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Are you able to demonstrate your Carbon Reduction Plans in a tender bid?

Carbon Reduction Plan

From April 2024, it will be compulsory to demonstrate Carbon Reduction Plans (CRPs) in any NHS tender bid submissions. This is because the NHS has announced a goal to achieve net zero emissions by 2045 and this will also include emissions generated by goods and services purchased through its suppliers.

Since April 2023, for all contracts above £5 million per annum (excluding VAT) in value, the NHS has required suppliers to publish a CRP for, at a minimum, their UK scope 1 and scope 2 emissions and a subset of scope 3 emissions.

From April this year, the NHS will extend this CRP requirement to all NHS procurements, regardless of contract size or value.

How can you demonstrate your CRP in a tender?

A CRP must identify the supplier’s carbon footprint and a clear plan for achieving net zero emissions, ideally by 2045 to coincide with the NHS target.

It should include:

  1. Your current greenhouse gas emissions, taking into account waste generated in operations, commuting and business travel, and transportation and distribution.
  2. Details of any environmental management measures already in place, including certifications or other specific carbon reduction initiatives you have adopted to become net zero.

How can you track your carbon?

Having researched different solutions to develop CRPs for our clients, we would recommend using Amethyst Connect’s Track My Carbon online platform as a low cost, easy to use way to develop and maintain CRPs that meet the requirements of Public Procurement Notice PPN 06/01.

With the impending change of requirements looming close in April, we have formalised our endorsement of the platform and negotiated a 10% saving for our clients as part of a new partnership with Amethyst Connect.

Next steps

Watch the video below to find out more about Track My Carbon.

Track My Carbon Introduction

To find out more about the NHS Carbon reduction plan and net zero commitment requirements for the procurement of NHS goods, services and works, visit the NHS website.

If you require additional support and consultancy to further develop your CRPs, reach out to Sarah Joy Newton, Founder of Amethyst Connect, and (as always) Krisja, David, and the rest of the team at K Low Consulting. 

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How to win GP contracts and funding

Doctor consultation

If you are a surgery or general practice looking to win substantial contracts or funding, it can be a daunting prospect, particularly if you are an already over-worked GP or Practice Manager struggling for time.

What types of GP contracts can you bid for?

APMS (Alternative Provider Medical Services) contracts are regularly put out to tender by the NHS commissioners – usually Integrated Care Boards or local authorities – every week on the Government’s Find a Tender website. This type of contact enables private sector companies to provide primary care services. They can also be used as a vehicle to commission contracts for services that are outside the scope of core general practice such as helping individuals or groups not signed up to surgeries, for example asylum seekers or the homeless.

PMS (Personal Medical Services) contracts were hugely popular and generally facilitated by NHS England and Clinical Commissioning Groups but these are being phased out in favour of a new Integrated Care Provider (ICP) contract to allow for a better integration of services.

GMS (General Medical Services) contracts are the national standard GP contract.

For more information on the types of GP contracts, see The Kings Fund website.

We tend to work more on bids for APMS contracts and, in partnership with PMA, are here to support and guide GPs and Practice Managers through the tender bid process.

In fact, we have bid on more than 300 health and social care contracts with a win rate of 93%, securing £1 billion in contracts and funding for our clients.

Is there any general practice funding available in the UK?

The latest NHS England waiting list figures, up to November 2023, stand at 7.6 million. That’s 7.6 million people who are all waiting to start elective/non urgent treatments in England.

While this has dropped ever so slightly from 7.7 million in October 2023, it is still much larger than the 7.2 million it was just a year ago in November 2022.

According to The Lancet, NHS England’s recovery plan aims to increase capacity by up to 30%, compared with pre-pandemic levels, over the next three years through a range of measures, including extra staff and increased use of the independent sector.

Due to this significant, unprecedented pressure on our healthcare system, we anticipate that there will be additional funding opportunities for GP Practices and Primary Care Networks (PCNs) made available by NHS England.

The General Practice Improvement Programme (GPIP), for example, provides nationally funded support for practices and primary care networks (PCNs) to implement modern general practice.

There is also funding available to GP practices to help them with going digital, such as cloud-based telephone systems, online consultation software and new appointment booking systems.

Find out more on the NHS website.

If you need help with winning GP contracts or funding, get in touch with K Low Consulting today to see how we can assist you. Contact info@klowconsulting.com or give us a call on 0330 133 1041.

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How will the Procurement Act 2023 affect NHS and other public sector tenders?

NHS procurement

The Procurement Bill received Royal Assent on 26th October and is now known as the Procurement Act 2023 and is likely to come into force in 2024.

But what exactly is it? And what does it mean for NHS and public sector contract tenders?

What is the Procurement Act?

The new Procurement Act aims to reshape the way public sector contracts, including those in healthcare, are awarded. The overarching goal is to streamline processes, increase transparency, and promote fair competition among suppliers.

It is expected that further guidance will be released in March 2024, with a view to the Act ‘going live’ in October 2024.


What will change?

It is likely that any tender processes that have started before the Act comes into effect won’t be affected. Although, there is a question at the moment whether or not this includes Prior Information Notices (PINs) as these are information-only notices and are not actively inviting organisations to tender for a contract and, therefore, have not officially started the procurement process.

Between now and October 2024, legislation needs to be drafted and guidance will be published during the course of 2024. A six-month notice period will also implemented to allow suppliers, local authorities and other commissioners ample opportunity to prepare and embed any new or improved internal processes before the Act becomes law.

How will the Procurement Act change NHS tenders?

The Procurement Act 2023 will replace current procurement rules in relation to NHS and health and social care contracts.

According to the gov.uk website, ‘the new Procurement Act will benefit suppliers of all sizes, particularly start-ups, scale-ups and small businesses’ by creating ‘a central digital platform for suppliers to register and store their details so that they can be used for multiple bids, and see all opportunities in one place. Simplified bidding processes will make it easier to bid, negotiate and work in partnership with the public sector’.

It is also hoped that commercial frameworks will be more flexible and accessible and it will remove some of the bureaucratic barriers currently in place that prevents smaller businesses from competing for contracts. Prompt payment in public sector supply chains has also been cited as a benefit of the new system.

What next?

The Procurement Act 2023 is a significant change to the process of bidding for and winning public sector contracts and we will continue to educate ourselves as this moves forward.

In fact, on Wednesday 22nd November, we attended the Procurement Reform Supplier Conference in Manchester which covered the forthcoming changes at length with speakers from the Cabinet Office and PASS Procurement.

One key thing we took away from this conference that people need to prepare for these changes now or face not making supplier lists.

Other key, recurring themes were the importance of demonstrating sustainability and social value in tender bids. These are likely to be of great significance to commissioners going forward so we would urge potential suppliers to carefully think about what they are doing in these areas and how can they do more and demonstrate their activities in 2024 and beyond.

If you are looking to win more public sector contracts through tenders, or are worried about the impact The Procurement Act 2023 could have on your ability to win lucrative contracts in the future, contact us on 0330 1331 041 or info@klowconsulting.com.

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Tips for creating a successful tender bid

Tender tips

Business growth may feature heavily in your plans and bidding for tenders is an ideal way to achieve those goals.

But, how can you ensure your tender bid stands out over your competitors?

Here are our top tender tips:

  1. Have a clear contract strategy

Finding and developing your contract strategy is a great way to home in on exactly which bids will align with your overall business and growth plans. That’s why we offer a bespoke consultation service to develop this strategy with you, so we get to know your organisation from the inside out. It is the culmination of a team effort – strategic thinking, investigative research, clarity and focus. It also means you won’t get distracted by lucrative bids that are not a good fit for your business and the direction you want to take it in.

2. Analyse any potential contract opportunities

When a tender or contract opportunity presents itself, carry out an opportunity analysis to make sure it not only aligns with your business goals and contract strategy, but that you have the resources and skills to deliver the contract if successful. If you don’t, what do you need to put in place? Will that make the contract financially viable? Or will you be at a loss once you have invested in more people and equipment?

3. Assemble a tender team

Responding to a tender, particularly an NHS or public sector contract, can be a long, thorough process. Think hard about the information you need to gather and who can help you to do this. Also assign a project manager so there is someone leading and coordinating the whole process and providing a clear timeline of the project.

4. Understand the requirements

Thoroughly understand the requirements outlined in the tender document. Identify key deliverables, timelines, evaluation criteria, and any specific qualifications or documentation needed. This will form the structure of your bid and demonstrate to the client that you have a clear understanding of their needs.

5. Don’t rush the writing

It sounds simple but you need to ensure you answer each question fully. Every answer needs to present the correct information be compellingly written to score the highest points possible. As part of our tender writing management process, we have an open dialogue with clients, ensuring that no critical detail is missed. Make sure you also adhere to any word count limits or special directions regarding layout.

6. Emphasise experience and effectiveness

Where there is an opportunity, you need to showcase any relevant experience or achievements. Include case studies, testimonials and qualifications or certificates. Also emphasise cost-effectiveness or any other commercial, environmental or social benefits a potential client will gain from working with you over someone else.

7. Review and refine

Proofread your bid several times checking for accuracy, grammar and that word limits and criteria have been met. Ask colleagues to also review your bid. Do they have anything to add? Could you remove any words that don’t add anything to the submission to sound more concise? When we work with clients, we also ensure the sign-off process fully aligns to our client’s internal quality assurance and governance protocols. Uniquely, where appropriate, we also utilise specialist expert advisers to perform an additional panel review.

For more information or to discuss how we can work with your organisation to help you craft winning tender bids, contact us today on 0330 1331 041 or info@klowconsulting.com.

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New bill will make it easier for businesses to compete for public sector contracts

A new bill is currently being passed through Parliament which aims to make it easier for businesses to enter public sector supply chains.

The Procurement Bill lays out new rules and procedures for central government departments, their bodies and the wider public sector when selecting suppliers and awarding contracts with a value above certain thresholds.

In this blog, we look at what the Bill means, and the ways in which it could benefit Small and Medium Enterprises (SMEs) or Voluntary, Community and Social Enterprises (VCSEs) looking to work with the Government and public sector in the future.

What is the Procurement Bill?

To put it simply, the Procurement Bill will make it easier to do business with central Government and the public sector by breaking down some of the barriers which currently exist, particularly in organisations such as the NHS.

Looking ahead, contracting authorities will be expected to consider SMEs and VCSEs to ensure a level playing field for all. Particular focus will be put on communicating with new suppliers of all sizes and making sure bidding times are realistic, especially for smaller businesses who may not have access to dedicated bidding teams. SMEs may also find themselves in a better position than their larger counterparts with smaller overheads allowing them to put forward more competitive prices.

Other benefits will include:

Greater flexibility of an authority’s ‘commercial pipelines’ and details of opportunities worth up to £2 million published up to 18 months in advance. This will give smaller contractors the chance to plan ahead and make the most of any relevant opportunities which may arise.

The introduction of clear rules about how authorities can communicate with businesses ahead of releasing a tender, giving potential new contractors the chance to network more freely with the authorities without having to worry about falling foul of the guidelines.

The introduction of a central platform where clear information about forthcoming tenders is published making the entire process much more transparent. Businesses will be able to set up email notifications to alert them about bids tailored to them.

A ‘tell us once’ approach – which allows details to be entered into a central platform or database once regardless of how many tenders a business may wish to bid for. There will also be a more flexible approach from the authorities to awarding contracts.

A detailed assessment summary which shows how an unsuccessful bid compares against the winning applicant.

Support with contract management to ensure the successful contractor is able to deliver. New rules will also be introduced removing the need for insurance relating to the performance of a contract.

An enhanced commercial tool called a Dynamic Market will be introduced to allow suppliers to join frameworks at any time rather than being locked out of the process, providing many new opportunities for smaller businesses.

How will it benefit me and my business?

Knowing how to navigate supply chain routes into organisations including the NHS has always been challenging so a Bill which helps to smooth that process will be a huge benefit to innovative small business and organisations looking for a way in.

Greater transparency on all signs can only be a good thing and will enable businesses to be better informed about the opportunities available and the best ways to get involved.

Proper feedback about why a particular bid failed is also important in giving businesses the tools and information they need to grow and succeed and come back with a successful bid next time.

The legislation will allow an authority to award contracts to ‘the most advantageous tender’ without having to be constrained by whichever offers ‘best value,’ a huge step forward for smaller, more local businesses.

And 30-day payment terms will apply throughout public sector supply chains, regardless of whether they are written into the contract. This will mean that businesses will receive payment from contracting authorities within 30 days.

At K Low Consulting, we welcome these changes and look forward to the Bill being implemented as soon as possible.

In the meantime, if you need help with commercial bid writing,bid management and strategy, get in touch with K Low Consulting today to see how we can assist you.

Contact info@klowconsulting.com or give us a call on 0330 133 1041.

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K Low Consulting announces new director

David Oakes

We are pleased to announce that David Oakes, who has been working with us as a consultant for the last two years, has now joined the business as a company director.

David brings a detailed understanding of the health and social care bidding landscape drawing directly upon roles within local government commissioning, charity, third and the private-sector organisations. The experience allows him to provide clients with a detailed understanding of each opportunity, working with them to develop the bid ‘culture’ and associated strategies needed to deliver outstanding submissions – as evidenced by an 89% win rate across all submissions.  

David started working with our founder Krisja Low after meeting at the Minor Oak co-working space in Nottingham just over two years ago. They soon realised their skills and experience complemented each other and David has gone on to work for K Low Consulting on a variety of projects, showing dedication, commitment and passion to both the business and its clients.

David said: “I am hugely excited to come on board as a director at K Low Consulting. Our working relationship has really developed over the last two and a half years and works really well.

“I’m also really excited about the increasing number of tender opportunities relating to health tech. From virtual wards to the hybrid way of working, this sector is only going to grow over the coming months and years and that is great news for the innovative businesses developing and offering these services and technological solutions.”

To find out more about K Low Consulting and the services we offer, go back to the Home Page.

To contact David, email david.oakes@klowconsulting.com.

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What is next for adult social care?

Social care

On 7 September 2021, the government set out its new plan for adult social care reform in England. This included a lifetime cap on the amount anyone in England will need to spend on their personal care, alongside a means-test for local authority financial support.

These plans were part of the Build Back Better campaign announced by the government which has been created to repair the health and social care systems following the devastating impact of the COVID-19 pandemic.

Like similar plans to revolutionise Integrated Care Systems (ICSs), the government wants to bring various agencies and organisations together to reform social care.

How will social care be funded?


From October 2023, the government will introduce a new £86,000 cap on the amount anyone in England will need to spend on their personal care over their lifetime.

In addition to this, the upper capital limit (UCL), the point at which people become eligible to receive some financial support from their local authority, will rise to £100,000 from the current £23,250. The UCL of £100,000 will apply universally, irrespective of the circumstances or setting in which an individual receives care. The lower capital limit (LCL), the threshold below which people will not have to pay anything for their care from their assets will increase to £20,000 from £14,250.

As part of these changes, there has been a proposed amendment to the Care Act 2014 to the way that people within the means test progress towards the cap. This amendment, subject to Parliamentary approval, will ensure that only the amount that the individual contributes towards these costs will count towards the cap on care costs, and people do not reach the cap at an artificially faster rate than what they contribute.

To allow people receiving means-tested support to keep more of their own income, the government will unfreeze the Minimum Income Guarantee (MIG) for those receiving care in their own homes and Personal Expenses Allowance (PEA) for care home residents, so that they rise in line with inflation.

The cap will not cover the daily living costs (DLCs) for people in care homes, and people will remain responsible for their daily living costs throughout their care journey, including after they reach the cap. For simplicity, these costs will be set at the equivalent of £200 per week in 2021 prices.

The means test for financial support will continue to work in the same way as it does currently by determining what someone can afford to contribute towards the costs of their care based on their assets and pension.

What else will change?


As well as the Build Back Better policy proposals, the government also released a white paper in March 2022 entitled People at the Heart of Care: adult social care reform, which went further to pledge fundamental changes to the social care system in the UK over the next three years.

These include:

  • Investing at least £300 million to integrate housing into local health and care strategies, with a focus on increasing the range of new supported housing options available
  • At least £150 million of additional funding to drive greater adoption of technology and achieve widespread digitisation across social care to support independent living and improve the quality of care
  • Releasing £500 million so the social care workforce have the right training and qualifications
  • A new practical support service to make minor repairs and changes in people’s homes to help people remain independent and safe in their home
  • Increasing the upper limit of the Disabilities Facilities Grant for home adaptations such as stairlifts, wet rooms and home technologies
  • Up to £25 million to support unpaid carers
  • More than £70 million to improve the delivery of care and support services, including assisting local authorities to better plan and develop the support and care options available

What does this all mean for tendering opportunities?


With additional funding for adult social care products and services being released, that can only mean one thing – more tender opportunities and potential contracts.

Pushing the adoption of technology, training and qualifications and working with local authorities to develop support services all present fantastic opportunities for organisations in those areas.

If you would like to be made aware when relevant tender opportunities come up in your industry or field of expertise, contact us today on 0330 1331 041 or info@klowconsulting.com to see how we can help.

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Can you deliver on the promises made in your tender bid?

tender contract win

In our last three blogs, we have written about the first three phases of our ‘Four Phase approach’ to tender bids and the benefits of working through these phases to ensure a successful bid outcome.

Phase 1 looks at the importance of developing a contract strategy, which is followed by Phase 2 – Opportunity Analysis and then Phase 3 – Tender Writing and Management.

Our fourth and final phase looks at Implementation and Contract Management, which is essentially the mobilisation stage.

What is meant by mobilisation?


Once you have demonstrated to a commissioner that you have the resources, skills and expertise or perfect product to deliver the contract, you need to deliver the goods, so to speak.

Efficient mobilisation and implementation of your organisation’s services is critical to fulfilling the requirements of the tender and contract.

You need to get the contract ‘up and running’ smoothly, ensuring an easy and enjoyable customer journey for the organisation awarding the contract and any service or product users. You also need to meet any expectations and targets or KPIs (Key Performance Indicators) from day one and keep checking on these regularly.

Processes and guidelines


One way to ensure that everything works as intended and meets client expectations is to create processes. And, if you already have processes in place, break these down and scrutinise them before you are due to start delivering the contract. Can these be simplified or improved in any way? Does everyone in the process know EXACTLY what they need to be doing? Do they have all the equipment, budget and resources they need to be able to deliver the best possible service?

Here at K Low Consulting, we work with our clients to do just this.

As part of our bid management process, we design and develop a Mobilisation and Implementation Plan which provides clear guidelines and schedules and ensures everyone is working to the same specifications and expectations. And, we work with organisations to break down complex processes into manageable work streams with clear ownership of tasks.

Managing growth effectively


Many tender bids, if successful, ultimately result in growth for the business. Growth can sometimes mean that processes that used to work on a smaller scale aren’t as effective once you scale up. And, you can’t just ‘give things a try’ and then fix it if and when it all goes wrong. You need to manage any risk involved and plan ahead, looking for any potential problems as part of the tender bid process so these can be resolved before you are awarded the contract. Use the time between submission and contract award to test any processes and procedures.

Contract management support


We find that managing the delivery of a contract is sometimes easier as an ‘outsider looking in’. An impartial, extra pair of eyes and ears can be hugely beneficial.

Following submission and contract award, we provide ongoing support to our clients during this mobilisation process to ensure timely delivery, accurate reporting and that desired outcomes and targets are achieved.

By focussing on achieving successful outcomes and supporting the growth of your company, we are best placed to provide support to your team too. We can help them understand and implement new services and procedures and understand the benefits. We can also make sure there is accountability when needed to guarantee that the contract is managed and delivered effectively.

Our support is flexible and bespoke, but may include:

•              Summary of implementation plan and key stage gates

•              Handover of reporting documentation with clarification around what needs reporting and the evidence required

•              Summary of key commitments and commissioner options for breach of contract

•              Quarterly progress checks

•              Support with reporting completion

•              Internal performance report, highlighting risks

•              Case study production for marketing purposes

Winning a tender bid can be hugely exciting and grow your business substantially but it is important not to lose your head or assume you can deliver everything you have outlined because you simply believe in your team or product.

Take the time to look at HOW you will deliver this contract and if your processes are fit for purpose. Appoint someone to oversee the contract and hold everyone accountable and check that targets are being met – the commissioner, end user and your team will all thank you in the long run.

For more information or to discuss how we can work with your organisation to help you win and manage contracts, contact us today on 0330 1331 041 or info@klowconsulting.com.

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Do you have a contract strategy?

Many organisations only apply or bid for tenders when they see one that they feel ‘is just right’ for them, or if they need to find new business fast.

Very rarely do we meet companies, charities or public sector organisations who actually have a contract strategy in place. A contract strategy can be a part of your wider growth or business plans and help provide focus and clarity when it comes to knowing which contracts to go for and where your skills and resources are particularly suited.

When you look at contract opportunities strategically and in line with your wider business plan, you can ‘see the wood for the trees’ and ascertain if a particular contract will fit in with the direction you want to take the business in. Do you actually want to grow your business in this particular area? Will you need to invest money in equipment or staff to deliver this contract? If so, could this investment be better spent elsewhere in the business to win other contracts that are more aligned to where you want to be and what you want to be known for?

Our Four Phase approach


When we work with clients, we work to a Four Phase process:

Phase 1 – Business and contract strategy

Phase 2 – Opportunity analysis

Phase 3 – Tender writing and management

Phase 4 – Implementation and contract analysis

Over the coming weeks and months we will explore the other three phases a bit more closely, but for the purpose of this blog, we want to discuss what is meant by a contract strategy and why they are so vital when it comes to tender success.

What is a contract strategy and why do you need one?


If you are a business with growth aspirations, chances are you have a business plan or growth strategy in place. This could be in the form of financial targets, growing the headcount of your team or expanding into new products or services. You may even have plans to take on new premises and grow geographically, or to acquire or merge with existing businesses to strengthen your position in the markets you operate in.

Having a cohesive contract strategy that sees you only tender for and take on contracts that are aligned to your business and growth strategy makes life so much simpler and allows you to focus on the opportunities that are right for your business at the right time, rather than being attracted by the ‘carrot’ of a big money contract that you can’t deliver effectively or that takes you down a road that you didn’t want the business to go down.

Developing your contract strategy


Finding and developing your strategy is a great exercise to carry out at the start of your tender journey, which is why it is Phase 1 of our approach.

Thanks to our many years of experience in this area, we can help our clients to create the most effective contract strategy for their business. We understand that every organisation is unique, so we offer a bespoke consultation service to form a business and contract strategy. This is not something we simply ‘go away and do’. It is very much a collaborative process that sees us get to know your organisation inside out. We also conduct in-depth research on potential competitors you may be bidding against, the contract commissioners and the local and national agenda.

Getting results


Writing a winning tender bid requires more than just excellent writing skills. A great tender is backed by expert research and an acute understanding of your organisation now and where it wants to go. It also about being realistic and transparent. If there are any potential shortfalls, problems or challenges that may prevent you from delivering a contract, these will be highlighted and solutions worked towards before you even bid for the contract, and the work you have done will be evidenced as part of your bid.

Every bid we write is produced in alignment to best practice methodology developed from insight gained from overseeing – and winning – hundreds of bids. This learning has provided intimate knowledge of the time and complexity of every task required to produce a winning submission from our bid team, and that of our clients’ internal teams and their stakeholders.

A winning tender is much more than just the words on the page, it is the culmination of a team effort – strategic thinking, investigative research, clarity and focus.

If you are clear and confident in your business and contract strategy then you can make informed choices about future tender opportunities that best suit your organisation and will make it thrive and grow further.

Then you are ready for Phase 2 – Opportunity analysis…

If you would like help with developing a business and contract strategy for your organisation, get in touch with Krisja Low on 0330 1331 041 or info@klowconsulting.com.

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What is the NHS System Oversight Framework and what does it mean for procurement going forward?

NHS procurement

At the end of June, NHS England (NHSE) announced plans to transform the way integrated care systems (ICSs) buy non NHS goods and services in a document entitled NHS System Oversight Framework 2021/22.

But what is the significance of this framework? And what will it change for companies and organisations looking to land NHS contracts?

What is the NHS System Oversight Framework?

The NHS System Oversight Framework for 2021/22 replaces the NHS Oversight Framework for 2019/20, which brought together arrangements for provider and Clinical Commissioning Groups (CCGs) oversight in a single document.

The purpose of the document/framework is to reinforce the system-led delivery of integrated care, in line with the vision set out in the NHS Long Term Plan, the White Paper Integration and Innovation: Working Together to Improve Health and Social Care for All, and aligns with the priorities set out in the 2021/22 Operational Planning Guidance.

This framework applies to all Integrated Care Systems (ICSs), Clinical Commissioning Groups (CCGs), NHS trusts and foundation trusts and focuses on five key metrics:

  1. Quality of care
  2. Access and outcomes
  3. Preventing ill health and reducing inequalities
  4. People; finance and use of resources
  5. Leadership and capability

The approach to oversight is characterised by the following key principles:

a. working with and through ICSs, wherever possible, to tackle problems

b. a greater emphasis on system performance and quality of care outcomes, alongside the contributions of individual healthcare providers and commissioners to system goals

c. matching accountability for results with improvement support, as appropriate

d. greater autonomy for ICSs and NHS organisations with evidence of collective working and a track record of successful delivery of NHS priorities, including tackling inequality, health outcomes and access

e. compassionate leadership behaviours that underpin all oversight interactions

Implementation of the framework

While the scope of this framework reflects the role of NHS England and NHS Improvement as a national regulator of NHS provided and/or commissioned  services, it also recognises that ‘the vision for ICSs is based on the core principles of equal partnership across health and local government: subsidiarity, collaboration and flexibility’ and that ‘delivering the priorities for the NHS depends on collaboration across health and care, both within a place and at scale’.

But implementing the framework won’t be easy and straight forward.

NHS leaders are looking for specificity in how oversight will operate within a system context and there will need to be a high degree of flexibility to design approaches that best reflect local circumstances and maintain ownership and engagement across the full range of system partners.

But implementing the framework won’t be easy and straight forward.

NHS leaders are looking for specificity in how oversight will operate within a system context and there will need to be a high degree of flexibility to design approaches that best reflect local circumstances and maintain ownership and engagement across the full range of system partners.

When will the framework be implemented?

The existing statutory roles and responsibilities of NHS England and NHS Improvement in relation to trusts and commissioners remain unchanged for 2021/22. The framework sets out how NHS leaders and organisations will be required to operate with their partners in ICSs from April 2022.

The oversight framework will be updated further for 2022/23. The updated document is expected to confirm ICSs’ formal role in oversight including:

bringing system partners together to identify risks, issues and support needs and facilitate collective action to tackle performance challenges

and

leading oversight and support of individual organisations and partnership arrangements within their systems.

What does it all mean going forward?

The thinking behind the framework is that local NHS procurement teams will be able to change the way they buy non-NHS goods and services and move towards a more system-level way of working, and away from procurement teams dedicated to single organisations.

ICSs will be able to “tailor their procurement organisation structure based on their respective level of maturity, spend profiles, associated phasing of roles and local considerations” but the lack of data harmonisation at local, regional and national level and clarity around best practice approach could make implementation difficult.

With regards to companies who are looking to supply the NHS at a local level, they will have to keep an eye on how this framework develops between now and April 2022 and establish relationships with the ICSs who will soon be in charge of their own procurement and spending.

If you are looking for help with securing NHS contracts, contact the K Low Consulting team on 0330 1331 041 or info@klowconsulting.com.