PRJ-863 Bexley and Greenwich CCGs Urgent Treatment Service (Urgent Treatment Centres and Out -of-Hours Treatment)

Bexley and Greenwich Clinical Commissioning Groups (BG CCGs) wish to commission Urgent Treatment Centre services (UTCs) and an Out-of-Hours Home Visiting service (OOHHV) as part of a wider alliance of providers for Urgent and Emergency Care. All services will be commissioned under a single contract. The BG CCGs' vision for their residents are GP led multi-disciplinary services that effectively prevent avoidable ED attendances and ensure that patients are treated in the most appropriate setting, according to their clinical and wellbeing needs, making use of the latest digital opportunities. Bexley and Greenwich CCGs' wish is to provide a system wide approach to healthcare of which Urgent and Emergency Care is an important component. The urgent treatment service provider will be expected to work with system partners in order to provide right care, right time, and right place. There needs to be a particularly strong emphasis on supporting and working collaboratively primary care and with acute providers within the Emergency Department setting. Our intention is to have an urgent treatment service provider who is an integral active partner of an Urgent and Emergency Care Alliance and is truly integrated with the wider local health and social care system working together to support patient care and financial stability of the system. It will be expected that over the course of the contract the Provider will become an integral member under a wider Alliance Agreement. There will be three local urgent treatment centres across the 2 boroughs: • One co-located at Queen Elizabeth Hospital Woolwich (QEH), • One standalone unit in North Bexley at Erith & District Hospital (EDH), and • One standalone at Queen Mary's Hospital Sidcup (QMS). Within Bexley and Greenwich the vision is to create an urgent and emergency care system (one system multiple facilities) that is capable of delivering equitable access to the right care first time for patients, through an integrated model with services provided along robust pathways 24/7. This is an opportunity for a genuine integrated Urgent and Emergency (UEC) Care service, aligning NHS 111, London Ambulance Service (LAS), intermediate care services, community services, General Practice, GP extended hours hubs, social care, mental health care and Hospital Services. At the Queen Elizabeth Hospital (Woolwich) site we expect a seamless integrated service co-located with the Emergency Department. Our population across North Bexley is predicted to see significant growth, particularly within the working age population, in addition to a challenging physical site footprint. Both will require innovative ways of working and we would want to see investment in digital technology to help future proof and achieve our ambition.The Greenwich UTC based at the QEH will be open 24 hours a day / 7 days a week.