NHS Devon CCG seeks to Commission Primary Medical Services in Sherford (Plymouth).

There is an immediate need to provide General Practice (GP) facilities to the population of Sherford. GP provision will need to be sustainable and long-term, to grow as Sherford grows. The Provider, under an existing general medical services/personal medical services (GMS/PMS) contract will need to work with the developers, Councils, NHS Devon Clinical Commissioning Group (CCG) and community services to help shape primary medical services in line with the NHS Long-Term Plan and NHS Devon’s Primary Care Strategy.

This procurement is being carried out by NHS South, Central and West Commissioning Support Unit (SCW) on behalf of the Commissioners.

There is an immediate need to provide General Practice (GP) facilities to the population of Sherford. GP provision will need to be sustainable and long-term, to grow as Sherford grows. The provider, under an existing general medical services/personal medical/ services/ alternative provider medical services (GMS/PMS/APMS) contract will need to work with the developers, councils, NHS Devon CCG and community services to help shape primary medical services in line with the NHS long-term plan and NHS Devon’s Primary Care Strategy.

Sherford is a new town development, currently being built on the outskirts of Plymouth situated just off the A38 between Plympton and Plymstock, expected to deliver some 5 500 new homes, with an estimated 13 200 population, a new town centre (close to the new junction with the A38) and two new village centres, in the south eastern (Phase 1, close to Plymstock) and northern parts of the town.

As at January 2020, some 300 homes have been built and occupied. Current annual build out rate is 150 houses.

Phase 1:1 is for 600 houses, of which 300 are currently occupied.

1a: a further 200 have been consented.

1b: another 500 awaiting consent, expected to commence end 2020.

A leisure centre, with swimming pool, is being built as part of the Phase 1 development with planning application in process, also includes the first of the primary schools being developed and a retail area.

The trigger point for the first of these permanent provisions is 1 300 homes (for the single, town centre site) or 1 375 homes (for the first of the neighbourhood sites), which are approximately 5-8 years away at a minimum (subject to build-out rates). The trigger point for a temporary facility at 300 occupations, has already been reached and exceeded.

Due to recent changes seen in the Covid-19 Pandemic the Sherford Consortium is currently reviewing the S106 provision to ensure it is fit for purpose.

Reviewing the current build-out plans for Sherford, the CCG has taken an informed decision that an interim GP provision should be provided as part of the phase 1 development, to be implemented at the earliest possible opportunity. The interim provision is to provide primary care capacity for the next 8 years (approx. timeline for permanent hub to be confirmed) until a permanent hub opens in the new town Centre.

This timeline is indicative, and the preferred bidder, as part of an existing primary care network, would need to consider a robust service delivery model able to flex according to the future development of the town.

The design and delivery of both interim and long-term primary care services in Sherford must reflect the strategic intent set out in the NHS long term plan and key local strategic plans such as

• Devon Sustainability and Transformation Partnership (STP) priorities;

• Devon STP Integrated Care Model Blueprint;

• NHS Devon CCG’s primary care priorities;

• general practice forward view including the emergence and development of Primary Care Networks and

• Plymouth City and Devon County Council’s priorities including those for adult social care.

General practice is a hugely important and valuable part of the local system of health and wellbeing. System priorities include transforming the model of care such that people seek support in other settings (e.g. wellbeing hubs, advice and information, online resources) as a more appropriate alternative to their GP practice, and integrating services.

The current population of Sherford is 1,120. This is estimated to increase to a population of 3 040 people in 4 years’ time. It is estimated that between 760 and 1 520 people will need to register as a new patient within the next 4 years.

Based on the GMS rate less out-of-hours opt-out currently GBP 89.88 per patient (adjusted for weighting) the annual value is estimated to be between GBP 68 309 and GBP 136 617. Any values and timescales stated within this notice are for guideline purposes only and should not be taken as a g