NHS Greater Huddersfield Clinical Commissioning Group on behalf of the Yorkshire and Humber joint strategic commissioning board representing the Yorkshire and Humber (Y&H) clinical commissioning groups and NHS England (the commissioners) are seeking to jointly commission an innovative, collaborative and dynamic provider to supply a key part of their Integrated Urgent Care (IUC) service. The contract will be for an initial 60 months, with the option to extend for a further 24 months. The anticipated contract start date is 1.4.2019. To express your interest in this procurement and to obtain further information please follow the instructions detailed within the relevant sections of this notice.

Yorkshire and the Humber (Y and H) covers a population of approximately 5 400 000 people and covers an area of 15 000 m². 21 CCGs across 3 Sustainability Transformation Partnerships (STPs) and 1 Shadow Integrated Care System (ICS) together with NHS England seek to jointly commission Integrated Urgent Care (IUC) services for the entire Y and H footprint. A national specification was published in August 2017 following a period of consultation and confirmed that integrating urgent care brings about an “Opportunity to deliver a model of urgent care access that can streamline and improve patient care across the urgent care community” (National Specification 2017). Organisations participating in the procurement of IUC services are listed within section I.1 of this notice. The Y and H Commissioners are seeking a regional NHS 111 telephony and call handling service as part of a virtual CAS. The virtual CAS will provide a regional “Core CAS” working collaboratively and aligned with a range of providers via connections with local CAS services. Further detail regarding the requirements of the service are explored within the draft specification document. Changes to the service model and features of future services. Please note that the services and associated specification and prices, commissioned within this contract may be subject to review and change as part of the Competitive Dialogue process and over the term of the contract. Therefore, the scope of possible changes to be made to this contract shall relate to the potential introduction of a larger population to support the contract footprint, through a variation to the contract in accordance with Regulation 72 (1) (a) of the public contracts Regulations 2015. The service specification will be reviewed by the commissioners across Y&H. Bidders should be aware that after the award of contract, dependent upon agreement within the Y and H STP footprints, there is a possibility that the successful bidder may be offered a variation to the contract, in accordance with Regulation 72 (1) (a) of the public contracts Regulations 2015, for provision of IUC covering the Y&H STP footprints. Additionally, in accordance with Regulation 72 (1) (a) of the public contracts Regulations 2015, the contract may also be amended in to introduce additional services. These services may include but are not limited to: technology advances and changes- The provider will be expected to ensure they are monitoring and developing innovative uses of technical advances and change to continuously improve access and the range of services that have the potential to be offered through the NHS 111 and Core CAS. The use of existing *6 function direct to CAS services for health care professionals will be an expected sub regional deliverable where agreed. Access to primary care — In order to improve access to primary care for working people, there has been a national drive to introduce enhanced primary care access. In response to this, several schemes are being developed by GPs in Y and H to deliver weekend and extended hours primary care services (commonly referred to as 8-8 services). Some schemes are already in place, while others are still in the early stages of development, however all schemes are expected to be operational before October 2018. The providers’ operational model should reflect the requirement to access extended hours services and be able to facilitate direct booking where this is available. Pathway transformation and / or development — The provider will work with commissioners on pathway revision and co-produce Service Development and Improvement Plans (SDIP). The Provider will support pilots agreed with commissioners to ensure the service continues to be developed and be responsive to needs of the population. There may be an option of voluntary sector involvement and, in time, the possibility of linking with social care systems to support an individual in their own home.