Services - 399611-2015

12/11/2015    S219    - - Services - Prior information notice without call for competition - Not applicable 

United Kingdom-Leeds: Medical software package

2015/S 219-399611

Prior information notice

Services

Directive 2004/18/EC

Section I: Contracting authority

I.1)Name, addresses and contact point(s)

National Health Service Commissioning Board
Quarry House, Quarry Hill
For the attention of: https://nhsbsa.bravosolution.co.uk/web/login.shtml
LS2 7UE Leeds
United Kingdom

Internet address(es):

General address of the contracting authority: www.england.nhs.uk

Address of the buyer profile: https://nhsbsa.bravosolution.co.uk/web/login.shtml

Further information can be obtained from: The above mentioned contact point(s)

I.2)Type of the contracting authority
National or federal agency/office
I.3)Main activity
Health
I.4)Contract award on behalf of other contracting authorities
The contracting authority is purchasing on behalf of other contracting authorities: no

Section II.B: Object of the contract (Supplies or services)

II.1)Title attributed to the contract by the contracting authority:
NHS Urgent and Emergency Care: Clinical Triage Platform.
II.2)Type of contract and place of delivery or of performance
Service category No 7: Computer and related services
Various locations throughout England.

NUTS code UKC,UKD,UKE,UK,UKK,UKJ,UKG,UKF,UKI,UKH

II.3)Information on framework agreement
The notice involves the establishment of a framework agreement: no
II.4)Short description of nature and quantity or value of supplies or services:
The primary purpose of this PIN is to outline the intention for pre-tender market engagement and to inform suppliers of prospective opportunities in connection with NHS England’s Digital Urgent and Emergency Care Programme in transforming Urgent and Emergency Care.
— Transforming urgent and emergency care services in England.
The NHS Five Year Forward View explains the need to redesign urgent and emergency care services in England for people of all ages with physical and mental health problems, and sets out the new models of care needed to do so. The urgent and emergency care review details how these models of care can be achieved through a fundamental shift in the way urgent and emergency care services are provided to all ages, improving out-of-hospital services so that we deliver more care closer to home and reduce hospital attendances and admissions. We need a system that is safe, sustainable and that provides high quality care consistently.
As part of the review, a number of products are being developed to help create the conditions for new ways of working to take root and when combined, deliver an improved system of urgent and emergency services. The review proposes that five key changes need to take place in order for this to be achieved. These are:
— Providing better support for people and their families to self-care or care for their dependants.
— Helping people who need urgent care to get the right advice in the right place, first time.
— Providing responsive, urgent physical and mental health services outside of hospital every day of the week, so people no longer choose to queue in hospital emergency departments.
— Ensuring that adults and children with more serious or life threatening emergency needs receive treatment in centres with the right facilities, processes and expertise in order to maximise their chances of survival and a good recovery.
— Connecting all urgent and emergency care services together so the overall physical and mental health and social care system becomes more than just the sum of its parts.
To support this transformation, the Digital Urgent and Emergency Care Programme wishes to explore the next generation of Clinical Decision Support Systems (CDSS) that will enhance consultation and advice, which can be used for occasions when a patient's history is not available or in situations where their history and conditions are available. Our aim is to:
— Be able to personalise clinical assessment depending on the patient and their historical and current data.
— Use technology and multi-channel approaches to be able to fast track patients to the care they need 'right contact first contact'.
— For the CDSS to be able to learn, improve, and develop based on outcomes data.
The Digital Urgent and Emergency Care Programme is interested in engaging with suppliers, research institutions and clinicians, who are experts in their field, can demonstrate innovation that will contribute to its aims for the CDSS, and are willing to work in partnership with the NHS, including its partners and supply chain.
The programme is committed to having early and meaningful engagement with suppliers. To achieve this we will hold a briefing day on the 30.11.2015 in London, and it is anticipated this will be followed by a series of market engagement activities to help provide input into the shaping of these requirements. The briefing event will provide information about our overall vision and business challenges; to inform industry, academia et al of our plans, glean initial feedback and seek ideas on potential solutions for both now and in the future.
Further market engagement activities are expected to elicit feedback on how the ambitions for the CDSS might be fulfilled and review aspects in defined category areas, including how the service might be fulfilled (e.g. number of components and their sourcing options); ICT infrastructure; clinical content; tools that collect, analyse and assess data; programming and software development to shape and refine the approach further and including, but not limited to:
— Exploration of academic level advanced machine learning capacity.
— Creative Digital Technology.
— Expert Interoperability capability, including but not limited to the potential of open source.
— Medical, Clinical, Psychological and Behavioural research expertise.
Interested organisations are encouraged to register their interest via NHSBSA’s eSourcing portal. Instructions for registering are as follows:
a) Register your company on the eSourcing portal through the following actions (this is only required once).
b) Find the eSourcing Portal at the following link: https://nhsbsa.bravosolution.co.uk
c) Select the ‘Click here to register’ link.
d) Accept the terms and conditions and select ‘continue’.
e) Enter your correct business and user details.
f) Note the username you chose and select ‘save’ when complete.
g) You will shortly receive an email with your unique password (please keep this secure).
To express an interest in the tender:
a) Login to the portal with the username/password.
b) Select the ‘Open Access PQQs’ link. (These are PQQs open to any registered supplier).
c) Click on the project NHS Urgent and Emergency Care: Clinical Triage Platform PQQ (it should be noted that this is NOT the actual PQQ stage of the procurement. It is a preliminary stage to gauge interest. The system limitations mean that the label states ‘PQQ' but the opportunity is not yet live. You will be notified if the tender goes live).
d) Select the ‘Express Interest’ button in the ‘Actions’ box on the left-hand side of the page.
e) This will move the PQQ into your ‘My PQQs’ page. (This is a secure area reserved for your projects only).
f) You have now registered your interest and will be notified of any future stages.
Once registered on the portal, organisations are invited to register their interest in this project and register for the briefing event if they wish to attend. They may also submit a briefing (2 500 word limit) in response to the potential requirement set out in VI.2 below, describing their capabilities, existing products or services that might underpin the CDSS, and raising questions — this will be used by the programme team to inform the briefing. Relevant case studies, ideally in a health care setting, may also be attached as appendices. Further information will be available after registration with the e-tendering portal.
Estimated cost excluding VAT:
Range: between 15 000 000 and 30 000 000 GBP

Lots

This contract is divided into lots: no
II.5)Common procurement vocabulary (CPV)

48180000, 48814000, 72210000, 48810000, 48000000, 72212180, 48800000, 72212000, 72300000, 72212100

II.6)Scheduled date for start of award procedures
II.7)Information about Government Procurement Agreement (GPA)
The contract is covered by the Government Procurement Agreement (GPA): yes
II.8)Additional information:
As part of its work to improve patient outcomes and increase efficiency, the Digital Urgent and Emergency Care programme team envisages an enhanced Clinical Decision Support System (CDSS) that can be consistently used across all care settings in any situation, by both clinicians and non-clinicians, in both face-to-face and remote including ‘virtual’ delivery models. The system will be iterated using the Government Digital Service (GDS) principles.
Computer-based clinical decision support systems are defined as any software designed to directly aid in clinical decision making in which characteristics of individual patients are matched to a computerized knowledge base for the purpose of generating patient-specific assessments, or recommendations that are then presented to clinicians for consideration. Current and past clinical decision support systems have varied widely in their type and complexity. They have been implemented to support clinicians (and non-clinicians) across the spectrum of medical specialties and have been customised for different levels of clinical expertise from novice (eg student nurses / call handlers) through to highly specialist healthcare professionals (eg digital pathology). Guideline-based CDSSs have been developed for a range of clinical specialties and have been widely used as a basis for helplines such as the NHS 111 service, where call handling staff perform the initial triage, but they have also been used in telemedicine services, where diagnoses are performed remotely. Guideline-based CDSSs have also traditionally been used as the basis for online self-assessment tools for patients.
We envision a service in which patients engage through a choice and combination of channels and have a seamless experience that allows them to tell their story once and not experience multiple ‘handovers’ as they receive care. We aim to improve patient capability to self-care and simplify access to advice and services. To achieve this, a highly sophisticated CDSS will need to be able to access and integrate patient-specific information with patient permission from electronic and personal health records, match individual patient characteristics to information available, and perform complex evaluations. There is added complexity in such a capability, not only in its public facing form (where patients might use digital forms of access), but also in the variety of clinicians and non-clinicians who will use the CDSS to support patients in different care settings and working to local service definitions.
We anticipate that there are new technologies that can contribute to the capabilities of the CDSS. These include natural language processing (NLP), which would allow computers to help clinicians through the complex process of differential diagnosis In addition, innovations in artificial intelligence and supercomputing may also contribute to a next generation CDSS.
To support this exciting development, the UEC system will require an end-to-end ICT system(s) to replace / interface with the current systems within use.
At this time, we believe the CDSS may need to comprise the following elements:
— Patient Management System: to record and store patient preferences and permissions, support immediate prioritisation and streaming of patients and facilitate booking of appointments / referrals to external services across health and social care. We believe that this would require a fully functional platform / system(s) to manage and distribute healthcare activity, provide a full range of data management tools, and access to NHS Summary Care Records (SCR) and Patient Demographics Service (PDS) functionality and from where the entire patient journey can be measured and analysed:
— Decision Support Software: aided decision-making capabilities, designed to support different professionals including clinicians and non-clinicians.
— Prioritisation and Streaming software: for non-clinical staff to assess the urgency of patient's needs and ensure they are appropriately directed, including providing self-care advice directly to patients.
— Access to Services Directory: the service may require a searchable, database providing all available information relating to local and national services including resources, capacity and status which provide health care for patients based upon their need, location and the time/urgency across a number of settings including Health, Social Care and 3rd Sector to provide a single point of truth of service information. This will need to interface with the other elements of the system. (This requirement is expected to be the subject of a separate Prior Information Notice.)
— Interoperability: the ability to interact with a number of existing systems will be key facet of the new software solution. The software will need to effectively interface with a number of systems, including 999 ambulance call queues, the NHS Spine, a summary of in hours GP practice records and Emergency systems. The successful system will have the ability to integrate/incorporate OOH special notes or advance / anticipatory care plans, including DNAR in order to avoid preventable hospital admissions:
— Reporting functionality: the ability for national, local and individual user level access to management information to support review, audit and monitoring of both service and individual performance.
— A new CDSS may have an impact on service design and the workforce, and these implications will also need to be assessed and addressed.
— The system will be designed to learn, and to improve its probability modelling based on real outcomes of real patients.
The CDSS will be designed flexibly, and able to operate in environments including:
— Digital self-service by users (e.g. a symptom checker on a computer or smartphone).
— Telephone assessment and triage of patients by call centre agents (e.g. NHS 111).
— Prioritisation and direction by non-clinical staff (e.g. GP receptionists).
— Supporting assessment of patients in a clinical environment (e.g. a nurse in a GP surgery, or a paramedic in an ambulance).
The CDSS will further:
— Provide a single point of syndromic monitoring, and alerting to public health emergencies.
— Give the most accurate source of data on which to base guideline revision decisions (e.g. for NICE).

Section III: Legal, economic, financial and technical information

III.1)Conditions relating to the contract
III.1.1)Main financing conditions and payment arrangements and/or reference to the relevant provisions governing them:
III.2)Conditions for participation
III.2.1)Information about reserved contracts

Section VI: Complementary information

VI.1)Information about European Union funds
The contract is related to a project and/or programme financed by European Union funds: no
VI.2)Additional information:
The Contracting Authority intends to use an eTendering system in this procurement exercise and reserves the right to use a reverse auction.
This notice is published for information purposes and is not a call for competition. It is currently intended that a Contract Notice will be published as a call for competition once NHS England have concluded the pre- market engagement.
NHS England reserves the right not to commence any formal procurement process, to cancel any process that is commenced at any time and/or not to award any contract as a result of any such process; and will not be responsible for any costs incurred by Suppliers in entering into the pre — market engagement activity.
VI.3)Information on general regulatory framework
VI.4)Date of dispatch of this notice:
6.11.2015