Doncaster Smoke Free Services Helen Conroy, Public Health Theme Lead (Vulnerable People and Improving Lives), Doncaster Council

Current Model Last underwent open tender in conjunction with Rotherham in 2013 Current provider is South West Yorkshire Partnership Foundation Trust Incentivisation of quit rates for face to face and non face to face work A 2 tier quality premium for 20.0% total of contract value Must earn quality premium 1 before 2 can be earned 16 measures to be met A relatively complex structure

New model from 1 April 2018: key features A Doncaster specific model Individualised care, rather than face to face or non face to face pathways- including psychosocial support for e-cigarette users Targeted priority groups A somewhat simplified performance related payment based on ‘routine and manual’ validated quits (10% of contract value)

New model- the targeted groups: Routine and manual workers Mental health clients Prisoners on release Chronic disease/complex health needs/pre/post operative Reducing inequalities between communities Targeting these groups will require the development of pathways into the service

Exclusion criteria Children and young people (under 18) Pregnancy/and significant others during pregnancy and 1 year post natal Hospital inpatients/prisoners in custody

Key outcomes/contract aims To reduce prevalence of smoking in targeted groups in Doncaster To contribute to a reduction in smoking related mortality in Doncaster

The Contract 4 years plus 2 12 month extensions possible Opportunities to subcontract From £649,420 to £619,160 per year taking account of 2.5% efficiency savings for service costs built into years 2, 3 and 4 £2,536,650 over 4 years 10% of annual service costs linked to validated 4 week quits (530 per annum, taken from 15/16 baseline performance) of routine and manual workers

Funding profile 2018/19 2019/20 2020/21 2021/22 413,790 (service costs, 90%) 363,105 354,024 345,177 41,379 (quality premium, 10%) 40,345 39,336 38,353 235, 630 (medication costs) 235,630 649,420 (total) 639,080 628,990 619,160

Procurement Service will be advertised via Yortender Open tender procedure TUPE likely to apply Quality/price mix likely to be 60:40 Any queries about the procurement process please contact: holly.wilson@doncaster.gov.uk

Procurement timeline Tender out date 16/06/17 Tender return 14/07/17 Deadline for clarification from bidders 30/06/17 Deadline for council’s response to clarification questions 07/07/17 Notification of award 26/09/17 Standstill period 26/09/17- 09/10/17 Contract commencement 01/04/18 (these dates may be subject to change)

Any Questions Individual appointment slots booked for this afternoon and for future dates We are actively looking for feedback on the model and it’s viability, so welcome your comments