Provision of an Inpatient and Outpatient Mental Health Service

Description

This Prior Information Notice is to alert the market that the Authority shall have a requirement for the provision of occupationally focused high-quality mental health service to service personnel and entitled eligible civilians deemed to require an inpatient assessment, or a period of stabilisation and treatment (and in some cases (< 10 per annum) under 18’s). Within the contract the Authority will request outpatient psychotherapy services, of largely high intensity therapy, averaging a rolling 90 (annual total of no more than 416 referrals) new referrals for National Institute for Health and Care Excellence (NICE) approved psychotherapy for all Defence Community Mental Health and Defence mental health staff and other identified personnel. These are expected to reduce from year 2 of the contract by 30 referrals per annum. In addition, an online CBT provision to provide access to digital cognitive behavioural therapy (incorporating but not limited to the core provision of CBTi for Anxiety and CBTi for Depression) to meet the needs of a population of 5,000 Armed Forces members per annum for whom digital CBT will be a step 2 option within their care pathway via GP referral, will be required. Each patient from this total population who chooses to engage with CBTi following GP referral will be given 12 weeks access as a minimum. This initial access does not exclude them from re-accessing this option again in the same 12-month period should that need arise. Lot 1: Inpatient service The Authority has a requirement for the provision of high quality occupationally focused care for SP and entitled civilians deemed to require inpatient assessment, stabilisation and treatment. The Contractor will provide a nominated bed within 4 hours of a request as close as possible to the patient’s Department of Community Mental Health or where clinically indicated their home. Refer Annex A of attached draft Statement of Requirement for delivery locations. An initial admission would be for up to 10 days, with further bed days being requested as clinically appropriate. The 10 day stay/admission is for stabilisation and treatment of personnel and management of risk with the individual then being discharged back to the care of the General Practitioner (GP), Medical Officer (MO) and DCMH. For eligible civilians, the admission would be for 10 days only, and any care required after the initial 10 days will be the responsibility of the NHS, arranged by the provider. Outpatient service To support community mental healthcare, Defence also contracts an Outpatient Psychotherapy Service (OPS) delivered via remote video consultation of a rolling 120 psychotherapy referral sessions per annum. OPS will comprise of evidence based psychologically informed interventions for a range of presentations (as listed in SOR), which will be up to and including stepped care levels 3/4a in complexity. Online CBT Access to digital CBT for common mental disorders (incorporating but not limited to the core provision of CBTi for Anxiety and CBTi for Depression) for a 12-month period for up to 5,000 users per annum (UK and overseas) Additional information: As part of the Tender process, the Authority shall visit the Tenderer's premises (at time to be agreed between the Authority and the Tenderer) for the purposes of assessment/evaluation of the facilities. If this is not possible then a live virtual tour shall be required.