Managed Service Resident Doctors (RD’s)

Description

The Royal National Orthopaedic Hospital NHS Trust ("the Authority", "RNOH") required the provision of Managed Resident Doctors Services, operating 24/7.<br/><br/>The supplier will provide RNOH with Junior Clinical Fellow grade general medical and surgical cover for the entire RNOH (Stanmore campus) bed base 24 hours per day, 365 days per year (including weekends and bank holidays), for the full duration of the contract. Junior Clinical Fellow grade is considered to be of equal or greater experience to the UK post FACD 5.2 level. (FACD = Foundation Assessment of Competence Document).<br/><br/>The Authority intends to award a contract to NES UK Limited, following a Direct Award - Process C, in accordance with The Health Care Services (Provider Selection Regime) Regulations 2023 (“PSR 2023”). Lot 1: The RNOH aims to deliver safe, effective, high quality care at all times. However, in relation to medical, and in particular SHO cover, this has become increasingly challenging over the past few years. The Trust’s inability to attract and retain an adequate SHO workforce has resulted in a growing clinical risk for our services which is reflected within the Trust’s Risk Register and compounded by factors such as increasing inpatient acuity and weekend surgical activity. <br/><br/>It has been well recognised for some time that the model for safe medical cover across the Trust needs to be revised and following significant consideration the priority for this identified as safe, reliable out of hours and emergency SHO level cover throughout the whole week. This is perceived to be the safe foundation from which further workforce transformation and remodelling can then be undertaken. <br/><br/>The adoption of a managed contract Resident Doctor model to provide 24 hour cover 7 days a week through an external provider, comprising of 4 WTE doctors alternating between weeks of day shifts and night shifts, with a full week off between duty periods. A tender process would be undertaken to identify a preferred provider with the aim to implement the this service mode.<br/><br/>Full OJEU restricted process was undertaken and the service was awarded to NES UK Limited on the 4th November 2019 and the contract expires on the 25th October 2024. <br/><br/>The intention is to award a contract under the Most Suitable Provider Process to NES UK Limited for 17 months. Lot 1: The RNOH aims to deliver safe, effective, high quality care at all times. However, in relation to medical, and in particular SHO cover, this has become increasingly challenging over the past few years. The Trust’s inability to attract and retain an adequate SHO workforce has resulted in a growing clinical risk for our services which is reflected within the Trust’s Risk Register and compounded by factors such as increasing inpatient acuity and weekend surgical activity. <br/><br/>It has been well recognised for some time that the model for safe medical cover across the Trust needs to be revised and following significant consideration the priority for this identified as safe, reliable out of hours and emergency SHO level cover throughout the whole week. This is perceived to be the safe foundation from which further workforce transformation and remodelling can then be undertaken. <br/><br/>The adoption of a managed contract Resident Doctor model to provide 24 hour cover 7 days a week through an external provider, comprising of 4 WTE doctors alternating between weeks of day shifts and night shifts, with a full week off between duty periods. A tender process would be undertaken to identify a preferred provider with the aim to implement the this service mode.<br/><br/>Full OJEU restricted process was undertaken and the service was awarded to NES UK Limited on the 4th November 2019 and the contract expires on the 25th October 2024. <br/><br/>The intention is to award a contract under the Most Suitable Provider Process to NES UK Limited for 17 months.