Clinical Commissioning Local Improvement Plan (CCLIP) Co-Ordinator

This Expression of Interest (EOI) seeks information relating to the CCLIP Co-ordinator in order to:

• Gauge market interest
• Develop the authorities' requirements and approach to the procurement
• Design a procedure, conditions of participation or award criteria

This EOI is being conducted in line with:

• NHS Dorset ICB Standing Financial Instructions
• Procurement Act 2023

NHS Dorset ICB requires information on the market's capability and capacity to provide the services described in the Service Specification.

CCLIP (Clinical Commissioning Local Improvement Plan), as it stands, is a voluntary annual reward and incentive programme for GP practices in Dorset. It is a local quality incentive scheme to engage general practice to achieve outcomes against key local objectives and quality improvements not covered through the national schemes or commissioned services.

The CCLIP fund is the first example of how we would like to use elements of existing and additional funding streams differently, to meet the objectives set out in the 10YP and to ensure sustainability at neighbourhood when INT funding ceases. As the provider landscape is changing, we will need to use existing resources to commission and contract differently.

COMMERCIAL SECTION

Contracting terms to be The NHS Terms and Conditions of Goods & Non-clinical Services Contract

Contract Term: 3 years with an option to extend for 2 years

Proposed start date: aspire to the 1 June (earliest)

Budget: £150k per annum

SERVICE SPECIFICATION

The service aims are to:

1. Deliver a single co-ordinator role for the management of the CCLIP Programme across single/multiple neighbourhoods to support primary care delivery; legally, efficiently and within financial balance.
2. Demonstrate value for money in the development of all CCLIP projects
3. Deliver an increased level of neighbourhood level collaboration between GP practices, PCNs, local authorities, community providers, VCSE organisations, and system partners through the development of Alliance agreements. There is an expectation that the Provider will support primary care in developing formal agreements / sub-contracts with partners, e.g. VCSEs, to deliver service improvements.
4. Assure commissioned outcomes are based on neighbourhood need, by coordinating projects, quality improvement initiatives, digital solutions, and workflow optimisation. Ensuring local citizens within neighbourhoods are engaged in development and delivery.

Innovation and Transformation projects will deliver the following CCLIP Programme outcomes and principles:

Outcomes

• Provide efficiencies to the system (financial savings and/or activity)
• Provides value for money for the delivered outcomes.
• Contribute to overall ICB financial productivity and save money
• Reduce the gap in healthy life years at neighbourhood
• Deliver early adoption of improved population health and health inequalities at neighbourhood level

Principles:

• Deliver integrated neighbourhood models of care: taking a neighbourhood approach e.g. partnering/sub-contracting with VCSEs.
• Must develop and strengthen the resilience of neighbourhood contractors.
• Projects must not duplicate existing commissioned services e.g. INT Delivery Programme
• Must support strategic commissioning framework implementation
• Must develop assurance and accountability among GP providers - moving to accountable care provision
• Should be deliverable through and with organisational options amongst INT providers (e.g. GPA)
• Must offer safe, evidence-based quality projects that have agreed levels of manageable risks

The provider will act as a Coordinator and Assurer of outcomes for approved projects within the CCLIP programme for the Dorset system as well as being responsible for the end-to-end co-ordination of a wide range of non-clinical services that support general practice outcomes

Core service description

Coordinator role

The provider will act as a Coordinator responsible for end-to-end co-ordination of a wide range of non-clinical services that support general practice outcomes. The Coordinator must be a credible, mature and local leader with strong partner relationships across primary care and system partners, with a deep understanding of the Dorset health and care landscape. The Co-ordinator must have a mandate from GP practices and PCNs to represent them.

The provider will also co-ordinate and provide programme management to projects that are funded through the CCLIP fund.

1. Coordination and Programme Management for CCLIP

• Work with general practice to identify and develop project/s that support neighbourhood priority health outcomes in line with the CCLIP programme principles.
• Encourage innovation in neighbourhood model of delivery that align with the 'three shifts' in NHS plans.
• Coordination of multi PCN and neighbourhood level initiatives that deliver CCLIP projects
• Assure best value for money through price discovery and an understanding of best value models.
• Recommend standardised pricing models and best value procurement where possible to the Project Provider(s) and Commissioner for recommended projects.
• Co-ordinate a multi neighbourhood provider and commissioner oversight panel to approve projects in line with outcomes and principles
• Ensure approved project funding is managed within authorised budget envelopes for CCLIP specification
• Advise the Commissioner of the funding schedules to be paid for each approved project
• Assure the Commissioner on outcome achievement, payment awards and scheduling
• Monitoring provider performance with monthly reports of approved projects and fund utilisation

2. Provider Management

• Assurance of contractor resilience for project providers.

3. Relationship and stakeholder management

• Develop trusted relationships with community providers, local councils, and the VCSEs
• Facilitate cross-sector relationships and partnership models of service delivery and contractual frameworks among primary care and its partners.
• The Co-ordinator must have established relationships with Primary Care Networks, Integrated Neighbourhood Teams and system partners across both Bournemouth, Christchurch and Poole (BCP) and Dorset places.

4. Coordinator of General practice

The Coordinator will facilitate the development of GP services at scale, support functions on behalf of general practice:

• Services at scale

Facilitating models of care delivered at scale. Examples not exclusively including single, multi and neighbourhood provider models e.g. COVID-antiviral, MGUS, Gender Identity shared care prescribing services

• General practice support services
• Co-ordinating complaints
• Act as the contact point for all complaints related to general practice that will come via the ICB's complaints team. Working with general practice to respond to the complaints adequately and with compassion.
• Primary care support line
• Act as a single point of contact for non-contractual related queries e.g. business continuity issues, non ICB commissioning queries.
• Non-ICB commissioned queries/issues. Bringing system partners together as needed.
• Operational issues - bringing general practice together to provider peer support and expertise to resolve operational issues.
• Business continuity / operational issues - co-ordinating learning and best practice and leaning on mutual aid across PCNs to reach resolutions
• Medicines Query service.
• SystmOne formulary updates and medicines protocol maintenance.
• Co-ordination of primary care medicines shortage management
• Mutual Aid pharmacy leadership development for 'Developing pathway' PCNs

Further discussions will be had with the provider to agree specific areas.

• GP communication

Co-ordinate the communication of key messages for GP practices, to ensure messages are shared effectively and local information is clearly understood.

Locations

The service will be delivered:

• Virtually across all neighbourhoods via remote coordination, digital platforms, and shared communication tools.
• Onsite, where required, at:
• GP practices
• Primary Care Network hubs
• Community or local authority premises
• Place or ICS coordination centres

The Co-ordinator must maintain adequate physical presence to build relationships, understand local context, and support service delivery.

Service Requirements and Standards

• Governance and Accountability
• Monthly reporting to the commissioner and relevant neighbourhood boards to provide assurance on how agreed projects are providing value for money and making a difference.
• Participation in Place-level governance and Primary Care Transformation groups.
• Maintenance of risk registers, action logs, and delivery plans.
• Quality and Performance

The Coordinator must meet KPIs relating to:

• Delivery of agreed workplans
• Timely issue resolution
• Supplier/contract performance
• Neighbourhood satisfaction surveys
• Demonstrated administrative burden reduction
• Value for money and cost avoidance tracking

Dependencies and Interfaces

The service will interface with:

• GP practices and PCNs
• Integrated Neighbourhood Teams
• Local authorities
• Community and Voluntary Sector partners
• Acute and community NHS providers
• ICS Digital, Estates, and Workforce teams
• Other commissioned services contributing to neighbourhood level care
• NHS Dorset ICB and/or the cluster commissioning organisation.

The provider must have a good understanding of the Dorset health and care system, and the partners within it.

The provider must maintain a presence in the county of Dorset (i.e. in either Bournemouth, Christchurch and Poole or Dorset local authority footprint).

The provider must have a mandate from Dorset GPs and primary care networks to represent them.