Select Committee on Health Minutes of Evidence


Memorandum by Bradford Hospitals NHS Trust Non-Clinical Support Services Division (PS 42)

  Our Trust has recently changed from contracted services to managing the services in house. There are two hospitals within the Trust, Bradford Royal Infirmary and St Lukes Hospital. Catering services at both hospitals were out sourced with Bateman, now Medirest, and portering and some domestic services at St Lukes hospital were out sourced with Initial Services. We also had some in house domestic services.

  It was agreed in June 2000 to re-tender the services and let a combined Hotel Services Contract at St Lukes Hospital and a catering contract at Bradford Royal Infirmary. However due to some internal changes it was agreed by the Board in December 2000 that, while we will continue the process of tendering for St Lukes Hospital, Bradford Royal Infirmary's catering services would lapse with the contractor at the end of May 2001 and return to an in house service until alternative service provision could be agreed.

  A paper is attached that the Director of Operations put together for the Trust Board, Company B was the in house team.

HOTEL SERVICES CONTRACT—ST LUKE'S HOSPITAL

INTRODUCTION

  The Hotel Services contract for St Luke's Hospital is currently provided by a combination of in-house and external contracts.

  The current contracts come to an end on 31 May 2001. It is, therefore, intended to reshape the Hotel Services provision at St Luke's Hospital, taking into account the issues raised by the NHS Plan eg 24-hour catering, national menu and ward housekeeping.

  This paper identifies the process adopted and the rationale taken to enable a recommendation to be presented to the Trust Board.

APPROACH AND METHODOLOGY

  The Trust advertised in the Overseas Journal of the European Union seeking expressions of interest from potential tenderers. Five expressions of interest were received: Initial Hospital Services, ISS Mediclean, Medirest Healthcare, Sodexho and In-House Services at Bradford Hospitals NHS Trust. All five met the short-listing criteria outlined in Appendix 1 and were invited to tender.

  During the tendering period the Evaluation Panel (Appendix 2) visited sites currently managed by each of the short-listed tenders. The purpose of these visits was two-fold. Firstly, to see first hand the quality of service provision and, secondly, to discuss with Trust Senior Managers their experiences of the Contractors in terms of flexibility, responsiveness, approachability, acceptance of new innovative ideas. The information obtained formed part of the final evaluation process.

EVALUATION OF TENDERS

  The panel evaluated the tenders using two distinct areas:

    —  Financial.

    —  Non-financial.

FINANCIAL

  The financial comparison of the tenders is shown in the table below. The cost of the current contracted services is £2.005m per annum:

Company
Tender Price £000
Rank Order
A
1.818
1
B
2.036
2
C
2.096
3
D
2.217
4
E
2.279
5


  The evaluation team considered that there was a fundamental problem with the tendered cost of Tender A. They had incorporated the ward hostess duties into Cleaning Service rosters. This means that they envisaged that the Ward Cleaner would also undertake the role of the Ward Housekeeper. Not only is this contrary to the NHS Plan but the external advisor for the cleaning service element of the contract was clear that Tender A input hours were insufficient to meet the specification requirement, ie 17 whole time equivalents per week, less than the next lowest tender (Tender B) and 23 whole time equivalents below the average total staffing of the five tenderers.

  The company was offered the opportunity to review their staffing levels as the evaluation team considered that this was an accidental error on their part. They have, however, stated that they consider the submitted levels to be adequate.

  The evaluation team did not consider that Tender A could meet the stringent standards or duties required in the cleaning services specification with the staffing levels quoted and an adjustment of around £250k per annum would be needed to raise their staffing to an appropriate level.

NON-FINANCIAL

  The non-financial elements of the evaluation are listed below:

    1.  General Service Issues.

    2.  Personnel Issues.

    3.  Service Delivery Proposals—Catering Services.

    4.  Service Delivery Proposals—Cleaning Services.

    5.  Service Delivery Proposals—Portering Services.

    6.  Quality Assurance Proposals.

    7.  Innovative Proposals.

  Each tender was evaluated against the above elements and scored accordingly. The table below gives the overall scores and ranking:

Company
Percentage
Rank
B
94.23
1
E
88.35
2
C
86.17
3
D
80.14
4
A
75.27
5

CONCLUSIONS

  Whilst Tenderer A offers the lowest tendered price it is considered unacceptable as:

    1.  It is the lowest ranked non-financial bid.

    2.  The tender fails to meet the specification in respect of providing realistic staffing levels.

  Tenderer C offers the third lowest price and is also third in non-financial elements. The company scored very poorly during the site visit (PEAT Team assessment of 1 putting them in the red light category.).

  Tenderer E provided a comprehensive and well structured tender but are ranked fifth in financial terms.

  Tenderer D was discounted as they were placed fourth in both financial and non-financial elements.

  Tenderer B are ranked second in financial terms but ranked first in non-financial elements having submitted a very comprehensive and well structured bid. When considered against the background of staffing omissions of Tenderer A the Tenderer B bid could technically be considered lowest in practice. This bid included £59k per annum for the introduction of Ward Housekeepers at St Luke's Hospital.

  It is recommended to the Trust Board that the tender for Hotel Services at St Luke's Hospital is awarded to Tenderer B for a period of five years on the basis that it offers best overall value in respect of technical and financial compliance.

  The Trust Board is asked to ratify this recommendation.

April 2000




 
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