Hertfordshire Partnership University NHS Foundation Trust (“The Trust”)

Delivery of Online Cognitive Behavioral Therapy Services via a Live Messaging, Text-Based Modality

Incomplete applications

3
Incomplete applications
2 SME, 1 large

Completed applications

0
Completed applications
Important dates
Opportunity attribute name Opportunity attribute value
Published Tuesday 13 August 2019
Deadline for asking questions Tuesday 20 August 2019 at 11:59pm GMT
Closing date for applications Tuesday 27 August 2019 at 11:59pm GMT

Overview

Overview
Opportunity attribute name Opportunity attribute value
Summary of the work Delivery of online Cognitive Behavioural Therapy (CBT) by BABCP accredited therapists via real time, text-based conversation. Contract to include supplier updating of Trust ePR.
Latest start date Monday 9 September 2019
Expected contract length 12 months + 1 option to extend for up to a further 12 months
Location No specific location, eg they can work remotely
Organisation the work is for Hertfordshire Partnership University NHS Foundation Trust (“The Trust”)
Budget range Project funding will be discussed after contract award, as appropriate. The project currently has funding approved for one year at anticipated costs and volumes, based on indicative pricing assessed to date. The Trust requests supplier pricing for the treatment of 800 service users, per the approximate monthly profile indicated below, but with the flexibility to increase this requirement subject to demand and agreement between the parties. Suppliers to provide a breakdown of costs and should factor in provision for any service users who have only one session of therapy.

About the work

About the work
Opportunity attribute name Opportunity attribute value
Why the work is being done To provide an online alternative for service users to access CBT for common mental health problems, under the remit of IAPT. NHS England has an 18-week waiting list target for psychological therapies. The Trust wants to provide an alternative method for service users – including those in remote and rural areas – to engage with psychological therapy and also to increase capacity for CBT delivery. The requirement is for an ‘off the shelf’, existing, proven solution.
Problem to be solved Increasing demand is outstripping current capacity and the Trust requires a solution that is not dependent on staff recruitment plans. As well as needing to increase capacity to deliver CBT, the Trust is looking to provide an alternative means of engagement for service users who have difficulty travelling to distant clinics on a regular basis. Recruiting qualified staff to work locally is often challenging, as can be the availability of premises to meet service users, so a remote solution is required. Additionally, the Trust wants to offer service users the flexibility of access to therapy outside of normal working hours.
Who the users are and what they need to do The service users are people over the age of 16 suffering from moderate to moderately severe psychological distress (IAPT Step 3). They need access to a computer, tablet or mobile phone that they can use from their home or workplace so that they can work with a qualified and supervised therapist, using effective CBT techniques to improve their coping skills and reduce the distress caused by their psychological difficulties.
Early market engagement Preliminary discussions have been had with IESO Digital Health, who the Trust has previously used to provide a similar service.
Any work that’s already been done The Trust has consulted with regional colleagues regarding recommended suppliers.
Existing team The supplier will primarily be working with the Operational and Clinical Leads in the respective IAPT teams. Within Hertfordshire, this countywide service is delivered by the Wellbeing team, which is a well-established service within the Trust - having successfully delivered IAPT since 2008 - and one of the initial pathfinder sites. The North East Essex Health in Mind services have been providing access to a wide range of talking therapy treatments for individuals with common mental health problems in and around Colchester and Tendring since 2014. Both services demonstrate excellent clinical outcomes and compare well to IAPT services nationally.
Current phase Discovery

Work setup

Work setup
Opportunity attribute name Opportunity attribute value
Address where the work will take place The Trust’s registered address is: Hertfordshire Partnership University NHS Foundation Trust, The Colonnades, Beaconsfield Road, Hatfield, AL10 8YE. The service will be delivered remotely over the internet.
Working arrangements Contract review and discussion can be conducted remotely, although one or more site visits may be required. The interface between the Trust and the supplier will need to be regular to ensure service user care is seamless. All initial assessments will be undertaken by the Trust’s IAPT service. Expenses related to the marketing, communication and delivery of the service (such as travel) will not be reimbursed and should be factored into the overall price quoted.
Security clearance The supplier will meet existing NHS standards around data, information governance and service user confidentiality. The therapists providing the interventions will have up-to-date DBS checks at the appropriate level.

Additional information

Additional information
Opportunity attribute name Opportunity attribute value
Additional terms and conditions The contract will use the terms and conditions of the NHS Standard Sub-Contract for the Provision of Clinical Services. The number of sessions offered to service users should be in line with NICE guidelines for CBT treatment. Sessions usually take place once a week and last up to 60 minutes. For this contract, the definition of treatment will be a minimum of two attended appointments. Dropout rates and the average number of sessions will be monitored through the contract to ensure that these levels are within appropriate boundaries and that clinical quality is maintained.

Skills and experience

Buyers will use the essential and nice-to-have skills and experience to help them evaluate suppliers’ technical competence.

Skills and experience
Opportunity attribute name Opportunity attribute value
Essential skills and experience
  • Ability to begin planning and mobilisation phase upon contract award. Solution implementation and acceptance of referrals within 6-8 weeks of contract award.
  • Ability to meet the following approximate demand profile for service users beginning treatment - Months 1-6 (up to April 2020): 100+ per month; Months 6-12: 30+ per month.
  • Must have an existing solution with a proven track record and be able to provide a case study, customer reference, performance data and a product demonstration (if required).
  • Must be able to demonstrate the BABCP accreditation of all therapists delivering care using the solution.
  • Ensure that therapists providing the interventions have appropriate clinical supervision in place to ensure governance and quality standards are adhered to, in line with BABCP guidance.
  • The CBT provided must comply with NICE guidelines, with validated PHQ9, GAD 7, PEQ and WSAS recovery metrics monitored to ensure compliance.
  • Be willing and able to fully adhere to the mandatory data collection required of national IAPT services and a commitment to good data quality.
  • The service user website account should also allow for messages to be delivered independent of scheduled therapy sessions (offline messaging).
  • Availability of scheduled therapy at evenings and weekends.
  • Provide regular data on key performance indicators including waiting times and recovery rates for service users (specific management information to be agreed with the successful supplier).
  • Ability to evidence minimum clinical recovery rate of 50% of treated service users.
  • Management of supplier service-related communication between service users and GPs, if requested.
  • Treatment delivered by supplier to Trust service users not to be provided by Trust staff.
  • The supplier will be required to update the Trust ePR, PCMIS.
  • Ensure that data collected by the supplier is securely transferred to the Trust’s ePR in a timely manner.
  • Therapy should be delivered by means of live, typed conversation allowing full transcripts of sessions to be securely retained and accessed.
  • The therapy website must have effective security controls and ID authentication in place for both the service user and therapist.
  • Be able to provide evidence of fully secure data storage (ISO27001) and data portability mechanisms with full adherence to the Data Protection Act 2018.
  • Have registered with NHS Digital and adherent with DSP toolkit.
  • Have access to NHS Mail, or a commitment to obtain access before the contract start date, with any transfer of PID to be undertaken via nhs.net.
Nice-to-have skills and experience
  • Have Long Term Health Condition-trained therapists offering an adaptive treatment model to suit the extra needs of this group.
  • Ability to work with people at lower intensity (IAPT Step 2).
  • DNA rate of <10%, evidenced as part of performance data.
  • Website interaction and functionality.
  • Solution available on multiple internet-enabled devices, operating systems and web browsers.
  • Design and print of service user leaflets to increase awareness and education of online CBT.
  • Supplier has additional proposals for assisting with promotion of the new service amongst healthcare professionals and potential service users.
  • Offer early morning appointments.
  • A proposal of how the supplier will work with the IAPT service for service users that are also receiving support by the IAPT employment service.
  • Data storage in the UK.
  • Evidence of a Data Protection Officer (name, details).
  • Evidence of User Guidance documents (for the web portal).
  • Start of treatment within 10 days of referral.
  • Delivery of a training session (with supporting materials) for Trust clinicians to be able to identify service users who may be more appropriate for online CBT than face-to-face treatment.

How suppliers will be evaluated

How suppliers will be evaluated
Opportunity attribute name Opportunity attribute value
How many suppliers to evaluate 3
Proposal criteria
  • Solution fit compared to requirements.
  • Experience and accreditation of delivery team and therapists, including evidence of appropriate qualifications, training and skills of the clinical staff offering the interventions.
  • Evidence of good internal supervision standards.
  • Technical components of web portal.
  • Solution delivery timescales.
  • Ability to meet indicated volumes.
  • Availability of KPI and management information.
  • Value for money.
  • Solution will need to be simple to access and use by service users.
  • The digital platform needs to be fully functional before the contract start date, and in use for the entire period.
  • Assurance that the digital platform is managed and maintained effectively with clear protocols in place for disruption.
  • Evidence of full adherence to the Data Protection Act 2018 and GDPR regulations in terms of data storage and data portability.
  • An understanding of supplier’s role as Data Processor/Data Controller.
  • Documents to show data flow from start to end of the service offered.
  • Evidence of communication plan between the supplier and Trust with regard to seamless service user care and clinical risk management.
  • Be safe in approach to managing risk, including good communication with the Trust IAPT service.
Cultural fit criteria
  • Compliance with the Trust Values: Welcoming, Kind, Positive, Respectful; Professional.
  • Be able to work effectively and collaboratively with the Operational and Clinical Leads in the respective IAPT teams.
  • Be able to demonstrate awareness of the communities where service users are based.
  • Be able to work with service users with low technical expertise.
  • Demonstrate ideas for additional innovation and community benefits.
  • Be responsive to data trends and responsive to issues, and proactive in identifying problems and solutions.
  • Be open around communication issues.
  • Provide a service user-focused service.
Payment approach Fixed price
Assessment methods
  • Written proposal
  • Case study
  • Reference
  • Presentation
Evaluation weighting

Technical competence

60%

Cultural fit

10%

Price

30%

Questions asked by suppliers

Questions asked by suppliers
Supplier question Buyer answer
1. Dont these requirements for an 'off the shelf solution' suggest that this should sit on the gcloud solutions and solutions services framework and not DOS3? Thank you for the useful question. We aren’t aware of any solutions of this nature being available on G-Cloud. Having searched DOS, however, we found 5 published opportunities of a similar nature, with a number of completed supplier applications. The “off the shelf” descriptor may be unhelpful – we consider the required solution to be a specialist service for a digital project, tailored to the Trust’s needs, but using a proven model.
2. Are suppliers required to provide costings at this stage? If so, in what section of the response? Thank you for the question. Yes, please see the 'Budget range' section of the requirements: "The Trust requests supplier pricing for the treatment of 800 service users, per the approximate monthly profile indicated below, but with the flexibility to increase this requirement subject to demand and agreement between the parties. Suppliers to provide a breakdown of costs and should factor in provision for any service users who have only one session of therapy." Costings should be provided in the 'Price' section of the supplier's Proposal template.
3. Please could you define ‘beginning treatment’, as stated in one of the tender questions shown below:
'Ability to meet the following approximate demand profile for service users beginning treatment – Months 1-6 (up to April 2020): 100+ per month; Months 6-12: 30+ per month'.
Thank you for the question. The Trust would define "beginning treatment" as a service user having had at least one session of therapy with the provider.
4. In the nice-to-have skills or experience section you ask for evidence of 'Website interaction and functionality'. Please could you explain what specific information you are asking for here? Thank you for the question. We are referring to the design of the website interface that the service user will interact with when having their therapy session: it’s user friendliness, how easy it is to navigate, how engaging the design is, how possible it is for somebody with low technical competence to cope with, what information the user is presented with, how customisable it is, and so on.
5. Where would I find the proposal template? I have looked through the questions and cannot see a section to insert the pricing. The proposal and case study templates can be found here: https://www.gov.uk/guidance/digital-outcomes-and-specialists-templates-and-legal-documents#evaluation-templates.
6. In one of the answers to a previous question you state that costings should be provided in the 'Price' section of the supplier's Proposal template. Where would I find this template and how do I submit it? The proposal and case study templates can be found here: https://www.gov.uk/guidance/digital-outcomes-and-specialists-templates-and-legal-documents#evaluation-templates. As a buying organisation we cannot see the supplier side of the marketplace and the process for uploading a proposal. However, if it is the same as for buyers publishing their requirements, there will be response boxes to be completed for each of the criteria in the proposal template. If that isn't the case and you are having any difficulty submitting your bid, please contact: cloud_digital@crowncommercial.gov.uk for advice. We will also post any further information that we can find out on this topic.
7. In relation to the question 'Must have an existing solution with a proven track record and be able to provide a case study, customer reference, performance data and a product demonstration (if required). '

Do you require suppliers to include the actual case study, customer reference and performance data within the answer, or at a later date if requested?
Yes, for our evaluation purposes we will require a written proposal, a case study and a reference (or referee contact details) to be submitted. We may then call shortlisted suppliers to present their solution to us, or we may make our decision based just on the written submissions. We would expect indicative performance data to be included within supplier responses, in order to evidence the operational and clinical efficacy of the solution that is being proposed.
8. For the proposal, you have said that the budget should be for 800 service users. Is the definition of service user patients who have been pre-assessed by the Trust and then have a minimum of two treatment sessions with the provider? Furthermore, is that based on a 12-month period?

[Answered in two parts]
[Answer part 1]

The term ‘service user’ is used to describe somebody accessing mental health services (a patient). Yes, we are requesting pricing for the treatment of 800 service users, who will all have been assessed by the Trust and referred to the provider. ‘Treatment’ is defined as a minimum of two attended appointments and a minimum clinical recovery rate of 50% is required for treated service users (specific KPIs and management information will be agreed with the successful provider).
9. For the proposal, you have said that the budget should be for 800 service users. Is the definition of service user patients who have been pre-assessed by the Trust and then have a minimum of two treatment sessions with the provider? Furthermore, is that based on a 12-month period?

[Answered in two parts]
[Answer part 2]

The number of referrals to the provider will be higher than 800, to allow for the dropout rate. Bidders should factor into their price provision for any service users who have only one session of therapy i.e. this cost will not be separately reimbursed and should be included in the total offer price. The figure of 800 service users is for one year, but with the activity heavily weighted in the first six months (please see the second bullet point of the ‘Essential skills and experience’ section).
10. IMPORTANT MESSAGE FOR SUPPLIERS: We are taking some advice from the Helpdesk re: the questions we have been asked about how suppliers upload their proposals. We will post an update later today and we may extend the deadline for supplier submissions, if possible, as a result.
11. IMPORTANT INFORMATION FOR SUPPLIERS (deadline for applications remains unchanged): Apologies for any misleading instructions from us hitherto, which are the result of our unfamiliarity with the DOS Framework processes. However, we have now received clarification from the Helpdesk that suppliers' submission of proposals, case studies and so forth is done AFTER the Trust has shortlisted bidders based on an evaluation of their responses against the essential and nice-to-have skills and experience indicated in our requirements. Shortlisted suppliers will be taken forward to the further evaluation stage, for which the necessary templates will be provided by us, and it is at THIS POINT that suppliers should state their offer price.
The deadline for asking questions about this opportunity was Tuesday 20 August 2019.