FRAMEWORK OVERVIEW The Total Workforce Solutions tender exercise was conducted by HealthTrust Europe (HTE) and designed to support the NHS and other Public Sector Organisations in managing the dynamics of the temporary staffing market, whilst additionally providing workforce solutions. Meeting the requirements of NHS Improvement, the strategy has provided an agreement that includes capped pay and total charge rates, clear protocol with regards to the break glass policy and offers a holistic end to end local resourcing strategy. Period of the framework agreement: 1 st November 2016 to 31 st October 2018. There are two 12-month extension options available. List of Lots: Lot 1a: Rostering Software Lot 1b: Demand Management Software Lot 2: Managed & Collaborative Bank Lot 3a: Medical Locums & GPs Lot 3b: Nursing & Care Services Lot 3c: AHPS/HSS Lot 4: NMNC (inc Executive) Lot 5: Direct Engagement Lot 6: Bundled Services (Lots 1-5) Free to access Free support and mediation Direct award In partnership with SAFERjobs Page 1 of 15
SERVICES INCLUDED This framework brief provides the NHS and Public Sector Organisations with an overview of the following Lots under the Total Workforce Solutions framework agreement: Medical Locums & General Practitioners (Lot 3a) Nursing & Care Services (Lot 3b) AHPS/HSS (Lot 3c) These Lots facilitate efficient access to a range of suppliers who themselves have robust processes and expertise in delivering the requirements of the Authority; maximising workforce efficiency through sourcing and providing a range of compliant staff to meet the Job Profiles as covered by NHS Employers. Clinical governance audits (locum compliance) are independently conducted by NeuVen Solutions, the appointed subcontractor for HTE. These audits are based on the criteria set by NHS Employers. Awarded agencies are audited against the clinical audit requirements embedded within the agreement on an annual basis, which helps Authorities to meet CQC and NHSLA requirements. Contract Reference Numbers: Medical Locums HTE-TWS-3A Nursing & Care HTE-TWS-3B AHPS/HSS HTE-TWS-3C Approved by NHS Improvement Independent compliance audits Meets capped rates Clear break glass policy May be procured to align to local or regional requirements Page 2 of 15
Approved subcontractors (see Appendix 1) Lot 3a: Medical Locums Lot 3b: Nursing & Care Lot 3c: AHPS/HSS FRAMEWORK SUPPLIERS Framework Status Key: Provider available against this Lot Provider not available against this Lot 24-7 Midwives Limited 4Front Healthcare Limited 4Social Work Limited Accident and Emergency Agency Limited Yes Acton Banks Limited Adept Locums Limited t/a Adept Medical Solutions Yes Allied and Clinical Recruitment Limited Andrew Scott Medical Limited Angel Human Resources Limited Arabella Health Staffing Limited t/a The British Nursing Association Arcadia Recruitment Limited Asprey Medical Services Limited Athona Limited Atlantis Medical Limited Beacon Care Services Limited Bleep 360 Limited Bluecross Locums Limited Bluestones Medical Recruitment Limited Brook Street (UK) Limited Capital Care Services (UK) Limited Care Providers Recruitment Limited Care4Health Limited Career Online Limited t/a Locum Direct Caritas Recruitment Limited Castlerock Recruitment Group Ltd Clinical24 Staffing Limited Concept Care Solutions Limited Consortia Personnel Limited t/a Alert Health 24 Corrigan's Door Limited Coyle Personnel plc Yes CPW Resourcing Limited t/a Healthcare Professionals Cromwell Medical Staffing Limited Page 3 of 15
Approved subcontractors (see Appendix 1) Lot 3a: Medical Locums Lot 3b: Nursing & Care Lot 3c: AHPS/HSS Danluker Limited t/a Supply Care Solutions Day Webster Limited de Poel UK Limited Diagnostic Healthcare Limited Direct Medics Limited Doctors On Call Limited Eden Brown Limited Emergency Department Staffing Limited Empire Medical Locums Limited Enferm Medical Limited Yes Ensign Security Limited, t/a Ensign Care Evergood Associates Limited Evolve Resource Solutions Limited t/a Primary Care People Fairway Homecare Limited Falcon Recruitment and Training Limited Ferrilux Limited t/a 247 Professional Health Final Call Healthcare Limited First Medical Staffing Solutions Limited First Option Healthcare Limited Firstcall Healthcare Services Limited Firstpoint Healthcare Limited Focusmed24 Limited Fosse Healthcare Limited Fresh Recruitment Limited t/a Fresh Medical Recruitment Globe Locums Limited Yes GPS Locums Limited Grosvenor Staffing Limited t/a Grosvenor Nursing Group 24 Limited t/a Nursing 24 & AHP 24 Hallam Medical Limited Harley Street Recruitment Limited HCL Doctors Limited HCL Healthcare Limited HCL Nursing Limited Healthcare Recruiters Limited Page 4 of 15
Approved subcontractors (see Appendix 1) Lot 3a: Medical Locums Lot 3b: Nursing & Care Lot 3c: AHPS/HSS HealthTemps Limited Hi-Castle Recruitment Limited Highland Care Agency Limited Holt Doctors Limited Yes ICare24 Limited ID Medical Group Limited Immediate Medical Solutions Limited t/a IMS Imperial Medical Staffing Interact Medical Limited Ison Nursing Agency and Care Services Limited ispecialist Limited Jennie Reeves Radiographer Agency Limited Just Specialist Recruitment Limited, t/a TTM Healthcare K Medical Staffing plc Key Care & Support Limited LAK Locums Limited Lantum Limited Last Minute Healthcare Limited Liquid Personnel Limited Local Care Force LLP Locum People Limited Locum Placement Group Limited Locum Vision Limited Malaika Investments (UK) Limited t/a Impact Care Services Maxxima Limited t/a Labmed Recruitment Mayday Direct 24 plc Mayday Healthcare plc Mayfair Staffing Limited t/a Mayfair Specialist Nurses McGinley Human Resources Limited Med Team Primary Care Services Limited Medacs Healthcare plc Medbank Healthcare Solutions Limited Medco Services Limited Medecho Limited Medic Now Recruitment Limited Medical 24 Limited Yes Page 5 of 15
Approved subcontractors (see Appendix 1) Lot 3a: Medical Locums Lot 3b: Nursing & Care Lot 3c: AHPS/HSS Medical Professional Personnel Limited Medical Resourcing International Limited Medical Staffing Limited Medicare First Limited MedicsPro Limited Medicure Limited Medicure Professionals Limited Medilink Consulting Limited Medline Recruitment Limited Medsol Healthcare Services Limited Med Team Primary Care Services Limited Merco Medical Staffing Limited Meridian Business Support Limited MidCo Care Limited Mimosa Homecare Limited t/a Mimosa Staffing Mind Professionals Limited Minerva Nursing Limited Mofor Care Solutions Limited MSI Recruitment Limited MSL Healthcare Mylocum Limited National Locums Limited NC Healthcare Limited NISE Nursing Limited NISI Enterprises Limited t/a NISI Staffing NL Group Limited NRS Global Limited Nursdoc Limited One Call 24 Limited Orchard Medical Recruitment Limited Pearson Anderson Limited Personnel Recruitment Services Limited t/a Medilink Nursing Pertemps Medical Professionals Pertemps Network Medical Limited PharmEng Limited t/a PE Global Healthcare Piers Meadows Recruitment Limited Plan B Healthcare plc Page 6 of 15
Approved subcontractors (see Appendix 1) Lot 3a: Medical Locums Lot 3b: Nursing & Care Lot 3c: AHPS/HSS Platinum Nursing 24 Limited Yes Positive Mental Health Limited Prime Time Recruitment Limited Pro Health 24 Limited Professional Care Recruitment Limited ProMedical Personnel Limited Provide Medical Limited Pulse Healthcare Limited Quality Locum Solutions Limited Quality+Locums Limited Randstad Solutions Limited Recruitment Express Limited t/a The Locum Consultancy Redspot Care Limited Reed Specialist Recruitment Limited Remedy Recruitment Group Limited Retinue Solutions Limited Yes Rig Medical Recruit Limited t/a Rig Healthcare Yes RMR Recruitment Limited Safehands Recruitment Limited Saints Personnel (UK) Limited Sanctuary Personnel Limited Search Consultancy Limited Sensecare Limited Sensible Staffing Limited Service Care Solutions Limited Sirona Medical Limited Skilled Careers Limited t/a IMC Locums Skilled Medical Limited Sonographers Medical Limited Surgi-Call Locums Limited SWIIS (UK) Limited Synergy Recruitment Consultancy Limited Team Support Healthcare Limited Team24 Limited Templars Medical Agency (UK) Limited TFS Healthcare Limited The Anaesthetists Agency Limited The Care Bureau Limited Page 7 of 15
Approved subcontractors (see Appendix 1) Lot 3a: Medical Locums Lot 3b: Nursing & Care Lot 3c: AHPS/HSS The Flame Lily Healthcare Limited The FRCE Recruitment Group Limited The Locum Agency (UK) Limited The Medical Room Limited The Placement Group (Contracts) Limited TNA Medical Limited Total Assist Care Limited Total Assist Recruitment Limited Tripod Partners Limited Twenty Four Seven Recruitment (Yorkshire) Limited t/a 247 Nursing TXM Healthcare Limited Unite Medical Limited VIP Nursing Limited Your Nurse Limited Your World Recruitment Limited Page 8 of 15
KEY BENEFITS Approved by NHS Improvement: NHS Improvement has approved the HTE framework agreement for Lots 3a, 3b, 3c and 4 Capped Rates: All rates have been procured in line with the capped rates as set by NHS Improvement. Clear Break Glass Policy: Defined process which provides Authority executive director approval to the supplier to confirm patient safety could be at risk, which permits the Authority to engage Temporary Workers at an escalated pay rate namely in excess of the Primary Contract Price and at, or below the Secondary Contract Price. Template documentation available. Independent Clinical Audits: Annual Independent Audit Obligation for all framework supply is currently provided by NeuVen. HTE works to evidence the quality of supplier compliance services and gives Authorities a robust safety net with respect to employment standards, CQC & NHSLA requirements. Free Access & Support: All of our Temporary Staffing frameworks are FREE OF CHARGE for access, including all contracting work, implementation and project management support as standard. In partnership with SAFERjobs: SAFERjobs (Safe Advice for Employment and Recruitment) is a non-profit, joint industry and law enforcement organisation created in 2008 to raise awareness and combat criminal activities that may be attempted on those seeking a job, or through the services provided by the recruitment industry. HTE works closely with SAFERjobs to support them in their campaign, sharing best practice and reporting incidents. Page 9 of 15
ACCESS TO THE FRAMEWORK There are three ways in which to access the Temporary Staffing framework agreements: Direct Call-off: Authorities are able to choose as many, or as few awarded agencies as they wish, to fulfil their local requirements. Preferred Supplier List: Authorities can create a list of preferred agencies, divided into tiers providing those agencies named on a higher tier with the first opportunity to fill a vacancy prior to those named on a lower tier cascade system. This agreement is underpinned by a robust call-off contract. Master Vendor: Authorities can award their temporary staffing requirements to a sole agency that takes full responsibility for provision of Services. This may include vacancy management software and management of the Authorities own bank staff. The master vendor should be able to fill the majority of vacancies, cascading a percentage of requirements and unfilled requirements to approved sub-vendors. This agreement is underpinned by a robust call-off contract. Page 10 of 15
FAQS How do I access further information? Once all required documentation has been signed and received, (via order form for non-account managed authorities) a login will be provided to access a portal containing full framework agreement information. To enquire, please contact our agency team on 0845 887 4979 or email: agency@htepg.com and one of the team will be happy to provide further details of the agreement. Authorities can access rate cards following signature of a non-disclosure agreement. How do I sign up to use the agreement? If you are an HTE account managed authority, you may contact your Account Manager or the agency team directly. For non-account managed authorities please contact our agency team. Non-account managed Trusts will need to sign an order form, this acting as an access agreement between the Authority and HTE. All Authorities will need to complete a Letter of Transition (template available upon request) which confirms their intention to transition their requirements to the agreement and is provided to awarded suppliers to confirm the transition. Has this framework agreement received approval from NHS Improvement? Yes, confirmation of this can be found on the NHS Improvement website under Approved Frameworks. My preferred agency is not one of the agencies listed on the framework agreement - does this mean I can't use the framework to source temporary workers from this supplier? The framework agreement includes a wide range of temporary worker agencies and is designed to cover the majority of temporary worker requirements. Therefore, Authorities should not find it necessary to use agencies outside of this agreement. If you have a current contract with a non-framework agency, please check the cancellation terms and conditions and start the process of engagement with framework agencies. If you require help or support in this engagement process, please contact the agency team for further details. I already have a contract with an agency but want to switch to the TWS framework. What should I do? If your preferred agency is on the framework, you are in a position to switch immediately. Help and support can be provided by HTE with this process. If your current preferred agency is not listed on the framework, you should be able to switch agencies successfully, as long as you observe any notice periods in place to avoid placement fees. Details of the full clause can be provided by request, however in summary: If the Authority gives a minimum of four weeks written notice to the supplier that it intends to hire of the supplier s temporary worker or flexible worker on a temp to temp or temp to perm basis, no fees are payable. Irrespective of whether the Authority gives this four (4) weeks notice, the Authority shall not be required to pay the Transfer Fee, whether in part or in full, if the Temporary Worker or Flexible Worker is engaged after the period ending 14 weeks after the start of the assignment, or ending 8 weeks after the end of the assignment, whichever is the later. Page 11 of 15
For the purpose of this clause, separate assignments will be treated as part of the continuous assignment unless the Temporary Worker or Flexible Worker does not work for the Authority for a continuous period of 6 weeks or more. In such cases a new 14-week period will start to run at the beginning of the first assignment after the end of the 6-week period. What is a call-off contract? A call-off contract is a written agreement between the Authority (or a group of Authorities) and an agency which sets out the way in which the agency and Authority will work together under the framework agreement to get the best value from the framework agreements and meet specific requirements. Authorities may choose to sign a call-off contract with one or several agencies; and may also choose to sign a call-off contract for the supply of particular groups of temporary workers only. Through collaboration with HTE or other Authorities, spend can be consolidated to maximise volume of business level (VBL) discounts. A call-off contract is highly recommended as best practice, providing an effective way of managing supplier relationships and accessing all available discounts. It is a mechanism to monitor fill rates, set out requirements such as use of temporary worker placement checklists and manage expectations regarding agency service. A call-off contract is intended to: meet regular local temporary worker staffing requirements amplify any of the service provision requirements set out in the framework agreements agree discounts on supplier commission fees to reflect on-going or continued business If I become unhappy with the framework agency I choose, what can I do? You can change your chosen framework agency by giving three months notice if you have a call-off contract, a shorter period could be negotiated if acceptable by both sides. If there is no call-off contract in place there is no notice period required. You must also observe any notice period to be given to the worker to avoid placement/introductory fees, should the worker wish to continue working at your site through the new agency. We advise discussing any issues with your agency and HTE before taking this step, as it may provide the opportunity to resolve issues to your satisfaction. How does HTE monitor its participating framework agencies to ensure they meet quality and clinical risk requirements? Each framework agency was audited by a reputable and independent auditor as part of the tender process for compliance. Following award of the agreement, audits are conducted on a regular basis, as well as on an adhoc/emergency basis if this is deemed necessary. Audits are based on the requirements set out by NHS Employers. The audit team will monitor each participating framework agency to ensure full adherence to core operational policies and procedures as detailed within the conditions of contract, to which each framework agency has agreed. HTE will take action against participating agencies who fail to meet or comply with these requirements. Action may include temporary suspension or exclusion from the framework agreements, although it should be noted that such actions are agreed with the stakeholder group prior to these steps being taken. Page 12 of 15
If I have a temporary worker who I wish to take on as a permanent employee, what should I do? This framework agreement has been put in place to provide temporary workers. It is not intended to act as a recruitment mechanism. There may be isolated instances when a temporary worker responds to advertisements and is subsequently employed by the Authority. In these cases, a placement fee may be payable if notice has not been given. Can agencies supply as a Master Vendor through the framework? Yes, Master Vendor arrangements are permitted within the framework agreements. These are undertaken free of charge. Is the pricing in the new framework flexible? Pricing has been pre-agreed with agencies for this framework agreement to ensure it is in line with NHS Improvement caps. There are two contract prices: The Primary Contract Price is the ceiling price to be charged hourly by the supplier for the provision of the services. For the avoidance of doubt, the Primary Contract Price will be at or below the NHS Improvement position on agency caps relative to the supplier s offer and the band of the temporary worker. The Secondary Contract Price means the ceiling price to be charged hourly by the supplier as permitted by the Authority, this having itself received executive director approval after following the Break Glass Protocol. For the avoidance of doubt, the Secondary Contract Price may only be enacted when the Authority has approved the Break Glass Protocol on the grounds of exceptional risks to patient safety. Are travel expenses and other disbursements included? The Authority has no liability to either the supplier or any temporary worker(s) for travel expenses and/or other disbursements incurred - the supplier shall ensure that all temporary workers supplied in the provision of the services are aware of this. Travel to and from the site of the Authority should be considered within the total hourly charge as a standard requirement of all employees and contractors. There may be exceptional circumstances where the Authority authorise the payment of travel expenses and or/other disbursements incurred by the temporary worker. An example of this may be whereby inter-site travel is required within a single shift to fulfil the job role. The supplier and Authority must agree to the nature of these circumstances and exchange confirmation of the agreement in writing at the point of booking confirmation. Where an agreement is formed, the supplier shall adhere to the relevant policies/procedures relating to travel expenses and or/other disbursements for the individual authority in question. For clarity, no travel expenses or other disbursements will be paid without the prior consent of the Authority agreed in writing, any invoiced amounts that are not agree will be disputed and will delay payment of invoices. Can non-framework agencies supply temporary workers through framework agencies? A non-framework agency could supply via a framework agency as a sub-contractor. The non-framework agency must seek an approved agency who is willing to take responsibility for the sub-contract. The awarded supplier would then contact HTE regarding this arrangement, completing the request form so that the relevant criteria can be evaluated by HTE to determine if the sub-contracting arrangement meets the necessary requirements. Can we use temporary workers supplied through a non-framework associated sister company of a framework agency? Only if this has been agreed as part of a sub-contracting agreement with the main supplier, Authority and HTE. Page 13 of 15
What does Break Glass Protocol mean? Break Glass Protocol means the process by which the Authority provides executive director approval to the supplier to confirm patient safety could be at risk, which then permits the Authority to engage temporary workers at an escalated pay rate in excess of the Primary Contract Price and at, or below the Secondary Contract Price. For the avoidance of doubt, the Break Glass Protocol will only allow escalation to the Hourly Pay Rate element of the Contract Price. Any escalation of the supplier commission agreed with each Authority will be wholly unacceptable, considered bad practice and subject to KPI performance review with the Authority, escalated to HTE and potential further escalation to a relevant industry body to investigate the practice or incident further (E.g. SAFERjobs). All supplier Commission charged above the relevant Contract Price will be credited to the relevant Authority. The supplier cancelled the booking late/the temporary workers didn t turn up, is there any recompense? The terms and conditions of agreement do allow for service credits in relation to both of these aspects. Please contact us so we may discuss these with you and guide you through the recommended process. I need to cancel the booking made with a supplier, are there any cancellation fees to the supplier? The terms and conditions of agreement do allow for service credits in relation to this. Please contact us so we may discuss these with you and guide you through the recommended process. Where can I find more details in relation to NHS agency rules? Further details on the agency rules can be found on the government website. Page 14 of 15
Approved sub-contractors Lots approved to supply as subcontractor Appendix 1 Sub-contractors Accident & Emergency Agency Limited Pathology Group Limited 3a Adept Locums Clinical Employment Services Ltd 3a Coyle Personnel PLC Medical 24 Limited 3a Enferm Medical Limited SWNA Healthcare 3b Enferm Medical Ltd Eleventh Hour 3b Globe Locums Limited Vobis Group Limited 3a Holt Doctors DRC Locums 3a Holt Doctors Clinical Employment Services Ltd 3a Holt Doctors Enferm Medical 3a Medical 24 Limited Platinum Nursing 24 Limited 3b Retinue Solutions Limited Synergy Recruitment Consultancy 3a, 3c Rig Medical Recruit Limited t/a Rig Healthcare Rig Locums 3a Page 15 of 15