and Mental Health Services High Level Market Research PROSPECTUS February 2014 Supporting people in Dorset to lead healthier lives
NHS DORSET CLINICAL COMMISSIONING GROUP PROSPECTUS FOR COMMUNITY AND MENTAL HEALTH SERVICES HIGH LEVEL MARKET RESEARCH TABLE OF CONTENTS Page 1. INTRODUCTION... 1 2. ABOUT NHS DORSET CCG. 1 3. AIM OF THE COMMUNITY SERVICES REVIEW. 3 4. THE SERVICES 3 5. THE SURVEY... 5
COMMUNITY AND MENTAL HEALTH SERVICESHIHG LEVEL MARKET RESEARCH 1. INTRODUCTION OVERVIEW OF OUR TENDER PROCESS PROSPECTUS 1.1 The purpose of this service prospectus is to supply providers with sufficient information about the services and questionnaire so that they are able to complete the questionnaire appropriately. 2. ABOUT NHS DORSET CCG 2.1 The NHS Dorset Clinical Commissioning Group (CCG) is the third largest CCG in the country and the second largest in financial terms. It consists of 100 member GP practices which are grouped into 13 geographical localities, with a registered population of around 766,000 which is set out below: LOCALITY PRACTICES POPULATION* Christchurch 7 53,691 East Dorset 10 69,690 West Dorset 7 40,858 Mid Dorset 9 41,757 North Dorset 10 85,127 Purbeck 6 33,314 Weymouth and Portland 9 73,850 North Bournemouth 8 64,515 Central Bournemouth 7 63,079 East Bournemouth 8 57,652 Poole Bay 8 70,405 Central Poole 7 61,223 North Poole 4 51,592 Total 100 766,753 *The population numbers provided are indicative. 1
2.2 The CCG covers the same geographical area as the Local Authority boundaries of Dorset County Council, Bournemouth Borough Council and Poole Borough Council. 2.3 The CCG s mission is to : 2.4 The CCG will: Support people in Dorset to lead healthier lives Use resources effectively and efficiently Challenge and encourage their partners, members and staff to drive improvements in services and performance Have a local focus but not losing sight of the bigger picture Value staff and membership and make sure it is a great place to work Be trusted and build confidence in the public, patients and as stakeholders 2.5 The CCG strategic principles are: Services designed around patients Preventing ill health and reducing inequalities Sustainable healthcare services Care closer to home 2.6 The CCG has organised their approach to clinical commissioning through six clinical commissioning programmes (CCPs), each led by a GP with clinicians and NHS managers who will work together to deliver changes in services and pathways. 2
The CCPs are: Maternity, reproductive and family health General medical Cardio vascular disease, stroke and diabetes Musculo-skeletal and trauma Mental health and learning disabilities Cancer and end of life Pan Programme 2.7 Dorset GP practices serve a population of around 766,000 living in sparsely distributed rural area and within more densely populated urban areas. 2.8 Overall the population of Dorset enjoys relatively good health with a higher life expectancy than the England average. However there is variation in life expectancy between those in the most affluent and deprived areas, with a gap of over 10 years in men and 5 years in women. 2.9 The population has increased across Dorset over the last 10 years, in particular the number of older people. The high number of older people across Dorset poses a significant challenge for the health and social care system as this is the area of greatest need. 3. AIM OF THE COMMUNITY SERVICES MARKET RESEARCH 3.1 The aim of the questionnaire is for the CCG to gain an understanding of the providers in the market to enable future shaping of the services and to ensure resilience of service delivery. 4. THE SERVICES 4.1 services includes physical and mental health for adults, older people and some childrens services commissioned by the CCG. This also includes some services currently provided in a general acute setting. 4.2 For the purpose of the survey the Health Services has been split into Health Services and Mental Health Services to enable a better understanding of what is involved under each. 4.3 Health Services Health services can be divided into three areas which are: 3
COMMUNITY ADULT AND OLDER PEOPLES SERVICES Intermediate Care Medicines Management District Nursing Matrons Tissue Viability Service Complex Leg Ulcer Services Night Nursing Pulmonary Rehabilitation Memory Support Service Diabetic Education Dietetics Continence Service Therapy Team Anti coagulation Chronic Fatigue Heart Failure Nurse Parkinsons Disease Nurse Stroke Early Supported Discharge Generalist and Specialist Palliative Care Speech and Language Musculo Skeletal Podiatry Orthotics Brain Injury Vocational Services Vasectomy Audiology COMMUNITY OUTPATIENT AND DIAGNOSTIC SERVICES include Consultant and Non Consultant Led Outpatients such as: Podiatry Surgery General Surgery Urology Trauma and Orthopaedics Oral Surgery Ear Nose and Throat Dermatology Ophthalmology Gastroenterology General Medicine Cardiology Elderly Medicine Rheumatology Gynaecology Minor Injury Units Wheelchair Service 4
Looked After Children and Young People Safeguarding Children and Young People Intermediate Diabetic Service Diabetic Eye Screening Learning Disability Team Services Intensive Support Services for People with Learning Difficulties COMMUNITY HOSPITAL INPATIENT SERVICES 4.4 Mental Health Services Service Includes Mental Health Assertive outreach Services, Crisis resolution and home Treatment Inpatient services including Urgent care beds, rehabilitation and recovery, Assessment and treatment, Psychiatric Intensive Care Unit, Older Peoples Organic, Older Peoples Functional, Outpatients service new and follow up appointments Peri Natal Services Outpatients services new and follow up appointments, community Liaison Services Outpatients services new and follow up appointments, community Forensic Services Outpatients services new and follow up appointments, community Eating Disorder (Adult) Day care, community, outpatients with new and follow up appointments Eating Disorder (Child) Rehabilitation Inpatient Psychological Therapies Children and Adolescent Mental health (CAMHS) Inpatient Early Intervention Drugs and Alcohol, Inpatients Asperger Learning Difficulties 5. THE SURVEY 5.1 The survey is designed to identify organisations, the services they currently provide, those services they would be interested in providing in the future and if they would want to be a prime or sub contractor. 5.2 This is a high level survey and as such may form phase one of our market research which may result in targeting secondary phase for specific services. 5
DEFINITIONS 5.3 A prime contractor is defined as the accountable provider with whom the CCG would have a contract. The prime provider would be responsible for the delivery of the entire range of services which may involve having sub contracts in place with specific providers who are best placed to provide those services. 5.4 A sub contractor is defined as a provider who does not have a contract with the CCG but has one with the prime contractor who is responsible to the CCG for providing an element of the service. The sub contractor would be accountable to the prime contractor. 5.5 Question 4 and 5 requests that providers complete a matrix. Each question above the matrix is given a letter. Each column is given a matching letter so that it relates to the particular question. Providers are requested to select the various buttons which are relevant to them. 5.6 In considering the response to questions 4 and 5 regarding the length of time required to have the services mobilised, please think about any potential TUPE of staff/ recruitment of staff/acquisition of premises and any other aspects of mobilisation that would need to be realised. 5.7 Question 6 asks about Barriers to entry. These are those issues which would stop or delay a provider from providing a service. Examples of these might be license requirements, CQC registration, economic factors such as economies of scale or investment requirements, staff recruitment. This is not exhaustive and the CCG would be interested to understand if providers think there would be any barriers for particular services and what these might be. If you have answered No to the question regarding mobilisation please state why in this response box. 5.8 The survey link can be found on the same advert as the prospectus on the Dorset CCG website. The link will take you direct to the survey. 5.9 Surveys should be completed no later than 2pm Friday 4 th April 2014. 5.10 All information obtained will be treated in confidence and will only be shared with members of the CCG for the purpose of analysis and outcome of the survey. 6