Wales Community Health Services Tenders & Contracts

Gwent Warm and Well Programme within Aneurin Bevan University Health Board (ABUHB)

Gwent Warm and Well Programme within Aneurin Bevan University Health Board (ABUHB)

Betsi Cadwaladr University Health Board are seeking a contract for ophthalmic services within the central and West integrated health community, including all ophthalmology patients, service users and families/carers.

Betsi Cadwaladr University Health Board are seeking a contract for ophthalmic services within the central and West integrated health community, including all ophthalmology patients, service users and families/carers.

The Deprivation of Liberty Safeguards (DoLS) are an amendment to the Mental Capacity Act 2005 (the ‘Act’), and provides protection for vulnerable people, in care homes or hospitals who lack capacity to consent to the care or treatment they need. In 2014, following a Supreme Court ruling, the law in relation to DoLS changed, meaning the Act applied to far more people than it had previously, with the number of people subject to DoLS increasing significantly. In 2019 the law was changed with an amended Mental Capacity Act (2019) (MCA). The MCA (amendment) 2019 was to put in place new legislation, the publication of a new code, and regulations under Liberty Protection Safeguards (LPS). These changes were originally scheduled to replace the DoLS legislation and procedures from 1 October 2020. However, in April 2023 the Department of Health and Social Care announced the implementation of the Liberty Protection Safeguards (LPS), the Mental Capacity (Amendment) Act 2019, would be delayed “beyond the life of this Parliament” (therefore beyond Autumn 2024). As such, the existing DoLS policies, rules and regulations are still extant. The DoLS Team provide the service in line with statutory requirements from Mental Capacity Act 2005 (as amended, 2009) and therefore, it must be provided by a statutory body. As a ‘Managing Authority’, Cardiff and Vale UHB have responsibility for applying to the relevant Supervisory Body for authorisation of a deprivation of liberty for any person who may come within the scope of the Safeguards. Cardiff and Vale UHB have a long-standing tripartite agreement, with both Cardiff and the Vale Local Authorities, which provides that the Vale LA will act as the ‘Supervisory Body’ for our geographical area in the form of the DoLS Team. Under this agreement the UHB contributes funds on a proportional basis (45%) for the provision of this service. As the Supervisory Body, the DoLS team receive requests for authorisations and arrange for the relevant assessments to be completed to establish whether it would be appropriate and lawful to deprive the person of their liberty in hospital, in order to provide care and treatment. Without this authorisation, the UHB is in breach of Article 5 of the European Convention on Human Rights, which requires that ‘no one shall be deprived of his or her liberty [unless] in accordance with a procedure prescribed in law]’. This contract in an exemption under Schedule 2.2.3 of the 2023 Procurement Act which states a contract is exempt from a formal procurement process if it is a horizontal arrangement. A “horizontal arrangement” means an arrangement— (a) entered into— (i) with the aim of achieving objectives the authorities have in common in connection with the exercise of their public functions; (ii) solely in the public interest;

The Deprivation of Liberty Safeguards (DoLS) are an amendment to the Mental Capacity Act 2005 (the ‘Act’), and provides protection for vulnerable people, in care homes or hospitals who lack capacity to consent to the care or treatment they need. In 2014, following a Supreme Court ruling, the law in relation to DoLS changed, meaning the Act applied to far more people than it had previously, with the number of people subject to DoLS increasing significantly. In 2019 the law was changed with an amended Mental Capacity Act (2019) (MCA). The MCA (amendment) 2019 was to put in place new legislation, the publication of a new code, and regulations under Liberty Protection Safeguards (LPS). These changes were originally scheduled to replace the DoLS legislation and procedures from 1 October 2020. However, in April 2023 the Department of Health and Social Care announced the implementation of the Liberty Protection Safeguards (LPS), the Mental Capacity (Amendment) Act 2019, would be delayed “beyond the life of this Parliament” (therefore beyond Autumn 2024). As such, the existing DoLS policies, rules and regulations are still extant. The DoLS Team provide the service in line with statutory requirements from Mental Capacity Act 2005 (as amended, 2009) and therefore, it must be provided by a statutory body. As a ‘Managing Authority’, Cardiff and Vale UHB have responsibility for applying to the relevant Supervisory Body for authorisation of a deprivation of liberty for any person who may come within the scope of the Safeguards. Cardiff and Vale UHB have a long-standing tripartite agreement, with both Cardiff and the Vale Local Authorities, which provides that the Vale LA will act as the ‘Supervisory Body’ for our geographical area in the form of the DoLS Team. Under this agreement the UHB contributes funds on a proportional basis (45%) for the provision of this service. As the Supervisory Body, the DoLS team receive requests for authorisations and arrange for the relevant assessments to be completed to establish whether it would be appropriate and lawful to deprive the person of their liberty in hospital, in order to provide care and treatment. Without this authorisation, the UHB is in breach of Article 5 of the European Convention on Human Rights, which requires that ‘no one shall be deprived of his or her liberty [unless] in accordance with a procedure prescribed in law]’. This contract in an exemption under Schedule 2.2.3 of the 2023 Procurement Act which states a contract is exempt from a formal procurement process if it is a horizontal arrangement. A “horizontal arrangement” means an arrangement— (a) entered into— (i) with the aim of achieving objectives the authorities have in common in connection with the exercise of their public functions; (ii) solely in the public interest;

Cardiff and Vale UHB intends to commission a community-based service providing specialist welfare benefits and debt advice to adults with mental health problems. The service will support individuals to maximise income, reduce or manage debt, and improve overall health and wellbeing.

Provision of Adult Sanctuary Services in Swansea Bay Health Board. The Sanctuary Service is a mental health service provided out of hours for individuals experiencing a mental health crisis. The existing service was due to expire 31/03/2026 and due to current transformation of the Mental Health Services in Swansea Bay University Health Board this service requires further review. This short term contract is being awarded to the incumbent provider for continuation of services while the review is conducted in view to then test the market with a new revised service provision. Short Term contract period for 1st April 2026 to 31st October 2026

Extension of Welsh Government pilot scheme for the Provision of Child & Young Person’ Sanctuary Service in Swansea Bay Health Board. Extension period from 1st April 2026 to 31st March 2027

'The charity will deliver unregulated information, advice and assistance to help older residents and carers, without support from Dementia Community Connectors, to make informed choices and access their rights and entitlements; supporting older people to engage with community activities that improve health, wellbeing and independent living; and enable local people to take part in community conversations and influence developments across the County Borough. To support delivery of the RCTCBC Corporate Plan 2024–2030, “Working with our Communities”, by providing services that help older people in Rhondda Cynon Taf to live healthier, safer and more independent lives.

The pilot service will provide support for adult (18+) residents of Gwent who: - Are experiencing intense and distressing suicidal thoughts and/or have recently made a suicide attempt. - Are not eligible for support from: crisis team, secondary mental health care including community mental health teams. - Do not have an underlying mental health diagnosis for which they are receiving specialist mental health service input or complex drug/alcohol dependencies. - Are experiencing a crisis that has been driven by acute life events such as relationship breakdowns, financial problems, bereavement or job loss. - Do not need urgent medical attention for a physical health concern. - Are willing to engage in the service. - Are affected by someone who is experiencing suicidal ideations and/or has made a suicide attempt, e.g., partners/families/frontline staff and anyone who witnessed a suicide attempt. See tender documents for further information.

Cardiff and Vale University Health Board (CVUHB) acts as the lead organisation for a long established Consortium of Welsh Health Boards: Aneurin Bevan, Cwm Taf Morgannwg, Hywel Dda, Powys Teaching and Swansea Bay, working collectively since 2011 to ensure a safe, specialist and sustainable model of palliative respite care for children with life shortening and life limiting conditions across Wales.