Recent tenders and procurements news to date in 2014


BSR region South West


Kernow CCG recently announced that they were putting £75 million worth of services, including rheumatology services, out to tender in a plan to move non-complex procedures into community settings. St Ives MP Andrew George raised concerns arguing that allowing private companies to bid to run these services would not improve care for patients.

BSR region East of England


Bedford CCG named Circle as their prime contractor for its integrated musculoskeletal service after scooping a £120m five-year contract. The CCG named Circle as its preferred bidder to consolidate 20 separate contracts into a single service in August. Circle has said it is the first such integrated service in the country led by a prime contractor. The first stage has already gone live, with GPs now able to be refer patients to a “central hub” for MSK treatment. The rest of the service is expected to be rolled out over the next six months. Bedford Hospital and Luton and Dunstable Hospital are expected to be integrated into the service by the autumn.

Ipswich and Suffolk CCG and West Suffolk CCG held a market engagement event in May 2014 to notify prospective contractors of the re-procurement of their respective community musculoskeletal services. This event intended to provide an overview of the current services provided in Suffolk and the CCGs’ visions going forward and explain the procurement processes and the anticipated timelines for each of the CCGs.  Procurements were not expected to come out of the event as these will be advertised at a later date. 

Basildon and Brentwood CCG procurement for an integrated hub for community and acute MSK services is at the PQQ stage. This model is intending to bring together Community Physiotherapy and Extra Scope Practitioners (ESPs) service (known as Tier II) which provides triage, treatment and diagnostics alongside the secondary care service which provides Consultant Outpatients appointments including procedures undertaken in outpatients (joint injections etc.) for Trauma and Orthopaedics, Rheumatology and Pain Management. The model will also include all surgery, both day case and inpatient activity. This is a 3 year contract worth £69m - £81m. 

BSR region West Midlands


Telford and Wrekin
recently put musculoskeletal services out to tender to deliver a Community Integrated Musculoskeletal (MSK) Service to be based at a minimum of two location sites within the Telford & Wrekin CCG area. This service shall serve as an alternative to hospital based treatment for the majority of patients being referred by GPs for MSK conditions. The proposed Community Integrated MSK Service shall provide a single point of access with triage for referrals to MSK assessments, Physiotherapy, Rheumatology, podiatry and the management of chronic pain.

BSR region London South


Bexley CCG faced a legal challenge over the procurement of £16.6m in services using the innovative prime contractor model. Bexley CCG in south east London confirmed to HSJ the award of the contract for the borough’s musculoskeletal work had been halted following a legal challenge from Lewisham and Greenwich Trust, which runs services in neighbouring boroughs.  The contract would entail a lead provider receiving an outcomes based payment to integrate the entire care pathway and then subcontracting work to other organisations. The challenge came after the CCG overrode the recommendation of the trust special administrator appointed to oversee the break-up of South London Healthcare Trust that Dartford and Gravesham Trust should run high-volume elective services at Queen Mary’s Hospital in Bexley until April 2015. Instead, the CCG issued a tender for musculoskeletal work due to begin last month.

BSR region London North West


Brent CCG held an engagement exercise between April and May 2014 with patients in the area to help inform their service redesign to move more services outside of acute hospital settings and into community settings.  Brent CCG is currently considering the clinical implications of service changes through final draft specifications.  This consultation phase is anticipated to take place during September – November 2014.

Enfield CCG is running scoping events with patients and carers to understand their views on the services Enfield provides to people with musculoskeletal conditions and how these services might be improved.

BSR region South East Coast


West Sussex CCG announced BUPA (September 2014) as their preferred bidder for musculoskeletal services in a contract worth £235 million over five years.  The news has raised concerns the contract will affect accident and emergency services at St Richards and Worthing Hospitals.  The BUPA contract covers planned care whilst Western Sussex Hospitals NHS Foundation Trust will be responsible for providing emergency trauma care. 
Brighton and Hove CCG formed a partnership with Crawley and Horsham and Mid Sussex CCGs to establish the Sussex Musculoskeletal (MSK) Partnership.  Mid Sussex MSK Partnership will provide a brand new joined-up, integrated service for people with joint and muscle conditions across central Sussex.  It involves Brighton and Hove Integrated Care Service, Horder Healthcare, Sussex Community NHS Trust and Sussex Partnership NHS Foundation Trust.  This new service will be launched in October 2014.  

High Weald Lewes Havens CCG is running a joint MSK procurement with Eastbourne, Hailsham and Seaford (EHS) CCG. The PQQ stage has passed and the CCGs are currently between rounds of competitive dialogue with bidders.

BSR region Yorkshire and Humber


Calderdale CCG held and engagement exercise (with Greater Huddersfield CCG and North Kirklees CCG) and invited the public to give their views on how musculoskeletal services are provided locally. 
Sheffield CCG commissioned COBIC Solutions Ltd and Better Value Healthcare (BVHC) to explore how the CCG could best meet the future needs of local patients requiring treatment from commissioned musculoskeletal services (MSK) in February 2013.  Sheffield CCG is now holding scoping events with patients and carers with a view to commissioning a city-wide integrated MSK service.

BSR region South Central


Bracknell and Ascot CCG have recently commissioned Healthshare to provide Bracknell and Ascot’s Musculoskeletal Assessment and Treatment Service.

Bracknell Musculoskeletal Assessment and Treatment Service (BMATS) is a service for people with complex musculoskeletal conditions to assess and treat their problem and send them on for an operation if needed. The service is essentially a ‘one-stop-shop’, providing specialist clinical assessments and investigations as well as treatments such as joint and soft tissue injections. 

The BMATS team comprises two consultant physicians, physiotherapists, a podiatrist and a sonographer, all with advanced training and skills in diagnosing and managing musculoskeletal pathology. Patients will need to be referred to BMATS by their GP and can be referred by the service on to acute care should the need arise.

SR region North West


Trafford CCG
is reviewing the services which provide support to those with pain in their joints, muscles and/or back pain (physiotherapy, orthopaedics, podiatry, and rheumatology).  They are holding scoping events with patients and carers to understand what they think of MSK services and how they think the services can be improved.  

Fareham and Gosport and South Eastern Hampshire CCGs (‘the Commissioners’) intend to commission a Community Specialist Musculoskeletal and Persistent Pain Service for their registered population.  Likely contract term is 5 years.