A Prospectus for the Provision of Innovative Technology Enabled Care in Leeds Introduction The City’s leading commissioners of services in health and social care aim to position Leeds at the centre of the UK and global health and social care economy with a clear ambition to be the best for Health and Social Care Innovation. We’re making good progress towards delivering this ambition through our Joint Health and Well Being Strategy and through the declared commitment by all the key health and care services organisations to ‘work as one’ in enabling healthy and productive lives for all our population. We also believe that our unique health and social care ecosystem and its assets (including one of Europe’s largest teaching hospitals and the UK’s leading cluster for health data and analytics) can help drive the growth of our economy by providing an ideal investment launch pad into the UK health and social care market. An Inclusive Approach We are also committed to an approach which is participative and transparent. We wish to include citizens and patients and key community providers such as Leeds Teaching Hospitals Trust and Leeds and York Partnerships NHS Foundation Trust working closely together with companies and third sector organisations to co-create a sustainable, highly integrated health and social care system delivered, at pace, through innovative new products and services to improve the health and social care of people in Leeds, the region, the UK and internationally. Our Vision Our vision is for measurable improvements in, patient and service user satisfaction, patient and citizen involvement with their own care and cost effectiveness of health and social care for families in their communities and neighbourhoods. These measurable improvements should be delivered through new models of care based on an effective population health and a wellbeing management system. We therefore wish to co- create innovative new models of personalised care which people find easier to access, install and use; are provided in or closer to people’s homes and wherever possible prevent ill-health and hospital admission. We intend to build on the strong technological foundation in Leeds which provides us with a catalyst for further rapid development and implementation. We are committed to the development of connected platforms for our cities and communities and which are based on interoperability, open standards and, where possible, open source approaches. The purpose of this Prospectus is to alert prospective innovators and investors to the anticipated future requirements of the Council and its NHS partners and to enable premarket engagement with interested parties to support refinement and scoping of the individual collaborations and procurements which develop from the discussions. Our priorities The new technologies we wish to develop are aligned with NHS England’s Technology Enabled Care Services (TECS) Resource for Commissioners and include services defined as Telehealth, Telecare and Assistive Technology to support closer integration of services and enable patients and citizens to live well and, where needed, access services effectively and efficiently. Specifically we are seeking to refine our scoping of future procurement activity to enable development of innovative solutions for TECS in the following priority areas Accelerating the scaling up and rolling out of the delivery of the Leeds Electronic Care Record including pilots/testing /solution finding– a key strategic project for the city where systems and essential information is integrated to create a real time citizen centred view from across Health and Social Care Organisations Supporting development of whole systems demonstrators of telehealth, telecare and telecoaching services to create ‘at scale’ services to support electronic prescribing, monitoring and management. Transformation in the way that Assistive Technology services are delivered in Leeds – Following the successful establishment of a New Assistive Living Hub (Phase 1) in the City we are seeking to transform the way that Assistive Technology services are delivered in Leeds through the development of Assisted Living Leeds Phase 2. This will include development of a Smart House to demonstrate new and existing Assistive Technology products within the context of a real home, a retail unit which will provide the means for service users to purchase Assistive Technology related products, an Innovation Lab where service users can contribute to the design and development process of AT solutions via focus groups held with designers and manufacturers, and a dementia awareness / testing space. Citizen Driven Health The ‘mHealth Habitat’ a programme where people who access health services, NHS professionals and local developers come together to co-design digital solutions which contribute to better care Maximising the impact of Data and Analytics in Health and Social Care; providing a platform in Leeds to support use of data to deliver better health outcomes using integration and clinical support technologies Over all our aim is to facilitate high quality services in the right place, backed by excellent research, innovation and technology - including more support at home and in the community, and using hospitals for specialised care. The Financial Context It is envisaged that these projects will enable delivery of innovation and support transformation of services across the health and social care system in Leeds. The scale of the opportunity is significant. The annual value of commissioning In Leeds is £1.84 bn. The annual value of expenditure on ICT Services is £35m. The estimated scale of deficit to be addressed and funded through our programme of transformation is £650m (of which £230m remains unfunded and requires new solutions). Innovation through technology enabled care has a key role to play in the development of these solutions to improve health outcomes and where possible reduce cost. Time Table and Stages for our proposed process of engagement: 1) Supplier Day 15th July Supplier industry day(s) will be held for suppliers which express an interest in response to this Prior Information Notice with the first event held on 15th July. 2) Expressions of Interest to be submitted by 18th September An Expression of Interest profroma will be issued at the Supplier day and prospective innovators and investors seeking to enter collaboration with the Council and its NHS Partners will be invited to complete and submit this form if they wish to be considered for participation in our soon to be launched, Innovation Den. 3) Short listing for the Innovation Den (mid September to 30th October) The Leeds Health Innovation Den will be a Commissioner led schedule of regular engagement events with Private and Social Enterprise partners and ‘inhouse’ intrapreneurs. This will provide an early screening of ideas to examine potential for collaboration. Key providers in health and social care will also have a key role to play. The ‘offer’ for entrepreneurs/intrpreneurs is they will get an opportunity to ‘pitch’ with early stage access for ‘soundings’ from clinicians and system decision makers to help them shape and tailor their innovations and investments better to meet our health system’s needs and priorities. 4) Shortlisting for Collaboration Following each Innovation Den and taking into account the evaluation of the proposal – Commissioners /Key Providers will determine the next steps guided by a limited menu of options Accept – and work directly with the proposer to progress Defer – pending further information Refer – to other partners in the health system Reject – with reasons √or x √or x √or x √or x 5) Shortlisting for Collaboration (End October –26th February) If the decision is to accept work will commence with the provider to bring scope and shape the proposal into a draft collaboration agreement covering progress towards testing and stages necessary for scaling up. 6) Collaboration – will provide the conditions and agreement required before testing and evaluation (February –15th April) 7) Testing and Evaluation – would involve resources being made available from partners to the agreement 8) Market Testing - If the Council and NHS Partners are minded to proceed to procurement they may be minded to pursue further engagement with the market. The scope and details of this are provided below. A diagram summarising the different stages has been provided below. Consider the framework to support priorities in Leeds Health and Social Care Respond to PIN Notice and attend the Supplier Day Submit a completed expression of interest Selection for and attendance at Innovation Den or workshop Shortlist for collaboration: Scoped and specified Pre collaboratory discussion Collaboration approved Testing and evaluation Market testing The Council and partners will at this stage consider whether and what further clarification or pre-market engagement will be carried out to develop the scoping of procurement activity or the views of the market more specifically, which may include further engagement with groups or particular types of organisations which express an interest pursuant to this Prior Information Notice. The Council and partners will keep interested organisations informed as to how they intend to develop their pre-market engagement, which shall be carried out in accordance with any applicable provisions of Regulations 40 and 41 of the Public Contracts Regulations 2015. The Council and its partners will then determine the next steps to enable delivery of their priorities, which may include(without limitation) further research and development and/or testing to refine their needs and requirements, an open or restricted competitive process, or use of the Innovation Partnerships procurement route under the Public Contracts Regulations 2015. Interested parties will not be prejudiced by any response or failure to respond to the soft market testing exercise and a response to this PIN does not guarantee any invitation to participate in this soft market testing exercise or any future public procurement process. This PIN notice does not constitute a call for competition to procure any services, supplies or works for the Council and partners and the Council and partners are not bound to accept any proposals offered. The Council and partners is not liable for any costs, fees or expenses incurred by any party participating in the soft market testing exercise. Any procurement of any services, supplies or works by the Council and partners in due course will be carried out in compliance with applicable requirements of the Public Contracts Regulations 2015. Address for completed Expressions of Interest Colin Mawhinney Head of Health Innovation Leeds Health Partnerships Enterprise House 12 St Pauls Street LS1 2 LE colin.mawhinney@leeds.gov.uk Deadline for submissions; noon on 18th September 2015