1. Market Engagement Event
Dermatology
Market Engagement Event
12 January 2017
Jack Wagstaff, Head of Integrated Care

2. Structure of this session…
Introduction & Context
Service Scope & Clinical Model
Payment & Contractual Model
Process & Timeline
Questions & Feedback

3. Introduction & Context
This opportunity relates to the provision of outpatient dermatology services- both routine appointments and skin cancer services
Procured services will cover the entire NW Surrey Geography
Current services are commissioned and delivered through our main acute provider Ashford & St Peter’s Hospitals NHS FT
363,000 registered population
67,000 people over 65 years old
3 Commissioning Localities
41 GP Practices
ASPH main acute provider with some flows to RSCH and FPH

4. Scope of Services The services procured will include:
Assessment, diagnostic investigation and treatment for the vast majority of dermatological conditions requiring specialist oversight
Provision of services for both routine appointments and skin cancer treatments under the 2 Week Rule pathway (including high risk BCC, melanoma or SCC)
Working with appropriate partners in the provision of a comprehensive MDT capable of managing skin cancers with a compliant governance structure, accessing other specialties as required e.g. ENT, Maxillofacial surgery, histopathology
Treatment of both adults and children
Tele-dermatology and an explicit educational remit with primary care professionals and other clinicians

5. Clinical Model
The NW Surrey clinical model is based on three interrelating tiers of care, with the vast majority of specialist care delivered in tier 2
Education, Advice & Guidance

6. Notable Exclusions Wounds and leg ulcers Laser service treatments
Cosmetic procedures
Benign skin lesions- viral warts, skin tags etc. for cosmetic reasons
Lipomas and haemangiomas and other benign lumps

7. Payment Model
Payment is based on the purchase of outpatient activity against a set of fixed tariff prices
These tariff prices include provisions for fixed and indirect costs
Tariff based payments will be split over 5 categories and by first or follow-up attendance:
Consultant led
Non-consultant led
One-stop clinics
Procedures
Tele-dermatology

8. Payment Model- Tariff Prices
Attendance Type
First/FU
Tariff Price
Indicative Activity
One-stop Clinic
N/A
£195
1494
Consultant Led
First
£98
4038
Follow-up
£68
2,945
Non-consultant Led
£62
1128
£38
613
Outpatient Procedures*
£128
3598
Tele-dermatology
£21
2459
*Tariff price noted is an average price based on various different procedure tariffs
The commissioner approximates the value of this opportunity at around £1.5m per annum

9. Contractual Model
This contract will be let under the terms of the NHS Standard Contract
The contract term will be 3 years with the option to extend twice for up to one year

10. Testing of the Specification & Model
Model and pricing in line with contracts successfully let across the country
Direct testing with commissioners operating and expanding this model in their areas
British Association of Dermatology to review specification and clinical model

11. Procurement Process
Procurement process will take the form of a single stage open tender with a combined PQQ and ITT phase
Contract to be let as a single lot covering the whole CCG area
All documentation and the full bidding process will be accessible via the Bravo Solution e-tendering portal and the opportunity will be advertised on Contracts Finder.

12. Approximate Procurement Timeline
Milestone
Approx. Completion Date
Publish full tender documents
30 January 2017
Bids received (4 week completion window)
20 February 2017
Commissioner Evaluation and Clarification
20 March 2017
Ratify preferred provider
27 March 2017
Notify outcome and begin mobilisation
10 April 2017
New service commencement
17 July 2017

13. Questions & Feedback Some key points:
Is the service model and clinical pathways right?
Does the commercial model present a viable opportunity to the market?