Primary Care Service for Care Homes and Extra Care Housing (Bromley Borough)

South East London Integrated Care Board (NHS South East London) under delegated commissioning on behalf of NHS England is seeking to procure GP Primary Medical Services and additional services under APMS Contracts delivered directly nursing home residents, residential care home residents and extra care housing tenants across Bromley Borough.

In order to assist the Commissioners with testing its assumptions and proposed service requirements, a market engagement questionnaire (MEQ) has been published to explore the market's feedback on the following areas: • Outline of service requirements and KPI's • timescales for procurement and mobilisation of the new contract • proposed contract duration and financial model Background This service covers the London Borough of Bromley and is a dedicated primary care service for older residents living in residential and nursing care homes, and extra care housing.

Residential and nursing care home residents are amongst the most frail and vulnerable, with significant clinical complexity.

Residents are three times more likely to fall in a care home than in their own home.

Falls prevention is a core part of the early training for care homes and an essential component of mitigating against avoidable hospital admissions.

Outline The service will operate under an APMS primary care contract and provide core General Medical Services together with an enhanced service specification for medical support for nursing home residents, residential care home residents and extra care housing tenants.

The enhanced service is designed to take a multi-disciplinary approach to proactive case management, support prescribing priorities and deliver both routine and urgent care 'in-hours'.

Aims The aims of the service are to: • Deliver a proactive, multidisciplinary and patient-centred model of case management and primary care 'at scale' for this patient cohort • Improve patient outcomes for this cohort • Provide a responsive service that adapts over time to patient feedback and to changes in evidence concerning medical care for care home residents • Provide clinical leadership and learning to improve the quality of care for patients in care homes • Develop effective working relationships with care homes, acute hospitals, community based providers, social care and other stakeholders that will allow the contractor to effectively deliver against the objectives of this service • Improve the quality of medical support to the patient • Improve consistency and remove variation across the borough in quality of care • Improve patient experience and satisfaction • Improve end of life care • Improve management of long-term conditions, frailty and dementia • Improve the wider wellbeing of care home residents.

Please complete the MS Forms Market Engagement Questionnaire (see Link section)