How we buy health care services in Herefordshire
Part of the work that we do involves buying or commissioning services. In order to buy health care services the CCG has to undertake a process known as procurement. Procurement is the way the CCG buys services to meet the health needs of the local population.
Almost all services within the NHS are now purchased on legally enforceable contracts, and the providers of services will be a mixture of NHS organisations and independent providers who are working to standards set by the NHS.
We buy most of our hospital services from Wye Valley NHS Trust. Most patients from Herefordshire choose to have their treatment at Hereford County Hospital because of its geographical location and previous experience of the services there.
We also buy most of our community services from Wye Valley NHS Trust through their community hospitals at Bromyard, Leominster, Kington and Ross-on-Wye, and provide services such as District Nursing, Speech Therapists, Health Visitors, Community Physiotherapists and Occupational Therapists.
We also buy ambulance and patient transport services from West Midlands Ambulance NHS Trust and mental health services, learning disability services, specialist services from 2gether NHS Foundation Trust. We transfer a significant amount of funding each year to Herefordshire Council to fund services for older people, people with learning disabilities and provision of re-ablement services, and we contribute to services provided through the voluntary sector, such as St Michael's Hospice.
This network of health care services provision means that:
- The way that you experience the delivery of health care services may differ from one person to another depending on the choices that individual makes, or sometimes, because of where they live.
- Services have to be carefully co-ordinated.
- It’s hard to change one bit of the health system, without having an effect on the whole system.
In order to help us comply with the legislation regarding procurement we work with the procurement team at NHS Midland & Lancashire Commissioning Support Unit (CSU). The procurement team provide us with technical advice, and manage the actual procurement process on our behalf.
All of our procurements are managed in accordance with our procurement policy, and are advertised on Contracts Finder, an online resource that allows you to search for information about contracts worth over £10,000 with the government and its agencies. There are also details listed on the Bravo Solution website which is the NHS Commercial Solutions Tendering Site. The Bravo Solution website is secure web-based administrative portal through which potential providers and procurement professionals can conduct the strategic activities of the procurement lifecycle online. These strategic activities include requirements definition, tendering, negotiation, award and contract management. You will also find more information on the Supplying the South West e-tendering website, this is Herefordshire Council’s Supplier Portal. Finally there is also the Tenders Electronic Daily, which is the online version of the 'Supplement to the Official Journal of the European Union', dedicated to European public procurement. Any procurements for over £615,278 for healthcare services (or over £181,302 for Goods & Services) are listed within this website.
Our current and future procurements are listed on this site. However, sometimes we need to run pilot schemes or projects so that we can assess how much of a difference this potential change could have across the wider health system. Our current pilots are listed here, and the results of any pilot will be made available on the website on this page too.
We have committed to working with our local patients and members of the public to ensure they are involved in all aspects of our work, including pilots, projects and procurements. If you would like to know more, then either register as a public member of the CCG to receive our newsletters, or contact us.
Where a provider believes that our procurement arrangements have not met the required standards, there is a policy for managing competition disputes.