In order to reduce the lead time between diagnosis and treatment, the Department of Health is introducing choice, changing the way patients are referred into secondary care. The revised process allows patients to make appointments at the GP’s surgery, online or by phone. To support this last option, the DH chose to provide a single national Appointments Line, initially provided by NHS Direct, a public sector organisation focussed on delivering healthcare advice by phone. NHS Direct’s general performance was poor. The DH needed to develop and implement improved arrangements.
David led the Operational workstream of a project to diversify supply risk by securing the services of a private sector contractor to service a proportion of demand, and provide a challenge to NHS Direct, in order to improve its performance. The project used a procurement harnessing for the first time OJEU’s ‘Competitive Dialogue’ procedure, working with legal and financial workstreams. David’s team was responsible for preparing key parts of the prospectus, service definition, pre-qualification questionnaires, dialogue and tender documentation for the service being procured, as well as technical evaluation criteria used to down select during the dialogue process. He also led the DH team through a series of workshops to develop a strong performance management framework and reward system, captured in the payment and performance mechanism.
The OJEU notice generated 17 completed pre-qualification questionnaires. David’s team assessed and analysed these in order to develop a short list of four companies. These companies were led through the dialogue process – basically a series of pre-tender negotiations – and all four submitted complaint and competitive proposals.
In parallel, NHS Direct reacted to the potential introduction of competition by improving its performance.