Somerset CCG - Shepton Mallet Health and Wellbeing Service Lead Provider

Somerset Clinical Commissioning Group (CCG) wishes to support the re-modelling of the Shepton Mallet Community Hospital site as it is re-developed into a Health and Wellbeing Campus. Somerset CCG would like to commission a lead provider in order to maximise the potential and to reduce duplication, streamline services and bring new illness prevention and self-help services onto the site.

The shared vision for the site is to develop a health and wellbeing campus, providing primary and secondary care on the same site alongside health and wellbeing services that encourages people to self-care and support the illness prevention agenda. It is envisaged that a GP practice, a community pharmacy (for NHS scripts) and dental access centre will be incorporated into the site, although these will not form part of this procurement.

Somerset CCG would like to update the infrastructure on site to ensure it is fit for 21st Century healthcare and wellbeing service provision. We are seeking a lead provider that will deliver services and proactively work with the CCG to re-design the site.

It is currently envisaged that the services will be introduced to the contract in two phases: Phase 1 will commence on the contract start date December 2016. Phase 2 is estimated to begin 3 years from the contract start date; the timing will be dependent on the build development plans for the site.

The re-development of the site will be planned, and take place during phase one of the contract. There may be an opportunity for the lead provider to assist with the capital financing of the re-development of the site.

The Commissioner is clear that phase 2 is a key deliverable of the procurement and that the full scope and costing of phase 2 will be agreed and implemented through a contract variation during the contract duration. While the scope of activity to be delivered from the site may vary during the term of the contract, it is currently anticipated that it will include: Phase One (years 1-3 of contract) Specific outpatient specialties; Diagnostic procedures; Therapeutic procedures; Specific elective/ medical specialties; Minor Injury Unit provision; General rehabilitation inpatient bed provision with medical input (beds are planned to have flexible use and therefore should a stroke patient be medically suitable for Early Supported Discharge (ESD), but cannot be cared for in their home environment, they could be cared for in these beds with ESD team visiting them as if they were at their home location).

ESD is not included in the procurement; Day case ambulatory care; Support services for the site such as catering. Phase 2 (in addition to phase 1 from approximately year 3 onwards) Services to support the illness prevention and self-help agenda via the provision of a Health and Wellbeing Centre (where the lead provider will be expected to collaborate with local charities and voluntary groups); Medically led assessment beds.