Provision of an Outpatient Pharmacy at Royal United Hospital, Bath (RUH)

Legal and Financial Conditions of Participation Current Status • The bidder must confirm is not subject to insolvency, administration, receivership, or equivalent proceedings. o ☐ Confirmed o ☐ Not confirmed Confirmed = PASS Not confirmed = FAIL Contingent Liabilities • The bidder must list any material contingent liabilities not evident in the accounts (e.g., pending litigation, guarantees, indemnities). o Please provide additional detail: ______________________________________________________ o ☐ Confirmed - no material contingent liabilities o ☐ The bidder has material contingent liabilities and has provided details. Not scored but answer and detail is required for review. Material Adverse Changes • Disclose any anticipated changes (e.g., debt refinancing, large dividend distributions, major asset disposals) that may affect financial stability during the contract term. o Please provide additional detail: ______________________________________________________ o ☐ Confirmed – no anticipated changes o ☐ Not confirmed (provide details) – changes are anticipated, and the bidder has provided additional detail. Not scored but answer and detail is required for review Parent Guarantee • Confirm if your organisation is prepared to provide a parent company guarantee, if requested, prior to contract commencement. Scoring: Pass = Yes with confirmation; Fail = No. o ☐ Confirmed o ☐ No Performance Bond • Confirm if your organisation is prepared to provide a performance bond, if requested, prior to contract commencement. Scoring: Pass = Yes with confirmation; Fail = No. o ☐ Confirmed o ☐ No

Technical Conditions of Participation Please provide details of at three contracts to meet conditions of participation relating to technical ability. The bidder is asked to supply three examples of provision of an Outpatient Pharmacy Dispensing Service, preferably in an NHS environment but as a minimum, in a Public Sector setting, for example HMPS. The examples must be from the past three years. The bidder must not use examples from BSW Hospital Alliance Trusts. The named contact provided should be able to provide written evidence to confirm the accuracy of the information provided. a) Relevant experience Does your organisation have specific relevant experience of developing a service that promotes a reduction in patients attending the hospital site to collect medication and supports the “Care Closer to Home” Agenda. Please provide a brief description or supporting document if “Yes”. Scoring: Pass = Yes with at least one qualifying example; Fail = No cannot provide at least one qualifying example. b) Statutory and Regulatory Compliance Does your organisation fully comply with all relevant statutory and regulatory requirements for operating an Outpatient Pharmacy Dispensing Service? [Insert Yes or No] Please provide a brief statement or evidence of compliance. Scoring: Pass = Yes with confirmation; Fail = No. c) Acceptance of minimum standards – KPIs Please review the enclosed document containing the Trust’s minimum standard KPIs. Please confirm that you accept these KPIs as the minimum standard required to perform this service. o ☐ Yes o ☐ No Scoring: Pass = Yes Fail = No.

Completion of PSQ and all conditions of participation scored as a PASS