Lewisham Care Homes GP Contract (APMS)

NHS South East London (SEL) Integrated Care Board (ICB) (hereafter referred to as the "The ICB"), under delegated commissioning on behalf of NHS England (hereafter referred to as "the Authority") invites Healthcare providers to submit Expressions of Interest (EOI) and completed Invitation to Tender (ITT) submissions from all suitable providers for the delivery of GP Primary Medical Services and additional services under Alternative Provider Medical Services (APMS) Contracts delivered directly to nursing home residents, residential care home residents and extra care housing tenants across the Lewisham Borough.

Background of the service:

There are currently 15 Older Peoples Care Homes within the London Borough of Lewisham with 599 beds. There are also 5 Extra Care Housing facilities that have 161 Beds. These Homes have been supported by Primary Care through the following means:

• Core GP services through registration at local GP Practices
• An Enhanced Primary Care Support to Care Homes contract, currently held by the Lewisham GP Federation
• The 2020/2021 PCN Network DES additionally introduced new support for Care Homes from PCNs

Some of the service requirements published in the PCN Network DES duplicated the requirements in the local contract. As a result, a revised specification has been developed to remove this duplication and update the service model to reflect the new Enhanced Health in Care Homes Framework, working through a single contract and provider.

This new APMS primary care contract will provide core General Medical Services together with an enhanced service specification of medical support for nursing home residents, residential care home residents and extra care housing tenants.

In addition, the contract is expected to provide an advice and support service that will include residents and staff of mental health and learning disability residential homes within the borough - this will be scoped and co-developed by the provider working in collaboration with key local stakeholders and service users.

Contract Length and value:

The contract will have an initial term of 5 years (60 months), followed by an optional extension of 5 years (60 months) plus 5 years (60 months) at the discretion of the commissioner. If all available extension is taken up in full the contract will have a maximum duration of 15 years (180 months).

The indicative annual contract value for this service is £559,240 per annum.

Over the 15 years, if contract is extended to its full duration, the total indicative maximum contract value will be £8,388,600.

The indicated contract value shown is dependent on the number of patient registrations and the maximum bed capacity/occupancy. The values shown are based on maximum patient registration and maximum bed occupancy.