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Alcohol Interventions Service

Agenda. Introduction to the TeamHealth Needs: Context

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Alcohol Interventions Service

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    1. Alcohol Interventions Service Market Information Meeting

    2. Agenda Introduction to the Team Health Needs: Context & overview The Service Specification The Procurement Process Questions & Answers Networking opportunity.

    3. Health Needs Context for the Alcohol Service Jan Bond

    4. Health Need in North Somerset In North Somerset two wards fall in the top 10% of deprived areas in the country and five fall in the bottom 10% deprived areas in the country. Weston Super Mare South and Weston Super Mare Central are the most income deprived wards in North Somerset The gap in life expectancy between the most and least deprived areas has always been present but in recent years appears to be growing.

    5. Gap in Life Expectancy At the ward level there is a 13 year gap between the highest and lowest life expectancy. Weston Super Mare Central has the lowest life expectancy (72 years), falling in the bottom 5% in the country.

    6. Life Expectancy by ward 1999-2003

    7. Life lost to alcohol by deprivation

    8. Alcohol specific hospital admissions North Somerset 2005-2007

    9. Clients by ward of residence at start of treatment

    10. Causes of death in one ward

    11. Chronic Liver Disease In WSM South and Central deaths due to chronic liver disease were significantly higher than would be expected and made up 2% of all deaths compared to only 1% in North Somerset. Across North Somerset there were 102 deaths due to this condition, of these 46 (45%) occurred to residents living in either WSM Central (16 deaths), WSM West (13 deaths), WSM South (11 deaths) or WSM Clarence and Uphill (6 deaths).

    12. Benefit uptake for mental health reasons in 2009

    13. The Service Specification Julie Kell

    14. History In 2010-2011 NHS North Somerset withdrew funding from the Community Safety Drug Action Team to manage Alcohol within the PCT under one contract. This contract was awarded for one year to a local preferred provider The specification has been drawn up with engagement from our multi stakeholder Alcohol Strategy Group, in liaison with The South West Lead for Alcohol Services and a stakeholder morning held in Weston Super Mare The PCT had approached the Community Safety Drug Action Team for the tendering process to be completed in conjunction with the tender for drug services.

    15. Current services

    16. Function of specification The function of the North Somerset Alcohol Specification is to provide interventions through a mixture of direct access and appointments that minimise barriers to entry. The services should provide a single service assessment gateway to appropriate alcohol treatment, identified through AUDIT screening, assessment.

    17. Expectation of the service Offer brief 1 -3 interventions, to reduce alcohol-related harm and build motivation to change, to hazardous and where appropriate harmful drinkers. Structured psychological interventions, integrating solution focused therapy cognitive behavioral therapy & motivational enhancement therapies to promote abstinence or controlled drinking, reducing alcohol related harm in harmful or moderately dependent alcohol misusers. Transition management of severely dependent drinkers identified through assessment process as requiring detoxification at Tier 3. The service should work in Liaison through partnership protocols with other agencies and professionals in criminal justice, health & social care fields, including probation, courts, housing, and employment support Maximise treatment complete, alcohol free outcomes and minimise those re-presenting to the treatment system via relapse prevention programmes.

    18. Expectation of the service Transition management of severely dependent drinkers identified through assessment process as requiring detoxification at Tier 3. The service should work in Liaison through partnership protocols with other agencies and professionals in criminal justice, health & social care fields, including probation, courts, housing, and employment support maximise treatment complete, alcohol free outcomes and minimise those re-presenting to the treatment system via relapse prevention programmes. Consideration should be given to the length and frequency of intervention offered to maximise effectiveness and maintain engagement

    19. ….in the pipeline

    20. Future services

    21. Terms and conditions The contract once awarded will be monitored under the terms and conditions of The DOH Community Contract with regular performance meetings. As part of the implementation of the Alcohol Strategy Action Plan it will also be led and monitored by the North Somerset Alcohol Strategy Group. The specification includes the outcomes expected through delivery of the service and describes the way delivery and performance will be monitored.

    22. The Procurement Process Chris Morton Procurement Manager

    23. Overview & Timescale Expression of Interest 15th Nov. – 3rd Dec ITT issued from 15th Nov. Mid Tender Meetings 6th – 17th December ITT Closes 10th January 2011 Presentation & Interview 24/25th Jan. Alcatel Standstill Period 27th Jan – 15th Feb Public Announcement 16th Feb Contract Signature March Service Start April 2011

    24. Advertisement Supply to Health Portal: www.supply2health.nhs.uk Part B, not OJEU – below threshold Market Briefing Meeting PCT Website: http://www.northsomerset.nhs.uk/Publications/procurement/default.asp

    25. Expressions of Interest Form on PCT Website Return to: procurement@nsomerset-pct.nhs.uk Relying on Electronic communication, but not online tendering Closing date: 3rd December

    26. Invitation to Tender Business plan, but in a defined format. Basis for a contract Competitive – Quality and Cost Selective short list, bidders confident will provide satisfactorily Principles for completion Mid tender meetings on a 1:1 basis Closing Date:

    27. Example C.3.5.1 Please describe how you intend to ensure that you will have sufficient staff of the appropriate calibre and qualifications to provide the tendered for service, and meet all the necessary legislative, registration and employment requirements. (Word Limit: 1000 words) Response: Where staff going to come from. Profile of key players, link to how these meet the legislative req’s. How you will get sufficient staff - profile staff against expected activity. Closing Date: 10th January 2011.

    28. Presentation & Interviews Add to the ITT scoring Decision making process between final 2 or 3 bidders Will be challenging Scenario based – not how wonderful you are Date: 24th / 25th January

    29. Summary Open and fair process Any form of collusion or corruption will result in instant exclusion & possible prosecution Feedback at every stage if not selected Intended to be competitive, to gain best value for money All communications through official channels please. (procurement@nsomerset-pct.nhs.uk )

    30. Networking Opportunity Opportunity to form alliances prior to tender process formally starting. Introductions ?

    31. Any Questions ?

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