Provision of Co-occurring Mental Health, Alcohol & Drug (COMHAD) Services

{
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    "name": "London Borough of Bromley"
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      "awardID": "056473-2025-1",
      "dateSigned": "2025-08-28T00:00:00+01:00",
      "id": "056473-2025-1",
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  "date": "2025-09-15T10:53:49+01:00",
  "description": "This is a Health Care services (Provider Selection Regime) 2023 confirmation of contract award notice. The contract to Oxleas NHS Foundation Trust has been award in accordance with\nDirect Award A process of the Regulations. For avoidance of doubt, the provisions of either the Public Contract Regulations 2025 or the Procurement Act 2023 do not apply to\nthis award.\nThe Award was approved by the Council\u0027s Director of Public Health on 28th August 2025. No conflicts of Interest were identified among the officers proposing the Award or Director \nwho Approved the Award.",
  "id": "056473-2025",
  "initiationType": "tender",
  "language": "en",
  "ocid": "ocds-h6vhtk-059a0b",
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        "locality": "Bromley",
        "postalCode": "BR11AS",
        "region": "UKI61",
        "streetAddress": "Bromley Civic Centre, Churchill Court, 2 Westmoreland Road"
      },
      "contactPoint": {
        "email": "procurement@bromley.gov.uk"
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      "details": {
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        "url": "http://www.bromley.gov.uk"
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      "name": "London Borough of Bromley",
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        "buyer"
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    {
      "address": {
        "countryName": "United Kingdom",
        "locality": "Dartford, Kent",
        "postalCode": "DA2 7WG",
        "region": "UKJ4",
        "streetAddress": "Pinewood House, Pinewood Place,"
      },
      "details": {
        "scale": "large",
        "url": "https://www.oxleas.nhs.uk"
      },
      "id": "GB-FTS-160842",
      "identifier": {
        "legalName": "Oxleas NHS Foundation Trust",
        "noIdentifierRationale": "notOnAnyRegister"
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      "name": "Oxleas NHS Foundation Trust",
      "roles": [
        "supplier"
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    },
    {
      "address": {
        "countryName": "United Kingdom",
        "locality": "London",
        "postalCode": "WC2A 2LL",
        "streetAddress": "The Strand, Holborn."
      },
      "details": {
        "url": "http://www.gov.uk"
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      "id": "GB-FTS-160843",
      "identifier": {
        "legalName": "Royal Courts of Justice"
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      "name": "Royal Courts of Justice",
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  "tender": {
    "classification": {
      "description": "Health and social work services",
      "id": "85000000",
      "scheme": "CPV"
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    "coveredBy": [
      "GPA"
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    "description": "COMHAD supports both Bromley mental health and Bromley substance misuse services that enable the long-term recovery, rehabilitation, and social re-integration of people in Bromley affected by co-occurring substance use and mental ill health.\nCOMHAD is a small element of a wider mental health service but an important pathway as it avoids excluding people because of their alcohol/drug use. COMHAD also provides a pathway for those who may otherwise be excluded from drug and alcohol treatment services due to their mental health issues.\nResidents with COMHAD challenges represent a significant proportion of the treatment population across both the mental health service (Oxleas) and the substance use service. Effective collaboration between these services is essential to achieving the best outcomes for individuals accessing support.",
    "id": "ocds-h6vhtk-059a0b",
    "items": [
      {
        "deliveryAddresses": [
          {
            "region": "UKI61"
          }
        ],
        "deliveryLocation": {
          "description": "The service will be undertaken within the London Borough of Bromley."
        },
        "id": "1",
        "relatedLot": "1"
      }
    ],
    "legalBasis": {
      "id": "32014L0024",
      "scheme": "CELEX"
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    "lots": [
      {
        "awardCriteria": {
          "criteria": [
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              "description": "100",
              "name": "No Realistic Alternative Provider",
              "type": "quality"
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              "name": "Cost",
              "type": "cost"
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        },
        "description": "COMHAD supports both Bromley mental health and Bromley substance misuse services that enable the long-term recovery, rehabilitation, and social re-integration of people in Bromley affected by co-occurring substance use and mental ill health. Bromley has a higher proportion (37%) of new clients presenting with a co-occurring mental health condition compared to England (24%). Within acute mental health settings up to 70% of clients have co-occurring needs. Substance use continues to be a significant factor in hospital admissions and serious incidents. Oxleas NHS Foundation Trust is uniquely positioned to deliver COMHAD provision due to:\n\u27a2 Exclusive access to patient records within community mental health services\n\u27a2 Ability to identify and support eligible individuals\n\u27a2 Supporting a \u0027no wrong door\u0027 approach, residents can access support regardless of their entry point, mental health or substance use services.\nThird parties could not access the necessary information to deliver COMHAD effectively. \nCOMHAD provision is clinically embedded within community mental health services. In essence, COMHAD is not a standalone service, it functions as an integrated component of community mental health provision. Disaggregating it could compromise service quality, patient safety and statutory compliance.\nThe Award has been made following Direct Award Process A of the Health Care Services (Provider Selection Regime) 2023 Regulations. \nThe contract will be for a period of three years commencing on 1st April 2026 with a whole life value of \u00a3511.310.00 Additional information: The Contract to Oxleas NHS Foundation Trust was awarded via the Direct Award A process of the Health Care Services (Provider Selection Regime) 2023. Justification for the Direct\nAward include:\n\u2022\tThe current existing contract is ending 31 March 2026. \n\u2022\tThe proposed contract terms and conditions are not changing. \n\u2022\tThe London Borough of Bromley, in partnership with the ICB (Integrated Care Board), already commissions Oxleas to provide community mental health services. This integrated arrangement supports joined-up care pathways, which are essential for residents with co-occurring conditions. \n\u2022\tThe London Borough of Bromley is satisfied that the provision offered by the current provider (Oxleas) is of a good standard. The service is meetings clinical, operational and safeguarding expectations. \n\u2022\tOxleas is uniquely positioned to deliver COMHAD provision due to: \n         \u27a2 Exclusive access to patient records within community\n               mental health services \n        \u27a2 Ability to identify and support eligible individuals \n        \u27a2 Supporting a \u0027no wrong door\u0027 approach, residents can\n              access support regardless of their entry point, mental \n              health or substance use services. \n\u2022\tThird parties could not access the necessary information to deliver COMHAD effectively. This could compromise the Council\u0027s ability to meet its statutory duties under health and social care legislation. \n\u2022\tCOMHAD provision is clinically embedded within community mental health services. Disaggregating it would: \n          \u2022 Fragment care \n          \u2022 Introduce clinical risk \n          \u2022 Undermine service efficiency and service user outcomes. \nWhich would all result in the provider not being able to fulfil the\n requirements of the contract. \n\u2022\tA direct award to the community mental health provider in Bromley aligns with local practice across SEL (South East London) and Bromley\u0027s neighbouring boroughs. COMHAD provision is consistently delivered by the community mental health provider in each borough and reflects a regional best practice model, reinforcing the appropriateness of a direct award to Oxleas NHS Foundation Trust.  \n\u2022\tCOMHAD is not a standalone service, it functions as an integrated component of community mental health provision. Disaggregating it could compromise service quality, patient safety and statutory compliance.",
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    "mainProcurementCategory": "services",
    "procurementMethod": "limited",
    "procurementMethodDetails": "Award procedure without prior publication of a call for competition",
    "procurementMethodRationale": "The Contract was awarded in accordance with the Health Care Services (Provider Selection Regime) 2023, in particular Direct Award A of the Regulations.",
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        "id": "D_OUTSIDE_SCOPE",
        "scheme": "TED_PT_AWARD_CONTRACT_WITHOUT_CALL"
      }
    ],
    "status": "complete",
    "title": "Provision of Co-occurring Mental Health, Alcohol \u0026 Drug (COMHAD) Services"
  }
}