Type of procedure: competitive procedure with negotiation:

The Trust wishes to procure an EPR integrated solution which supports the Clinical 5 as defined by the NHS Informatics Planning Guidance 2010 before the opening of the New Midland Metropolitian Hospital. This solution must connect and share data with the Trust's core retained systems. However, the Trust requires the chosen solution to provide the platform for migration to a full Electronic Medical Record (EMR) as defined by HIMMS.

The Trust have analysed a number of options to achieve the overall objectives and benefits set out in the EPR OBC. The scope of this procurement is to procure a clinical wrap/EPR with the option to take the vendor's integrated PAS and additional EPR functionality at some point in the contract term. This is a 2-phased approach. The 1st phase concentrates on implementing a clinical wrap/EPR to the existing iPM PAS and implement this solution prior to October 2017. Following the completion of MMH a second phase will be optionally undertaken to replace the iPM PAS with the vendor's integrated PAS. Therefore, the Trust reserves the option to utilise additional existing and future healthcare functionality provided by the chosen supplier which will be evaluated through the term of the contract.

The clinical wrap EPR solution must provide the following CORE functions:

— Emergency department,

— Order communications and diagnostic reporting,

— Clinical correspondence (including Inpatient discharge summary, clinic and ED letters),

— Theatres management,

— e-Prescribing and medications administration (including integration to the Trust JAC pharmacy stock control system),

— Clinical noting and observations,

— Care pathways,

— Advanced clinical decision support,

— Electronic document management (integration capabilities),

— Voice recognition (integration capabilities).

The following requirements are considered non-core for the purposes of this procurement process and evaluation to enable the Trust to assess affordability and enable the Authority to negotiate on these requirements:

— Critical care patient management,

— Bed management,

— Enterprise wide scheduling,

— Patient portal,

— Business intelligence (including data warehouse and statutory reporting).

As described above the Trust wants the option to procure additional EPR functionality during the life of the contract including:

— Patient administration including patient demographics, referrals (including 18 WW pathway), appointments, admissions, waiting lists,

— Maternity — inpatient, outpatient and community,

— Ophthalmology — to support the specialist Birmingham Midlands Eye Centre,

— Cardiology and other specialist departmental functions.

Additional licenses maybe procured during the term of the contract.

In addition, the Trust requires the provision of the following services:

— A fully hosted and managed service,

— Integration within the Trust and with local GP and community trust systems,

— Associated systems implementation services including, but not limited to, data migration, project management, technical implementation, business change, training, integration and documentation.

As an Integrated Care Organisation, the integration and interoperability of systems is vital to the efficient and effective operation of the Trust both internally and with the local health economy. The new EPR system will need to integrate with the Trust's specialist PAS/EPR systems (SystmOne, Badgernet and MediSoft) and the local GP systems (primarily EMIS and SystmOne).

The Contract will be a 10 year contract with a further 5-1 year renewals. It is expected that the hosting service maybe reprocured or at least benchmarked at year 5.

The procurement of the Authorities EPR Solution is being procured utilising the competitive procedure with negotiation. The Authority has reviewed all procurement vehicles as part of its EPR Procurement Strategy including utilising framework agreements. This new procedure allows the Authority to set out its CORE mandatory requirements as part of the tendering process, whilst allowing flexibility to discuss solutions and inclusion of non-core requirements as part of a compliant process. It also allows the Authority to agree a contract for 10 years with 5 optional annual renewals.

The contracting authority reserves the right under this procedure to award the contract on the basis of the initial tender without conducting a negotiation.

The contract may also be subject to amendment during the course of the contract to include additional licenses and service to implement these licenses, services to support the solution, additional functionality and modules detailed in the procurement documentation and which are within scope of an EPR including departmental systems during the term of the contract. We reserve the right to seek these modifications but may not do so.

Full details of the scope and the requirements are available in the PQQ and procurement documentation available at: www.nhssourcing.co.uk