GOVERNING BODY MEETING - Bromley CCG
GOVERNING BODY MEETINGDate:Time:Venue:Chair:Monday 12 June 20173.00 – 5.00 pm Governing Body meetingHarry Lyne Room, Beckenham Beacon, Bromley, BR3 3QLDr Andrew ParsonMembers of the Governing Body are asked to report any conflict of interest inrespect of any of the following agenda items to Keith Fowler, Head of CorporateAffairs immediately upon receipt of this agendaMEETING AGENDA1.TimeStanding ItemsPapers15.00Welcome and Apologies for AbsenceAndrew Parson2.Declarations of InterestTo receive the Register of Interests and anydeclarations of interest associated with any agendaitem.Enc 13.Community Services Procurement AwardTo approve the awardEnc 24.Any Other Business5.Date of next Meeting:20 July 2017, Bromley Civic Centre, Stockwell CloseClinical Chair: Dr Andrew Parson1Presented byMark Cheung/Peter LewisChief Officer: Dr Angela Bhan
ENCLOSURE 1REGISTER OF INTERESTS - BROMLEY CCG GOVERNING BODY – MAY 2017MEMBERS (STATUTORY)NameTitleDr AndrewParsonClinical ChairDr RuchiraParanjapePrincipal ClinicalDirectorDr Atul AroraClinical DirectorDr Jon DoyleClinical DirectorInterests DeclaredChislehurst Medical Practice (PMS) – Partner (14% share) – Practice has sharein the Bromley AllianceBromley Y – Wife is an employee (counsellor)Co-chair of Bromley Diabetes NetworkContract with BHC re: diabetesGP Partner at Knoll Medical Practice (PMS) – (20% share)Member practice of the Bromley GP Alliance.Contract with BHC re: diabetesPrincipal GP at Sundridge Medical Practice.Lead Clinical Advisor for EMDOC, Bromley Healthcare. (sessional remunerationfor advisory work)Chair/speaker at educational meetings and speaker at meetings operated bypharmaceutical companies for which payment at the rate of c 75 per hour isreceived.Contract with BHC re: diabetesGP Partner in South View GMS Partnership, Bromley - Member practice of theBromley GP AllianceSouth View Partnership holds contract from Bromley Healthcare to provideVisiting Medical Officer (VMO) services at Lauriston HouseParent Governor, Holy Innocents’ Catholic Primary SchoolVisiting Medical Officer (VMO) services to Bridges Healthcare to see patients inFoxbury Ward at QMS for 3 months starting 21/11/16.Contract with BHC re: diabetesClinical Chair: Dr Andrew ParsonUpdated: 18 May 2017Chief/Accountable Officer: Dr Angela BhanGifts andHospitalityNoneNoneNoneNone
Indirect interest – close friend employed by Bromley HealthcareContract for services 12 hours per week with the Bromley GP Alliance includingGP liaison role at PRUH.Salaried GP at Knoll Medical PracticePractice is a member of the GP AllianceEmployed by King’s College Hospital NHS Foundation Trust in an educationalroleGP Appraiser for NHS England (South London GPs)Facilitated an educational workshop for CEPN in December 2016Finance Trustee, National Osteoporosis Society (voluntary role)NoneGovernor at: Hadlow College, Hadlow Rural Community School, and WestKent/Ashford CollegesChairman: Betteshangar Parks LtdTrustee: Kent Mining Heritage FoundationNoneNoneNoneHospital DoctorMemberProgramme Lead for Children & Young People – salaried post (0.8 WTE),Healthy London PartnershipMember of Editorial Board of British Journal of Cardiac NursingHusband is GP in Lewisham and Clinical Director on Lewisham CCG GoverningBody.Consultant Physician, East Kent Hospitals NHS Foundation TrustRegional Specialist Advisor, British Society of GastroenterologyChief/AccountableOfficerHonorary contract with London Borough of Bromley’s Public Health departmentSpouse is employed by the Healthy London Partnership for 2 days per monthDr Mark EssopClinical DirectorDr MirandaSelbyClinical DirectorCarolineTrewhittHarvey GuntripLay MemberMartin LeeLay MemberSara NelsonRegistered NurseMemberDr AndrewPiotrowiczDr Angela BhanLay MemberClinical Chair: Dr Andrew ParsonUpdated: 18 May 2017Chief/Accountable Officer: Dr Angela BhanNoneNoneNoneSponsorshipsto attendacademicmeetings(learning &development):( 1,000 fromTakedapharma, plus 1,000 fromTillot’s pharma)None
Mark CheungChief FinanceOfficerDirector ofQuality,Governance andPatient SafetySonia ColwillNoneNoneNoneNoneNON-VOTING ATTENDERSDr Nada LemicCouncillorDavid JefferysDirector of PublicHealth, LBBChair of Healthand WellbeingBoard, LBBCouncillorRobert EvansPortfolio Holderfor CareServices, LBBLinda GabrielBromleyHealthwatchDirector ofOrganisationalDevelopmentPauletteCooganEmployed by London Borough of Bromley (3.5 days per week)Seconded from LBB to London Borough of Bexley (1.5 days per week)Elected Councillor of London Borough of BromleyPharmaceutic Research Council of the Royal Society of Medicine - MemberYoung Epilepsy - Vice President and MemberAssociation of the British Pharmaceutical Industry Innovation Board - MemberAssociation of the British Pharmaceutical Industry Regulatory Committee - ChairmanEuropean Federation of Pharmaceutical Industries and Associations - ChairmanEISAI Europe Ltd - Senior Vice PresidentHertfordshire University - Member of the CouncilElected Bromley Governor of Kings College Foundation TrustTrustee and Board Member of the Faculty of Pharmaceutical MedicineAlternate member of the IFPMA council and co-chair of the regulatory policystandards and technical committeeCentre for International Regulatory Science- Member of the advisory councilElected Councillor London Borough of BromleyPortfolio Holder for Care Services, LBBExecutive Member for Care Services, Health & HousingGovernor of King's College Hospital NHS Foundation TrustChair of Bromley and Lewisham MINDChair of Healthwatch BromleyDirector of Optimum Organisational Development Ltd.Clinical Chair: Dr Andrew ParsonUpdated: 18 May 2017Chief/Accountable Officer: Dr Angela BhanNoneNoneNoneNoneNone
CONFLICTS ARISING AT GOVERNING BODY MEETINGS IN THE PAST YEARMEETINGS OF THE GOVERNING BODY IN PUBLICDate 4/11/201624/11/2016Member and ConflictLinda Gabriel declared an interest as Chair ofBromley & Lewisham MIND in the Mental HealthRecovery Work Service Procurement ContractAwardLinda Gabriel declared an interest as chair ofBromley & Lewisham MIND, a provider of servicesunder the Improving Access to PsychologicalTherapies Re-Procurement report.Sara Nelson declared an interest in Item 12, theChildren’s Service Improvement Action Plan of theagenda due to her role with Healthy LondonPartnership as Children & Young People Programmelead.Dr Andrew Parson, Dr Ruchira Paranjape, Dr JonDoyle, Dr Atul Arora and Dr Miranda Selby declareda direct interest in the Community Procurementagenda item as members of an organisation whichwas a potential bidder for the contracts.Linda Gabriel declared an interest in the item onIAPT procurement as Chair of Bromley MIND.Dr Andrew Parson, Dr Ruchira Paranjape, Dr JonDoyle, Dr Atul Arora and Dr Miranda Selby alldeclared a direct interest (as providers) in thediscussion on the Primary Care Winter ResilienceProgramme. Dr Mark Essop declared a directinterest in connection with his GP Liaison role at thePrincess Royal University HospitalClinical Chair: Dr Andrew ParsonUpdated: 18 May 2017Action takenLinda Gabriel left the meeting room for this item.Linda Gabriel left the meeting room for this item.As an indirect non-specific interest it did not affect her ability toparticipate in the discussion.Caroline Trewhitt, the Lay Member Governance /Deputy Chairtook over the chair from Dr Andrew Parson for this item and allthe GP members remained at the table but did not participate inthe discussion. A quorum of non-GP Governing Body memberstook the decision to approve the vision and strategy for theCommunity Services Procurement.Linda Gabriel did not participate in the discussion.Caroline Trewitt, Lay Deputy Chair, chaired the item. TheClinical Chair and all GP Members remained at the table but didnot participate in the discussion. A quorum of non-GP GoverningBody members noted and approved the report.Chief/Accountable Officer: Dr Angela Bhan
26/01/1723/03/1723/03/1723/03/17Dr Andrew Parson, Dr Ruchira Paranjape, Dr JonDoyle, Dr Atul Arora and Dr Miranda Selby declaredan interest as members of the GP Alliance (theprovider) in the Primary Care Access Hubs item.Dr Andrew Parson, Dr Ruchira Paranjape, Dr JonDoyle, Dr Atul Arora and Dr Miranda Selby declaredan interest in the Primary Care Commissioningreport.Dr Andrew Parson, Dr Ruchira Paranjape, Dr JonDoyle, Dr Atul Arora and Dr Miranda Selby declaredan interest in the Integrated Diabetes SpecialistServices report.Sara Nelson declared an interest in the HealthyLondon Partnership Report and Plan.Clinical Chair: Dr Andrew ParsonUpdated: 18 May 2017This being an “Information Only” agenda item they were notexcluded from the discussion and Dr Parson retained the chair.Harvey Guntrip, Lay Member chaired the item and GP Membersdid not participate in the discussion or decision.Harvey Guntrip, Lay Member chaired the item and did notparticipate in the discussion or decision.Sara Nelson did not participate in the discussion or decision.Chief/Accountable Officer: Dr Angela Bhan
NON-PUBLIC MEETINGS OF THE GOVERNING BODY TO DISCUSS COMMUNITY SERVICES PROCUREMENT (IN COMMERCIALCONFIDENCE)20/10/2016and 10/11/168/12/16Dr Andrew Parson, Dr Jon Doyle, Dr Atul Arora andDr Miranda Selby declared a direct interest in theCommunity Procurement agenda item as membersof an organisation which was a potential bidder forthe contracts. Dr Mark Essop declared an indirectinterest due to a close friend employed by aseparate potential bidder.Caroline Trewitt, Lay Deputy Chair, chaired the item.The GP members remained but only contributed to thediscussion regarding clinical and operational mattersA quorum of non GP Members then made a decision on how theprocurement process would progress.Sara Nelson and Angela Bhan also declared theirinterests in the Healthy London Partnership.Dr Andrew Parson, Dr Ruchira Paranjape, Dr JonDoyle, Dr Atul Arora and Dr Miranda Selby declareda direct interest in the Community Procurementagenda item as members of an organisation whichwas a potential bidder for the contracts. Dr MarkEssop declared an indirect interest due to a closefriend employed by a separate potential bidder.It was decided these were not a conflict and that they could fullyparticipate.Harvey Guntrip, Lay member, chaired the meeting.The Clinical Chair and all GP Members remained at the table tohear legal and audit advice. They left the room prior to a decisionbeing taken.A quorum of non-GP Governing Body members took the decisionto proceed with the procurement as planned.Clinical Chair: Dr Andrew ParsonUpdated: 18 May 2017Chief/Accountable Officer: Dr Angela Bhan
A meeting of the Governing Body ofNHS Bromley Clinical Commissioning Group12 June 2017ENCLOSURE 2BROMLEY CLINICAL COMMISSIONING GROUPCOMMUNITY SERVICES CONTRACT AWARD RECOMMENDATIONSummaryFollowing the Governing Body’s approval of the Business Case for the Procurement ofCommunity Services on 8th December 2016, Bromley Clinical Commissioning Group (CCG)have conducted a light touch 2 stage procurement process.For this procurement, the community services contract has been divided into three Lots: Lot 1: Children and Young People’s Services Lot 2: Adult Community Based Services Lot 3: Integrated Rapid Response and Transfer of Care ServicesThe outcome of the procurement process has identified a preferred provider for each Lot.The purpose of this paper is to update the Governing Body on the procurement processundertaken and to seek approval to award the contracts to the preferred provider for eachLot.BackgroundThe key drivers for this project were outlined in the Vision and Strategy for CommunityServices, which was approved by the CCG’s Governing Body on 22nd September 2016.The CCG is responsible for the commissioning of high quality, safe, value for moneyhealthcare services for the population of Bromley. The CCG has used this procurement asan opportunity to engage with service users and providers in the market to assist indelivering innovative models of care that meet the needs of the population in Bromley.A number of key principles have been embedded within this project to support the deliveryof the Our Healthier South East London (OHSEL) strategy, with an aim to develop servicesaligned to the Five Year Forward View, which envisions models of care that break down thetraditional divides between primary care, community services and hospitals.Locally, the procurement of community services will support the delivery of Integrated CareNetworks (ICNs). Community services are expected to establish community teams alignedClinical Chair: Dr Andrew Parson1Chief Officer: Dr Angela Bhan
to the three ICNs, wrapped around primary care and with patients at the centre of caredelivery.The CCG wanted to commission providers that can demonstrate an organisational cultureand ethos focused on integration and joined up working with other local health and socialcare providers. This procurement has established a new framework on which the BromleyOut-of-Hospital Transformation Programme can be further developed, with providers ofcommunity services taking a leadership role in defining the future of ICNs.As part of the business case for this procurement, the CCG developed six Critical SuccessFactors (CSFs) to measure achievement of objectives of this procurement. These CSFs areincluded in Appendix 1 of this report, with an outline of how they have been assessedthrough the procurement, and how they will be monitored during contract implementationand management.This document outlines the process undertaken for this procurement, including its outcome,leading to the recommendation of contract award for each of the Lots.Procurement ProcessThe procurement process adopted by the CCG was compliant with the procurementstrategy included in the business case for this project. This strategy was developed withBromley CCG’s legal advisors at Ward Hadaway Law Firm and was endorsed by both WardHadaway and Bromley CCG external Auditors KPMG LLP (UK) at an extraordinary meetingof the Governing Body on 8th December 2016.Bromley CCG managed this procurement in accordance with the Public ContractsRegulations 2015 (the “Regulations”), using a light touch, two-stage procedure with theoption of negotiation. The key steps of this process are described in detail in the businesscase for this project and an outline is provided in Appendix 2. This process was managedthrough the CCG’s procurement management system, Delta e-sourcing.The procurement timeline is outlined in Appendix 3. Overall, the timeline has been adheredto with the exception of the final recommendation being made to the CCG’s Governing Bodyand the London Borough of Bromley’s Executive. This delay was due to the recentannouncement of the snap election in June 2017 and the requirements of purdah.There are five key steps to the procurement process:1. Advertise procurement opportunityThis tender opportunity was published on 9th January 2017. In accordance with theRegulations, this was published both on the government’s website, Contracts Finder,and the Official Journal of the European Union (OJEU). The advert invited potentialbidders to complete and submit the Standard Selection Questionnaire.2. Standard Selection Questionnaire (SQ)This was the first stage of the two-stage tender process. The CCG adopted the CrownClinical Chair: Dr Andrew Parson2Chief Officer: Dr Angela Bhan
Commercial Services’ standard SQ template with the addition of project specificquestions and other permitted adaptations to reflect the specific requirements of thisprocurement.The CCG received completed SQ submissions from seven organisations. Of these, sixorganisations expressed an interest in bidding for all three Lots, and one organisation forLot 3 only. After evaluation of these submissions, the CCG invited six organisations totender for community services, of which five were invited for all Lots and one was invitedfor Lot 3 only. One organisation failed their SQ submission.3. Invitation to Tender (ITT)This was the second stage of the two-stage tender process. During this stage, threeorganisations notified the CCG that they would be withdrawing from the process and didnot submit a bid. At the end of the ITT stage, three organisations submitted a bid for Lot1, three organisations submitted a bid for Lot 2, and two organisations submitted a bidfor Lot 3.During this period the providers had an opportunity to clarify with the CCG any aspectsof the tender documentations to support their bid submission. This process wasmanaged by the CCG in an open and transparent manner, with any additionalinformation provided in relation to a given Lot shared with all bidders for that Lot.4. EvaluationThe evaluation phase was sub-divided into four parts; initial review of bids; clarificationquestions and interviews; evaluations; and moderation. A full list of evaluation panelmembers for each Lot is attached as Appendix 4.All evaluation panel members completed an initial review of returned bids in order toidentify any points of clarification. This exercise provided the basis for formulatinginterview questions and any further clarification questions.Interviews were held with all bidders for each Lot with the objective of clarifying elementsof the tender submissions. Interviews were recorded and transcripts were circulated toall evaluation panel members alongside responses to all other clarification questions.At this point the scoring of the bids commenced. This was undertaken by all evaluationpanel members who were required to enter scores and supporting rationale into theDelta e-sourcing system.Once scores and comments were received from evaluation panel members moderationmeetings were held for each of the Lots. These meetings were chaired by one of theCCG’s Governing Body Lay Members and minutes taken. The purpose of thesemeetings, as outlined in the procurement strategy, was to moderate scores and reach aconsensus score. The consensus scores determined the final overall score for each bidsubmission.Clinical Chair: Dr Andrew Parson3Chief Officer: Dr Angela Bhan
5. Contract award recommendationThe outcome of each meeting was to identify a preferred bidder for each Lot and make arecommendation of contract award to be taken to the Governing Body. The chairconfirmed, for each meeting, that the whole evaluation panel was in agreement with therecommendation for contract award.Evaluation OutcomesThe table below summarises the total percentage scores for each bid for each Lot.Providers have been anonymised. According to the evaluation criteria for this procurement,outlined in the procurement strategy, the preferred provider is the highest scoring bidder forthat Lot.Lot 1Bidder A 71.78%Bidder B 67.05%Bidder C 67.21%Lot 2Bidder D 74.59%Bidder E 65.79%Bidder F63.22%Lot 3Bidder G 73.04%Bidder H 55.05%A detailed breakdown of the percentage scores by section is provided in Appendix 5.Contract Award RecommendationsIn line with the evaluation methodology used for this procurement, which was outlined in theBusiness Case and approved by the CCG’s Governing Body, the Procurement Team andEvaluation Panels for the three Lots are making the following recommendations to theGoverning Body:1. To Award the Contract for Lot 1 (Children and Young People’s CommunityServices) to bidder A for five years with the option to extend by two further years.2. To Award the Contract for Lot 2 (Adult Community Based Services) to bidder D forfive years with the option to extend by two further years.3. To Award the Contract for Lot 3 (Integrated Rapid Response and Transfer of CareServices) to bidder G for five years with the option to extend by two further years.Finance ConsiderationsAt the beginning of the procurement, the CCG set an affordability threshold for each Lot.Any bid submission over the threshold would have been eliminated from the process. Allfigures shown are for the life of the contract, five years. All bids submitted were within the
Clinical Chair: Dr Andrew Parson 1 Chief Officer: Dr Angela Bhan GOVERNING BODY MEETING Date: Monday 12 June 2017 Time: 3.00 – 5.00 pm Governing Body meeting Venue: Harry Lyne Room, Beckenham Beacon, Bromley, BR3 3QL Chair: Dr Andrew Parson Members of the Gover
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