Community Health Services for North Somerset Questions and Answers from the 12 August 2014 Bidder Event Community Health Services for North Somerset Questions Answers When you did the engagement, were there any surprises? There were no surprises. The messages were clear and echoed previous stakeholder events. The engagement report is available on the CCG website. The key themes were, as expected, around integration of services and the desire for single assessments. Will specific service level information be made available, for example activity levels, or should that be requested through TACTICA? Queries should always be directed through TACTICA. Specific information will be released to bidders if we have access to the information, and it is decided that it is in the best interests of the process; there is a balance to be drawn between knowledge of existing services and being open to delivering future services in a different way. We want people to work to outcomes so we will be providing service descriptions at the ITN stage, but not specifications. Is the CCG’s planned approach to work to a concept of financial end to end pathway management? The Better Care Fund is facilitating integration of Health and Social Care, but the acute trusts are still operating under PbR. Although the CCG is commissioning a discrete set of services, we are open to innovate solutions, including through potential vertical integration, that could bring efficiency to the system. 12 August 2014 Bidder Event Questions and answers Page 2 of 4 Community Health Services for North Somerset Questions Answers Are you still trying to move services into the community in the light of WAHT trying to remain viable We are looking for innovation and are open to ideas. The CCG is going through a process with Weston but this will not impact on consideration of alternative models in the community, and is fundamentally a separate process. P15 of the MOI states “We expect the Provider to be jointly engaged and take responsibility in the planning work required to identify affordable, development opportunities for Community Services. The scope of this improved arrangement includes the opportunity for the Provider to develop plans that demonstrate how this funding could be transparently re-invested in appropriate demand management and improved discharge schemes, and reduction in acute admissions to secondary care and importantly, costs and capacity of secondary care services.” Any savings realised would be subject to gain share considerations. Can an organisation pass PQQ as an individual and partner at a later stage? Yes. Partnership does not have to be formally declared until four weeks prior to final tender. Please refer to the bidder guidance. Can an associate bidder at PQQ stage later become a lead bidder? No, as to be a lead bidder at a later stage of the procurement that organisation must have submitted, and passed, the PQQ stage in its own right. Will there be a single contract if there is an equal partnership bid? Yes. The tender will be for a single lot and will be subject to a single contract. At the end of the process, if there are similar bids, will the outcome be determined on price? The balance in evaluation weighting between quality and price will always be heavily weighted towards quality. Is the scoring between successive tender stages cumulative? No, each stage (PQQ, ITN1, ITN2 and CFT) will be evaluated independently – scoring will not be carried over. 12 August 2014 Bidder Event Questions and answers Page 3 of 4 Community Health Services for North Somerset Questions Answers Will Midwifery services definitely be included? A clarification e-mail has been sent to all bidders through the TACTICA portal; Title: PQQ update: Maternity services clarification Date: 14/08/2014 Time: 17:15 Message ID: 198530 “Dear Bidders, We would like to clarify a query around maternity services, and whether they are currently in or out of scope. This is in relation to the list of services provided at MoI stage. At this stage of the process please work on the assumption that maternity is currently out of scope. Please note that this decision does not preclude maternity being re-introduced at a later stage of the procurement, but any such decision would be made in discussion with bidders and based on the needs of the North Somerset population. If any of the above information is not clear please advise, so we can provide any further clarity required. Kind regards, Samantha Phillips” 12 August 2014 Bidder Event Questions and answers Page 4 of 4