Skip to main content

We've saved some files called cookies on your device. These cookies are:

  • essential for the site to work
  • to help improve our website by collecting and reporting information on how you use it

We would also like to save some cookies to help tailor communications.

BETA
You're viewing an updated version of this service - your feedback will help us to improve it.

15 Voluntary ex ante Transparency (VEAT) Notice

Provision of an Asylum Seekers Health Access Service to support Cardiff and Vale Health Inclusion Service

  • First published: 09 December 2024
  • Last modified: 09 December 2024
  • Record interest

     

  • This file may not be fully accessible.

  •  

Contents

Summary

OCID:
ocds-kuma6s-146345
Published by:
NHS Wales Shared Services Partnership-Procurement Services (hosted by Velindre University NHS Trust)
Authority ID:
AA0221
Publication date:
09 December 2024
Deadline date:
-
Notice type:
15 Voluntary ex ante Transparency (VEAT) Notice
Has documents:
No
Has SPD:
No
Has Carbon Reduction Plan:
N/A

Abstract

The Cardiff and Vale Health Inclusion Service (CAVHIS) is a University Health Board (UHB) commissioned service for inclusion health groups that face significant challenges when attempting to access health and social care services. It is situated in the Cardiff Royal Infirmary and is managed by the Primary, Community, and Intermediate Care Clinical Board. The service currently provides: - Public Health screening for people seeking asylum and refugees (via Welsh Government resettlement schemes). - GP registration and access to medical, health visiting and midwifery for asylum seekers arriving via irregular routes under section 98 of the Home Office 1996 Immigration Act. This care is provided for up to 3-4 months whilst individuals are supported to transition into traditional primary care services. Permanent registration may be required for those who are not stable enough, or are too vulnerable, to navigate traditional GMS care (this may include destitute asylum seekers, individuals with No Recourse to Public Funds (NRPF) and vulnerable refugees). - Level of specialist nursing to work with people experiencing homelessness in and around Cardiff Council’s high need hostels. - GP outreach clinics into agreed Cardiff Council’s high needs homeless hostels. - Health inclusion nurses based in the Emergency Unit to support the management and timely turnaround of health inclusion groups who do not require admission. - An Alternative Treatment Service for individuals who have been de-registered from GP Practices due to risk of verbal/physical abuse. To widen the remit of the current CAVHIS service to serve all inclusion health groups the service is under development. In 24/25 the service aims to: - Introduce drop in health clinics run by GP/nurse at probation sites. - Provision of street based medicine to those unable to attend drop in clinics (e.g., mobile Gypsy Roma Travellers who have stopped for short periods). - Expand current resource in the Emergency Unit to provide 7 day coverage and a specialist multi-agency team to attend the wards 3 days a week to support with discharge of complex patients. CPV: 85121100, 85323000.

Full notice text

Voluntary ex ante transparency notice

Directive 2014/24/EU

Section I: Contracting entity

I.1) Name and addresses

NHS Wales Shared Services Partnership-Procurement Services (hosted by Velindre University NHS Trust)

4-5 Charnwood Court,, Heol Billingsley, Parc Nantgarw

Cardiff

CF15 7QZ

UK

Contact person: Ben Evans

Telephone: +44 1443848585

E-mail: ben.evans4@wales.nhs.uk

NUTS: UK

Internet address(es)

Main address: http://nwssp.nhs.wales/ourservices/procurement-services/

Address of the buyer profile: https://www.sell2wales.gov.wales/search/Search_AuthProfile.aspx?ID=AA0221

I.4) Type of the contracting authority

Regional or local authority

I.5) Main activity

Health

Section II: Object

II.1) Scope of the procurement

II.1.1) Title

Provision of an Asylum Seekers Health Access Service to support Cardiff and Vale Health Inclusion Service

II.1.2) Main CPV code

85121100

 

II.1.3) Type of contract

Services

II.1.4) Short description

The Cardiff and Vale Health Inclusion Service (CAVHIS) is a University Health Board (UHB) commissioned service for inclusion health groups that face significant challenges when attempting to access health and social care services. It is situated in the Cardiff Royal Infirmary and is managed by the Primary, Community, and Intermediate Care Clinical Board.

The service currently provides:

- Public Health screening for people seeking asylum and refugees (via Welsh Government resettlement schemes).

- GP registration and access to medical, health visiting and midwifery for asylum seekers arriving via irregular routes under section 98 of the Home Office 1996 Immigration Act. This care is provided for up to 3-4 months whilst individuals are supported to transition into traditional primary care services. Permanent registration may be required for those who are not stable enough, or are too vulnerable, to navigate traditional GMS care (this may include destitute asylum seekers, individuals with No Recourse to Public Funds (NRPF) and vulnerable refugees).

- Level of specialist nursing to work with people experiencing homelessness in and around Cardiff Council’s high need hostels.

- GP outreach clinics into agreed Cardiff Council’s high needs homeless hostels.

- Health inclusion nurses based in the Emergency Unit to support the management and timely turnaround of health inclusion groups who do not require admission.

- An Alternative Treatment Service for individuals who have been de-registered from GP Practices due to risk of verbal/physical abuse.

To widen the remit of the current CAVHIS service to serve all inclusion health groups the service is under development. In 24/25 the service aims to:

- Introduce drop in health clinics run by GP/nurse at probation sites.

- Provision of street based medicine to those unable to attend drop in clinics (e.g., mobile Gypsy Roma Travellers who have stopped for short periods).

- Expand current resource in the Emergency Unit to provide 7 day coverage and a specialist multi-agency team to attend the wards 3 days a week to support with discharge of complex patients.

II.1.6) Information about lots

This contract is divided into lots: No

II.1.7) Total value of the procurement

Value excluding VAT: 300 000.00  GBP

II.2) Description

II.2.2) Additional CPV code(s)

85323000

II.2.3) Place of performance

NUTS code:

UKL22

II.2.4) Description of the procurement

Although CAVHIS provides care to a range of inclusion health groups, this project focuses specifically on asylum seekers, destitute asylum seekers, individuals with No Recourse to Public Funds (NRPF) and vulnerable refugees.

People seeking asylum often arrive in Cardiff having experienced traumatic events in their home countries and on their journey to the United Kingdom. However, despite often having complex, unmet health needs access to and use of healthcare services is a significant challenge for this client group. Key barriers to healthcare include:

- Lack of understanding of how the UK healthcare system operates

- Language barriers

- Cultural factors

- Insufficient information in appropriate languages

- Associated costs (i.e., mobile phone credit to make appointments or public transport to attend appointments).

- Lack of tailored services

- Negative experiences when attempting to access health and care services

These barriers, accompanied with risk factors for poor health, result in significantly poorer health outcomes, putting those affected beyond the extreme end of the gradient of health inequalities.

Therefore, the successful contract holder for commissioned service must be very experienced in meeting the needs of asylum seekers and refugees from both a legislative requirement perspective and possessing the ability to work proactively with individuals whose first language is not English and whose staff are trained/experienced in working with individuals who have experienced trauma, who have access to linked services that are relevant to Health Inclusion Groups.

Given the issues outlined above, a level of core UHB funding has been secured to deliver a specialist asylum seeker health access project to support CAVHIS. The project will also be required to provide a level of support to identified GP Practices in the Vale of Glamorgan who are providing care to a growing number of asylum seekers/refugees. This aspect of the service is under development and will need to be agreed between CAVHIS, Vale GP Practices and the provider. Due to this the need for an existing strong working at the interface across

CAVHIS, GP practice and clusters is essential

II.2.11) Information about options

Options: No

II.2.13) Information about European Union funds

The procurement is related to a project and/or programme financed by European Union funds: No

Section IV: Procedure

IV.1) Description

IV.1.1) Type of procedure

Award of a contract without prior publication of a call for competition

Justification for selected award procedure:

The procurement falls outside the scope of application of the Directive

Explanation:

The successful contract holder for commissioned service must be very experienced in meeting the needs of asylum seekers and refugees from both a legislative requirement perspective and possessing the ability to work proactively with individuals whose first language is not English and whose staff are trained/experienced in working with individuals who have experienced trauma, who have access to linked services that are relevant to Health Inclusion Groups.

Given the issues outlined above, a level of core UHB funding has been secured to deliver a specialist asylum seeker health access project to support CAVHIS. The project will also be required to provide a level of support to identified GP Practices in the Vale of Glamorgan who

are providing care to a growing number of asylum seekers/refugees. This aspect of the service is under development and will need to be agreed between CAVHIS, Vale GP Practices and the provider. Due to this the need for an existing strong working at the interface across CAVHIS and GP practices is essential.

A Prior Information Notice was served, however only British Red Cross have expressed an Interest in the contract, therefore Cardiff and Vale Health Board intends to proceed to award via the publication of this Voluntary Ex Ante Transparency Notice.

IV.1.8) Information about Government Procurement Agreement (GPA)

The procurement is covered by the Government Procurement Agreement: Yes

IV.2) Administrative information

IV.2.1) Previous publication concerning this procedure

Notice number in the OJ S:

2024/S 000-034747

Section V: Award of contract/concession

V.2 Award of contract/concession

V.2.1) Date of conclusion of the contract/concession

15/11/2024

V.2.2) Information about tenders

The contract has been awarded to a group of economic operators: No

V.2.3) Name and address of the contractor

British Red Cross

Unit 12 Anthony Way, Cillefwr Industrial Estate

Johnstown, Carmarthen

SA313RB

UK

NUTS: UKG2

The contractor is an SME: No

V.2.4) Information on value of the concession and main financing terms (excluding VAT)

Total value of the concession/lot: 300 000.00  GBP

V.2.5) Information about subcontracting

Section VI: Complementary information

VI.3) Additional information

NOTE: To register your interest in this notice and obtain any additional information please visit the Sell2Wales Web Site at http://www.sell2wales.gov.wales/Search/Search_Switch.aspx?ID=146345.

(WA Ref:146345)

VI.4) Procedures for review

VI.4.1) Review body

High Court

Royal Courts of Justice, The Strand

London

WC2A 2LL

UK

Telephone: +44 2079477501

VI.5) Date of dispatch of this notice

09/12/2024

Coding

Commodity categories

ID Title Parent category
85323000 Community health services Social services
85121100 General-practitioner services Medical practice services

Delivery locations

ID Description
1022 Cardiff and Vale of Glamorgan

Alert region restrictions

The buyer has restricted the alert for this notice to suppliers based in the following regions.

ID Description
There are no alert restrictions for this notice.

About the buyer

Main contact:
ben.evans4@wales.nhs.uk
Admin contact:
N/a
Technical contact:
N/a
Other contact:
N/a

Further information

Date Details
No further information has been uploaded.

0800 222 9004

Lines are open 8:30am to 5pm Monday to Friday.

Rydym yn croesawu galwadau'n Gymraeg.

We welcome calls in Welsh.