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Procurement of Sexual Health Services in
Bristol, North Somerset and South Gloucestershire
Local Government Association Sexual and reproductive health:building strong relationships, meeting local needs
Thursday 13th July 2017Thara Raj, Consultant in Public Health
(presenting on behalf of Becky Pollard, Annette Billing, Matt Lenny, Lindsey Thomas, Lottie Lawson,Paul Sheehan (B&NES), Inge Shepherd)
SEXUAL HEALTH MATTERS
• Background and organisational context
• Lessons learnt
– Tender process
– Partnership
• Next steps
Overview
SEXUAL HEALTH MATTERS
Services in scope
Level 3 specialist services – complex contraception, STI testing and treatment
HIV prevention
Young people’s level 1 & 2 services
Community based Level 2 services – LARC, chlamydia screening
Community based Level 1 services – EHC, chlamydia screening and treatment
Chlamydia screening programme and Partner Notification
Termination of Pregnancy
Services out of scope
GP practices and community pharmacies
Background and Organisational Context
SEXUAL HEALTH MATTERS
Current location of BNSSG Sexual Health Services mapped against LSOA IMD
SEXUAL HEALTH MATTERS
Aspirations for the new system
• Outcome focussed service
• Pathways for patients are clear, understandable and properly thought through
• Easily recognisable services under one name• One website and one phone number for patients to access
services• Able to book patients into any service so they only make
one call• Improved data quality and common data sets across all
providers
SEXUAL HEALTH MATTERS
• Multiple commissioners (x7) with different governance arrangements and desired outcomes
• Uncertainty around market – may have been little appetite for providers
• Demand led service with increasing sexually active population profile
• Financial uncertainty around public health grant
Challenges for reprocurement
SEXUAL HEALTH MATTERS
• West of England Partnership governance
• Pooled budgets
• Single lot
• Block contract
• Partnerships and consortium bids encouraged
• Assessed draft bids
Methods we used
SEXUAL HEALTH MATTERS
Procurement method
Pseudo-competitive dialogue
Following receipt of tenders, bidders were invited to meet with commissioners to discuss their proposals in more detail.
Bidders had the opportunity to revise their proposals, should they wish, based on feedback during this unscored dialogue
SEXUAL HEALTH MATTERS
• Needs assessment and draft Jan 2015 to Oct 2015
service specification
• Public consultation Nov 2015 to Jan 2016
• Approval to go out to tender Feb 2016
• Tender advertised Apr 2016
• Bidding period (out to tender) Apr 2016 to July 2016
• Evaluation of bids July 2016
• Award contracts Sep 2016
• Mobilisation of contracts Sep 2016 to Mar 2017
• New service(s) commence Apr 2017
Programme Timeline
SEXUAL HEALTH MATTERS
Lessons learnt
SEXUAL HEALTH MATTERS
Tender process
SEXUAL HEALTH MATTERS
• Stronger bid because we used a negotiated bidding process
• Community engagement in evaluation is key
• Dynamics changed once preferred bidder announced
• Risk sharing
• CCG being a named commissioner meant we had to use an NHS standard contract
Lessons learnt
SEXUAL HEALTH MATTERS
Partnership/resources
SEXUAL HEALTH MATTERS
• We had a great partnership and everyone brought something to the group
• Clear governance and accountability – collaborative agreement -escalate to West of England Partnership
• Coordinating commissioner
• Is size important? Equality of partnership ≠ size of budget
• Decisions by committee time consuming – allow time; RASCI
• Right project and procurement support
• Strengths and expertise useful but review roles and responsibilities throughout - avoid 2 MOUs
• Know decision making pathway of all partners
• Maintain a commissioner issues log
Lessons learnt
SEXUAL HEALTH MATTERS
Unity partnership led by University Hospitals Bristol includes Brook, THT, Marie Stopes
UK, North Bristol NHS Trust, Weston Area Health Trust (and also Eddystone Trust)
Good news Fully mobilised Unity service
SEXUAL HEALTH MATTERS
Next steps
SEXUAL HEALTH MATTERS
Location of BNSSG GP practices and pharmacies
Next steps• Primary care• Hep A
vaccinations• PrEP• 2019
SEXUAL HEALTH MATTERS
Key ContactsCommissioner BCC: Annette Billing and Thara [email protected]@bristol.gov.ukCommissioner NS: Matt [email protected] SG: Lindsey Thomas and Lottie [email protected]@southglos.gov.ukCommissioner B&NES: Paul [email protected] CCGs: Inge [email protected]
