Department of Health and Social Care
A single contract for sexual health services across Teesside
Sexual Health Teesside is a collaboratively commissioned sexual health service with a prime provider that works to one contract signed by all 7 commissioners.
Sexual Health Teesside is collaboratively commissioned by the 4 Tees local authorities, 2 clinical commissioning groups and NHS England. The prime provider works to one contract, signed by all 7 commissioners, which has a strong focus on prevention and is supported by a collaborative commissioning agreement.
Teesside first commissioned an integrated sexual health service (SHS) in 2011. In 2013, as a result of the new division of commissioning responsibilities, the primary care trust contract was divided into separate commissioning lines for each of the 7 new commissioners.
Recognising that separate commissioning could result in multiple providers and a fragmented system, and in view of the significant cross-local authority border flow of people using SHSs, the commissioners decided to collaborate to ensure continued delivery of an integrated service across Teesside.
In 2016, the service was re-commissioned and the contract awarded to one prime provider, which in turn subcontracts to primary care and voluntary sector providers.
The prime provider is jointly commissioned and works to one contract signed by all 7 commissioners, supported by a collaborative commissioning agreement between all parties.
The contract has a strong focus on prevention and includes an innovative series of Service Outcome Related Payment (SORP) objectives, which rewards delivery against specific strategic prevention outcomes.
The prime provider delivers SHSs from 4 hubs (one in each borough) and several spoke clinics in the community, as well as through outreach sessions. The prime provider has subcontracts with a number of GP practices, as well as pharmacies across Teesside to deliver some services including:
- chlamydia screening
- emergency hormonal contraception
- a ‘C-card’ scheme providing free condoms to young people
It also has further subcontracts with voluntary sector organisations.
What was involved
The collaborative re-commissioning of Teesside SHSs had the following objectives:
- to commission a high quality, integrated and seamless SHS across Teesside with better access and more choice for the local population
- to commission collaboratively across the whole system to prioritise prevention, education and training, and services for young people
- to develop a highly trained and flexible sexual health workforce, able to move between boroughs and offer more targeted outreach sessions to different population groups
- to centralise and coordinate contact management, patient records and partner notification across Teesside
- to avoid the need for cross-charging between the 4 boroughs for residents using SHSs across local authority boundaries
- to make a 7.4% efficiency on saving on SHS expenditure
The commissioning of an integrated service offers a number of benefits to the commissioners.
With large numbers of people using SHSs outside their borough of resident, the 4 local authorities avoid the need for mutual cross-charging, saving administrative costs. Further efficiencies and a better service for the local population are provided by centralised functions such as contact management, patient records and partner notification systems.
The inclusion of SORPs in the contract was an innovation to incentivise preventative work and has enabled a greater focus on improving the sexual health of young people.
Appointing a single contract manager, who worked equally to the requirements of all collaborative partners, was also beneficial as it ensured that communication among and between commissioners and provider is streamlined and consistent.
The new SHS delivers on a vision for the whole population of Teesside. Pathways are designed to be seamless, and users have a choice of appointments or walk-in clinics on an open-access basis across the 4 boroughs.
A full range of services is offered, including STI testing and treatment, and outreach services are delivered in schools, colleges and other settings for young people. Additionally, online services including STI self-sampling kits have recently been introduced.
The Directors of Public Health across Teesside provided strong leadership and governance of the procurement process. Together with the support of a team with a clear mandate and resources to take this forward, effective collaborative commissioning could be carried out.
Jacky Booth, Contract Manager for Public Health South Tees, said:
We wanted to work together with commissioning partners for a whole system approach, where we would look at the population as a whole and the prevention agenda.
Working collaboratively, commissioners have managed to procure an integrated SHS for potentially 9 more years.
For further information, contact Jacky_Booth@middlesbrough.gov.uk.
Latest News from
Department of Health and Social Care
Majority of children no longer need to shield07/07/2020 10:10:10
The majority of children currently considered extremely clinical vulnerable to coronavirus (COVID-19) will be able to be removed from the shielded patient list.
Public asked to leave a name and number with venues to help stop the spread of COVID-1903/07/2020 12:25:00
Executive Chair of NHS Test and Trace encourages public, businesses and organisations to “play their part in new national effort” by providing names and phone numbers with venues and businesses they visit from this Saturday
Regular retesting rolled out for care home staff and residents03/07/2020 11:25:00
Staff and residents in care homes for over 65s and those with dementia will receive regular coronavirus tests from next week as part of a new social care testing strategy.
Government launches second phase of independent review into drug misuse02/07/2020 15:10:00
The second part of a major independent review by Professor Dame Carol Black into the misuse of illegal drugs in England has launched today.
Leicestershire coronavirus lockdown: areas and changes01/07/2020 13:10:00
Areas of Leicestershire that are included in the localised coronavirus (COVID-19) lockdown and what this means.
Universities can bid for more healthcare course places30/06/2020 16:10:00
More students will have the opportunity to apply for places on nursing, midwifery or allied health professional courses in England, following unprecedented demand.
Local action to tackle coronavirus30/06/2020 12:38:00
Health and Social Care Secretary Matt Hancock spoke about local measures to deal with the coronavirus (COVID-19) outbreak in Leicester.
Health Secretary calls on country to get tested as access is expanded even further29/06/2020 10:10:10
Six new ‘walk through’ local testing sites are now offering appointments to people in England, with the capacity to test hundreds of people each day.