Quote/tender 43887 - Intermediate Minor Oral Surgery (IMOS) including treatment under Conscious Sedation - East Midlands Wide

AG CSU acting on behalf of the Commissioners, would like to invite suitably qualified and experienced providers to participate in a survey that will help to:

• Gain market views on the viability of procuring an Intermediate Minor Oral Surgery (IMOS),
• Determine a structure of the future procurement,
• Determine length of future contracts

Guidance regarding how to complete this survey has been provided within “Additional Information” section of this notice. Interested parties are encouraged to review that section.

The Commissioners would like to appoint service provider(s) for providing high quality Level 2 Intermediate Minor Oral Surgery (IMOS) including treatment under Conscious Sedation across the East Midlands. Intermediate Minor Oral Surgery is a referral service for people over the age of 16 years and is provided within a community setting. The service will provide specialist treatment e.g. complex dental extractions by a clinician with enhanced skills and experience that is either on the oral surgery specialist list or accredited in line with national guidance. Treatment may be provided under local anaesthetic and the clinician may use quality behavioural management techniques or provide treatment under conscious sedation where appropriate for minor oral surgery procedures.

The service objectives are to:

• ensure that equitable, accessible, cost effective, high quality IMOS Surgery including treatment under Conscious Sedation is available to the public within each STP/ICS
• increase the availability and accessibility of the primary care based IMOS Services to those patients who require sedation to support them to receive a minor oral surgical procedure locally
• release pressures and waiting times for treatment at secondary care resources
• reduce the number of patients receiving minor oral surgical procedures under general anaesthesia
• to deliver clinical services based on best available evidence and will work to relevant clinical guidelines published by professional bodies, incorporating relevant best-practice principles
• to have appropriately registered, qualified, trained, accredited and experienced professionals to ensure that the complexity of the patient or procedure matches the skills and setting of the individual or team providing the treatment
• to deliver safe, high quality, patient-centred oral surgery services from primary care settings by named Performers
• to ensure that patients who most need the services are able to be referred to a local provider

The requisite service will be procured under the NHS Personal Dental Services (PDS) Agreement Regulations (2018) and needs to cover the five listed STP/ICS areas in the East Midlands region. The service needs to be shaped in a way that supports the local Sustainability and Transformation Partnership areas (STPs) and emerging Integrated Care Systems (ICSs).

• Derbyshire
• Nottinghamshire
• Leicester City, Leicestershire & Rutland
• Lincolnshire
• Northamptonshire. Additional information: Please note that a lotting strategy has not been decided as yet. The lotting strategy will be informed by a number of factors outlined in Health Needs Assessments, Service Review, market engagement and wider stakeholders, public/patients engagement/consultation feedback etc.