Commissioners in Staffordshire are inviting providers to bid for two ten-year contracts for integrated services worth a total of £1.2bn.
Four clinical commissioning groups last week issued a pre-qualification questionnaire for a single provider for end of life care and cancer care services.
HSJ revealed six months ago the plans of the county’s CCGs to tender the contracts, in which achieving given health outcomes are expected to form a major part of specifications and conditions of payment.
The project was named as a national integration “pioneer” by the Department of Health in November, and Macmillan Cancer Support is helping design the contracts.
The CCGs involved are Cannock Chase, North Staffordshire, Stafford and Surrounds, and Stoke on Trent.
East Staffordshire CCG was previously involved in the plans, but does not appear on last week’s tender notice.
The tender process is being run by Strategic Projects Team, which is currently hosted by Greater East Midlands Commissioning Support Unit, and before April last year was part of NHS East of England strategic health authority. The team’s previous work includes developing the friends and family test of patient experience, franchising Hinchingbrooke Health Care Trust, and regional pathology reorganisations. It is also currently working on NHS Cambridge and Peterborough CCG’s tender of a large contract for older people’s services.
In Staffordshire, for cancer, the “entire care pathway” will be tendered, at a value of £687m over ten years. The contract is for a “prime provider” or “integrator”, which would co-ordinate provision across acute, community and hospice care. It is set to start on 1 July next year.
For the first two years the contractor will be required to improve data collection and meet service standards. A second stage will follow, in which there will be an expectation of “streamlining the service model” and hitting an “ambitious” set of clinical outcomes. Payment will be based on a “risk/gain share arrangement”.
The contract will initially cover breast, bladder, lung and prostate cancer, and expand by the fifth year to all cancer services.
The £535m end of life care contract is structured similarly, but is only for “part of a care pathway”.
Primary care and social care are not mentioned in either contract, although Stoke on Trent and Staffordshire County councils are supporting the work.
The contract values are both based on a conservative estimate of the cost of providing these services locally at the moment, multiplied by ten years.