Sexual Health Services:

Insight from the procurement of services in Leeds

Vicky Womack & Sharon Foster -Public Health

The challenge…..

Commissioning across the system

&

Do we have to go out to reprocure?

Leeds

Core City: 750,000 population

□large student population

□large msm scene

□large migrated population

HIV late diagnosis: 47.3%Prevalence 2.39 / 1,000Over 1,000 people living with HIV

Procurement process - Decisions LA’s will be making

□What’s in scope to be procured? One provider for all service provision - clinical and prevention

services One provider and sub contracting Separate providers / you may see procurements using ‘lots’ Joint commissioning?

□Is it a full service redesign or a like for like procurement?

□How are existing contracts performing?

□Who is in the market to provide the services – competition is needed - it helps tell commissioners what good looks like

What are commissioners looking for?

□The system working together to bid for services

□The system working together to manage service users through the pathway

□Bidders - being ‘innovative’

□Strong service user involvement and insight informing your tender submission

Cont….

□Do you have links with primary care

□Value for money - can you work with partners (share premises/ back office functions = more £ into delivery)

□Tell us how you will contribute to delivering PH outcomes – be explicit!

□Work with clinical providers - we like the 3rd sector – highlight your USP

Tips for bidders

□Common sense but read method statement questions carefully and make sure you answer the question (make it relevant for the local area)

□It’s like in any interview situation – don’t presume we know information, we can only score of what is in your bid

□Bring the pathway / SU experience alive in your bid

□Do talk about the links and role you have with partners / national agencies

□Is your service political (engage the right Cllr in HIV testing week, invite them to key events –good news stories are good for everyone)

□Good relationships do count through the process

The commissioners challenge - how do we get providers to work together?

□Local partnerships – HIV / SH networks

□Through providers having the initiative and skills to develop their own partnerships

□Through procurement and service re-design – the process (often) encourages collaboration

□Through KPIs and contracting – Indicators to support system commissioning

ISHS - Clinical Service Specification KPIs HIV testing uptake at first appointment in msm & BAC

Increase number of msm undertaking a sexual health screen

% of MARPS receiving a 1-2-1 intervention to reduce risky behavior

Number of people diagnosed with a CD4 count below 350

Number of referrals into the 3rd sector

Multi-professional contact kept to a minimum

All newly diagnosed HIV+ to be given information and support to access 3rd sector support

HIV Prevention Service Specifications - KPIs

□Number of referrals from the Integrated Sexual Health Service of newly diagnosed positive

□Number of BAC/ MSM accessing HIV / STI testing in the ISHS

□Number of people diagnosed with a CD4 count below 350

□Increase in the referrals from the Integrated Sexual Health Service to work with vulnerable MSM

Leeds HIV Services in 2015

□Integrated SH service – Improved access and choice

□Two HIV prevention contracts (8 years) – MSM & BACBoth providing core prevention & outreach, using social media to engage / community leaders & providing community testing clinics

□CCG funded HIV testing in MAUs in acute trust (15-65 year olds)

□CCG funded 3 x abortion contracts providing HIV testing

□Collaborative working between Public Health & CCGs looking at how we offer BBV screening in Primary Care at new patient registration (38 /113 GP surgeries in high prevalence areas)

□Partnership approach to deliver HIV testing week