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National Collaborative Medical Locums Framework

National Collaborative Medical Locums Framework...Currently utilising the CCS medical locums framework via a regional further competition Annual spend in the region of £90M significant

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Page 1: National Collaborative Medical Locums Framework...Currently utilising the CCS medical locums framework via a regional further competition Annual spend in the region of £90M significant

National Collaborative Medical Locums

Framework

Page 2: National Collaborative Medical Locums Framework...Currently utilising the CCS medical locums framework via a regional further competition Annual spend in the region of £90M significant

Introductions

Page 3: National Collaborative Medical Locums Framework...Currently utilising the CCS medical locums framework via a regional further competition Annual spend in the region of £90M significant

The Agenda

About NHS Collaborative Procurement Partnership Purpose of the day Outline and Scope of the New Framework Overview of Lots

Lot 1 London Lot 2 East of England/ Midlands Lot 3 North of England Lot 4 South of England

Timeline Tender specification

Specialism Grades Application Process Pricing

Hear from the end users Survey Contract Advert Q&A Contact Information

Page 4: National Collaborative Medical Locums Framework...Currently utilising the CCS medical locums framework via a regional further competition Annual spend in the region of £90M significant

About NHS Collaborative Procurement

Partnership (CPP)

The NHS Collaborative Procurement Partnership (CPP) is formed of four regional procurement hubs namely:

East of England NHS Collaborative Procurement

NHS London Procurement Partnership

NHS Commercial Solutions and

North of England Commercial Procurement Collaborative

For this procurement, NHS LPP is the lead contracting authority

Page 5: National Collaborative Medical Locums Framework...Currently utilising the CCS medical locums framework via a regional further competition Annual spend in the region of £90M significant

About CPP- Joined Up Procurement

CPP puts in place a range of competitive contracts and frameworks to support the NHS in ensuring maximum value is gained from its investments in patient care.

We have worked together successfully on the National Framework for the Supply of Nursing and Nursing Related Services

Page 6: National Collaborative Medical Locums Framework...Currently utilising the CCS medical locums framework via a regional further competition Annual spend in the region of £90M significant

About CPP- Joined Up Procurement

We recognise that there are a number of frameworks in the market and it can be confusing for trusts when deciding on which frameworks are available to them.

It is for this reason that CPP are working together on this national framework.

Wider discussions with Crown Commercial Services are taking place to agree how best public sector organisations can work together regarding the agency market.

Page 7: National Collaborative Medical Locums Framework...Currently utilising the CCS medical locums framework via a regional further competition Annual spend in the region of £90M significant

Purpose Of The Day

Inform the market about the upcoming procurement

Receive feedback on our current proposals

Gain insight on better ways of working

Understand market best practice and innovation

Page 8: National Collaborative Medical Locums Framework...Currently utilising the CCS medical locums framework via a regional further competition Annual spend in the region of £90M significant

Outline and Scope Of The New Framework

The framework is to be divided into 4 lots:

Lot 1: London

Lot 2: East of England/Midlands

Lot 3: North of England

Lot 4: South of England (4a. SE,4b. SW,4c. SC)

Each region will be managed by a CPP partner

Page 9: National Collaborative Medical Locums Framework...Currently utilising the CCS medical locums framework via a regional further competition Annual spend in the region of £90M significant

Outline and Scope of the New Framework

National Framework

4 regional Lots

Structured Pricing with caps

Regionally managed by hubs

Standardised terms and conditions

Direct Engagement

Audit

Options to apply levers

Single point for management information

E- Auction on Agency commission

No International Recruitment (separate procurement )

No Rate Escalation

Page 10: National Collaborative Medical Locums Framework...Currently utilising the CCS medical locums framework via a regional further competition Annual spend in the region of £90M significant

Overview of Lots

Page 11: National Collaborative Medical Locums Framework...Currently utilising the CCS medical locums framework via a regional further competition Annual spend in the region of £90M significant

Proposed Lot Structure

Lot 1-4 Employment Business (to include Managed Service)

Lot 1 London Lot 2 East of England Lot 3 North of England

Lot 4 South of EnglandLot 4aLot 4bLot 4c

Lot 5National Employment Agency (Fixed term & Permanent) /

Direct Engagement

Page 12: National Collaborative Medical Locums Framework...Currently utilising the CCS medical locums framework via a regional further competition Annual spend in the region of £90M significant

Proposed Lot Structure - MapLot 3 NorthCheshireMerseysideGreater ManchesterLancashireWest YorkshireSouth YorkshireNorth YorkshireEast Riding of YorkshireCumbriaDurhamTyne and WearNorthumberlandBassetlaw (Notts)East & North East Lincs

Lot 4 SouthCornwallDevonSomersetBristolGloucestershireWiltshireOxfordshireBerkshireHampshireIsle of WightBuckinghamshireSurreyWest SussexEast SussexKent

Lot 2 East of England and MidlandsBedfordshireHertfordshireEssexSuffolkNorfolk CambridgeshireHerefordshireWorcestershireWest MidlandsWarwickshireNorthamptonshireLeicestershireRutlandShropshireStaffordshireDerbyshireNottinghamshire (excluding Bassetlaw)Lincolnshire (excluding East Lincs & North East Lincs)

Lot 1London

Page 13: National Collaborative Medical Locums Framework...Currently utilising the CCS medical locums framework via a regional further competition Annual spend in the region of £90M significant

Lot 1 - London

NHS London Procurement Partnership

LPP currently have a framework in place for medical locums. The current framework went live in May 2012 and expires in April 2016

Single Lot for London

Currently 86 NHS organisation are member of the LPP

Current framework has over £65M (including direct engagement) worth of business

63 framework suppliers

Page 14: National Collaborative Medical Locums Framework...Currently utilising the CCS medical locums framework via a regional further competition Annual spend in the region of £90M significant

Lot 2 – East of England / Midlands

East of England NHS Collaborative Procurement Hub

EoECPH work on behalf of trusts in Norfolk, Suffolk, Cambridgeshire, Bedfordshire, Hertfordshire & Essex

Relationship with trusts in East Midlands

Lot to cover all trusts within Midlands and East region

Trusts currently utilising CCS framework, but significant amount of off framework spend (approximately 60%)

Annual spend in the region of £60M

17 framework suppliers

Page 15: National Collaborative Medical Locums Framework...Currently utilising the CCS medical locums framework via a regional further competition Annual spend in the region of £90M significant

Lot 3 – North of England

NOE CPC have a diverse membership and work on behalf of NHS organisations in various geographies including:

Yorkshire and the Humber

East and Midlands

North East

North West

Currently utilising all 3 lots of the CCS Medical Locums framework via CPC further competitions.

Annual spend circa £61M, with significant off framework spend

Page 16: National Collaborative Medical Locums Framework...Currently utilising the CCS medical locums framework via a regional further competition Annual spend in the region of £90M significant

Lot 4 – South of England

NHS CS work on behalf of NHS organisations in Surrey, Sussex, Kent, Oxfordshire, Buckinghamshire, Berkshire, Hampshire and Dorset.

Provide support to all NHS organisations across the South of England

Currently utilising the CCS medical locums framework via a regional further competition

Annual spend in the region of £90M significant off framework spend

Number of Suppliers in use approx. 50 (on and off framework)

Lot 4: South of England - to have three sub lots;

South east coast (East Sussex, Kent, Surrey and West

Sussex); and

South central (Buckinghamshire, Berkshire, Hampshire, Isle of

Wight and Oxfordshire); and

South west (Avon, Cornwall, Devon, Dorset, Gloucestershire,

Somerset and Wiltshire).

Page 17: National Collaborative Medical Locums Framework...Currently utilising the CCS medical locums framework via a regional further competition Annual spend in the region of £90M significant

Timeline- Open OJEU

Milestone Date

Market Warm-up 14 July 2015

Issue Contract Notice and Open Tender August / September

Evaluations (including audit) October/November

Intention to Award January 2016

Contracts signed / SLA Issued February 2016

Page 18: National Collaborative Medical Locums Framework...Currently utilising the CCS medical locums framework via a regional further competition Annual spend in the region of £90M significant

Tender Specification- Specialism

Accident & Emergency (Emergency medicine)Anaesthetics and TheatresCommunityDentalGeneral acute and internal medicineObstetrics & GynaecologyPaediatricsPathologyPsychiatry, mental health and learning disabilitiesRadiologySurgery General practice [locum GPs]

Page 19: National Collaborative Medical Locums Framework...Currently utilising the CCS medical locums framework via a regional further competition Annual spend in the region of £90M significant

Tender Specification - Grades

• Consultant

• Specialty doctor (incorporates Associate specialist and Staff Grade)

• StR Higher (incorporates StR3 (formerly SpR grade) to StR7 grades)

• StR Lower (incorporates StR1 and StR2 grades)

• FHO2 (formerly SHO grade)

• FHO1 (formerly HO or PrHO grade)

• Locum GP

• Associate Specialist

• Clinical Attachment

• Consultant Foundation

• Year 1 Foundation

• Year 2 Specialty

• Doctor ST1 (Senior House Officer)

• ST2 (Senior House Officer)

• ST3 (Specialist Registrar)

• ST4 (Specialist Registrar)

• ST5 (Specialist Registrar)

• ST6 (Specialist Registrar)

• ST7 (Specialist Registrar)

• Staff Grade

Option 1 Option 2

Page 20: National Collaborative Medical Locums Framework...Currently utilising the CCS medical locums framework via a regional further competition Annual spend in the region of £90M significant

Application Process

Open OJEU

Compliance Audit

No limit to number of suppliers

SMEs are encouraged to participate

Page 21: National Collaborative Medical Locums Framework...Currently utilising the CCS medical locums framework via a regional further competition Annual spend in the region of £90M significant

Pricing Standard unit prices

VBL discounts

Commission discounts for long term bookings

Activity Based Income to remain as .75%

Direct Engagement commission rates

eAuction on commission

Levers for enhancements

Contract Term 4 years: 2+1+1

Regular Price Reviews

Appox. value per annum by Lot:

Lot 1 2 3 4 Total

Annual 65M 60M 61M 90M 276m

Page 22: National Collaborative Medical Locums Framework...Currently utilising the CCS medical locums framework via a regional further competition Annual spend in the region of £90M significant

Hear From End Users

The Shelford GroupSamantha ParkerAgency Category ManagerOxford University Hospitals NHS Trust

Kings College London

Helen P LynchFinance Integration & Controls LeadKing's College Hospital NHS Foundation Trust

Page 23: National Collaborative Medical Locums Framework...Currently utilising the CCS medical locums framework via a regional further competition Annual spend in the region of £90M significant

Shelford Group consists of 10 leading NHS multi-speciality academic

healthcare organisations from NHS England

Page 24: National Collaborative Medical Locums Framework...Currently utilising the CCS medical locums framework via a regional further competition Annual spend in the region of £90M significant

8 Trusts in the South Central region working together across all staff

groups in bank and agency staffing

Page 25: National Collaborative Medical Locums Framework...Currently utilising the CCS medical locums framework via a regional further competition Annual spend in the region of £90M significant

Survey

Survey Monkey link

https://www.surveymonkey.com/r/medicallocums

Open until 28 July 2015

Meeting with trust and regional Hubs to go through feedback from survey on 31 July 2015

Page 26: National Collaborative Medical Locums Framework...Currently utilising the CCS medical locums framework via a regional further competition Annual spend in the region of £90M significant

Survey Example

5. The principle of the framework is to maintain fixed rates but we recognise that there are certain areas that may attract an enhancement. Please indicate if any Lots should attract enhancements based on your knowledge of the market, and indicate the enhancement (eg travel expense) you feel may be appropriate. Please consider area-specific enhancements, lever to be considered, and appropriate level of enhancement (for example: ABC Trust, Travel, 20p per mile). You can include as many within the text box per Lot as you wish.

Lot Enhancement

Lot 1

Lot 2

Lot 3

Lot 4 (a)

Lot 4 (b)

Lot 4 (c)

Page 27: National Collaborative Medical Locums Framework...Currently utilising the CCS medical locums framework via a regional further competition Annual spend in the region of £90M significant

Contract Advert

Contracts Finder

Tenders Electronic Daily (OJEU)

Hub web pages

Register on LPP’s e-tendering portal: http://www.lpp.nhs.uk/for-suppliers/

NHS LPP are the lead contracting authority on behalf of the Collaboration

Page 28: National Collaborative Medical Locums Framework...Currently utilising the CCS medical locums framework via a regional further competition Annual spend in the region of £90M significant

Q&A

?

Page 29: National Collaborative Medical Locums Framework...Currently utilising the CCS medical locums framework via a regional further competition Annual spend in the region of £90M significant

Contact Information

The framework is to be divided into 4 lots:

Lot 1: London : [email protected] / [email protected]

Lot 2: East of England/Midlands: [email protected]

Lot 3: North of England :[email protected]

Lot 4: South of England: [email protected] /[email protected]

Each region will be managed by a CPP partner

Page 30: National Collaborative Medical Locums Framework...Currently utilising the CCS medical locums framework via a regional further competition Annual spend in the region of £90M significant

Close

Thank You