Frequently Asked Questions (FAQ) NHS Supply Chain Capital Equipment Service. Is there a DH fund (sum of money) that I access as an NHS organisation to help me purchase capital equipment? Am I bidding against other NHS Organisations? No. There is a Department of Health working capital fund that NHS Supply Chain have access to in order to gain significant discounts through bulk purchasing deals with suppliers under the terms of existing framework agreements for the purchase of Capital Equipment, any Trust can access these saving releasing arrangements. The fund does not currently go direct to an NHS Trust as this is seeking a long term solution to the issues in simplifying equipment procurement and getting the best price and value across the NHS. How does it save me (NHS Organisation) money? The feast to famine nature of NHS order patterns creates costs in the supply chain. Using this fund, NHS Supply Chain works with suppliers to remove these costs to pass on the subsequent saving to the NHS. An example of this would be we (NHS SC) forward commit to 10 MRI systems using a base specification that allows the supplier to have confidence in pre- booking the manufacturing and delivery process which releases significant costs to pass on to the NHS as savings. The risk is then taken from the supplier to NHS SC. The NHS still has flexibility over final specification depending on the specific requirements of the Trust. Why should I use NHS Supply Chain? To access a streamlined service which can save your Trust time, money and uncertainty that can ultimately result in increased resource for patient care. We create legally compliant National Framework agreements that negate the need to tender and thus reduce clinical time spent on completing paper work; this also means the procurement timescale is significantly reduced along with the risk to the Trust. We offer support to Departments in their clinical and procurement evaluation if required. Our buying team are experienced in the wide and varied needs of Capital Equipment procurement and have a holistic view of equipment management, from planning, procurement, finance, maintenance to disposal. We put in place a number of commitment deals that utilise the buying power of the NHS on behalf of individual Trusts. NHS SC also have teams who are able to support the trust in other aspects of equipment ownership which include equipment replacement, planning and maintenance contracting. Do NHS Supply Chain have specific examples of where they have saved an NHS Organisation money? Yes, we have a number of case studies where customers have been happy to promote the benefits of our service and we are currently promoting these, however it is also worth noting that as a contract to the Department of Health NHS SC are managed by the BSA (Business Service Authority) who review any statement we make on savings to ensure they are accurate and compliant. The DH Fund is currently delivering on average 14% savings additional to the standard Framework agreement savings. In 2012 the Capital portfolio alone delivered over £30 Million in savings to the NHS. Is there a list of imaging products that I can choose from? Yes, and as we increase the deals in place and new product ranges come to market this changes, we recommend you contact our buying team to discuss your requirements and we can shape the information we provide to be specific to your needs. How has NHS Supply Chain decided on products on their lists? Every Framework agreement (list) seeks to have a comprehensive cover for the equipment type. Take the example of MRI Scanners that is part of our Imaging Framework Agreement. (This is a summary of the process and is not exhaustive to the level of detail we need to provide a service fit for the NHS.) We assessed the market and using a clinical consultation group formed the headings that we would ask suppliers to enter a bid for the below, we refer to these as modalities: Standard 1.5T Shortbore 1.5T Widebore 1.5T Open MRI Scanner Standard 3T Extremity Scanner Each of the above has a standard core specification that allows each supplier to enter a specific product at a level that make this comparable to each alternative offer. A price is then requested for this (that represents a national demand from NHS SC) and this is then matched to a range of none financial questions relating to the specifics of the equipment but include for example training, warranty support. We then use a legally recognised process called MEAT: most economically advantageous tender to assess who will then be successful to award on the agreement. If a supplier is successful the product range that fits within the modality they have been awarded is then available to the NHS I am interested in a specific piece of equipment not on the imaging list, can I still procure that through NHS Supply Chain? We refresh the availability of products on our agreements using standard legally recognised processes’ and as such if you do not see an item in the Catalogue or previous literature please contact the relevant buyer who will discuss this with you. We are also gathering, through our Capital planning team, a range of requirements that can support our business to provide relevant Framework Agreements for the NHS. We also fully support and work actively with the Department of Health on brining Innovation to the market and would welcome the support of the clinical teams in the NHS to bring these to our attention. What if I want to purchase a product from the imaging products list with a slightly different specification? Our specifications are only meant to be a base line to set your needs against, we work daily with Trusts to define your output based requirements and then find the best value product to fit this. How long does the process take? If, following a clinical evaluation process or your own Trust due diligence you have a clear supplier and product requirement and this is on agreement you can procure equipment in days rather than weeks or months. The length of the process depends on the requirements of the Trust but we aim to identify these to you when we are clear on your requirements. Can I defer payments over a period? We recognise that even when our service can deliver the best possible value for equipment procurement you may not have the Capital funds. We have in place a Framework agreement for leasing to provide this as an option; we also work the FTFF (Foundation Trust Finance Facility) that provides loan arrangements to NHS Foundation Trusts at preferential rates. We also work with the various stakeholders in a Trust such as procurement and finance teams to support access and evaluation of these as part of the procurement process. Part of our work with the various stakeholders in the NHS and across the Department of Health is to identify what is needed to allow effective planning and procurement of equipment in the NHS and are constantly seeking ways to improve this. Is there a fee? NHS Supply Chain is operated by DHL under the terms of a commercial contract (the Master Services Agreement), which is governed by NHS Business Services Authority. NHS Supply Chain’s returns on this arrangement are managed within the terms set out in the MSA. There is no fee for an NHS Trust to purchase goods or services via one of our Framework Agreements. NHS SC operates on a management fee basis which is chargeable to suppliers but this does NOT add an on cost for Trusts. Suppliers make efficiency gains within their back office administration, due to working through the National Framework as opposed to responding to direct OJEU tenders (which typically take 9 – 18 months to operate). NHS Supply Chain is incentivised to drive best price deals for NHS trusts, on the DH Fund our returns contains elements of our standard % management fee and an element of a share of the savings this model is in response to the PAC findings and is agreed by the BSA and DH. Full contact details are available on: http://www.supplychain.nhs.uk/capital/ Or contact [email protected] should you have any further question on the Capital Service.
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