Operate, maintain and improve the Learn from Patient Safety Events (LFPSE) service

Description

Summary of the work Operate, maintain and improve the Learn from Patient Safety Events (LFPSE) service, to support efforts to reduce harm in the NHS through better data collection, analysis and sharing of learning. Expected Contract Length 18 months with optional extension of 4.5 months Latest start date Tuesday 1 February 2022 Budget Range £1.5-£2.0M including contingent funding from partner teams/other arms-length bodies ex VAT. Approximately £0.5M funding is available in 21/22 and further funding is subject to budget allocation in 22/23. Why the Work is Being Done We launched the LFPSE service in public beta in July 2021 (previously called the patient safety incident management system – PSIMS – during development). Over a phased timetable, LFPSE will replace the National Reporting and Learning System (NRLS) and the Strategic Executive Information System (STEIS) with a successor that supports efforts to reduce harm through earlier detection of risks, better data collection, analysis, and drill down, insights powered by machine learning, sharing of learning and more efficient use of resources. LFPSE is a major upgrade: it will provide a single port of call for recording, accessing, sharing and learning from patient safety events, in order to support improvement in the safety of NHS-funded services at all levels of the health system. Work is required to research, design, build, test and add/further develop a range of major capabilities in line with GDS guidelines; and working with other NHS England and NHS Improvement teams and arms length bodies, build on LPFSE knowledge/infrastructure in support of related safety and learning initiatives. Support is also required for continued operation, improvement and maintenance of the service, working with our internal support/development team. Problem to Be Solved To continue to meet identified user needs and deliver on the ambitions of the NHS Patient Safety Strategy, throughout the public beta period new functionality may need to be added to the service as it is developed, such as self-service data access and tools, and APIs for sharing data with national partner organisations, interoperability enhancements through integration with other data services, support for the new Patient Safety Incident Response Framework, and discovery work to address the inclusion of patient perspectives in national learning. Who Are the Users 1. National bodies e.g. CQC use NRLS/LPFSE data to perform statutory duties 2. NHS providers who use Local Risk Management Systems to upload to NRLS/LFPSE 3.Providers who undertake minimal/nil national recording (e.g. General Practice) to NRLS, and Independent Providers of NHS funded care, seeking to improve recording. 4. National Patient Safety team for identification of new/under-recognised risks, and other national learning functions, and the Service Operations Team responsible for management and user support of NRLS/LFPSE 5. Other parts of the NHS for planning purposes 6. Communities with an interest in improving healthcare safety e.g. academics who use national safety data 7. Patients/carers to participate in national learning. Early Market Engagement A briefing/Q&A is scheduled for 26 November 2021 at 11am to 12:30pm, if interested in attending please email jacqueline.powell9@nhs.net for further details. Background materials are available in a supporting information pack via email to jacqueline.powell9@nhs.net. Work Already Done LFPSE initially provides two main services: Record a patient safety event – organisations can record details of patient safety events using the online service. Once local systems are compatible, larger organisations will record events via upload from their LRMS. Also developed: a linguistic API and anonymisation interface, apps for: national review, data analysis, user management, and user data access. Access data about recorded events – providers will be able to access data that has been submitted by their teams, in order to better understand their local recording practices and culture, and to support local safety improvement work. Existing Team The supplier will be working with members of the National Patient Safety team (in NHS England and NHS Improvement) including Product Owners, a Service Manager, clinical and analytical leads, members of the internal service operations teams, developers, and wider Corporate IT teams. Current Phase Beta Skills & Experience • Demonstrate expertise in data capture/integration building on/using Microsoft.net framework using C#, MVC ASP.Net, Python, API integrations, SSO/OKTA, and DevOps/continuous/automated integration testing. Experience in Azure Cloud Technologies (15 points) • Demonstrate expertise and experience in application of Agile approaches to delivering complex systems (using Agile techniques that meet the GDS Service Standard and have passed GDS Service Assessments) (15 points) • Demonstrate expertise/experience in planning, upskilling, and supporting handover to the buyer's Live phase service team, and planning/supporting decommissioning of legacy infrastructure (10 points) • Demonstrate successful delivery of projects that include blended, multi-discipline, multi-stakeholder teams focused on meeting user needs, and demonstrating clear methodology for engagement, problem solving and delivery (10 points) • Demonstrate familiarity with, or access to expertise in the NHS safety landscape, including local risk-management systems, safety science and risk management, and incident management (10 points) • Demonstrate proficiency in a variety of analytical and visualisation tools including Tableau and machine learning methods (10 points) • Demonstrate expert knowledge in natural language processing & machine learning (especially ability to derive learning & insight from categorical/text-heavy data fields, and pseudonymisation/deidentification in free text) (10points) • Demonstrate experience of recruiting for and carrying out research with a diverse mix of users including those with low digital literacy/assisted digital needs (remote and in person) (10 points) • Have availability of resources to be able to start as soon as possible and by Feb 2021 (10 points) Nice to Haves • Demonstrable understanding of healthcare data and the potential for data linkage between any new system and existing data systems, to deliver new insight and support learning and improvement • Demonstrable familiarity with academic and frontline best practice for enhancing learning, improvement of services, enabling reporting and good safety culture, and ICT-interoperability as it relates to this field • Demonstrable experience in desiging data sharing services following HL7 standards. Work Location Skipton House, 80 London Road, London, SE1 6LH and remotely; occasionally user research activities and workshops may take place in other UK cities. Working Arrangments The LFPSE delivery team (NHS England and Improvement staff and suppliers) have worked remotely during the pandemic. While a 100% return to on-site working is not envisioned, in the medium term members of the supplier team may be required on-site as required to support agile delivery at Skipton House, 80 London Road London SE1 6LH and potentially Wellington House, 133-155 Waterloo Road, London, SE1 8UG. Occasionally user research activities and workshops may take place in other UK cities Travel expenses will not be reimbursed - these should be accounted for in day rates. Security Clearance NHS Information Governance Toolkit/IG training may be required. Suppliers may be required to sign specific NHS England and Improvement data sharing agreement T&Cs to protect data disclosure (NDAs, etc). Suppliers may have access to patient-level or identifiable information (incident reports); prior experience handling sensitive data would be desirable. Additional T&Cs Standard Framework and Call Off Terms and Conditions. All IPR vested within LFPSE (both background and foreground) will be retained by NHS England and NHS Improvement. No license or permission to use the LFPSE for the Supplier is granted except insofar as to deliver the requirements of this Agreement. No. of Suppliers to Evaluate 5 Proposal Criteria • Please detail and demonstrate how your technical solution will meet user needs as outlined in our supplementary material, including maximum infrastructure reuse. (25 Points) • Demonstration of depth of understanding of our requirements (10 points). • Please detail your delivery approach and methodology including collaboration with NHS England and Improvement teams (25 Points) • Please create project and resource plans, highlighting significant milestones, with supporting rationale (15 points). • Please provide a proposed team structure and mobilisation timeframe (including roles and example CVs of typical resources) (20 points) • Please identify and detail potential risks and dependencies and proposed mitigations to manage them (5 points) Cultural Fit Criteria • Describe how you will work as a team with our organisation and other suppliers (10 points) • Describe how you will deliver the contract in a way that supports NHS Long Term Plan priorities; your response must include: • Detail how, through the delivery of the contract, you plan to increase overall diversity and inclusion within the contracted workforce (25 point) • Detail how, through contract delivery, you plan to reduce your carbon emissions (both in your supply chain and embedded carbon within products) through the provision of service (25 points) • Agile and flexible to changing/uncertain requirements (10 points) • Describe your approach to sharing knowledge, experience and skills with other team members so as to build sustainable capability (10 points) • Transparent and collaborative when making decisions (10 points) • Provide critical challenge whilst maintaining good relationships (10 points) Payment Approach Capped time and materials Assessment Method • Case study • Work history • Reference • Presentation Evaluation Weighting Technical competence 50% Cultural fit 20% Price 30% Questions from Suppliers 1. Who has worked on the Discovery, Alpha, and Beta with you? The Discovery phase was produced in-house. The Alpha was delivered with Informed Solutions. The Beta was delivered with Informed Solutions, Mastek and Sparta Global. 2. We saw that you had a Q&A event on the 10th, please could we have a recording of the session? The 10th November event was postponed to 26 November. To participate email jacqueline.powell9@nhs.net. Alternatively, the presentation can be emailed after the event has finished and all questions/answers will published on the DOS portal. 3. I would like to understand a little more about your programme with a view to deciding if we can participate in your procurement:- My reading of the document is that you have already purchased a new LFPSE system – is that correct?- If so, what technology system have you procured? LFPSE provides a number of web apps and APIs in support of two main services: recording details of patient safety events using the online service and provider access to data submitted by their teams. This has been developed using: Python Django framework; OKTA for identity management; C#, .NET Core for RestFul APIs, FHIR data standards and Open Source Python based anonymisation (spaCy); CosmosDB for data persistence and Azure Cloud Services (including Data Factory, Azure SQL, Azure Cognitive Search); SQL APS Server for data warehouse; and Tableau for visualisation and reporting. 4. Are you expecting the supplier to deliver in blended teams with NHSEI staff? If so, what roles will NHSEI be able to provide (e.g. UR, BA, UX)? Yes. The NHSEI part of the blended team includes: Senior Product Manager, Senior Delivery Manager, Product Manager, Senior Test Analyst, User Researcher (0.5 FTE, moving to 1.0 FTE), a Software Developer and Systems Architecture support from a partner Directorate. We have plans do add a Jr Developer and additional Software Developer by the time of contract start date. 5. Would you expect any interface between these LFPSE platforms and individual provider systems (Datix/PAS/EPR) or central NHS Spine services like PDS? Yes we have an interface with vendor systems (e.g. Datix, Ulysses and other Local Risk Management Systems) through APIs. We offer APIs so that both systems can exchange information, and thus mitigate the issue of provider/user reporting burden. With respect to the NHS Spine, LFPSE does not collect patient details e.g. NHS number and thus cannot integrate with the NHS Spine. This topic may be explored during Discovery work around Patient/Public reporting. 6. Are we open to suppliers working with offshore resources? Yes, we are happy to work with offshore and nearshore teams having used this arrangement in previous contracts. 7. Please can we have access to the Supplier Briefing session held on 26 November 2021. Please see link below, if you have trouble accessing this please copy and paste into your browser. If you would like a copy of the slides please email jacqueline.powell9@nhs.net, please note a copy of slides will automatically be shared with those who attended the session.https://www.dropbox.com/s/tlqe1uzh2b3h5yi/LFPSE%20Procurement%20supplier%20briefing%2026112021.mp4?dl=0