Integrated Health and Wellbeing Services to Prisons in the South West region

Description

NHS England (NHSE) South West (the Commissioner) recommissioned health and wellbeing services to prisons across the South West region. NHSE sought to secure Prime Provider(s) who had the capability and capacity to deliver services in line with the specified requirements. There are 11 establishments across the South West, which were separated in to four lots. A single contract has been awarded to a Prime Provider for each lot. The Contracts have been awarded for a term of approximately 7 years, with no extension options; all contracts will expire on 30 September 2029. 1. Bristol, South Gloucestershire and Wiltshire (BSGW) prisons - awarded to Oxleas NHS Foundation Trust, and commenced on 01 October 2022: • HMP Bristol (Cat B) • HMP Ashfield (Cat C) • HMP Erlestoke (Cat C) • HMP Leyhill (Cat D) 2. Female closed prison: HMP Eastwood Park - awarded to Practice Plus Group Ltd (PPG), and commenced on 01 October 2022. 3. Dorset prisons - awarded to Oxleas NHS Foundation Trust, and commenced on 01 December 2022: • HMP Guys Marsh (Cat C) • HMP Portland (Cat C) • HMP The Verne (Cat C) 4. Devon prisons - awarded to Oxleas NHS Foundation Trust, and commenced on 01 December 2022: • HMP Exeter (Cat B) • HMP Channings Wood (Cat C) • HMP Dartmoor (Cat C) Social Care Provision of social care varies across the prisons. Where social care is not currently part of the delivery model at this stage, for certain prisons, the Commissioner hopes to move to a fully integrated service during the life of the contract, subject to emerging demand at that stage. Any updates or changes in relation to social care will be managed through contract variation processes during the life of the contract. Dentistry Dental service provision is within scope and will be delivered via a dental provider operating under a Personal Dental Services (PDS) contract issued by NHSE. Financial envelopes The total advertised whole life combined contract value for all lots is £278,377,000.00 This value includes social care values where applicable, mobilisation funding, which will be made available in Year 1, and a "Provider Improvement Fund" for Years 2 to 7. This fund will be retained by the Commissioner and aims to enable flexibility of funding for multi-establishment initiatives. The providers will need to work with the Commissioner on an initiative-by-initiative basis to access this funding. Change There is a national prison expansion programme taking place to increase the number of available places in prison, and it is anticipated that there will be operational capacity changes across the South West prison estate. The contract envelope is based on current operational capacity figures and the providers will be required to work with commissioners to address any changes that happen. This, along with other changes resulting from reconfiguration, e.g. flow of people, resettlement and trainer populations, and aging populations, will need to be accounted for in the delivery of healthcare services. Changes to prison population(s) will be managed through the normal contract variation processes. This procurement has been carried out by NHS South, Central and West Commissioning Support Unit (SCW) on behalf of the Commissioners. Lot 1: Bristol, South Gloucestershire and Wiltshire (BSGW) Prisons NHSE South West (the Commissioner) sought to commission a prime provider model, for the provision of Integrated Health and Wellbeing Services to the following prisons in Bristol, South Gloucestershire and Wiltshire (BSGW): • HMP Bristol (Cat B) • HMP Ashfield (Cat C) • HMP Erlestoke (Cat C) • HMP Leyhill (Cat D) NHS England will hold a contract with the prime provider, who in turn will directly provide care and also subcontract certain delivery areas to other specialist providers. The service has been commissioned as part of the overall Offender Health pathway and as such this model will ensure an integrated, recovery orientated service delivery system both within the prisons and onwards into the community. Patients within secure settings should receive the same quality and access of healthcare as those people in the community, both in terms of the range of interventions available to them which meet their needs, and the quality and standards of those interventions. Taking into account the substantial health inequalities faced by most, if not all people within secure settings, it is imperative that the healthcare service takes bold and innovative steps to improve the health of the most vulnerable and reduce health inequalities. The integrated service will include the following delivery areas: • Primary healthcare (GP and nursing) • Mental health and wellbeing • Integrated substance misuse • Learning disability/neurodiversity • Pharmacy • Social care* • Long term conditions • Dentistry • Optometry and audiology • End of life care • Sexual health • Health promotion • Screening and immunisations • Therapies (pain management/physio/podiatry etc.) • Statutory advocacy provision (IMCA and Care Act) *Social care HMP Bristol - The need for social care at Bristol is anticipated to increase throughout the life of the contract. Although social care is not part of the specification at this stage, both NHSE and Bristol City Council hope to move towards a fully integrated service during the life of the contract, subject to emerging demand. The provider of healthcare at Bristol will be expected to enter into contract discussions with Bristol City Council and NHSE to achieve this at the earliest possible stage. HMP Ashfield - Social care is not part of the services to be provided at HMP Ashfield, however, there will need to be very close liaison with South Gloucestershire Council and the provider of social care. HMP Erlestoke - The need for social care at Erlestoke is anticipated to increase throughout the life of the contract. Social care is not part of the specification at this stage, however, both NHSE and Wiltshire Council hope to move to a fully integrated service during the life of the contract, subject to emerging demand. The provider of healthcare at Erlestoke will be expected to enter into contract discussions with Wiltshire Council and NHSE to achieve this at the earliest possible stage. HMP Leyhill - Social care is not part of the services to be provided at HMP Leyhill, however, there will need to be very close liaison with South Gloucestershire Council and the provider of social care. Any updates or changes in relation to social care across any of the prisons within this lot, will be managed through contract variation processes during the life of the contract. The key priorities and objectives of service delivery over the life of the contract are as follows: • Reduce incidents of self-harm and self-inflicted deaths • Work together to improve the physical and mental health and wellbeing of our population • Promote self-management and ownership of health, including for people with long term conditions • Reducing health inequality • Equipping people to stop reoffending Delivery principles In order to meet the above objectives, all services must be provided in adherence to the following delivery principles: • Bespoke to the needs of each of the prisons within this lot • Psychologically informed • Embedded in and contributing to the developing culture within the prison • No threshold' access to psychological support • Continuous improvement, commitment to adapt to change • Building and maintaining excellent relationships • Focus on workforce There is a separate integrated health and wellbeing services specification for each prison within this lot. Within each of these specifications the following national specifications are embedded: • Primary care services • Mental health services • Substance misuse services • Dental services • Public Health Services The contract has been awarded to Oxleas NHS Foundation Trust, which commenced on 01 October 2022 and will expire on 30 September 2029. The total whole-life contract value is £82,573,908. This value includes indicative funding for social care (as required), mobilisation funding available in Year 1 and Provider Improvement Funds available for Years 2 to 7. This procurement has been carried out by NHS South, Central and West Commissioning Support Unit (SCW) on behalf of the Commissioners. Additional information: The services are healthcare services falling within Schedule 3 to the Public Contracts Regulations 2015 ("the Regulations") which are not subject to the full regime of the Regulations, but are instead governed by the "Light Touch Regime" contained within Chapter 3, Section 7 of the Regulations (Regulations 74 to 77). Lot 2: HMP Eastwood Park NHSE South West (the Commissioner) sought to commission a prime provider model, for the provision of Integrated Health and Wellbeing Services to the following prison located in Gloucestershire: • HMP Eastwood Park (female closed prison) NHS England will hold a contract with the prime provider, who in turn will directly provide care andalso subcontract certain delivery areas to other specialist providers. The service has been commissioned as part of the overall Offender Health pathway and as such this model will ensure an integrated, recovery orientated service delivery system both within the prisons and onwards into the community. Patients within secure settings should receive the same quality and access of healthcare as those people in the community - both in terms of the range of interventions available to them which meet their needs, and the quality and standards of those interventions. Taking into account the substantial health inequalities faced by most, if not all, people within secure settings, it is imperative that the healthcare service takes bold and innovative steps to improve the health of the most vulnerable and reduce health inequalities. The integrated service will include the following delivery areas: • Primary healthcare (GP and nursing) • Mental health and wellbeing • Integrated substance misuse • Learning disability/neurodiversity • Pharmacy • Social care* • Long term conditions • Dentistry • Optometry and audiology • End of life care • Sexual health • Health promotion • Screening and immunisations • Therapies (pain management/physio/podiatry etc.) • Statutory advocacy provision (IMCA and Care Act) *Social care Social care is not directly the responsibility of the healthcare provider at HMP Eastwood Park; however, there will need to be very close liaison with South Gloucestershire Council and the provider of social care. Any updates or changes in relation to social care at Eastwood Park, will be managed through contract variation processes during the life of the contract. The key priorities and objectives of service delivery over the life of the contract are as follows: • Reduce incidents of self-harm and self-inflicted deaths • Work together to improve the physical and mental health and wellbeing of our population • Promote self-management and ownership of health, including for people with long term conditions • Reducing health inequality • Equipping people to stop reoffending Delivery principles In order to meet the above objectives, all services must be provided in adherence to the following delivery principles: • Bespoke to the needs of each of the prisons within this lot • Psychologically informed • Embedded in and contributing to the developing culture within the prison • No threshold' access to psychological support • Continuous improvement, commitment to adapt to change • Building and maintaining excellent relationships • Focus on workforce There is a separate integrated health and wellbeing services specification for HMP Eastwood Park. Within the specification, the following national specifications are embedded: • Primary care services • Mental health services • Substance misuse services • Dental services • Public Health Services The contract has been awarded to Practice Plus Group Ltd (PPG) for a duration of 7 years (fixed term) commencing from 1st October 2022. The total whole-life contract value is £42,357,000. This value includes mobilisation funding available in Year 1 and Provider Improvement Funds available for Years 2 to 7. This procurement has been carried out by NHS South, Central and West Commissioning Support Unit (SCW) on behalf of the Commissioners. Additional information: The services are healthcare services falling within Schedule 3 to the Public Contracts Regulations 2015 ("the Regulations") which are not subject to the full regime of the Regulations, but are instead governed by the "Light Touch Regime" contained within Chapter 3, Section 7 of the Regulations (Regulations 74 to 77). Lot 3: Dorset Prisons NHSE South West (the Commissioner) sought to commission a prime provider model, for the provision of Integrated Health and Wellbeing Services to the following prisons in Dorset: • HMP Guys Marsh (Cat C) • HMP Portland (Cat C) • HMP The Verne (Cat C) NHS England will hold a contract with the prime provider, who in turn will directly provide care and also subcontract certain delivery areas to other specialist providers. The service has been commissioned as part of the overall Offender Health pathway and as such this model will ensure an integrated, recovery orientated service delivery system both within the prisons and onwards into the community. Patients within secure settings should receive the same quality and access of healthcare as those people in the community - both in terms of the range of interventions available to them which meet their needs, and the quality and standards of those interventions. Taking into account the substantial health inequalities faced by most, if not all, people within secure settings, it is imperative that the healthcare service takes bold and innovative steps to improve the health of the most vulnerable and reduce health inequalities. The integrated service will include the following delivery areas: • Primary healthcare (GP and nursing) • Mental health and wellbeing • Integrated substance misuse • Learning disability/neurodiversity • Pharmacy • Social care* • Long term conditions • Dentistry • Optometry and audiology • End of life care • Sexual health • Health promotion • Screening and immunisations • Therapies (pain management/physio/podiatry etc.) • Statutory advocacy provision (IMCA and Care Act) *Social care Social care at all three prisons within the Dorset lot, will be provided as part of the integrated health, wellbeing and social care services. This service is jointly commissioned by NHSE and Dorset Council. The key priorities and objectives of service delivery over the life of the contract are as follows: • Reduce incidents of self-harm and self-inflicted deaths • Work together to improve the physical and mental health and wellbeing of our population • Promote self-management and ownership of health, including for people with long term conditions • Reducing health inequality • Equipping people to stop reoffending Delivery principles In order to meet the above objectives, all services must be provided in adherence to the following delivery principles: • Bespoke to the needs of each of the prisons within this lot • Psychologically informed • Embedded in and contributing to the developing culture within the prison • No threshold' access to psychological support • Continuous improvement, commitment to adapt to change • Building and maintaining excellent relationships • Focus on workforce There is a separate integrated health and wellbeing services specification for each prison within this lot. Within each of these specifications the following national specifications are embedded: • Primary care services • Mental health services • Substance misuse services • Dental services • Public Health Services The contract has been awarded to Oxleas NHS Foundation Trust, which commenced on 01 December 2022 and will expire on 30 September 2029. The total whole-life contract value is £63,100,757. This value includes funding for social care, mobilisation funding available in Year 1 and Provider Improvement Funds available for Years 2 to 7. This procurement has been carried out by NHS South, Central and West Commissioning Support Unit (SCW) on behalf of the Commissioners. Additional information: The services are healthcare services falling within Schedule 3 to the Public Contracts Regulations 2015 ("the Regulations") which are not subject to the full regime of the Regulations, but are instead governed by the "Light Touch Regime" contained within Chapter 3, Section 7 of the Regulations (Regulations 74 to 77). Lot 4: Devon Prisons NHSE South West (the Commissioner) sought to commission a prime provider model, for the provision of Integrated Health and Wellbeing Services to the following prisons in Devon: • HMP Exeter (Cat B) • HMP Channings Wood (Cat C) • HMP Dartmoor (Cat C) NHS England will hold a contract with the prime provider, who in turn will directly provide care and also subcontract certain delivery areas to other specialist providers. The service has been commissioned as part of the overall Offender Health pathway and as such this model will ensure an integrated, recovery orientated service delivery system both within the prisons and onwards into the community. Patients within secure settings should receive the same quality and access of healthcare as those people in the community - both in terms of the range of interventions available to them which meet their needs, and the quality and standards of those interventions. Taking into account the substantial health inequalities faced by most, if not all, people within secure settings, it is imperative that the healthcare service takes bold and innovative steps to improve the health of the most vulnerable and reduce health inequalities. The integrated service will include the following delivery areas: • Primary healthcare (GP and nursing) • Mental health and wellbeing • Integrated substance misuse • Learning disability/neurodiversity • Pharmacy • Social care* • Long term conditions • Dentistry • Optometry and audiology • End of life care • Sexual health • Health promotion • Screening and immunisations • Therapies (pain management/physio/podiatry etc.) • Statutory advocacy provision (IMCA and Care Act) *Social care Social care at all three prisons within the Devon lot, will be provided as part of the integrated health, wellbeing and social care services. This service is jointly commissioned by NHSE and Devon Council. The key priorities and objectives of service delivery over the life of the contract are as follows: • Reduce incidents of self-harm and self-inflicted deaths • Work together to improve the physical and mental health and wellbeing of our population • Promote self-management and ownership of health, including for people with long term conditions • Reducing health inequality • Equipping people to stop reoffending Delivery principles In order to meet the above objectives, all services must be provided in adherence to the following delivery principles: • Bespoke to the needs of each of the prisons within this lot • Psychologically informed • Embedded in and contributing to the developing culture within the prison • No threshold' access to psychological support • Continuous improvement, commitment to adapt to change • Building and maintaining excellent relationships • Focus on workforce There is a separate integrated health and wellbeing services specification for each prison within this lot. Within each of these specifications the following national specifications are embedded: • Primary care services • Mental health services • Substance misuse services • Dental services • Public Health Services The contract has been awarded to Oxleas NHS Foundation Trust, which commenced on 01 December 2022 and will expire on 30 September 2029. The total whole-life contract value is £90,320,584. This value includes funding for social care, mobilisation funding available in Year 1 and Provider Improvement Funds available for Years 2 to 7. This procurement has been carried out by NHS South, Central and West Commissioning Support Unit (SCW) on behalf of the Commissioners. Additional information: The services are healthcare services falling within Schedule 3 to the Public Contracts Regulations 2015 ("the Regulations") which are not subject to the full regime of the Regulations, but are instead governed by the "Light Touch Regime" contained within Chapter 3, Section 7 of the Regulations (Regulations 74 to 77).