NHS England A&E Triage Project business opportunity

A PIN (Prior Information Notice) has been published by NHS England Urgent and Emergency Care. The primary purpose of this PIN is to outline the intention for pre-tender market engagement and to inform suppliers of prospective opportunities in connection with NHS England’s Digital Urgent and Emergency Care Programme in transforming Urgent and Emergency Care. Currently the “Scheduled date for start of award procedures” is blank so there appears to be no immediate deadline though clearly an early response will be most likely to win business.

The NHS Five Year Forward View explains the need to redesign urgent and emergency care services in England for people of all ages with physical and mental health problems, and sets out the new models of care needed to do so. The urgent and emergency care review details how these models of care can be achieved through a fundamental shift in the way urgent and emergency care services are provided to all ages, improving out-of-hospital services so that the NHS can deliver more care closer to home and reduce hospital attendances and admissions. The NHS needs a system that is safe, sustainable and that provides high quality care consistently.

As part of the review, a number of products are being developed to help create the conditions for new ways of working to take root and when combined, deliver an improved system of urgent and emergency services. The review proposes that five key changes need to take place in order for this to be achieved. These are:— Providing better support for people and their families to self-care or care for their dependants.
— Helping people who need urgent care to get the right advice in the right place, first time.
— Providing responsive, urgent physical and mental health services outside of hospital every day of the week, so people no longer choose to queue in hospital emergency departments.
— Ensuring that adults and children with more serious or life threatening emergency needs receive treatment in centres with the right facilities, processes and expertise in order to maximise their chances of survival and a good recovery.
— Connecting all urgent and emergency care services together so the overall physical and mental health and social care system becomes more than just the sum of its parts.

To support this transformation, the Digital Urgent and Emergency Care Programme wishes to explore the next generation of Clinical Decision Support Systems (CDSS) that will enhance consultation and advice, which can be used for occasions when a patient’s history is not available or in situations where their history and conditions are available. Our aim is to:
— Be able to personalise clinical assessment depending on the patient and their historical and current data.
— Use technology and multi-channel approaches to be able to fast track patients to the care they need ‘right contact first contact’.
— For the CDSS to be able to learn, improve, and develop based on outcomes data.
The Digital Urgent and Emergency Care Programme is interested in engaging with suppliers, research institutions and clinicians, who are experts in their field, can demonstrate innovation that will contribute to its aims for the CDSS, and are willing to work in partnership with the NHS, including its partners and supply chain.

The programme is committed to having early and meaningful engagement with suppliers. To achieve this a briefing day was held on 30.11.2015 in London. Further market engagement activities are expected to elicit feedback on how the ambitions for the CDSS might be fulfilled and review aspects in defined category areas, including how the service might be fulfilled (e.g. number of components and their sourcing options); ICT infrastructure; clinical content; tools that collect, analyse and assess data; programming and software development to shape and refine the approach further and including, but not limited to:
— Exploration of academic level advanced machine learning capacity.
— Creative Digital Technology.
— Expert Interoperability capability, including but not limited to the potential of open source.
— Medical, Clinical, Psychological and Behavioural research expertise.

Interested organisations are encouraged to register their interest via NHSBSA’s eSourcing portal. Instructions for registering are as follows:
a) Register your company on the eSourcing portal through the following actions (this is only required once).
b) Find the eSourcing Portal at the following link: https://nhsbsa.bravosolution.co.uk
c) Select the ‘Click here to register’ link.
d) Accept the terms and conditions and select ‘continue’.
e) Enter your correct business and user details.
f) Note the username you chose and select ‘save’ when complete.
g) You will shortly receive an email with your unique password (please keep this secure).
To express an interest in the tender:
a) Login to the portal with the username/password.
b) Select the ‘Open Access PQQs’ link. (These are PQQs open to any registered supplier).
c) Click on the project NHS Urgent and Emergency Care: Clinical Triage Platform PQQ (it should be noted that this is NOT the actual PQQ stage of the procurement. It is a preliminary stage to gauge interest. The system limitations mean that the label states ‘PQQ’ but the opportunity is not yet live. You will be notified if the tender goes live).
d) Select the ‘Express Interest’ button in the ‘Actions’ box on the left-hand side of the page.
e) This will move the PQQ into your ‘My PQQs’ page. (This is a secure area reserved for your projects only).
f) You have now registered your interest and will be notified of any future stages.
Once registered on the portal, organisations are invited to register their interest in this project and register for the briefing event if they wish to attend. They may also submit a briefing (2 500 word limit) in response to the potential requirement set out in VI.2 below, describing their capabilities, existing products or services that might underpin the CDSS, and raising questions — this will be used by the programme team to inform the briefing. Relevant case studies, ideally in a health care setting, may also be attached as appendices. Further information will be available after registration with the e-tendering portal.

There is considerably more detail in the PIN.

The estimated cost of the project excluding VAT is between 15 000 000 and 30 000 000 GBP.

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