Royal Free London NHS Foundation Trust Renal Dialysis Service Managed Service Agreement

Royal Free London NHS Foundation Trust ("RFL") is seeking to procure renal dialysis provision through a partnership with an independent dialysis provider contracted under a Managed Service Agreement (MSA) to work together as a long-term strategic partner. This is in response to a requirement for the Trust to relocate its renal service from an existing kidney care unit based on the St Pancras Hospital site currently undergoing redevelopment and is also intended to future proof dialysis capacity which is under significant strain given ongoing growth in demand. The MSA contract scope: • The MSA will include the potential for the provision of clinical (nursing) services, clinical and non-clinical supply chain, medical and non-medical equipment, soft and hard facilities provision and management. There should be provision for nursing, admin and support services staff to be provided by the industry partner under the MSA. • The MSA will have two separate contracts with two separate contract prices and two separate invoicing trails for a) clinical services and b) facilities management services. It is RFL's preference to contract with one lead provider for both contracts, however, this does not rule out subcontract arrangements between providers which could include SMEs and VCSEs. • Clinical services will not be required for the first dialysis unit opened under the MSA as NHS employed staff will transfer from the current St. Pancras Hospital location. • It is expected that the industry partner will hold/novate the lease/s for any units commissioned under the MSA. • It is expected that the industry partner will provide any capital funding required and undertake refurbishment, remedial works and/or supply equipment required to make the units fit for purpose operationally. • It is expected that RFL will reimburse an industry partner on a pay-per-treatment basis and will not guarantee minimum levels of activity. • The first kidney care unit should be operational by February 2027 and must accommodate infrastructure for at least 60 dialysis stations and 10 outpatient rooms (2 of which need to be equipped for phlebotomy and one of which should be suitable for use for home haemodialysis training). • A second unit (with or without clinical service delivered via an independent dialysis provider) is not guaranteed but is likely to be operational between 2030 and 2032 and must accommodate infrastructure for between 30 and 40 dialysis stations.