HIV-associated Neurocognitive Impairment (HNCI) Service

Mildmay Mission Hospital provides services for people with HIV who have cognitive impairment, HIV related brain injuries or complex physical rehabilitation needs. The services provided are specialised but falls outside the range of services provided under the NHS England Specialised Commissioning arrangement. It provides a specialist interdisciplinary assessment & rehabilitation service which can be delivered on an inpatient or or outpatient 'day service' basis depending on the needs of the person. The patient pathways encourage as much self-management as possible and are an acute admission avoidance strategy. Key areas of expertise and service include: • HIV Associated Neurocognitive Disorder (HAND) • Rehabilitation for complex physical conditions • Respite care where patients are admitted to deal with adherence issues, psychological support, nutrition support, step down from hospital care • End of life care • Day services A Market Engagement process was undertaken to ascertain whether there was any interest from other potential capable providers. In line with the CCGs obligations under the Public Contract Regulations 2015 and NHS Regulations 2013, the potential contract opportunity was advertised on both OJEU and Contracts Finder for a period of 3 weeks. The advert clearly stated that responses would be used to inform the CCGs commissioning approach and whether a full competitive process would be run. The conclusion of the Market Engagement process is that there is no no benefit to patients or the CCG that could be achieved through competing this service.