Plymouth Home-Based Intermediate Care

NHS Devon sought to procure a managed Pathway 1 home-based intermediate care support service for Plymouth - to fully manage provision to support circa 60-80 individuals at any one time on our Intermediate Care pathway in the community following a period of acute/medical intervention. This notice is an intention to award a contract under the most suitable provider process.

NHS Devon has a requirement for a fully CQC compliant service, with a minimum rating of good, to fully manage provision to support circa 60-80 individuals at any one time on our Intermediate Care pathway in the community following a period of acute/medical intervention. This service will be on a block basis through a set number of hours of delivery and reimbursed at a fixed hourly rate to encompass all costs.

Due to operational demand, this service provision will need to remain flexible in response to system needs and may therefore need to be increased against the 60-80 baseline. The service is designed to support people following: • Acute hospital stay (step down) • A bedded Intermediate Care pathway (step-down) • Deterioration in the community to prevent hospital admission (step up) Intermediate Care Pathway 1 personal care, rehab and reablement, will be short-term, time-restricted, supporting a goal-based period of care that calls on a mixture of health and social care assessments and interventions to support people to maximise their potential to live as independently as possible by recovering or continuing to improve skills because of those interventions.

The service will operate on a 7-day basis (including bank holidays) between the core operating hours of 7am and 11pm and accepting referrals during this time. The service operates 24/7 'on call' and 'out of hours' cover.

This service will include but is not limited to: people living with frailty, mild cognitive impairment, dementia or delirium, palliative and end of life care needs, mental health conditions, learning disabilities, autism, obesity (including bariatric patients), younger adults, and people living in an unsafe environment, experiencing homelessness, or at risk of homelessness. Further information was included in the PIN previously published for this procurement.

The exact pricing arrangements are subject to contract negotiation but the approximate maximum lifetime value including extension is £4.5m Although elements of this service are existing, as a fully managed service it is a new requirement. The intended supplier holds other contracts but is new to provision of these arrangements.

The Contract length will be an initial 18 months with an extension option of up to 12 months. Target start date is 01/10/2026 but this may be subject to ammendment.