Continuing Health Care

Delivering effective procurement support to a group of CCGs

What were the objectives?

The CHC Agenda is an ongoing project being delivered in partnership with the Hampshire 5 CCGs (hosted by West Hampshire CCG).

The Programme of work has been split into 4 key phases:

Phase 1: Review key supplier spend and achieve rebate.
Phase 2: Issue NHS Standard Contracts to Residential/Nursing Homes including Learning Disabilities and Mental Health, Domiciliary Care and Independent Hospitals for signature, issuing extension letters as required.
Phase 3: Full review of Continuing Health Care procurement to include benchmarking, location mapping and facilitate market engagement with local and national providers.
Phase 4: Identify strategic procurements to continue to drive improvements, efficiencies and better healthcare long term.

What did we deliver?

  • A full Continuing Health Care Spend Analysis identifying the top 20 providers and agreeing a prioritisation strategy for re-negotiation of contracts.
  • Chaired meetings with suppliers in order to understand the overcharging and assist commissioners with negotiating rebates.
  • Managed the process for the drafting and issuing of contracts including a reminder system to aid CCG management, obtaining provider approval and counter signature by commissioners.
  • Provided updates to the commissioner weekly showing number of contracts issued and signed including a list of issues and questions from providers.
  • Produced a programme of ongoing work including location mapping and benchmarking.
  • Completed a strategic procurement process for the provision of a CHC Database enabling CCGs greater control and management of placements, data and spend moving forwards.
  • Completed a procurement process for the CHC Retrospective Agenda (as per nationally mandated agenda) ensuring a backlog of cases is reviewed and resolved within challenging timescales.
  • Advised and assisted commissioners in developing long-term procurement strategies for each care group including multi-provider framework agreements for Learning Disabilities, Elderly Persons and Mental Health facilitating patient choice.

How did we add value for the customer?

Through expert negotiations and invoice checking, we secured rebates of in excess of £250k on a £5.5m spend in CAMHS, Domciliary Care and Nursing Homes from various service providers whilst ensuring that all providers were transferred to NHS Terms And Conditions Of Contract supported by the implementation of robust KPIs and monitoring mechanisms.

We extended the commissioners’ resources by managing a process of administration for the issuing and signing of contracts. This enabled commissioners to focus their attention on implementing Safeguarding Requirements (Special Measures) for those providers who refused to sign the revised contract.

We introduced benchmarking through the procurement process allowing provider-to-provider analysis of common areas of spend.

We provided a legally compliant solution for a bidder’s conflict of interest that enabled the CHC Retrospective Agenda Contract to be awarded. This has enabled other clinical commissioning groups to tender their CHC Retrospective Agenda cases.


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