29 April 2009

Welcome Market Analysis & the Procurement Process Overview of next stages in the process Overview of the Current Service Commissioning Outcomes & Direction of Travel for the

Service Questions & answers Tour of the Mobile Dental Surgery vehicle

* Individual meetings with providers will not take place today

Dr Kate Corlett - Primary Care Medical Director

Jane Lindo - Program Manager, Locality Networks

Lorna Grazette - Dental Development Manager

Mark Abrahams - Procurement & Market Management Consultant (Bethesdapool Procurement Ltd)

Understanding the current Community Dental Service

Identify next stages Timetable Knowledge building for future exercises

To open a dialogue with the providers in the marketplace.

Ensure that any approach to market is acceptable to providers.

The more engaged bidders are with the process, the more likely the chance of a provider – friendly approach to market.

Public Procurement is not like other types of procurement ...

Public funds Often no marketplace (or developing) Processes to follow Outcome impacts health of population Best practice = understand market, engage

with market.

This is not pre-qualification, or a Tender It is not mandatory to attend the event. There is no obligation whatsoever on those that do

attend to continue their involvement thereafter. This event is about the PCT understanding the

market. It is about Providers understanding requirements. Not attending does not prevent involvement at a

later stage.

NB: Supply2health doesn’t have a ‘market analysis’ option.

DurationPremisesEquipmentHealth promotionStaffDelivery locationEngaging with key groups...

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Market Analysis Cycle:

1. Initiation2. Outcomes3. Inputs4. Players5. The Market6. Barriers7. Junction

• What is the PCT trying to achieve• Are there any guidelines for the service• Cost• Access• Speed• Quality• Efficiency• Patient experience ...

• Premises • Healthcare specialist staff • Healthcare general staff • Non healthcare specialist staff • Equipment / technology • Capital investment • Expertise / experience• Management (inc. change management) 

Identify the providers Geographical split - can providers deliver

services in our area? How ready are providers for bidding How ready are providers for providing the

service

What are the obstacles for providers?

Regulatory barriers Legal barriers Financial barriers level of competition What are the decision making processes for

Providers?

Implement an immediate short term solution.

Go to market next 3-9 months for a short term solution.

Develop the market 2- 3 years. Achieve some / all of the benefits through

service improvement. Go to market for some elements only.

Need some additional information May need to speak to providers Summary Analysis Recommendation to PCT

Start date dependant upon above recommendation

New Supply2health notice may be required.

Activity Activity Duration(Days)

Cumulative(Days)

Tender notice placed 1 1

Expressions of Interest received 30 31

Pre-qualification forms issued Allowed for within above 31

Clarification from bidders / assistance with completing form / bidder’s event (if necessary) Allowed for within above 31

Final date for return of Pre-qualification forms Allowed for within above 31

Pre-qualification forms distributed to panel members, period for individual review 4 35

Panel meeting, Pre-qualification forms evaluated 1 36

Bidders advised re acceptance / rejection 1 37

Tenders issued Allowed for within above 37

Clarification from bidders / assistance with completing form / bidder’s event (if necessary) Allowed for within above 37

Debrief for bidders rejected Allowed for within above 37

Tender return date 30 67

Tender opening 1 68

Tenders distributed to panel members , period for individual review 10 78

Panel meeting, Tenders evaluated, scores awarded subject to clarification, Tender Panel interviews.

1 79

Three static sites:- Appleby H/C Shrewsbury H/C West Ham Lane Clinic

There is also a Mobile Dental Unit

Treatment of the vulnerable groups primarily on referral: Medically compromised Learning difficulties Severe behavioural problems Housebound people Physical disability (unable to access GDS) Significant Mental health problems Children with rampant caries Significant phobia about dentistry

School Screening Programme Epidemiological Surveys Oral Health Promotion Domiciliary care for the housebound General Anaesthetic list for children through

NUHT Orthodontic Services commissioned from

RLH.

Jane Lindo - Program Manager, Locality Networks

Lorna Grazette - Dental Development Manager

“By 2020 the dental services in Newham will be as good as the rest of the Country and the oral health of the people of Newham will be as good as that of other Londoners.”

The local Oral Health Strategy reflects thevision set out in

Delivering Better Oral Health&

World Class Commissioning

» reduce health inequalities

» Supporting people to live longer and healthier lifestyles – keeping their teeth for longer!

» deliver better health and well-being

Unplanned Access Specialist Services Prevention Services Domiciliary Service (vulnerable or excluded

groups) Oral Health needs of Children

NHS dentistry uptake within Newham PCT has increased from 50.5% to 52.7% in past 2 years.

The London average uptake is 51%

against an England average of 56% for the same period

Newham has the worst dental decay rates for the under 5s in London comparable only to the highest decay rates in North East England

Educate – publicise the importance of Oral health

Participate – in all major community events to raise awareness

Deliver enhanced preventative dental care programme for under 5’s

Provide oral health education to high risk groups

Raise awareness – Oral Cancer

Thank you for attending

Produced on behalf of NHS Newham by:Mark AbrahamsProcurement and Market Management Consultant Bethesdapool procurement Ltd07830 49 11 53Mark.abrahams@bethesdapool.co.ukwww.bethesdapool.co.uk