for each full hour remaining on that shift, with the minutes remaining in the hour the call is received counting as one full hour. 4. Daytime Shift Payment Daytime Shift will be paid according to the following formula: On-Call-Pay + Daytime Call-Received-Pay EPOS RFQ v3.5 Page 10 of 18

11 5. Night Shift Payment Night Shift will be paid according to the following formula: For Evening hours: Daytime Shift payment rates For Night-time hours: Night-On-Call-Pay + Night-time Call-Received-Pay 6. Expenses necessarily incurred as a result of providing the Services will be reimbursed on the same basis as the EHSC pays its Group II employees when they are on travel status. EPOS RFQ v3.5 Page 11 of 18

12 3 RESPONSE 3.1 RESPONSE REQUIREMENTS Responses must be provided according to the following requirements. Those responses not meeting these requirements may be excluded from further consideration during the evaluation process. # Mandatory Criteria 1 2 Be certified or actively pursuing certification in Emergency Medicine [CCFP(EM); CCFP and ABEM; or FRCP(C); or currently pursuing certification in Emergency Medicine.] Be duly licensed to practice Medicine in British Columbia for all age groups with active current clinical appointment in an Emergency Department 3.2 DESIRABLE CRITERIA Proposals meeting all of the mandatory criteria will be further assessed against desirable criteria. Proponents not reaching the minimum score will receive no further consideration during evaluation. # Desirable Criteria Points Minimum Score 1 2 Knowledge of and experience with BC Emergency Pre-Hospital Services Knowledge of and experience with BC Inter-Facility Patient Transfer Services Knowledge of and experience with Transport Medicine Knowledge of and experience with BC specialist healthcare services TOTAL INTERVIEW Proponents meeting the mandatory and desirable criteria may be invited to an interview. If interviews are conducted, the interview will be evaluated and scored out of 100 making the total evaluation score of 200. When interviews are conducted, the evaluation criteria and scores will be as follows: # Interview Criteria Maxim um Score Minimum Score 1 Confirmation of the knowledge and experience of the Respondent Demonstrates research and publishing abilities Demonstrates interpersonal skills TOTAL EPOS RFQ v3.5 Page 12 of 18

13 3.3.1 Response Review Committee Responses will be reviewed by a small group of EHSC staff, including at least one practising physician Review and Selection The response review committee will check Responses against the mandatory criteria. Responses not meeting all mandatory criteria will be rejected without further consideration. Responses meeting the mandatory criteria will then be assessed and scored against the desirable criteria and, where applicable, the interview criteria Enquiries All enquiries related to this RFQ, including any requests for information and clarification, are to be directed, in writing, to the RFQ Contact Office identified on the cover page. Enquires may be sent to the address provided. Information obtained from any other source is not official and should not be relied upon. 3.4 RESPONSE FORMAT Responses should be submitted in the following format and sequence to ensure that they receive full consideration during evaluations and so that the evaluations themselves may be handled in an efficient and consistent manner: 1. Response must be received before the closing time and date specified on the cover page. 2. Responses must be faxed or ed to the number/address identified on the cover page. 3. Responses must include the following documents: a completed and signed Response Letter (Appendix A) a Respondent Response Form (Appendix B) a RFQ cover page with a completed and signed Respondent Section; and a current Curriculum Vita. an RFQ cover page with a completed and signed Respondent Section; and a current Curriculum Vitae (maximum two pages, please) containing information on education, relevant employment history including positions held and their duration, relevant skills and experience and professional designations and affiliations. EPOS RFQ v3.5 Page 13 of 18

14 APPENDIX A DEFINITIONS Acronym Definition Out-Of-Hospital Pre-hospital Additional Explanation Emergency paramedicine provided to stabilize a patient while being transferred between healthcare facilities. Does not include intensivist care provided during patient transfers and does not include pre-hospital paramedicine. Emergency paramedicine provided to stabilize a patient before patient arrives at hospital. Does not include paramedicine provided during patient transfers. ACP ALS ALTE Advanced Care Paramedic ACP, CCP services Apparent Life Threatening Event Pertains to infants AMPDS Advanced Medical Priority Dispatch System Same as MPDS ANU Ambulance Not Used Also called Code X. ANU and Code X are prone to misinterpretation. Non-Transport or more definitive terms should be used instead ASP Alternative Service Provider Provider of non-medically-supervised patient transfers BCAS BLS British Columbia Ambulance service PCP, FR, EMR CAD Computer Aided Dispatch System used by EMCT/EMD to dispatch ambulances. CB Callback A subsequent encounter with an EMS system arising from no transport to a hospital CCP Critical Care Paramedic Principally involving air-based transfers of patients, CCP s provide intensivist services to keep a patient stable during transit CED Clinical Education Division EHSC education services CMS Contact Management System PTN system to manage services CTN Clinical Transfer Nurse Nurse assisting on PTN calls DMO Direct Medical Oversight Concurrent clinical support the EMS industry term for EPOS DNR EHSC EMCT EMD Do Not Resuscitate Emergency and Health Service Commission Emergency Medical Call Taker Emergency Medical Dispatcher epcr Electronic Patient Care Record Electronic system that will replace PCIS. EPOS RFQ v3.5 Page 14 of 18

15 Acronym Definition Additional Explanation EPOS Emergency Physician Online Support Name of this project. PRP support for pre-hospital paramedics, ETP support for IFTs. ETP Emergency Transfer Physician Supports inter-facility transfer of patients GCS Glasgow Coma Scale Measure of reduced brain function and coma stages HART High Acuity Response Team IHA Emergency Response Service IFT Inter-Facility Transfers Transfers that occur between healthcare facilities. Also called out-of-hospital care (see above). IM/IT Information Management & Infrastructure Technology EHSC Information Technology Department ITT Infant Transport Team Provides ACP/CCP services for infants, PCP services for adults LLTO LMRACC MPDS Life, Limb or Threatened Organ Lower Mainland Regional Ambulance Communications Centre Medical Priority Dispatch System Coding system for calls MVC Motor Vehicle Crash/Collision Also MVA - Motor Vehicle Accident OMLC Online Medical Control PRPs in other provinces PCIS PCP Patient Care Information System The old system used for logging PCRs. Primary Care Paramedic PCR Patient Care Record A four-part form used by paramedics to track cases PRP Primary Response Physician An emergency physician providing medical support for paramedics in a pre-hospital environment for 911 events. PTCC Patient Transfer Communications Centre Part of BCAS Dispatch that manages transfers PTO Patient Transfer Office Interior Health only, to facilitate patient transfers PTN Patient Transfer Network The provincial service that plans and resources inter-facility patient transfers QSRMA Quality, Safety, Risk Management & Accreditation RAP Resource Allocation Plan Allocates resources in accord with MPDS code for an event. SARTECS Search & Rescue Technicians SMT Senior Medical Team Reports to John Tallon, VP Medical Programs, EHSC SOB Short Of Breath TA Transport Advisor Intensivist physicians that provide ICU-type services in transit, once a patient has been stabilized by emergency services. Provided for air-based transfers between healthcare facilities. V/S Vital Signs EPOS RFQ v3.5 Page 15 of 18

16 APPENDIX B RESPONSE LETTER Date Emergency and Health Services Commission BC Ambulance Service Block C, 2261 Keating Cross Road Saanichton BC V8M 2A5 VIA FACSIMILE: and/or to EHSC.Procurement@gov.bc.ca Attention: Procurement and Contract Management Branch Subject: Emergency Physician Online Support Services RFQ Number: RFQ Number This letter is submitted in response to the above-referenced RFQ. I am a practicing physician and I am interested in the opportunity to provide Emergency Physician Online Services to the EHSC. I have carefully read and examined the RFQ and have conducted such other investigations as were prudent and reasonable in preparing my Response. As required under the RFQ, attached is the completed Respondent Response Form, the RFQ cover page with a completed and signed Respondent Section and a current Curriculum Vita. Yours truly, Signature Name of Respondent Mailing Address address Phone number EPOS RFQ v3.5 Page 16 of 18

17 APPENDIX C RESPONDENT RESPONSE FORM The Respondent should confirm and/or describe how they meet each of the following desirable criteria: Training and Experience in delivery of EMS Respondent Response Familiarity with Inter-facility Patient Transfers Respondent Response Familiarity with transport care Respondent Response Familiarity with specialist healthcare services Respondent Response Signature: Printed Name EPOS RFQ v3.5 Page 17 of 18

18 APPENDIX D - RFQ TERMS AND CONDITIONS Respondent s Expenses Respondents are solely responsible for their own expenses in preparing a Response and for subsequent negotiations with the EHSC, if any. The EHSC will not be liable to any Respondent for any claims, whether for costs or damages incurred by the Respondent in preparing the Response, loss of anticipated profit in connection with any final Contract, or any other matter whatsoever. Acceptance of Responses This RFQ is not an agreement to purchase services. The EHSC is not bound to enter into a Contract with any Qualified Physician. Responses will be assessed in light of the qualification review criteria. The EHSC will be under no obligation to receive further information, whether written or oral, from any Respondent. Definition of Contract Notice in writing to a Respondent that it has been identified as a Qualified Physician will neither constitute a Contract nor give the Respondent any legal or equitable rights or privileges relative to the service requirements set out in this RFQ. Only if a Qualified Physician and the EHSC enter into a subsequent full written Contract will a Respondent acquire any legal or equitable rights or privileges. Modification of Terms The EHSC reserves the right to modify the terms of this RFQ at any time in its sole discretion. This includes the right to cancel this RFQ at any time without entering into a Contract. Ownership of Responses All documents, including Responses, submitted to the EHSC become the property of the EHSC. They will be received and held in confidence by the EHSC, subject to the provisions of the Freedom of Information and Protection of Privacy Act. Confidentiality of Information Information pertaining to the EHSC obtained by the Respondent as a result of participation in this RFQ is confidential and must not be disclosed without written authorization from the EHSC. Collection and Use of Personal Information Respondents are solely responsible for familiarizing themselves and ensuring that they comply with the laws applicable to the collection and dissemination of information, including resumes and other personal information concerning employees and employees of any subcontractors. If this RFQ requires Respondents to provide the EHSC with personal information of employees who have been included as resources in response to this RFQ, Respondents will ensure that they have obtained written consent from each of those employees before forwarding such personal information to the EHSC. Such written consents are to specify that the personal information may be forwarded to the EHSC for the purposes of responding to this RFQ and use by the EHSC for the purposes set out in the RFQ. The EHSC may, at any time, request the original consents or copies of the original consents from Respondents, and upon such request being made. Respondents will immediately supply such originals or copies to EHSC. Form of Contract Any Contract with a Qualified Physician will be substantially similar to the terms and conditions of the Service Agreement attached to this RFQ. EPOS RFQ v3.5 Page 18 of 18