Request for potential providers to Express an Interest in providing a Surgical and/or Medical Intestinal Failure Service

NHS England are inviting Expressions of Interests from suitably experienced, competent and skilled providers wishing to deliver a service for patients requiring surgical and/or medical intestinal failure services (Type II and III or Type III only). Outline of the Service Requirement Intestinal failure (IF) comprises a group of disorders with many different causes, all of which are characterised by an inability to maintain adequate nutrition via the intestines.

It results from obstruction, abnormal motility, major surgical resection, congenital defect or disease-associated loss of absorption. It is characterised not only by the inability to maintain protein-energy, but also often in difficulties in maintaining water, electrolyte or micronutrient balance, particularly when there has been a major loss of length of the small bowel.

If it persists for more than a few days it demands treatment with the intravenous delivery of nutrients and water (parenteral nutrition or PN). NHS England is seeking Expressions of Interests from providers that can work within a network arrangement and meet the specific terms set out in the NHS England Service Specification, which includes: • Coordinate Multi- Disciplinary Teams (MDTs) • Inpatient and outpatient management and follow up of Type II and III IF patients as per the service specification criteria • Commitment to collect the national dataset • Positive engagement with patients and patient groups In making an EoI, potential providers of this service must have the ability to: • Meet the contract terms set out in the NHS Standard contract: http://www.england.nhs.uk/nhs-standard-contract/15-16/ • Deliver an expert clinical service through a Network, MDT, demonstrating expertise in the management of patients with IF • Deliver the service to the standards as set out in the service specification including co-location of key services • For Type III patients only services, these are managed to the standards as set out in the service specification for management of these patient groups in line with the national framework for HPN (to be retendered for 1 April 2016 contract) This is not an exhaustive list but gives an indication of the scope of what will be required and only organisations who can demonstrate that they can meet these compliance requirements should consider expressing an interest. Please see attached advert for instructions on how to register your interest.