NHS Wandsworth CCG

Delivery of Phase 1 of South West London Health and Care Partnership Interoperability Programme

Incomplete applications

8
Incomplete applications
7 SME, 1 large

Completed applications

7
Completed applications
7 SME, 0 large
Important dates
Opportunity attribute name Opportunity attribute value
Published Friday 15 December 2017
Deadline for asking questions Friday 22 December 2017 at 11:59pm GMT
Closing date for applications Friday 29 December 2017 at 11:59pm GMT

Overview

Overview
Opportunity attribute name Opportunity attribute value
Summary of the work It will constitute the creation of multiple information flows via connections to existing systems, new extracts of data, and licences and maintenance of these two elements.
Latest start date Thursday 1 February 2018
Expected contract length 1
Location London
Organisation the work is for NHS Wandsworth CCG
Budget range The budget range is £210,000 to £250,000. Tenderers will be expected to list the cost of all those working on the project and to give the number of days. The budget range inclusive of expenses and VAT.

About the work

About the work
Opportunity attribute name Opportunity attribute value
Why the work is being done This work is the first phase of South West London (SWL) Local Digital Roadmap which will support the implementation of the new models of care and transformation schemes.
It will be the first stage of SWL - wide information sharing across borough boundaries which will support future information sharing initiatives and will support the Sustainable and Transformation Plan's aims to reduce non-elective admissions, improve hospital productivity, and support the delivery of coordinated general practice at scale.
The interoperability solution will build on existing borough level interoperability projects in SWL to harness existing information sharing solution capabilities that are already.
Problem to be solved Summary, the Interoperability solution will enable the following:
A standardised extract from all GP records in SWL will be viewable across all SWL A&es, UCCs and 111/OOH, and viewed within the existing clinical system already. All GP practices in SWL will be able to view their patients' electronic hospital records from all four acute hospitals in SWL, either within their native system (in the case of EMIS), or through an additional login (in the case INPS). Where is and existing Graphnet portal, SWL & ST George's users will be able to view the patient's GP record for all GP Practices.
Who the users are and what they need to do The users in the first phase are primary care and the four acute hospitals that operate in South West London. However what is delivered in phase one must be compatible for phase two when that becomes live.
Early market engagement
Any work that’s already been done Preliminary work has been undertaken to establish what clinicians need from a tactical solution to enable improvements in health outcomes for patients and to support reductions in hospital readmissions; increase parity of esteem for patients with a mental health condition presenting at an acute hospital and the reduction in non-elective admissions, to name a few. The firm engaged has worked on finding the most appropriate and practical solution taking into consideration all the various stakeholders in the market place and their individual needs.
Existing team The successful tenderer will be lead by the Interoperability Digital Team (IDT).
Current phase Not started

Work setup

Work setup
Opportunity attribute name Opportunity attribute value
Address where the work will take place 120 The Broadway, London SW19 1RH
Working arrangements The successful tenderer must have a hands-on approach. The IDT will expect them to make themselves available for meetings etc., in some cases it cannot be helped but these may be last minute as this is a fast-changing project which must deliver at the end of the contract period. The detail will be discussed with the successful tenderer on appointment. In relation to expenses, this must be included in the contract sum, there is not a separate budget for expenses.
Security clearance

Additional information

Additional information
Opportunity attribute name Opportunity attribute value
Additional terms and conditions Standard Contract

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
  • Evidence of delivery of a data sharing solution at scale across acute, community, mental health, primary and social care organisations (Please provide evidence). - Pass/Fail
  • Experience of Information Governance across multiple organisations – including agreement of a suitable Information Sharing Agreement and development of solutions and process to deliver it. - Pass/Fail
  • Evidence of delivery of patient-facing and NHS facing communications. - Pass/Fail
  • Please outline the team who will deliver this project, please include the number of days each member will spend and their individual day rate. - (5%)
  • Delivery on time, within budget and quality is paramount, how will you ensure that the expertise you provide will be achieved within the financial envelope. - (10%)
  • Can you outline your experience in delivering large scale IT and transformation projects within the NHS that centres on finding an interoperability solution? - (10%)
  • Please outline your methodology to deliver this project and please say why the team members listed are the most appropriate to deliver this work. - (10%)
  • Please outline who you think the key stakeholders are and how do you intend to manage them as well as communicate with them throughout the project. - (5%)
Nice-to-have skills and experience
  • Experience of engagement with large numbers (>50) GP practices. - Pass/Fail
  • Delivery of Phase 2 of the project is dependent on the successful delivery of Phase 1. What will be the logistical challenges of moving from the phases? - (5%)

How suppliers will be evaluated

How suppliers will be evaluated
Opportunity attribute name Opportunity attribute value
How many suppliers to evaluate 3
Proposal criteria
  • Can you outline your experience in delivering a data sharing solution at scale across acute, community, mental health, primary and social care organisations. - (10%)
  • Please outline your methodology that will be used to deliver, in your answer you must address. The challenges you envisage and mitigation plan to overcome the challenges. – (10%)
  • Delivery on time, within budget and with quality is paramount, how will you ensure that the expertise you will provide will be achieved within the financial envelope. - (10%)
Cultural fit criteria Describe how you will work as a team with our organisation and other suppliers. (5%)
Payment approach Fixed price
Assessment methods
  • Written proposal
  • Case study
  • Work history
  • Reference
  • Presentation
Evaluation weighting

Technical competence

75%

Cultural fit

5%

Price

20%

Questions asked by suppliers

Questions asked by suppliers
Supplier question Buyer answer
1. Can you confirm how price will be evaluated? We will be following the process as per the framework outlines, see below for transparency:

Step 1:

Fixed quotes

To score fixed price quotes, you must divide the cheapest quote by each supplier’s quote.

Example:

• supplier A’s quote is £15,000
• supplier B’s quote is £10,000
• supplier C’s quote is £30,000

To calculate a score for supplier A, divide 10,000 by 15,000. Supplier A scores 0.667.
To calculate a score for supplier B, divide 10,000 by 10,000. Supplier B scores 1.
To calculate a score for supplier C, divide 10,000 by 30,000. Supplier A scores 0.333.
2. Can you confirm how price will be evaluated?

Part 2
Step 2:

Weight price

When you have scored the price for each supplier you need to apply the weighting you published with your requirements.

Multiply the supplier’s score by the weighting for price.

Example:

You said price is worth 20% when you published your requirements and evaluation criteria.
Supplier E scored 0.7 for price. Multiply 0.7 by 20. Supplier E’s weighted score for price is 14 out of 20.

Calculate a total score for each supplier.

To calculate each supplier’s total weighted score, add up their weighted scores for technical competence, cultural fit or availability and price.
3. Is there any further detailed specification of the project requirement?

(Part 1)
The “Five year Forward View” states that “we will focus on the key systems that provide the electronic glue” which enables different parts of the health system to work together”.

Alongside the five year forward plan, the NHS and local authorities in South West London (SWL) are committed to the delivery of a local Digital Roadmap. The roadmap incorporates three phases to deliver a significant increase in digital maturity over five years:
4. Is there any further detailed specification of the project requirement?

(Part 2)
1. Develop a Collaborative Future
A SWL collaborative capability that supports the successful delivery and utilisation of the tactical and strategic solutions
2. Building on Current Position
A tactical foundation that achieves/establishes proof of concept in information sharing across SWL in the short term.
3. Delivering a Strategic Platform
A strategic solution that achieves the long term aims of the Five year forward plan.
5. Is there any further detailed specification of the project requirement? This project supports each of the strategic technical ambitions by:
• Delivering a collaborative solution to the benefit of a wide range of local health and social care providers
• Building on work that has already been delivered to deliver further benefits and maximising value for money of the investment already made
• Delivering a robust interoperable system that is fit for purpose to deliver locally the Five Year Forward View through the implementation of the SWL STP.
6. Is there any further detailed specification of the project requirement?

(Part 3)
This project presents a local solution to the significant gaps in infrastructure, constraining interoperability identified nationally in Personalised Health and Care 2020 Using Data and Technology to Transform Outcomes for Patients and Citizens which clear states that – “Better use of data and technology has the power to improve health, transforming the quality and reducing the cost of health and care services”.
7. Is there any further detailed specification of the project requirement?

(Part 4)
This project represents a significant proportion of our solution for ensuring that:
• All patient and care records will be digital, real time and interoperable by 2020
• By 2018 clinicians in primary, urgent and emergency care and other key transitions of care contexts will be operating without needing to use paper records.
8. Is there any further detailed specification of the project requirement?

(Part 5)
The other factors within SWL which is driving this work are
• Financial
The cost of delivering services is rising much faster than inflation due to rapidly increasing demand and medical progress; this is creating a financial gap which will make current services increasingly unaffordable by 2020/21. The SWL Health economy is overspending by around £140m a year.
9. Is there any further detailed specification of the project requirement?

(Part 6)
• Quality Drivers (Right place, right time)
Patients are not always treated in the best place for their needs to be met. A study carried out across South West London in February 2016 showed that 55% of patients were being cared for in hospital when they did not have to be there. Of these, 42% of patients could potentially have been discharged at an earlier stage and received their on-going care in a different setting and 13% could have received all their care in a different setting, and should not have been admitted to hospital at all.
10. Is there any further detailed specification of the project requirement?

(Part 7)
People tell us they would prefer to receive their care in the community rather than go to hospital. But over the last four years, the number of people attending local A&E departments and being admitted to hospital has increased.
11. Is there any further detailed specification of the project requirement?

(Part 8)
• Technical Drivers
Improved use of technology, in particular the ability to share information effectively, safely and in a timely manner is key to generating the coordination of care across health and social care required to manage and maintain patients within the community and avoid hospital admissions and stays in hospital that are longer than they need to be. This project is a critical delivery vehicle for our strategy across South West London to achieve cost effective, sustainable care whilst ensuring that the health and care system establishes and maintains financial balance.
12. Is there any further detailed specification of the project requirement?

(Part 9)
Through the South West London Sustainability and Transformation Plan (SWL STP) partners from across the South West London (SWL) system have stated our commitment to roll out new care models that use technology to deliver better patient care.
Technology is a critical enabler of many of the deliverables laid out within our Five year STP plan. We know that information sharing, so that clinical information about an individual follows them between different health and social care services, is key to delivering more joined up care that we are committed to through our ‘right care in the best place’ approach.
13. Is there any further detailed specification of the project requirement?

(Part 10)
• Urgent Care and planned care drivers

Two key areas of priority for the SWL system supported by the delivery of an effective interoperability solution are:
14. Is there any further detailed specification of the project requirement?

(Part 11)
• Development of Locality teams, expected to deliver non-elective bed reduction. The locality teams will build on existing community based health and social care infrastructure to establish integrated MDT locality teams which will bring together; social care, mental health, community health, secondary care, primary care, voluntary sector and home care
• Intermediate care and crisis response (expected to deliver non-elective bed reduction). This will provide a robust, multi-disciplinary community based response which provides enhanced care at home to avoid admissions and care for people as soon as they are able to be discharged
15. Is there any further detailed specification of the project requirement?

(Part 12)
Each of these programmes relies upon how we share clinical information within the NHS and across NHS and social care boundaries.
There are pockets of good practice across South West London, including the work that we have undertaken so far on Integrated Digital Care Records and will be the foundation for expanding the use of these technologies to the scale required to deliver our ambitions. This project is a key element of delivering this high level strategy.
16. Is there any further detailed specification of the project requirement?

(Part 13)
• Primary Care Drivers
The Primary Care Forward View sets out the requirement for the NHS and partners to provide (amongst other outcomes):
• The ability to access digital patient records both inside and outside the practice premises, for example, on home visits
• The ability for electronic discharge letters/summaries from secondary care to be transmitted directly into GP clinical systems
• Joined up pathways between different healthcare sectors and professional group
• Self-Care and Signposting Drivers
17. Is there any further detailed specification of the project requirement?

(Part 13)
Locally, the STP also sets out our commitment to deliver digitally-enabled self-care: using technology to help patients to capture and share information relating to their condition, or provide information, such as their record, to help them make informed decisions about managing their health. Patient access to the integrated care record supports us to deliver on this commitment.
18. Is there any further detailed specification of the project requirement?

(Part 14)
Bids made by South West London to Estates and Technology Transformation Fund
SWL STP are developing a business case to secure ETTF funding to deliver phase 2 of the Interoperability programme. Phase 2 will:
• Build on the work delivered by phase 1
• Connect all key health and social care providers across the six SWL CCGs and, in particular, sharing data across health and care boundaries
• SWL Integrated Digital Care Record
• Extend and support a large number of SWL and regional initiatives
Specification of Requirements for Interoperability Phase 1
19. Is there any further detailed specification of the project requirement?

(Part 15)
SW London is seeking a suitably qualified consulting firm to deliver the outcomes specified in this specification.

Aims
The SWL Interoperability Phase 1 aims to provide access to GP records in urgent and emergency care settings, alongside giving GPs access to view key information datasets shared by secondary care settings. This represents the first stage of SWL-wide information sharing across borough boundaries which will support future information initiatives, and will rapidly support the STP’s aims to reduce non-elective admissions, improve hospital productivity, and support the delivery of coordinated general practice at scale.
20. Is there any further detailed specification of the project requirement?

(Part 16)
Delivery
The Tactical Solution will build on existing borough level interoperability projects in SWL to harness existing information sharing solution capabilities that already exists.
It will constitute the creation of multiple information flows via connections to existing systems, new extracts of data, and licences and maintenance of these two elements.

This will be achieved by:
21. Is there any further detailed specification of the project requirement?

(Part 17)
1. Linking SWL GP practice systems via direct links to Graphnet and the healthcare gateway MIG interface to enable sharing and viewing of GP records with existing Clinical Portals.
2. Enabling direct access to share and view GP records in existing Clinical Portals where this capability is already supported (i.e. MIG interface is not required).
3. Deploying the Healthcare gateway MIG viewer to care settings where there is no Clinical Portal available to view the GP records.
4. Implementing a common information sharing agreement across SLW footprint.
22. Is there any further detailed specification of the project requirement?

(Part 18)
Outcomes
Phase 1 of the programme will focus on the following outcomes:
• Access to a standardised data extract from all GP records in SWL in emergency care settings, primarily viewable within the existing clinical system already in use in those settings (“in context”)
• All GP practices in SWL will be able to view their patients’ electronic hospital records from all four acute hospitals in SWL, either within their native system (in case of EMIS), or through an additional login (in the case of INPS).
23. Is there any further detailed specification of the project requirement?

(Part 19)
• Where there is an existing Graphnet portal, SWL & St. George’s users will be able to view the patient’s GP record for all GP Practices, within their existing RiO system.
• Where there is no existing portal in use in a provider, users will be able to view the GP record extract in the Healthcare Gate

END
24. The expected contract length is listed as 1 - can you clarify please? The length of the contract is only for one year and the work must be completed within this year. Much of the background work and engagement has already been undertaken. Therefore only firms who have the ability to a commitment to this work must respond to the tender. There is no capacity to roll this work into a further year.
25. Is this a T&M contract or is there a firm spec which requires a fixed price quotation? What is the anticipated duration of the project? This tender is based solely on a suitable firm delivering the technical solution. There is no requirement to purchase any material.

A specification is answered above.
26. Your solution requires a scalable interoperability solution, but does not state any technology requirement. What are your preferences for such technology - e.g. Redhat, Mulesoft, Intersystems, Oracle, Orion, Pivotal The SWL solution requires bi-directional connectivity between primary care (EMIS, INPS) and Acute systems (Cerner Millennium), Community systems (EMIS Community, CareNotes, Rio, LiquidLogic) using MIG and HIE.
27. Please could you confirm whether this is lot 1 or lot 2 of DOS 2.0? Please could you also confirm whether you are seeking a fixed price , time & materials or are open to both pricing options? Please elaborate on your statement, specifically around: Please could you confirm whether this is lot 1 or lot 2 of DOS 2.0?

The Contracting Authority is not aware of your meaning.

As advertised this is fixed, and this tender is based solely on a suitable firm delivering the technical solution. There is no requirement to purchase any material.
28. In the joint SWL CCG ETTF technology bids for SWL it states that the messaging system, Kinesis, will be extended across the whole of SW London, incorporating the remaining four CCGs and Kingston and Croydon University Hospitals. Is this the platform that bidders are expected to use for this tender and therefore would those with Kinesis experience be preferred, all other things being equal? No - Kinesis is different communication portal. It is not part of this interoperability stack of delivery.

The SWL solution requires bi-directional connectivity between primary care (EMIS, INPS) and Acute systems (Cerner Millennium), Community systems (EMIS Community, CareNotes, Rio, LiquidLogic) using MIG and HIE.
29. Can you advise how you will evaluate a Pass/Fail questions? Definitions for Pass/Fail Questions:

Meets all the criteria set out in the question to meet the requirements of the Contracting Authority = Pass

Does not meet all the criteria set out in the question and is assessed as being unable to meet the requirements of the Contracting Authority = Fail

Supporting evidence/narrative will be required.