Stable Glaucoma Monitoring in Surrey Downs

{
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    "id": "GB-NHS-QXU",
    "name": "NHS SURREY HEARTLANDS INTEGRATED CARE BOARD"
  },
  "contracts": [
    {
      "awardID": "044325-2025-1",
      "dateSigned": "2024-03-31T00:00:00Z",
      "id": "044325-2025-1",
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  "date": "2025-07-30T14:35:21+01:00",
  "description": "This contract is awarded via Direct Award Process C, in accordance with The Health Care Services (Provider Selection Regime) Regulations 2023 (PSR).\nThe Authority confirms  the provider delivered the prior contract to a consistently high standard and no material changes have been made in the renewed contracting arrangement. \nAgainst the Provider Selection Regime (PSR) Key Criteria, Epsomedical Limited has demonstrated expertise and is anticipated to continue doing so.  Evidence of current service delivery against the PSR Key Criteria and the breakdown of Key Criteria weighting in relation to this service for the purposes of awarding a contract under Direct Award C is detailed below:  \nQuality \u0026 Innovation (20%)\n\u2022\tEpsomedical Ltd has demonstrated consistent delivery of a high-quality, consultant-led Stable Glaucoma Monitoring (SGM) service. The model includes a structured 4-visit pathway across 6-12 months, involving three optometrist-led reviews and one by a GPwSI, accredited medic, or consultant ophthalmologist providing oversight.\n\u2022\tAll practitioners delivering care are suitably accredited, with evidence of continued professional development submitted annually. The service is underpinned by strong clinical governance, including Local Quality Requirements (LQRs), Royal College standards, and registration with the General Optical Council and NHS England performers list.\n\u2022\tInnovation is embedded in the service model through its use of advanced diagnostics and close clinical supervision. Epsomedical also works proactively with patients to adapt services based on feedback and clinical needs, ensuring the care model remains person-centred and up to date.\nIntegration, Collaboration \u0026 Sustainability (25%)\n\u2022\tEpsomedical\u0027s SGM service is well integrated within local pathways across Surrey Downs, bridging primary, community, and secondary care. The provider collaborates with the Local Optical Committee, GPs, and system partners to ensure effective triage, pathway continuity, and local workforce development.\n\u2022\tThe model directly supports reduced outpatient activity in acute trusts by shifting stable patients into a safe, community setting, helping maintain hospital capacity for complex cases. This aligns with the ICB\u0027s sustainability goals, both clinically and environmentally, by lowering avoidable travel and making effective use of resources.\n\u2022\tThe model is resilient, scalable, and contributes to long-term service sustainability in line with NHS Long Term Plan ambitions.\nImproving access, reducing health inequalities and facilitating choice 25%\n\u2022\tThe service offers convenient and flexible access to glaucoma monitoring within community settings. By providing care closer to home with shorter waiting times, it improves access for patients who may struggle to attend hospital appointments - including older adults, patients in rural areas, and those with mobility challenges.\n\u2022\tEpsomedical\u0027s approach supports personalised care, offering appointment flexibility and minimising the burden on carers and families. Feedback has been consistently positive, demonstrating high levels of patient satisfaction and a strong focus on patient dignity, safety, and autonomy.\n\u2022\tThe service also contributes to addressing inequity by freeing up hospital appointments for patients with more complex or progressive disease.\nValue (20%)\n\u2022\tThe service offers a cost-effective alternative to secondary care glaucoma follow-up, with stable unit costs and a proven track record of high-quality delivery. Epsomedical ensures timely follow-up aligned with HES reporting standards.\n\u2022\tThe contract offers measurable efficiency savings by reducing pressure on ophthalmology outpatient clinics, avoiding delays, and reducing emergency escalation caused by missed reviews.\n\u2022\tEpsomedical\u0027s community-based model ensures good value while maintaining clinical safety, system benefits, and strong patient outcomes.\nSocial Value (10%)\n\u2022\tEpsomedical delivers social value through local employment, training, and retention of clinical staff. \n\u2022\tThe organisation supports local economic sustainability and works closely with NHS partners to align service delivery with community priorities.\n\u2022\tThe model contributes to the NHS\u0027s net zero carbon goals by reducing unnecessary travel through care delivered in local clinics, with accessible transport options. The service design reflects environmental responsibility, system efficiency, and person-centred care principles.\n\u2022\tPatient feedback is actively gathered and used to co-develop improvements, ensuring services meet local need and support long-term community health outcomes.\nGovernance and Decision-Making\nApproval:\nThe contract award was approved by the Surrey Heartlands ICB Commissioning, Contracting \u0026 Commercial (CCC) Committee on 22nd October  2024 and approved by Executive Board 2024, in line with the authority\u0027s governance processes. \nConflicts of Interest:\nAll Decision-Making Forums requested that Conflicts of Interest be declared in order to accommodate mitigations that may be required.  No declarations were raised.  Individuals working on the programme declared no interests for the duration.\nStandstill Period and Regulatory Context:\nThis is a Provider Selection Regime (PSR) award notice. The awarding of this contract is subject to the Health Care Services (Provider Selection Regime) Regulations 2023. For the avoidance of doubt, the provisions of the Public Contracts Regulations 2015 do not apply to this award. \nWritten representations should be sent to robert.kitt1@nhs.net",
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  "language": "en",
  "ocid": "ocds-h6vhtk-05692f",
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      "address": {
        "countryName": "United Kingdom",
        "locality": "Woking",
        "postalCode": "GU21 5BH",
        "region": "UKJ35",
        "streetAddress": "Dukes Court, Duke Street"
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      "contactPoint": {
        "email": "robert.kitt1@nhs.net",
        "name": "Robert Kitt",
        "telephone": "+44 7823534547"
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        "locality": "Cobham",
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      "id": "GB-FTS-128820",
      "identifier": {
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  "tender": {
    "classification": {
      "description": "Ophthalmologist services",
      "id": "85121281",
      "scheme": "CPV"
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    "description": "The contract relates to the provision of a community-based Stable Glaucoma Monitoring Service, whereby clinicians and accredited optometrists provide ongoing monitoring and care for patients with diagnosed, treated ocular hypertension (OHT) and stable glaucoma at programmed intervals in the Surrey Downs area. \nThe contract is paid on an activity basis.",
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            "id": "85121281",
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              "type": "quality"
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        },
        "description": "The contract relates to the provision of a community-based Stable Glaucoma Monitoring Service, enabling clinicians and accredited optometrists to provide ongoing monitoring and care for patients with diagnosed, treated Ocular Hypertension (OHT) and stable glaucoma at programmed intervals in the Surrey Downs area. \nThe contract is paid on an activity basis.\nNHS Surrey Heartlands ICB has awarded a contract to Epsomedical Limited under Provider Selection Regime 2023 Direct Award Process C.\nThe approximate lifetime value of the contract will be \u00a325,500.00 over the two-year term, from 1st April 2024 until 31st March 2026.",
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    ],
    "status": "complete",
    "title": "Stable Glaucoma Monitoring in Surrey Downs"
  }
}