Request for Information: Community MSK Service in Harrow

NHS Harrow CCG would like to engage with service providers who are forward thinking and innovative within the area of Musculoskeletal (MSK) specialisms. We recognize that far too many patients are attending Acute Hospitals needlessly and can be treated more efficiently within the Community and Primary settings. We would like service providers that recognize the challenges we face across North West London, as our populations increase, and the complexity of managing their care requires a much improved integrated approach. This will be an ambitious and challenging contract that works across specialties and effectively contributes to reducing the need for clinical interventions within multiple pathways. We want to hear from providers who have a sound understanding of MSK, and, have demonstratable expertise in achieving better outcomes for patients. Our intention is to use the outcomes of this engagement in our final service specification, so we need you to come armed with your best examples and your questions to help NHS Harrow CCG achieve a model of care that essentially reduces the need for clinical intervention, improves patient outcomes and is value for money. MSK Musculoskeletal (MSK) disorders are often painful and in many cases long term. They affect the nerves, tendons, tissues and the supporting skeletal structure and in some cases rarer autoimmune disease. NHS England states there are over 200 MSK conditions that: • affect 1 in 4 of the adult population (many being young and of working age)... • account for 30% of GP consultations... • have an enormous impact on the quality of life of millions of people in the UK [and is recognized for being the main cause for "lived with" disability] • are associated with a large number of co-morbidities, including diabetes, depression and obesity... • account for over 25% of all surgical interventions in the NHS...

Harrow Demographic: • 33 GP Practices • 265,422 patients: • 51% Female, 49% Male • 71% UK, British, 29% BAME • 30-40% of all Harrow patients experience MSK disorders • Harrow spend on 17/18 MSK activity at the Acute £18.4m (11.8m elective, 6.6m trauma) • 70000 Outpatient First and Follow Up Appointments combined activity including imaging/diagnostics • Current Harrow Community Services spend including physio, orthopaedic and rheumatology £3.1m

NHS Harrow CCG have worked closely with providers for many years to tackle the issues of MSK with our population. Our service delivery however has been specific to a condition or choice of treatment such as physiotherapy, which in turn has led to multiple contracts with multiple providers who are focused on their area of expertise, we want to change this and commission a service that manages the patients care journey with multi-disciplinary teams. NHS Harrow CCGs ambition is to align our services within the community.

Our vision "provide support and encouragement for patients to care for themselves in their own homes, when they need additional clinical s

Additional information: Interested providers are asked to complete and return the attached RFI Questionnaire to Phil Oldfield at NHS Harrow CCG on phil.oldfield1@nhs.net by close of business on 16th July 2018.