ADHD prescribing and monitoring

Concepts

• ipswich
• health services
• adhd patient shared care arrangements
• adhd medications
• adhd prescribing
• monitoring
• monitored
• adhd
• prescribing
• prescribed

Location

Suffolk and North East Essex locality

Description

Provision of the primary care element of ADHD patient shared Care Arrangements, which includes delivery of prescribing as required after positive diagnosis and stabilisation of medication by Specialist Provider.

Total Quantity or Scope

Suffolk and North East Essex (SNEE) ICB is establishing a prescribing and monitoring service for ADHD medications. This service will take on the primary care responsibilities as defined by the shared care agreements for these medications. This service is being set up in response to receiving formal notice from the Suffolk Local Medical Council (LMC) and North & South Essex LMC that they have advised GP practices in SNEE to decline from participating in shared care agreements for ADHD medications for this cohorts of patients. This includes withdrawing from existing shared care agreements. This service will share care for patients who are under the care of Norfolk and Suffolk Foundation Trust (NSFT) and Essex Partnership University Foundation Trust (EPUT) that deliver commissioned pathways by SNEE ICB. The objectives of the service are to: • Provide patients with appropriate and safe care outside of the secondary care setting. • Improve patient access to services. • Deliver an innovative approach to service provision. • Demonstrate improved quality and effectiveness of services for patients. The service shall be available to all patients within SNEE who are registered with a GP practice within West Suffolk, Ipswich and East Suffolk, or North East Essex and under the care of NSFT (SNEE ICB commissioned all age ADHD pathway) or EPUT (SNEE ICB commissioned Adults ADHD pathway) who have been diagnosed with ADHD and are being prescribed one or more of the medications. Access to the service is by referral from NSFT or EPUT. The provider will accept new patients who have been diagnosed with ADHD, have completed a minimum of 12 weeks of titration and has been stabilised on treatment by NSFT or EPUT and patients referred into the service by NSFT or EPUT who were previously prescribed and monitored by their SNEE GP practice. NHS Suffolk and North East Essex Integrated Care Board are awarding the contract named within this notice due to an urgent circumstance which is outlined within the Health Care Services (Provider Selection Regime) Regulations 2023. This contract will start on the 1st April 2025 for 12 months (1 year). There will be an option to extend by a further 12 months (1 year) from 1st April 2026 - 31st March 2027 The value of this contract is an estimation based upon all patient data available at the time, therefore there is the potential for variation once the entirety of the circumstances and the number of shared care arrangements are understood with greater detail. The ICB may wish to introduce additional services during the lifetime of the contract ("Contract modifications"). Such contract modifications will be contemplated where additional requirements are similar and or complementary to the services already included in the Specification, at any given time. Such expansion would be by the addition of services commissioned by the Authority as named in the Contract Notice. To this end, after the award of contract, there is a possibility that the contract may be varied as allowable in accordance with the Health Care Services (Provider Selection Regime) Regulations 2023.

Award Detail

Renewal Options

There will be an option to extend by a further 12 months from 1st April 2026 - 31st March 2027

Award Criteria

CPV Codes

• 85100000 - Health services

Indicators

• Options are available.

Legal Justification

This contract has been awarded under the urgent circumstances provision of the Provider Selection Regime (PSR). This contract has been awarded under the Health Care Services (Provider Selection Regime) Regulations 2023. For the avoidance of doubt, the provisions of the Public Contracts Regulations 2015 do not apply to this award. This award is being made urgently and the reason for the urgency was not foreseen by the ICB for the reasons outlined within this notice. This award is being made in order to prevent risk to patient and public safety, and the ICB is not able to satisfy the requirements of regulations 6 - 13 for the reasons outlined below. In order to mobilise this interim new service within the timeframe given by the notice of GP practices in Suffolk and NE Essex, it is imperative that the provider has the relationships, digital and clinical processes required with the GP practices and with the two acute providers. Suffolk GP Federation provides out of hours services for all Suffolk practices as well as enhanced hours services for a significant number of practices. Suffolk GP Federation provides the NE Essex diabetes service with the GP practices of NE Essex. Suffolk GP Federation is a trusted system partner of EPUT and NSFT as well as the practices. The pace required to deliver these new arrangements safely for this interim period demands these practical working relationships. Insert Award decision-makers: Executive Committee 6th January 2025. No conflicts of interest, or potential conflicts of interest, were declared by any decision makes.

Other Information

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