David Brindley Health Promotion Specialist Lauren Smith Procurement

1. Brighton & Hove City Council, Public Health: Tier 2 community weight management 2013 Funding Agreement Process David Brindley Health Promotion Specialist Lauren Smith Procurement

2. Programme for meet the Commissioner EventMonday 12th August 2013 10.15 – 12.00 Weight management overview – David Brindley Question time Overview of Procurement – Lauren Smith Question time Open discussion

3. Priorities: Corporate priorities: Tackling inequality Creating a more sustainable city Engaging people who live & work in the city Public health outcomes framework: Excess weight in 4-5 year olds Excess weight in 10-11 year olds Excess weight in adults

4. Overview of existing local services The Public Health Team as part of the former Primary Care Trust (PCT) has been commissioning weight management services in the city for several years with some good results in terms of health outcomes and service effectiveness. Since the 1st April 2013 following the NHS Reform, Public Health is now an integral function of Local Authority. Public Health commissioning is therefore required to follow its new host organisation, Brighton & Hove City Council’s procurement processes and rules. This funding agreement aims to build on the local evidence of needs and good practice to develop Tier 2 services.

5. Obesity care pathway

6. Scale of the problem The 2012 Health Profiles provide an estimate of the prevalence of obese adults in Brighton & Hove (modelled estimate using Health Survey for England data for 2006-2008). This suggests that the obesity prevalence for Brighton & Hove is 20% - although significantly lower than England (24%), this still equates to 1:5 adults. An estimated 29% of children aged 10-11 years are overweight or obese in the city. An estimated 19% of children aged 4-5 years are overweight or obese. Locally obesity prevalence is 2 to 3% higher for boys than girls in both year groups. Both locally and nationally, overweight and obesity among children and young people increases with age.

7. Obesity by deprivation quintile In 2003 the obesity rate was 9-11% in all deprivation quintiles The obesity rate increased in all groups by 2012 But it doubled in the most deprived group Inequalities have therefore increased over the last decade Rates of combined overweight and obesity do not show the same pattern Obesity Overweight/ obese

9. New service overview: We are seeking to commission a service provider to design and deliver Tier 2 weight management services (T2WMS). The purpose of the services will be to: Assist children and young people aged between 2 and 18 years who are on or above the 91st percentile to reach and maintain a healthy weight. Support overweight and obese adults 16 years + to lose weight and learn how to maintain a healthier weight. Support the referral of children and adults through the delivery of a healthy weight referral triage service. We are particularly interested in proposals from several organisations forming a Partnership (with one Lead Applicant) to deliver the services seamlessly across the population age ranges and across areas in the city.

10. Aim of the service To design and deliver evidence based accessible T2WMS for children and adults. Interventions should be multi-component and focus on diet and physical activity together Interventions will include behaviour change strategies to: increase people’s physical activity levels and decrease sedentary behaviour; improve eating behaviour and the quality of the person’s diet; reduce energy intake Many interventions have the potential to be delivered to families as well as to individuals. Follow-up support / post programme maintenance up to 12 months should be a part of the service offer for children and adults.

11. Essential requirements for the new service That the service is free at the point of contact and resources shared with users are provided free of charge. The service is safe, appropriate and complies with legislative requirements. That 100% of staff are appropriately trained and competent in the delivery of the proposed services. Services are available locality wide and during the day, evening and weekends. Key stakeholders are engaged in the ongoing development and governance of the programme Programme participant’s demographic details are recorded in line with the National Obesity Observatory Standard Evaluation Framework (NOO SEF) and Brighton & Hove City Council monitoring.

12. Essential outcomes for the service are: 100% of patients accessing the service meet the eligibility criteria. 100% of children who attended the 1st or 2nd session should be measured at baseline. 50%of individuals achieving outcomes are from wards in the city with significantly higher rates of obesity A minimum of 65% of all children and 60% of all adults engaged as participants complete the intervention 60% of all adults and 30% of all children referred to the services are from primary care. 85% of participants rate the service as good or excellent.

13. Inclusion and exclusion criteria Individuals eligible to access this service must be aged: 2-18 years, in the locality, and have a BMI equal to or greater than the 91st percentile. 16 +, in the locality, and have a BMI equal to or greater than 25. Furthermore, individuals meeting the following criteria should be excluded from this service: are pregnant, or breastfeeding have an eating disorder children with more complex needs such as learning difficulties and mental health issues should be referred to the Child Weight Management Clinic at Seaside View have an underlying medical cause for obesity and would benefit from more intensive clinical management than a Tier 2 service have significant co-morbidity or complex needs as identified by their GP or other healthcare professionals

14. Referral route The provider will: Accept self-referred individuals complying with the inclusion/exclusion criteria. Accept referrals from primary care, health care professionals and relevant stakeholders. Work with referring partners to ensure the referral process is timely, secure, and mutually beneficial for all parties. Accept paper based and online referrals as appropriate. Where the individual is not eligible for this service, refer them on, or signpost, to other services within the weight management care pathway or to other relevant health and social care services.

15. Service and delivery standards Providers will deliver the T2WMS in accordance with: Any relevant standards for delivery as directed by the commissioner All relevant aspects of NICE guidance Any evidence of previous success delivering interventions that meet objectives in this service specification The service must demonstrate that it meets: Statutory Health and Safety requirements. Local and national safeguarding requirements. Data protection and information governance requirements – and that Staff recruitment, training and development policies and practises ensure that staff have the appropriate competencies to deliver the intervention.

16. So what are we looking for? Quality of Service 80% A Provider who has experience and can ensure: The proposal meets the essential responsibilities of the service specification. The successful provider achieves the outcomes of the service specification and provides evidence of experience to achieve the delivery of the service. Value of Service 20% Contract price

17. Question Time Any Questions?

18. Procurement process: How to Apply Adverts placed on: South East Business Portal Link passed to CVSF

19. Procurement Process – The Application Self Assessment Checklist – the council may request these documents at a later date Schedule 4: About your Organisation – for information only; this section is not scored Schedule 5: Your Proposal – This section is scored and is weighted at 80% Schedule 6: Costs – This section is scored and is weighted at 20%

20. Procurement Process - Evaluation Schedule 5 – each question will be scored out of 5 using the scoring system detailed in the funding application Schedule 6 - Maximum marks will be given to the lowest bid with other bids scoring proportionally. The formula used to score bids is detailed in the funding application

21. Evaluation Panel The evaluation panel consists of: Commissioner Procurement Rep from West Sussex County Council Rep from East Sussex County Council Rep from Public Health Team

22. Clarification Meetings Clarification meetings will be held after the first round of submissions from providers if necessary Providers will then have the opportunity to amend their bids in a specified time period that will be confirmed by the council After this time period has expired, providers will need to submit their final bids

23. Procurement Timetable First round of submissions to be submitted to the contact and address listed in the Funding Application by 12 noon on Monday 16th September 2013 Clarification meetings will be held between Thursday 10th October and Friday 8th November 2013 Amended bids are to be submitted by 12 noon on Monday 16th December 2013 Funding Agreement awarded by Wednesday 8th January 2014 Start date – Tuesday 1st April 2014

24. Question Time Any Questions?

25. Contact Details David Brindley – Health Promotion Specialist – 01273 290510 or david.brindley@brighton-hove.gov.uk Lauren Smith – Procurement Advisor – 01273 295064 or lauren.smith@brighton-hove.gcsx.gov.uk