NHS24 Clinical Reasoning Engine

This is a Voluntary Ex Ante Transparency (VEAT) Notice. This Notice is to indicate that NHS 24 intends to enter in to Contract with Elsevier for the provision of their Clinical Reasoning Engine (CRE).

The Contract duration will be an initial three year period with one optional two year extension. The total contract value indicated in II.1.7, includes the optional two year extension period.

The Decision Support tool is a critical component of NHS 24 systems. It aids call handlers in providing safe, patient-centred care for services such as the Forensic Medical Examination (FME), Scottish Emergency Dental Service (SEDS), Mental Health Hub, and the 111 service.

The entire 111 service is designed around a clinically safe decision support tool to guide callers to the right endpoint. The current tool, Arezzo, provided by Elsevier, manages clinical protocols and provides the ability to triage patients.

Having undergone considerable procurement and market research, CRE was confirmed as the only viable option to balance, risk,cost, technical feasibility, ease of implementation and critically, patient safety. Additional information: NHS24 intends to award a contract for the Provision of a Clinical Reasoning Engine under the terms of Regulation 33(1)(b)(ii), Regulation 33(1)(c) and Regulation 33(4)(b) of the Public Contracts (Scotland) Regulations 2015.