Interesting thought.
Who do you get to manage that the 3rd party isnt just ripping you off or just siting there collecting their fee?

We are talking about outsourcing the department not the equipment here. The staff that already maintain the equipment move their allegiance to the darkside. It still costs the same in heating/lighting etc, they will no doubt take ownership of the test equipment and intellectual rights acquired under the NHS ownership. Seems like there is only one winner and it is not the public purse.

As for the rip off comment above and control of it, well guess what, that has not been put in place by competent persons. Well we are talking the NHS here logic does not come into it.

And the winner is ... ?

If managers in the NHS can't be arsed to manage ... then they deserve all that's coming to them, surely (like:- the boot, if I had my way)? If they lack the skills required to manage a decent biomed service, then they shouldn't moan too much if such skills have to be brought in from outside. Sounds logical enough to me. Especially as the tax-payer expects the job to be done properly ... somehow.

To be absolutely honest, if its outsourced and they do a good job, save money and provide a better quality through scale of economies etc then all should be good for your department.

You have nothing to loose to be honest as TUPE would apply. If it doesnt work well (cost/quality) there is always the option to bring it in-house again with equivelent funding which is something you may struggle to do now.

There are some good managed service providers out there now with some experience in the sector

Hi Geoff

Just thought you might want to know about this current Tender, through the NHS Supply chain. Is there anyone that is NOT affected by this? What are your thoughts about it? Privatisation through the front door?

The Tender is divided up into lots. This is a framework agreement lasting 2 to 4 years.

1 £ 6400000

Maintenance and repair of Beds and Pressure Area Care equipment, against the following equipment areas:

2, 3, 4 section profiling beds and associated equipment
Birthing beds and associated equipment
Critical care beds and associated equipment
Bariatric beds and associated equipment
Cots and associated equipment
Treatment couches and associated equipment
(Beds that can go through a bed washer) and associated equipment
Dynamic mattresses and associated equipment
Pressure managing chairs and associated equipment


2 £ 2000000

Maintenance packages for Patient Handling equipment, against the following equipment areas:
Patient hoists and associated equipment
Specialist hoists and associated equipment
Portable bath lifts and associated equipment
High low baths and associated equipment
Calibration of hoists and hoist scales and associated equipment
Stretchers and associated equipment

3 £ 12000000

Maintenance packages for Patient Transport equipment, against the following equipment areas:

Powered trolleys, including mortuary trolleys and associated equipment
Manual trolleys, including mortuary trolleys and associated equipment
Patient transfer chair and associated equipment
Powered wheelchairs and associated equipment
Non powered wheelchairs and associated equipment

4 £ 23400000

Maintenance packages for Patient Assessment and Monitoring equipment, against the following equipment areas:

Foetal monitoring and associated equipment
Theatre & anaesthetic monitoring and associated equipment
Vital signs and Ward based/bedside monitoring and associated equipment
Cardiac output monitoring and associated equipment
Telemetry monitoring and associated equipment
ECG analysis recording equipment and associated equipment
Cardiac stress testers and associated equipment
Holters and analysers and associated equipment
AMB monitors, including Sphygmometers and associated equipment
Audiometry and associated equipment
Pulse oximetry equipment and associated equipment
CPAP devices and associated equipment
Spirometers and associated equipment
Temporary pacing units and associated equipment
Oxygen regulators and associated equipment

5 £ 1480000

Maintenance packages for Urology equipment, against the following equipment areas:

Mobile lithotripters and associated equipment
Fixed lithotripter, (electro conductive) and associated equipment
Fixed lithotripter, (extra corporeal shock wave) and associated equipment
Bladder scanners and associated equipment

6 £ 2400000

Maintenance packages for Neonatal equipment, against the following equipment areas:

Open neonatal incubator/warmer and associated equipment
Closed neonatal incubator/warmer and associated equipment
Phototherapy units and associated equipment

7 £ 84000000

Maintenance packages for Endoscopy equipment, against the following equipment areas:

Rigid endoscopes and associated equipment
Flexible endoscopes and associated equipment
Electromed equipment and associated equipment

8 £ 10880000

Maintenance packages for Ophthalmology equipment, against the following equipment areas:

Aberrometry equipment and associated equipment
Auto refractors equipment and associated equipment
Biometry and Ultrasound equipment and associated equipment
Computerised sight charts and associated equipment
Ophthalmic Diagnostic cameras, inc retinal cameras and associated equipment
Perimeter equipment and field analyser equipment and associated equipment
Lens Meters and associated equipment
Multifunctional Equipment and associated equipment
Pachymetry equipment and associated equipment
Retinal Angiograph Equipment and associated equipment
Retinal tomography and OCT machines and associated modules and equipment
Slit lamps and associated equipment
Specular Microscopy equipment and associated equipment
Topography & Keratometry equipment and associated equipment
Phacoemulsification and Vitrectomy equipment and associated equipment
Perimeter equipment and associated equipment
Phoropter equipment and associated equipment
Pupilometer equipment, inc/ PD Meters and associated equipment
Gloucometry equipment and associated equipment
Retinal imaging equipment and associated equipment
Corneal cross linking equipment and associated equipment

9 £ 3400000

Maintenance packages for Laser equipment, against the following equipment areas:

Dermatological lasers and associated equipment
Surgical lasers, (Urology and General and ENT) and associated equipment
Ophthalmic lasers and associated equipment

10 £ 17600000

Maintenance packages for Renal equipment, against the following equipment areas:

Haemodialysis and associated equipment
Heamofiltration and associated equipment
Peritoneal dialysis and associated equipment

11 £ 11600000

Maintenance packages for Orthopedic equipment, against the following equipment areas:

Orthopaedic power tools and associated equipment
Arthroscopy equipment and associated equipment
Trauma equipment and associated equipment

12 £ 38400000

Maintenance packages for General theatre equipment, against the following equipment areas:

General operating tables and associated equipment
Specialist operating tables, including transfer systems and associated equipment
Mortuary tables and associated equipment
Mortuary tables, including down draft and associated equipment
Invasive ventilators and associated equipment
Non invasive ventilators and associated equipment
Mobile theatre lights and associated equipment
Anaesthesia equipment including vaporizers and associated equipment
Fixed operating lights and associated equipment
Pendants and associated equipment
Theatre control panels and associated equipment
AED inc/ with manual override and associated equipment
Manual defibs and associated equipment
Electro surgical generators and associated equipment
Smoke evacuators and associated equipment
Suction Units and associated equipment
Intra Aortic Balloon Pumps and associated equipment
Rotablation equipment and associated equipment
Heart and lung perfusion equipment and associated equipment
Cardiac lung function and associated equipment
Oxygen regulators and associated equipment
Cardiac electrophysiology and associated equipment
Cardiac transducers and associated equipment
Volumetric infusion pumps and associated equipment
Syringe infusion pumps and associated equipment
Patient warming equipment, including blanket warmers and associated equipment

13 £ 25600000

Maintenance packages for Small Laboratory equipment, against the following equipment areas:

Amplification equipment and and associated equipment
Analytical equipment and associated equipment
Blending equipment and associated equipment
Drying equipment and associated equipment
Heating equipment and associated equipment
Histology/Histopathology equipment and associated equipment
Liquid Handling equipment and associated equipment
Measurement equipment and associated equipment
Mixing equipment and associated equipment
Pumping equipment and associated equipment
Sample Preparation and associated equipment
Separation equipment and associated equipment
Shaking equipment and associated equipment
Storage and safety equipment and associated equipment
Pipettes and associated equipment

14 £ 15600000

Maintenance packages for General Pathology equipment, against the following equipment areas:

Blood gas analysers and associated equipment
Gas chromatography-mass spectroscopy and associated equipment
Mass spectroscopy and associated equipment
Point of care urinalysis analyser and associated equipment
Point of care drugs of abuse analyser and associated equipment
Point of care HBA1C analyser and associated equipment
Point of care blood glucose analyser and associated equipment
Point of care coagulation analyser and associated equipment
Point of care cardiac marker equipment and associated equipment

15 £ 18000000

Maintenance packages for Microbiology and Serology equipment, against the following equipment areas:

Automated blood culture systems and associated equipment
Random access immunoassay system and associated equipment
Automated identification and susceptibility analyser and associated equipment
Automated ID of TB system and associated equipment
Open immunoassay elisa processer and associated equipment
Urinanalysis system and associated equipment
Malditoff system and associated equipment
Plate streakers and associated equipment
NAATS molecular testing analyser and associated equipment

16 £ 3200000

Maintenance packages for Hematology equipment, against the following equipment areas:

Full blood count analyser and associated equipment
Slide maker/slide stainer and associated equipment
Digital morphology and associated equipment
Automation and associated equipment
Coagulation and associated equipment

17 £ 15000000

Maintenance packages for Biochemistry equipment, against the following equipment areas:

HPLC analyser and associated equipment
Immunoassay analyser and associated equipment
Electrophoresis Analyser and associated equipment

18 £ 10400000

Maintenance packages for Cytology equipment, against the following equipment areas:

Liquid Based Cytology analysers and associated equipment
HPV screening analysers and associated equipment

19 £ 8000000

Maintenance packages for Microscope equipment, against the following equipment areas:

Upright Microscopes and associated equipment
Inverted Microscopes and associated equipment
Camera and Imaging Systems (both analogue and digital) suitable or Microscopy and associated equipment
Digital pathology microscopes and associated equipment
Laboratory microscopes and associated equipment
Virtual Slide scanners and associated equipment
Digital Slide scanners and associated equipment
Operating microscopes and associated equipment
Outpatient microscopes, including dental and associated equipment
Ophthalmic microscopes and associated equipment

20 £ 7954000

Maintenance packages for Refrigeration equipment, against the following equipment areas:

Blood Tracking and associated equipment
Ward Fridges and Freezers and associated equipment
Pharmacy Fridges and Freezers and associated equipment
Laboratory Fridges and Freezers and associated equipment
Temperature Monitoring and Mapping and associated equipment
Economy Refrigerators and Freezers and associated equipment
Fridge Freezer Combination Units and associated equipment
Sample Carriers and associated equipment
Temperature Loggers and associated equipment
Blood Bank Refrigerators and associated equipment
Plasma Storage Freezers and associated equipment
Ice Machines and associated equipment
Cryogenic and associated equipment
Ultra Low Temp Freezers and associated equipment
Body chambers and associated equipment
Mortuary freezers and associated equipment

21 £ 528,000,000

Maintenance packages for Imaging equipment, against the following equipment areas:

CT and associated equipment
MRI and associated equipment
Nuclear inc Gamma and PET and associated equipment
Mammography and associated equipment
Ultrasound and associated equipment
Fluoroscopy and Angiography and associated equipment
General and Mobile X-ray and associated equipment
CR Readers and associated equipment
Mobile Image Intensifiers and associated equipment
Contrast Injectors and associated equipment
Bone Densitometry and associated equipment
Probes and associated equipment

22 £ 128,000,000

Maintenance packages for Radiotherapy equipment, against the following equipment areas:

Treatment Systems and associated equipment
IT Systems Recording and Verification and associated equipment
Treatment Planning Systems and associated equipment
Simulation software and associated equipment
Quality Assurance Systems and associated equipment

23 £ 30720000

Maintenance packages for Washing and Sterilisation equipment, against the following equipment areas:

Washer disinfectors and associated equipment
Automated endoscope re-processers and associated equipment
Water treatment, (Softener and Reverse Osmosis) and associated equipment
Drying cabinet and associated equipment
Laboratory Water and associated equipment
Porous load steam sterilisers, including autoclaves and associated equipment
Hydrogen peroxide sterilisers and associated equipment
Ultrasonic cleaner and associated equipment
Trolley washer and associated equipment
HTM testing.

24 £ 1920000

Maintenance packages for Sluice equipment against the following equipment areas:

Pulp macerators and associated equipment
Bed pan washers and associated equipment
Incontinence macerators and associated equipment
HTM testing.

25 £ 2560000

Maintenance packages for Calibration and Repair of equipment, against the following equipment areas:

General purpose electrical test equipment and associated equipment
General purpose mechanical equipment and associated equipment
EME testing equipment and associated equipment
Pressure flow equipment and associated equipment
Weighing equipment and associated equipment
Temperature monitoring equipment and associated equipment
Radiation equipment, inc. microwave and gamma and associated equipment
High accuracy calibration and associated equipment
Luminance equipment and associated equipment
Optical equipment and associated equipment
Pathological equipment and associated equipment
Humidity and moisture equipment and associated equipment

26 £ 109148

Maintenance packages for Dental Washing equipment, against the following equipment areas:

Ultrasonic cleaners and associated equipment
Washer disinfectors and associated equipment
Sterilizers and associated equipment
Water treatment systems and associated equipment

27 £ 328000 to £ 3936000

Maintenance packages for Dental equipment, against the following equipment areas: Dental chairs and associated equipment Dental compressors and associated equipment Dental imaging and x-ray and associated equipment

To be honest Phil, I don't even understand what it is we're looking at.

"Maintenance packages" ... what does that mean? I suppose we could guess, but guessing doesn't really cut the mustard with stuff like this, does it?

Does it mean PM, on-site, resident engineers ... or what?

Who provides the resources (workshop(s) etc.) ... how? To what level? And where?

What sort of level of service are we talking about? Techs on site? PM to manufacturers' recommendations etc., etc. (the list is endless).

And what are those prices? Or, put another way:- how can anyone tender if prices are already given?

All very strange, in my opinion.

But what I do know is that anyone would be taking a gigantic risk on bidding on anything like that without first visiting the site(s) (and it could even depend upon where they actually are), taking an inventory of the kit and assessing its condition.

Privatisation? Not really. Someone putting out feelers ... or simply a "fishing" exercise, perhaps.

Hi Phil, Geoff,

My interpretation of it is that it is Framework Agreement. As far as I can guess this is open to all companies that wish to be able to provide services to the NHS - I don't think that it means services are going to be outsourced but means that should an individual trust wish to outsource a particular part of the service that they will then have a list of companies that have passed a global vetting and have been approved to work in the NHS.

At the moment it is still just in the PQQ stage - no formal tender has actually been released. Companies can go for as many or as few lots as they want.

The values against each lot are just an indication of the expected value of that lot - the prices have not really come from anywhere but just provide any bidding companies a chance to estimate the scale of the works.

I'm sure once the PQQ stage has been completed and when the ITT comes out that there will be further information available but we'll have to wait and see about that.

Regards,

Like Geoff I'm equally confused. Is someone within the NHS (or the private company, NHS Supply Chain) putting ALL NHS equipment servicing out to tender? If so I'd better get my Stormtrooper outfit out of the wardrobe and swear allegiance to the Dark Side again. Just had to check the date on Phil's post, unfortunately it's not April 1st. Anyone got more background on this?

Below is the extract from the PQQ information page:

The purpose of this framework is to procure service providers who can offer maintenance contracts for the range of equipment included in the various lots included within the tender. NHS Supply Chain reserves the right to exclude any organisation that does not meet these criteria.
It is anticipated that the framework services will be accessed: by framework users who: (i) wish to purchase a defined service package to cover equipment currently included in their installed base and (ii) wish to purchase point of sale maintenance in relation to newly purchased in-scope equipment.
It is anticipated that the maintenance contracts will be in the form of packages for different cover levels against the relevant equipment.
The framework will be for a maximum of four years but it is recognised that individual service packages, purchased in relation to specific equipment, during that period may be for a term exceeding four years.
It is intended that the framework provide a basis for comparison of service level packages provided by different service providers across the range of equipment covered by scope of the tender. The intention is that customers ordering under the framework will be able to procure their maintenance contracts on a more accurate and benchmarked basis and in a way which takes a more sophisticated approach to risk analysis of such matters as criticality of equipment failure than is currently available.

NHS Supply Chain intends to use a series of commercial levers throughout the course of the framework agreement, including but not limited to: operating a management fee on all orders through the framework; prompt settlement discounts; aggregated turnover discounts; on time renewal discounts and bulk purchases. Further details regarding the operation of these will be included in the tender documentation. NHS Supply Chain reserves the right to implement these and other commercial levers throughout the course of the framework agreement.

Tenders and all supporting documentation for the contract must be priced in sterling and written in English. Any agreement entered into will be considered a contract made in England according to English law and will be subject to the exclusive jurisdiction of the English Courts. NHS Supply Chain is not liable for any costs incurred by those expressing an interest in tendering for this contract opportunity. NHS Supply Chain reserves the right to terminate the procurement process (or part of it), to change the basis of and the procedures for the procurement process at any time, or to procure the subject matter of the contract by alternative means if it appears that it can be more advantageously procured by alternative means. The most economically advantageous or any tender will not automatically be accepted.

All communications must be made through NHS Supply Chain’s eTendering portal at http://procurement.supplychain.nhs.uk/ using the Message Centre facility linked to this particular contract notice.

Please note that the number of maximum suppliers as set out in II.1.4 is provided as an estimate only. The Invitation to Tender will detail how suppliers can be awarded to the framework agreement. NHS Supply Chain reserves, therefore, the right to appoint more or less suppliers to the Framework Agreement in the event that more or less than 400 reach the minimum score for appointment which will be set out in the ITT.

NHS Supply Chain intends to enter into arrangements under which it will be entitled to purchase services and/or supplies which it will make available for purchase by 1) any NHS Trust; 2) any other NHS entity; 3) any government department, agency or other statutory body and/or 4) any private sector entity active in the UK healthcare sector. Only NHS Supply Chain can order from the Framework Agreement and enter into contracts under it.

Regards,

Has anybody done outsourcing the other way round? (In sourcing???)
i.e. an NHS hospital department selling their services to a private hospital/organisation.
Thank
Robert