Master slide deck from the Lancashire Health MATTERS networking and knowledge event on Thursday 30 September 2021 at MacDonalds Tickled Trout Hotel.

1. NHS knowledge and
networking
Understanding commissioning and procurement in
the NHS
Sept 30 2021

2. We are the Academic Health Science Network for the North
West Coast - one of 15 in England.
The focus of the AHSN is supporting the adoption and
spread of innovation to improve care and services in the
NHS and social care
– pathways, protocols, policies, practice or products.
We do that by connecting our networks of partners across
all sectors: NHS, Universities, LA, the third sector and
businesses.

3. The focus of LHMs is to accelerate the adoption and spread
of products and services that already exist to help the NHS
to improve its care and services to patients.
The offer is:
• Introductions to senior NHS staff
• Product positioning and value proposition
• Understanding the NHS landscape
• Procurement and commissioning
• Business case development
• Real-world validation
• Pitching and presenting
• Funding
Our USP is our
extensive NHS
knowledge and
networks

4. https://youtu.be/CFLKlE-UaBo

5. https://youtu.be/CFLKlE-UaBo

6. Lancashire and South Cumbria

7. LSC Health and Care Partnership
• 1.8M population
• 11 CCG
• 5 NHS hospitals(Trusts)
• 500 GP practices
• 44 PCNs

9. The NHS mantra
Procurement seen as
key solution to these
problems
● More with less
● Reduce variation
● Increase efficiency
● Reduce cost without clinical
compromise
Repeat…

10. NHS Procurement: Lancs & South Cumbria
Lancashire Procurement Cluster
Blackpool Teaching Hospitals
East Lancashire Teaching Hospitals
Lancashire Teaching Hospitals
University Hospitals of Morecambe Bay
North Cumbria Integrated Care NHS FT
Lancashire & South Cumbria FT
● Strong focus on compliance and delivery of cashable savings
● All teams very successful in terms of delivering savings
● Tactical unit price initiatives
● Strategic efficiency schemes, market management, process improvement, focussing on the
value chain.
● Collaboration at scale
National Procurement Target Operating Model
– PTOM “System by Default”

11. The NHS as an anchor institution
Time for a Paradigm
shift
“There is a social gradient in
lifespan; people living in the
most deprived areas in England
have on average the lowest life
expectancy and conversely, life
expectancy is higher on average
for those living in areas with
lower deprivation.”
• Influencible spend
L&SC is circa £300 m
• What proportion is going into
the local economy?
• How are we incentivising
suppliers to improve health and
economic outcomes for our
communities?
• How are we incentivising
suppliers to improve the
environmental impact of their
activities?

12. LPC performance framework
Measurable Key Performance Indicators
• Increasing local & SME spend
• NHS Zero Carbon metrics
• Promoting best employment
practices
• More diverse supplier groups

13. NHS Supply Chain
The new NHS Supply Chain was designed to help the NHS deliver clinically assured,
quality products at the best value, through a range of specialist buying functions.
● Aims to deliver savings of £2.4bn back into NHS frontline services by 2023.
● The new model consists of eleven specialist buying functions, known as Category
Towers
● Three enabling services for logistics, supporting technology and transactional services
underpin the model.
Key benefits:
Suppliers
• Lowering sales and marketing costs
• Single route into the national market
• A joined-up approach across the NHS
• Clear route for innovative products
NHS Trusts
• Savings channelled back to frontline services
• Releasing more time for core clinical activities
• Greater NHS clinical involvement in
purchasing decision
• More effective introduction of new products

14. Procurement Towers
There are 11 specialist buying functions knowns as category towers….
Non Medical
Tower 11
NHS Hotel Services
Tower 4
Orthopaedics, Trauma &
Spine, Ophthalmology
Medical
Tower 3
Infection Control
And Wound Care
Tower 5
Rehabilitation, Disable
Services, Women’s
Health & Associated
Consumables
Tower 2
Sterile Intervention
Equipment And
Associated
Consumables Tower 10
Food
Tower 9
Office Environment
Capital
Tower 7
Large Diagnostic
Capital Devices incl.
Mobile &
Consumables
Tower 8
Diagnostic
Equipment and
Associated
Consumables
Tower 1
Ward Based
Consumables
Tower 6
Cardio-Vascular,
Radiology, Audiology &
Pain Management

15. Opportunities:
If yes…
● Register on procurement towers
framework - suppliers@supplychain.nhs.uk
● Consider partnering with a larger supplier
● Consider forming a consortia
● Use your AHSN as conduit

16. What is a Framework Agreement?
 Definition: an agreement between a Contracting Authority (e.g. NHS SBS,
an NHS Trust, or a local council) and one or more suppliers, the purpose of
which is to establish the terms governing contracts to be awarded during a
given period, in particular with regard to price and, where appropriate, the
quantity.
● 6-9 month procurement process
● Awarded following a fully OJEU compliant process under the 2015 Public Contracts
Regulations
● Usually awarded for a period of 4 years
● *Legal requirement for public sector procurements over the value
of £118K
● Approx. cost of £25,000 per tender process for a Contracting Authority

17. Health system support framework
What is is?: a quick and easy route to access support services from
innovative third party suppliers at the leading edge of health and care system
reform.
● Can be used by any NHS organisation, including NHS Trusts, Clinical Commissioning
Groups (CCGs), national Arm’s-Length Bodies and local authorities
● Integrated Care Systems (ICSs) and Sustainability and Transformation
Partnerships (STPs) can use the HSS to access innovative technologies and digital
vendors to drive forward system reform
● The Framework focuses particularly on services that can support the move to
integrated models of care based on intelligence-led population health management

18. Framework areas
● Infrastructure:
o Electronic Patient Records and place-based digitalisation
o local health and care records across different care settings
o primary care IT support and cyber security
● Intelligence:
o targeted population health analytics
o digital tools for system modelling, actuarial assessment, planning, research, risk
stratification and impactability modelling
o clinical decision support tools
● Impact and Intervention:
o transformation and change support
o patient empowerment and activation (including self-care support, personalisation, assistive
technologies and remote consultations)
o demand management and capacity planning support solutions
o system assurance and provider modernisation
o medicines management support

19. G-Cloud
What is it?: G-Cloud (RM1557ix) is a framework where supplier cloud-
based solutions are made available through a front-end Catalogue called the
Digital Marketplace.
o G-Cloud framework is THE place to be, for companies who are
thinking about selling their cloud-based solutions to the UK
government.
The Digital Marketplace is an online service for public sector organisations
to find people and technology for digital projects.
o Any public sector organisation, including agencies and arm's length
bodies, can buy using the Digital Marketplace.

20. Where to look for NHS opportunities
NHS Opportunities MUST be published online - you need to put the work in, you
have to search!
Essential Sites:
Above OJEU >£118k DoH, NHS Trusts / £181k NHS England, CCGs & NHS
Foundation Trusts
o TED Europa http://www.ted-Europa.eu
Below OJEU >£10k to £118k / £181k
o Contracts Finder http://online.contractsfinder.businesslink.gov.uk
Contracts Finder pulls from all sites where possible (One Place – Full
Transparency)
Other Useful Sites:
o Public Contracts Scotland – www.publiccontractsscotland.gov.uk
o Sell2Wales – www.sell2wales.gov.uk
o eSourcing Northern Ireland – www.e-sourcingni.bravosolutions.co.uk

21. How to look for NHS opportunities
● Registering is essential
● Register for all or as many as possible
● Searching for Opportunities is critical
● CPV Codes, NUTS codes and / or Key Words
o CPV Codes – define what is being sourced (e.g. 3314000 Medical
Consumables)
o NUTS codes define the location (e.g. Essex – UKH3)
● Use Alerts
● Regularly review sites and evaluate opportunities

22. Procurement policy

23. Framework and contracts database
Framework Database
To search by supplier, click on the arrow
below and enter the supplier name
To search by category or keyword,
click on the arrow below and enter
the keyword
Suppliers Organisation Framework No. Framework Name Start Date Expiry Date
Contact Framework Provider Crown Commercial Services RM6102 Apprenticeship Training Dynamic Marketplace DPS 30/04/2019 29/04/2023
ACTACCOMLIMITED Crown Commercial Services RM6014 Modular Building Solutions 02/04/2019 01/04/2023
ACTAVO BUILDING SOLUTIONS (UK) LIMITED Crown Commercial Services RM6014 Modular Building Solutions 02/04/2019 01/04/2023
ASHBY & CROFT LIMITED Crown Commercial Services RM6014 Modular Building Solutions 02/04/2019 01/04/2023
CALEDONIAN MODULAR LIMITED Crown Commercial Services RM6014 Modular Building Solutions 02/04/2019 01/04/2023
DARWIN GROUP LIMITED Crown Commercial Services RM6014 Modular Building Solutions 02/04/2019 01/04/2023
ECO MODULAR BUILDINGS LTD Crown Commercial Services RM6014 Modular Building Solutions 02/04/2019 01/04/2023
ELITE SYSTEMS (GB) LIMITED Crown Commercial Services RM6014 Modular Building Solutions 02/04/2019 01/04/2023
ELLIOTT GROUP LIMITED Crown Commercial Services RM6014 Modular Building Solutions 02/04/2019 01/04/2023
EXTRASPACE SOLUTIONS (UK) LIMITED Crown Commercial Services RM6014 Modular Building Solutions 02/04/2019 01/04/2023
IDEAL BUILDING SYSTEMS LIMITED Crown Commercial Services RM6014 Modular Building Solutions 02/04/2019 01/04/2023
INTEGRA BUILDINGS LIMITED Crown Commercial Services RM6014 Modular Building Solutions 02/04/2019 01/04/2023
MCAVOY GROUP LIMITED - THE Crown Commercial Services RM6014 Modular Building Solutions 02/04/2019 01/04/2023
M-AR Off-site Crown Commercial Services RM6014 Modular Building Solutions 02/04/2019 01/04/2023
Cotaplan (Modular Buildings) Crown Commercial Services RM6014 Modular Building Solutions 02/04/2019 01/04/2023
4NET TECHNOLOGIES LTD Crown Commercial Services RM3808 Network Services 2 12/08/2019 16/08/2022
8x8 Crown Commercial Services RM3808 Network Services 2 12/08/2019 16/08/2022
ABZORB GROUP LTD Crown Commercial Services RM3808 Network Services 2 12/08/2019 16/08/2022
ADEPT TECHNOLOGY GROUP PLC Crown Commercial Services RM3808 Network Services 2 12/08/2019 16/08/2022
Will be on LPC website shortly in public domain
• 16,000 suppliers
• 535 framework agreements/lots
• Covers main procurement partner organisation frameworks including: Crown Commercial Services,
Healthtrust Europe, NHS Supply Chain, North of England Commercial Procurement Collaborative, NHS
Shared Business Services

24. Find out more on NHS and LPC
procurement policy
Visit our website and use the following link: https://lancashireprocurement.nhs.uk/aim-values/lpc-procurement-policy

25. What does this mean for you?
● Providers procure products, Commissioners commission services
● Emerging Integrated Care Systems hold some funds but aren’t real
yet
● The organisation that uses a product may not be the organisation
that reaps the benefit
● Operational efficiencies vs cost savings
● 70% NHS costs are in staff. Incremental changes are not cash
releasing for commissioners
● What will your product replace or improve?
● The tariff for PbR is available publically. Use it.
https://improvement.nhs.uk/resources/national-tariff-1719/