NHS England South East Specialised Commissioning Provision of Placenta Accreta Spectrum (PAS) Service in the South East Region

This notice is placed to set out NHS England South East's (the Commissioner's) intention to follow the Most Suitable Provider Process.

NHS England South East is seeking suitable providers who have the capability and capacity to deliver the Placenta Accreta Spectrum (PAS) service, in line with the specified requirements.

The procurement is divided into 3 lots. Each lot will work collaboratively within the South East to provide specialised maternity care in specialised PAS centres delivered as part of a regional network arrangement inclusive of local maternity services.

The 3 lots cover the areas incorporating the relevant Integrated Care Board (ICB) boundaries within the South East as follows:

It is acknowledged that there may be a requirement to take patients from outside of a lot area for treatment. As the service establishes itself the lot boundaries may be reviewed. Any such review will be carried out with the relevant provider/s of the service within the affected lot.

The aims of the service are to:

To accurately diagnose Abnormally Invasive Placenta (AIP) and determine the clinical risk it poses.

To maximise safety for the mother by providing high quality specialist multidisciplinary care for the delivery of women at high risk of AIP. This involves:

• Preventing avoidable deaths in a population at very high risk of mortality
• Minimising ITU admission and length of stay in ITU
• Reducing blood product administration
• Reducing the risk of severe maternal morbidity such as cardiac arrest, fistula formation

and lower urinary tract trauma

• Reducing risk of unnecessary surgical procedures including vertical abdominal incision

and hysterectomy

• Reducing the risk of iatrogenic injury to women from false positive diagnoses
• To improve safety for the baby by minimising iatrogenic premature delivery
• To ensure that the quality of the care provided is nationally monitored and subject to a

process of continued improvement (though a national dashboard).

• To participate in national data collection to improve understanding

The approximate expected annual allocation of funding by lot, based on expected patient flow of incidence of complex PAS:

The approximate expected annual allocation of funding for the South East region will be £1,733,722, with a total approximate maximum contract value of £12,136,054.

The contracts will be for a term of 5 years with an optional extension period of 2 years. Services are planned to commence from 1st April 2025.

Services will be contracted using the latest version of the NHS Standard Contract.

This exercise is being carried out by NHS South, Central and West Commissioning Support Unit (SCW) on behalf of the Commissioner