Title: NHS National Framework Agreement for Agency Nursing
1NHS National Framework Agreement for Agency
Nursing
- Supplier Conference
- Toute Suite, NEC, Birmingham
- 24 March 2009
2Introduction
- Carol Holroyd
- Lead Supplier Relationship Manager
- Temporary Staffing (Clinical) Team
3Introduction
- Housekeeping
- sign in
- toilets
- fire alarms
4Principles
- no recording or photography permitted
- questions will be taken between presentations and
at the end - any information presented will be made available
on the PASA website www.pasa.nhs.uk - a link to the correct webpage will be sent via a
Bravo message
5Introduction
- welcome and congratulations to everyone for
completing the PQQ stage - purpose of today is to provide you with
information on - Introduction
- Invitation to Tender Phase
- Terms and Conditions
- Engagement with the NHS
- Audit
- Completing the offer schedule
- Bravo
- Questions and Answers
6Introduction
- Progress to date
- PQQ1 initial information gathering
- Pre award audits assessing current processes
- PQQ2 detailed information on supplier
capability and capacity - Each of you have passed the PQQ stage and the
remaining evaluation will be based on cost to the
NHS and value for money, references and audit
scores.
7Invitation to Tender
- What is it?
- Invitation to Tender (ITT) - Pricing phase within
a procurement exercise, where costing and other
information is sought from Suppliers - When?
- After short listing suppliers following the PQQ2
phase - After the Terms and Conditions of Contract (Ts
and Cs) are finalised
8Invitation to Tender
- Process
- Ts and Cs (currently in DRAFT format)
- Suppliers have until 12.00 noon 27 March 2009 to
comment - Ts and Cs finalised
- Suppliers required to complete the ITT schedule
as per the requirements of the Final Ts and Cs - information required will include
- Supplementary pricing e.g. ENIC
- Nursing rates per SHA
- Nursing rates per sector and band
- Discounts
- full instructions for completing the ITT schedule
are included in the Excel document
9Evaluation
- Evaluation
- ITT will be discussed with NHS stakeholders - a
cost assessment of all suppliers will include - overall relative position
- comparison of supplier costings
- note any anomalies, errors, omissions,
assumptions - the evaluation will also take into account audit
results and references - under no circumstances will NHS PASA disclose any
information to any other Suppliers about their
submissions - If offers are acceptable no further stages will
be required
10Key dates
- Anticipated issue of ITT 2 April 2009
- Anticipated receipt of tenders 30 April 2009
- Evaluation, stakeholder meetings and
recommendation phase - Anticipated award notification 15 July 2009
11The next steps
- ensure timescales are met
- team will be available throughout to answer
queries - ensure initial questions sent through Bravo and
we will call you if required - take note of future dates and ensure appropriate
cover - rates submitted must be sustainable and enable
you to meet the requirements of the terms and
conditions of contract - there will be hopefully just one pricing phase to
this process please bear this in mind when
completing tender
12Terms and Conditions of Contract
Neil Baigent Supplier Relationship Manager
Temporary Staffing (Clinical) Team
13Terms and Conditions of Contract (Ts and Cs)
- Objective to provide Suppliers with
- an overview of
- the proposed NHS Terms and Conditions of
Contract and - countering fraud within the NHS
- greater understanding of latest NHS requirements
- by highlighting a number of specific clauses and
clarifying any issues
14Ts and Cs
- Developed as a result of NHS stakeholder
involvement - Proposed Ts and Cs, including all schedules and
annexes, set out the terms and conditions of
contract that shall be used by all Participating
Authorities when sourcing nurses of all bands and
sub-job families including community services
nurses, dental nurses, health visitors, midwives
and theatre nurses from the Supplier - no requirement for any NHS body or other named
organisation to join the national framework
agreement - any provision of the Services to any NHS body
within England or other named organisations must
be supplied at all times under the national
framework agreement, its pricing and its NHS
Conditions of Contract
15Ts and Cs
- NHS Terms and Conditions of Contract
- standard NHS Ts and Cs and typically general in
nature, eg, clauses relating to - variation of the conditions of contract
- audit
- complaints procedure
- data protection
- performance of the services
- race equality and unlawful discrimination
- compliance
- limitation of liability and insurance
- termination and default by the supplier
- transfer and sub-contracting
- inducements to purchase
16Ts and Cs
- Schedule 1 (Definitions)
- Defines the words and expressions most commonly
used throughout the Ts and Cs, eg -
- Nurse means an Agency Worker who is or is held
out by the Supplier to be - (i) a nurse, midwife, health visitor, nurse
advisor or any other category of registered
nursing personnel on the relevant Professional
and Regulatory Body professional register or - (ii) a qualified ODP registered with the
relevant Professional and Regulatory Body
17Ts and Cs
- Schedule 2 (Staff and Agency Workers)
- Specific operational policies and procedures, eg
sets out the following - Suppliers staff requirements
- Agency Workers requirements
- Job Profiles
- Health Immunisation
- Agency Worker Obligations
- Uniform and Identification Badge
- Training
- Agency Worker Appraisals and Management
18Ts and Cs
- Schedule 3 (Recruitment Procedures)
- Specific operational policies and procedures, eg
sets out the pre-employment screening checks that
are required to be undertaken by Supplier - Objectives of these checks are to
- provide a safe and secure environment which
protects patients, staff, visitors and their
property and the physical assets of the
organisation - ensure that the Supplier relates the information
provided by the Agency Worker to that person and
is used by the Supplier to determine that the
Agency Workers identity is genuine, relates to a
real and living person and establishes that the
individual owns and is rightfully using that
information
19Ts and Cs
- Many of these checks are required by law and
bring together a range of guidance, advice and
mandatory requirements from Government
departments and other organisations. - The Supplier shall not use any Agency Worker in
the provision of the Services if - they have failed such checks or
- would have failed such checks had they been
conducted immediately prior to the Agency Worker
being used in the provision of the Services - Face to Face interview
- Supplier shall use only suitable trained,
experienced and competent personnel to conduct
face to face interviews - Staff handbook
20Ts and Cs
- Schedule 4 (Placement Procedures)
- Specific operational policies and procedures, eg
sets out the placement procedures that are
required to be undertaken by Supplier - Agency Worker Placement Checklist
- End of Placement Assessment Reports
- NHS Counter Fraud Services timesheet requirements
21Ts and Cs
- The Supplier shall not put forward or commit an
Agency Worker in the provision of the Services
until it has obtained the agreement of that
Agency Worker to deliver those Services. - Once agreement has been obtained, the Supplier
shall provide for each Agency Worker put forward,
if requested - a completed Agency Worker Placement Procedure
checklist - clear copies of associated verified documentation
retained by the Supplier on the Agency Workers
file to demonstrate compliance with the NHS
conditions of contract
22Ts and Cs
- Schedule 5 (Booking Arrangements)
- Specific operational policies and procedures, eg
sets out the booking procedures that are required
to be undertaken by Supplier - Response times
- Unsolicited details
- Coverage and Fill rates
- Service Availability
23Ts and Cs
- Schedule 6 (Service Level Agreement Requirements)
- Specific operational policies and procedures, eg
sets out the permitted content of a SLA that may
be negotiated between the Participating Authority
and one or more of the awarded Suppliers
24Ts and Cs
- Schedule 7 (Payment)
- Specific operational policies and procedures, eg
set out the payment procedures that are required
to be undertaken by Supplier - Contract Price
- NHS Counter Fraud Services invoicing requirements
- SLA Volume of Business Level discounts
- Accommodation Payments, Travel Expenses and other
disbursements - Placement Fees
25Ts and Cs
- Schedule 8 (Quality Assurance and Supply Contract
Monitoring) - Specific operational policies and procedures, eg
sets out the following requirements - Quality Assurance
- Supply Contract Monitoring
26Ts and Cs
- Annexes
- 1A Job Profiles
- 1B Professional and Regulatory Bodies
- 2A Recruitment Procedure Checklist
- 2B Agency Worker Placement Checklist
- 3 Agency Worker Timesheet
- 4 Certificate of Fitness for Employment
- 5 Fill Rate Calculation Methodology
- 6 Structured Reference format
- - or any other Good Industry Practice format
that satisfies the requirements
27Countering fraud
- NHS Counter Fraud and Security Management
Service - created September 1998
- responsible for investigating all fraud impacting
upon NHS - powers of seizure/entry/access to staff under
Secretary of States directions
28Countering fraud (cont.)
- There is no statutory offence of fraud
- a colloquial term for offences which involve
the obtaining of property/monies by some form of
deception or gaining the opportunity to do so
29Countering fraud
- Examples of fraud include
- Falsified invoices and timesheets
- False Declarations of qualifications
- Failure to declare convictions
- False identity
- Use of false documents to gain employment and
- Working whilst off sick
30Countering fraud (cont.)
- Worked in partnership with the NHS PASA to
- develop best practice timesheets and invoices
- incorporate other counter fraud measures
regarding pre-employment screening checks
31NHS Conditions of Contract
- Any comments?
- required by no later than 12.00 noon on 27 March
2009 - via Bravo messaging service
32Engagement with the NHS
Susan Dickson Customer Relationship
Implementation Manager (North) Temporary
Staffing (Clinical) Team
33What will this presentation cover?
- an overview of the Customer Relationship
Management Team - details of the stakeholder engagement strategy
for the new national agency nursing agreement - progress with the regional stakeholder forums and
next steps - planned implementation activity post award
34Customer Relationship Management (CRM) (1)
- work closely and collaboratively with Supplier
Relationship Management colleagues within the
Temporary Staffing (Clinical) Team - CRM team consists of
- - Paddy Howlin Lead Customer Relationship
Implementation Managers national overview - - Susan Dickson Customer Relationship
Implementation Manager North including
Midlands regions - - Penny Rogers Customer Relationship
Implementation Manager South - - Customer Relationship Implementation
Advisors working across the country to provide
support to the NHS
35CRM (2)
- lead the implementation of all NHS PASAs
clinical temporary staffing frameworks agreements - raise awareness and obtain compliance to NHS
PASAs framework agreements by promoting the key
benefits, influencing uptake and providing the
NHS with opportunities to achieve value for money - provide the NHS with subject matter expertise to
make best use of NHS PASAs framework agreements
- lead stakeholder engagement with Collaborative
Procurement Organisations (CPOs) and NHS trusts
across England
36Stakeholder Engagement Strategy for Agency
Nursing (1)
- Development of 10 regional forums based on
Strategic Health Authority boundaries - Inform, discuss and agree with stakeholders NHS
PASAs proposal and sourcing strategy for the new
National Agency Nursing Framework Agreement - Conduct regular meetings to update stakeholders ,
seek their engagement and provide opportunities
for their participation in key activities
throughout the procurement process - Participation of Collaborative Procurement
Organisations and NHS trusts within each region
(including those not part of CPOs)
37Stakeholder Engagement Strategy for Agency
Nursing (2)
- Provide the NHS with an opportunity to influence
the development of the new agreement (including
pricing structure and regional supplier base) - Upon award, maintain forums to support contract
implementation and ongoing management/contract
development - Maintain awareness of the agreement at a regional
level - Engagement strategy designed specifically so NHS
locally feels it has ownership for the new
agreement leading to buy in and commitment from
the NHS
38Regional Forums to date
- Each of the regional forums have met twice to
date - Meeting 1 November/December 08
- stakeholder groups structure and objectives
- PASAs proposed sourcing strategy stakeholder
feedback - project timescales
- comments on draft Conditions of Contract
- information and data regarding current regional
supply base - Meeting 2 January 09
- update on progress of procurement process
- review of pricing structures for consideration
obtained views and thoughts to take forward for
the final regional pricing structures - comments on draft job role profiles
39Regional Forums next steps
- Meeting 3 April 2009
- confirmation on final pricing structures
- progress on project timescales and next steps
- Meeting 4 June 2009
- recommendations for contract award per region
- stakeholder comments
- update on next steps in the procurement process
- preparation for implementation
- Meeting 5 September 2009
- contract award confirmed and details of
participating suppliers provided - present information packs, pricing and
implementation tools available - implementation strategy and roll out of the new
agreement
40Implementation activity post award
- Providing NHS secure access to all framework
pricing via the Agency Information Management
System (AIMS) - Focused marketing and implementation plan to
supplement activity undertaken by participating
suppliers raising further awareness of the new
agreement and informing the NHS about the key
benefits - Working directly with CPOs and NHS trusts to
implement the new agreement advice, guidance
and support provided by the CRM team - Development of implementation packs to support
the roll out of the new agreement - Ongoing management of stakeholder groups and
relationships
41Audit
- Jane Conway
- National Audit Programme Manager
- Nursing NFA commencement 01 October 2009
42Pre Contract Commencement
- From now to end September 2009, the following
processes need to be in place - Completed registration with Commission for Social
Care Inspection (CSCI) (now part of CQC) - Criminal Records Bureau (CRBs) and ISA Regulated
Activities registration - Recruitment procedures
- Regulatory Body registration
- Training provider
- Competent Occupational Health Service provider
43Commission for Social Care Inspection
- CSCI
- each agency wishing to supply registered nurses,
including all its trading branches, must be
registered with CSCI and have a current named - Registered Manager and
- Responsible Person
- The named Manager and responsible person will
hold a satisfactory CRB registered to that agency
44Criminal Records Bureau
- Clause 13.2.2.1
- The supplier shall itself obtain and have
received the results of a satisfactory Enhanced
disclosure from the criminal records bureau
before the supplier deploys any such agency
worker in the provision of the services to the
Authority. - Enhanced disclosures to be registered in the
Suppliers name
45Recruitment procedures
- Annex no. 2A (Recruitment Procedures)
- Application forms
- Verified Employers References
- Verified personal identification
- Written record of the face-to-face interview
- Verified Nationality and Immigration Status
- Certificate of Fitness for Employment from
competent OH service provider
46Regulatory Body Registration
- The Supplier shall ensure that prior to the
Agency Worker being supplied in the provision of
the Services, the Agency Worker complies with the
requirements as set out by relevant Professional
and Regulatory bodys standards of competence,
training and proficiencies, as appropriate eg, -
- GDC (Dental nurses)
- HPC (ODPs)
- NMC (registered nurses and health visitors)
47Training
- Section 7 (Training) of Schedule 2 (Staff and
Agency Workers) -
- The Supplier shall ensure that prior to the
Agency Worker being supplied in the provision of
the Services that the Agency Worker has received
induction and thereafter on an annual basis (with
the exception of life support which shall be
renewed in accordance with the latest
Resuscitation Council UK and the Authoritys
guidelines)
48OH Provider
- Section 4 (Health Immunisation) of Schedule 2
(Staff and Agency Workers) - If the Supplier does not have its own
occupational health service that meets the
requirements, it must establish contractual
arrangements with either an NHS body that offers
an occupational health service or other competent
occupational health service, to ensure that
expert and comprehensive health assessments are
undertaken on all Agency Workers prior to being
supplied in the provision of the Services
49Immunisation
- Paragraph 4.6.2.
- Has demonstrated the required levels of immunity
Or received immunisation, as appropriate, in
respect of the following diseases, in accordance
with latest Department of Health guidelines
regarding healthcare workers - Hepatitis B
- Measles
- Mumps
- Rubella
- Tuberculosis
- Varicella
50Immunisation
- Paragraph 4.6.3
- in the case of an Agency Worker who may
reasonably be expected in the course of their
normal duties to perform Exposure Prone
Procedures, in addition to the requirements of
paragraph 4.6.2 above, has demonstrated that the
required blood tests using identified, validated
samples have been conducted and appropriate
negative results for the following diseases have
been received - Hepatitis B
- Hepatitis C and
- HIV
51Essential reading
- NHS Employment Check Standards, NHS Employers,
March 2008 - National Minimum Standards for Nurses Agencies,
Department of Health, January 2003 - Nurses Agencies Regulations 2002
- Care Standards Act 2000
- Code of Practice for the International
Recruitment of healthcare professionals,
Department of Health, December 2004 - A Good Practice Guide on Pre-Employment
Screening, Centre for the Protection of National
Infrastructure, February 2008
52Independent Safeguarding Authority
- Implementation from 01 October 2009
- Clause 13.2.3.
- The Supplier has obtained and received the
results of a Regulated activity registration
status check for that agency worker with the ISA
before the worker is supplied in the provision of
services to the Authority
53Contact
- National Audit
-
- nationalaudit_at_pasa.nhs.uk
54Completing the Offer Schedule
Laura Hale Category Specialist Supplier
Relationship Management Temporary Staffing
(Clinical) Team
55Offer schedule
- complete for each Strategic Health Authority 10
- complete for each Home Country e.g. Scotland,
Wales, Northern Ireland their participation is
optional and this tender does not automatically
override any current arrangements - Review of offer schedule
56Invitation to tender - Bravo
- Juliet Pollard
- Sourcing Manager
57 Important dates
- 2 April 2009 anticipated issue of ITT documents
via Bravo - 28 April 2009 anticipated deadline for queries
to be submitted via Bravo message system
(Deadline 12.00 noon) - 30 April 2009 anticipated deadline for ITT
submissions (Deadline 12.00 noon)
58 Attachments
- Offer schedule
- Naming protocol Supplier Name filename
- (e.g. ABC Nurse Offer Schedule)
59 Actions
- Ensure Bravo profile contact details (especially
e-mail addresses) are kept up to date - Ensure access is available to the system
- Check all message notifications
- Advise of any problems as soon as possible
- Reject ITT if not going ahead with response
- DONT LEAVE IT UNTIL THE LAST MINUTE!!!
60 Contacts
- Bravo messaging system
- NHS PASA Sourcing (project specific)
- Helen Hess 0114 229 9953 / 07876 508629
- helen.hess_at_pasa.nh.uk
- Bravo helpdesk (technical queries)
- 0800 0112470
- help_at_bravosolution.co.uk
61Questions and Answers
62Question and answer Session
- Carol Holroyd Lead SR Manager
- Neil Baigent SR Manager
- Jane Conway Audit Programme Manager
- Susan Dickson CRIM Manager (North)
- Linda Carpenter SR Specialist
- Laura Hale SR Specialist
- Kim Law SR Specialist
- Siu Fong Yau Data Analyst
- Juliet Pollard Sourcing Manager
- Louise Monahan SR Support