Delivering health care closer to home – new provider for adult community health services in Wiltshire announced

Wiltshire Clinical Commissioning Group has today confirmed its intention to award Wiltshire Health & Care the contract to provide adult community health services in Wiltshire1 for the next five years.

As of July 2016, the services currently provided by Great Western Hospitals NHS Foundation Trust, which include, among others, services such as Core Community Teams; Outpatient Department Services; diabetes and fracture clinics will transfer to Wiltshire Health & Care.

Wiltshire Health & Care is a new organisation formed by Great Western Hospitals NHS Foundation Trust, Salisbury NHS Foundation Trust and Royal United Hospitals Bath NHS Foundation Trust.

Deborah Fielding Accountable Officer for Wiltshire Clinical Commissioning Group comments:

“As part of the CCG’s five year plan to bring health care closer to home, the changes to adult community health services will ensure that the focus is very much on patient centred care with GP practices firmly at the heart of community provision. Delivered through integrated community teams across the county, Wiltshire Health & Care will support Wiltshire CCG to meet the challenges of an ageing population and to enhance partner working across the health economy to provide a health service fit for tomorrow.”

The contract was awarded to Wiltshire Health & Care following a robust procurement process which adhered to the necessary regulatory and policy requirements. The decision was taken on the recommendation of a Procurement Panel made up of representatives from the CCG, primary and secondary care, lay members and Wiltshire Council and formally ratified at a Governing Body meeting held on 1 December 2015.

Douglas Blair Managing Director Designate, Wiltshire Health & Care comments:

“We’re delighted that Wiltshire Health & Care, an exciting new partnership between Great Western Hospitals NHS Foundation Trust, Royal United Hospitals Bath NHS Foundation Trust and Salisbury NHS Foundation Trust has been named as the preferred bidder for Adult Community Health Services in Wiltshire. This will mark the start of an exciting period of change, delivering more care closer to local communities, supporting people to maintain independence, reducing reliance on hospital services and removing barriers between different organisations.”

Staff working in areas affected by the change will work for Wiltshire Health & Care as of July 2016 but their employment contracts will remain with Great Western Hospitals NHS Foundation Trust s and there will be no change to pension arrangements and continuation of NHS service.

Further information is available at www.wiltshireccg.nhs.uk.

1 Services provided in Swindon do not form part of the adult community health services in Wiltshire contract

ENDS

Notes for Editors:

Adult Community Health Services refer only to those in Wiltshire. Swindon Adult Community Health Services are not included. The full list of services include:

  • Core Community Teams (inc Care Co-ordinators)
  • Community beds (inc Step up)
  • Community Geriatrician/Frail Elderly Service
  • Stroke Therapies Neurology Stroke
  • Speech and Language Therapy (Salt)
  • Minor injuries unit (MIU)
  • Continence
  • Community Team for People with Learning Disabilities (CTPLD)
  • Hearing Therapies
  • Tissue Viability & Lymphedema
  • Diabetes
  • Dietetics
  • Podiatry
  • Community Outpatient musculoskeletal physiotherapy and Extended Scope Practitioners
  • Orthotics
  • Wheelchairs
  • Cardiac (PACE) and Respiratory Services (COPD)
  • Outpatient Department Services
  • Fracture Clinic

FAQs can be found below.

About Wiltshire Clinical Commissioning Group

NHS Wiltshire Clinical Commissioning Group (CCG) is the commissioner of health care services for the population of Wiltshire.  The CCG is led by local GPs who have first-hand experience of what their patients need.

The CCG consists of 58 GP member practices and works closely with local partners including Wiltshire Council, local NHS providers, patients and the public to manage existing NHS services and implement new services to ensure that high quality health and social care is delivered to the population as close to their home as possible. Further information can be found on the website www.wiltshireccg.nhs.uk

About Wiltshire Health & Care

Wiltshire Health & Care is a new organisation focused solely on community services in Wiltshire. The organisation is a partnership between Great Western Hospitals NHS Foundation Trust, Royal United Hospitals Bath NHS Foundation Trust and Salisbury NHS Foundation Trust. The Board of Wiltshire Health & Care will include GP provider representatives to ensure a strong primary care voice and lay membership to represent patient and public views.

Further information:

Wiltshire Clinical Commissioning Group Communications team: Communications.wiltshireccg@nhs.net

Wiltshire Health & Care Ask.wiltshirehealthandcare@gwh.nhs.uk

Frequently Asked Questions

What services make up adult community health services in Wiltshire?    >

Adult community health services in Wiltshire comprise 19 individual services, currently delivered by Great Western Hospitals NHS Foundation Trust. These services are:

  • Core Community Teams (inc Care Co-ordinators)
  • Community beds (inc Step up)
  • Community Geriatrician/Frail Elderly Service
  • Stroke Therapies Neurology Stroke
  • Speech and Language Therapy (Salt)
  • Minor injuries unit (MIU)
  • Continence
  • Community Team for People with Learning Disabilities (CTPLD)
  • Hearing Therapies
  • Tissue Viability & Lymphedema
  • Diabetes
  • Dietetics
  • Podiatry
  • Community Outpatient musculoskeletal physiotherapy and Extended Scope Practitioners
  • Orthotics
  • Wheelchairs
  • Cardiac (PACE) and Respiratory Services (COPD)
  • Outpatient Department Services
  • Fracture Clinic

Services are commissioned differently and separately in Swindon, and are not included in our plans.

Why are you re-procuring Adult Community Health Services in Wiltshire?    >

The existing contract with Great Western NHS Hospitals Foundation Trust comes to an end on 30 June 2016. In accordance with NHS procurement policy, Wiltshire Clinical Commissioning Group is required to seek to appoint the most capable provider of services.

Adult Community Health Services play a crucial role in Wiltshire Clinical Commissioning Group’s five year plan to transform the way health care in Wiltshire is commissioned. Focusing on patient centred, out of hospital care, the re-procurement of these services will support Wiltshire CCG to meet the health care requirements of people now and in the future.

How long is the contract?    >

The new contract will run for five years with the option to extend for up to a further two years.

Are you cutting any of the services?    >

No, at this time we won’t be cutting any of the current services provided. The changes are all about enabling us to deliver the current services more effectively and efficiently and in line with our out of hospital strategy to deliver more care closer to home.

Will you be reviewing and monitoring the contact?    >

As with all providers we will ensure that we closely monitor service delivery and will have strict quality and performance processes in place to ensure that the expected high service levels are delivered.

How do these new services support local and national plans?    >

Adult Community Services play a crucial role in Wiltshire Clinical Commissioning Group and indeed NHS England’s five year plan to transform the way health care is commissioned and delivered. Focusing on patient centred, out of hospital care, the re-procurement of these services will support Wiltshire CCG to meet the health care requirements of people now and in the future.

Did you engage with any services users during the procurement process?    >

Yes. A Market Awareness exercise was held in September 2014, followed by a further event for interested providers in January 2015. A public event was held at County Hall in Trowbridge on 23 February 2015. In addition, as part of the development of the service specifications, patients and carers were involved in a number of workshops whilst, clinicians provided expert medical and nursing advice.

What difference will these changes make to me?    >

You will see very little change, you will still have the same access to services.

How have you involved people that use this service when considering changing Adult Community Services?    >

A public event was held at County Hall in Trowbridge on 23 February 2015. In addition, as part of the development of the service specifications, patients and carers were involved in a number of workshops whilst, clinicians provided expert medical and nursing advice.

How can I find out more about how this change will affect me?    >

Please contact your local service delivery lead.

How has the new service provider be chosen?    >

A competitive dialogue procurement process was used, incorporating ‘Pre-Qualification Questionnaire’, ‘Invitation to Submit Outline Proposals’ and ‘Call for Final Tenders’ stages. Competitive dialogue forms part of public sector procurement process under EU legislation.

Commissioners of NHS healthcare must contract with the provider who is most capable of delivering the specified requirements, within the funds available.

What is competitive dialogue?    >

Competitive dialogue is a procurement process that asks bidders to submit proposals in response to a commissioner’s outline requirements, then develop their proposals through dialogue with the commissioner.  Only when their proposals are developed to sufficient detail are tenderers invited to submit final bids.

The competitive dialogue process used for Wiltshire Adult Community Health Service incorporated three main stages: ‘Pre-Qualification Questionnaire’, ‘Invitation to Submit Outline Proposals’ and ‘Call for Final Tender’ stages.

How long has the procurement process taken?    >

All three stages of the procurement process ‘pre-qualification questionnaire’, ‘invitation to submit outline proposals’ and ‘call for final tender’ stages were completed in just over 11 months – January 2015 – December 2015.

What experience will these new providers have?    >

All bidders are required to demonstrate their ability to deliver the services being procured.

Who are Wiltshire Health & Care?    >

Wiltshire Health & Care is a new organisation formed by Great Western Hospitals NHS Foundation Trust, Salisbury NHS Foundation Trust and Royal United Hospitals Bath NHS Foundation Trust. The organisations currently run hospitals and health care services for the people of Wiltshire and are committed to delivering more care closer to local communities, supporting people to maintain independence, reducing reliance on hospital services and removing barriers between different organisations. The Board of Wiltshire Health & Care will include GP provider representatives to ensure a strong primary care voice and lay membership to represent patient and public views.

What is a 10 day standstill period and why is it needed?    >

The standstill period provides for a short (at least 10 calendar days) pause between the point when the contract award decision is notified to bidders, and the final contract conclusion, during which time suppliers can challenge the decision.

What is the mobilisation stage and how long will it take?    >

Contract mobilisation is the time allocated following a procurement exercise before commencement of the service delivery. The mobilisation phase for adult community services is approximately seven months.