Hertfordshire Admission Avoidance Response Car (HAARC)

Concepts

• health services
• welwyn garden city
• admission avoidance services
• hertfordshire admission avoidance response car
• west hertfordshire
• unplanned admissions
• haarc
• admissions
• the hertfordshire admission avoidance car
• the clch rapid response service

Location

Hertfordshire:

Description

This is a Voluntary Ex-Ante Transparency Notice and as such provides notification of the intention of the Authority to enter into a contract for the Hertfordshire Admission Avoidance Car (HAARC) with its incumbent provider, East of England Ambulance Service (EEAST). The new contract is intended to begin on 1st April 2024 and end on 31st March 2025 with the option to extend for a further 12 months. The value of the new contract is £630,121 (excl. VAT) with a maximum cumulative value of £1,260,242. Please note that these are expected values and may be amended post contract finalisation with the provider. The service has been in place since 1st April 2019 and has a total cumulative value of £2,889,498 (excluding the value of this new contract). This service has an MDT approach with the ICBs Care home Improvement Team working alongside the HAARC Service / Specialist paramedic team to ensure the ICB reduces the number of admissions and attendances from care homes across South and West Hertfordshire. This is a specialised service which is only available from ambulance Trusts. This is a short-term arrangement with our incumbent provider which will allow the ICB time to review the service and understand future commissioning intentions.

Total Quantity or Scope

The HAARC service provides quick access to specialist clinical advice and support to enhance the Care Home care management plans so that patients only attend hospital if it is clinically necessary. This has reduced ambulance conveyances to A&E, unplanned admissions, and frequent use of the UEC services. The HAARC service work closely with the EEAST ambulance service to assess ambulance callouts from care homes and is complemented by admission avoidance services, such the CLCH Rapid Response Service. The service also provides bespoke training for the Care Home staff to enhance their skills. HAARC provides the following outcomes: • Reduction in ambulance conveyances to A&E from care homes. • Reduction in unplanned admissions of care home patients. • Reduction in frequent use of UEC services. • Upskilling care home staff. Additional information: In line with best practice, the Authority will observe a voluntary 10-day standstill period prior to finalising a new contract with the East of England Ambulance Service.

Award Detail

Renewal Options

Option to extend for a further 12 months to 31st March 2026.

CPV Codes

• 85100000 - Health services

Indicators

• Options are available.

Legal Justification

There is a MDT approach to this service with the ICB's Care Home Improvement Team working alongside the HAARC Service/Specialist Paramedic team to ensure the ICB reduce the number of admissions and attendances from care homes across S&W Hertfordshire. This is a specialised service only available from NHS Ambulance Trusts. Our local ambulance trust has been used for ease, however this is a short-term arrangement whilst the ICB is reviewing the service to understand future commissioning intentions which will ensure continuity of service for our patients.

Other Information

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