NWL0147 Community Specialist Palliative and End of Life Care Services - Hillingdon, Brent, Harrow, Hounslow, Westminster, Kensington & Chelsea, Hammersmith & Fulham

NHS NW London ICB requires the provision of Community Specialist Palliative and End of Life Care Services for adults (18+) living with progressive life limiting/ terminal conditions with or without co-morbidities; such as but not limited to irreversible organ failures of heart, liver, kidney; cancer, complex neurological conditions, HIV/Aids; from 1 April 2023 to 31 March 2024.

These services are currently being delivered by the organisations set out below (contract values as of 22/23):
-Harlington Hospice (Hillingdon): £933,606
-St John’s Hospice (Brent): £276,970
-St John’s Hospice (Triborough): £2,047,974
-St Luke’s Hospice (Harrow & Brent): £720,951+ £1,072,111
-Marie Curie Hampstead Hospice (Brent): £114,107
-Marie Curie Nursing Services (EOL Rapid response and Planned variable nursing services – Hounslow): £213,932

The current total contract value of the above contracts is £5,379,651. The estimated total contract value for the 12 month period (1 April 2023 to 31 March 2024) is £5,508,760. The purpose of this notice is to be transparent in the ICB’s intentions to award a further contract to these organisations, being the only capable providers. The contract version used will be the NHS Standard Contract (Shorter-Form) Particulars.

The ICB is of the view that the services described are capable of being provided only by the providers mentioned in this notice, and are not aware of other providers who can deliver the required level or care and services at the current tariffs and who have estates in the areas where services need to be delivered. The described charitable hospice services are partially funded by the service providers including charitable contributions. The funding envelope available is based on continuation of charitable funding to support delivery of specialist palliative care services, in line with the stated aims of the charitable hospice sector. For a provider to be able to apply, they need to be able to demonstrate that they have the appropriate estates (i.e. hospice inpatient unit facilities), are specialist palliative care providers with the necessary specialist workforce in line with the conditions of participation set out in the notice.

Should your organisation be interested and capable to deliver this service in the required location(s), please submit your interest via nhsnwl.contracting@nhs.net and include a 300-500 word summary of how your organisation meets the set out condition of participation set out in the FTS PIN notice. Capable providers may come forward by 17:00 on 31 March 2023. In absence of competition, a further 12 month contract will be awarded to the providers set out above.

Main components of the Specialist Level Palliative Care (SLPC) services:
-Delivered by a Specialist Level Palliative Care Multidisciplinary Team (SLPC MDT) with the requisite qualifications, expertise and experience in offering care
-Specialist knowledge (specialist consultant and specialist nursing services as a minimum) to assess and manage physical, psychological, social, religious and spiritual needs to reduce symptoms, suffering and distress
-Providing 24/7 specialist telephone advice
-Community SPC nursing
-Providing education and training to the wider care team who are providing direct core level palliative care to the person
-Supporting complex assessment and symptom management
-Coordinated home support with general providers to enable patients to stay at home day care services
-Hospice inpatient beds, Hospice At Home, Hospice outpatient, day and other wellbeing services
-Family & Carer support
-Bereavement support

Please refer to the Conditions Of Participation section below.