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Pre- Qualification Questionnaire (PQQ)

Supply of a Solution for

Assistive Technology for Worcestershire

THIS PQQ MUST BE RETURNED NO LATER THAN 4PM ON THURSDAY 28TH FEBRUARY 2013

DESCRIPTION OF THE REQUIREMENTTO WHICH THIS QUESTIONNAIRE APPLIES

The White Paper entitled "Caring for our future: Reforming care and support" was published on 11th July 2012. It sets out the governments' vision for a reformed care and support system. The White Paper refers specifically to accelerating the roll-out of Assistive Technology, by developing the market, and providing an investment of £18million over four years (through the Technology Strategy Board).

The Whole Systems Demonstrator (WSD) programme, established by the Department of Health, was the world's largest randomised control trial of telehealth and telecare services. The results of this trial for telehealth have been released as follows:-

45% reduction in mortality rates 20% reduction in emergency admissions 15% reduction in A&E visits 14% reduction in elective admissions 14% reduction in bed days 8% reduction in tariff costs

Following the WSD results, the Department of Health set up the 3millionlives initiative (an agreement to work towards a common purpose between the Department of Health and industry), because they believe that at least 3 million people with long term conditions and/or social care needs could benefit from the use of telehealth and telecare services. It can reduce pressure on NHS costs and improve quality of life through better self-care in the home setting.

Following an expression of interest, a partnership of Worcestershire County Council, NHS Worcestershire, South Worcestershire CCG, Redditch and Bromsgrove CCG and Wyre Forest CCG was selected as a pathfinder site for the 3million lives initiative.

This procurement will aim to identify a service partner that can help this partnership achieve the goals of the 3millionlives initiative. We are looking for a service provider that can deliver a fully managed service in which the service partner will manage key operational and clinical processes. The service provider will provide all aspects of a joined up service involving people, processes and technology creating a seamless transition between services and the programmes available. Integration between new and existing services will be key to delivering this seamless service.

2013.01.24 Assistive Technology PQQ 1

PQQ PURPOSE

Worcestershire County Council (WCC) is using a restricted procedure for the procurement of an Assistive Technology solution. The purpose of the PQQ is to assess applications against selection criteria from which a maximum of six applicants will be invited to proceed to the next stage of procurement (Invitation to Tender).

CRITERIA FOR APPLICANTS

Applications will only be considered from:

i) An organisation applying to provide the Service as sole provider (apart from customary subcontracting)

ii) A consortium with legal status iii) An organisation applying as the lead organisation for two or more organisations who

(a) wish to provide the service as a consortium without legal status; (b) can evidence a written basis under which the consortium would operate for the duration of the service required; and (c) agree that the lead organisation will be contracting with the Council on their behalf

PQQ SELECTION CRITERIA FOR RESPONSES

PQQ responses will be assessed against selection criteria. There is no minimum pass mark for this PQQ; a maximum of six applicants will be invited to proceed to the next stage of procurement (Invitation to Tender).

Selection Criteria

Below is an outline of the how each application will be marked. More detail for each section is provided below.

Criteria Scoring basis

Initial compliance check Pass/ FailSection 1 organisational details For Information OnlySection 2 Pass/ FailSection 3 Satisfactory/ Not satisfactorySection 4 Weighted scoringSection 5 references Pass/ Fail

Initial compliance check

The information you supply in your PQQ response will be checked for completeness before evaluation takes place. An applicant may be disqualified if they fail to:

Submit their response before the deadline Answer all the PQQ questions, unless otherwise stated Provide the required information/ documentation Provide a signed and dated declaration

Section 1: Organisational details

This section includes questions on: Details of Applicant, Professional Experience and Contract Performance. These questions will not be marked, but failure to answer all the questions accurately may result in an application being disqualified. If a question is not relevant to the applicants organisation, please indicate this with an explanation.


Section 2: Pass/ Fail

Questions 2.1 to 2.3 in this section are seen to be integral to the service requirement, and any single fail mark will result in the application being disqualified.

Questions 2.4 and 2.5; compliance with public contract regulations. Any fail mark in these sections will result in the application being disqualified.

Section 3: Satisfactory/ Non Satisfactory

This section will be assessed following assessment of sections 1, 2 and 4 and only after the top scoring applicants have been identified. The council will look at and assess this section only for the top scoring applicants prior to invite to tender.

- Registration- Financial Matters- Equal Opportunities - Health and Safety- Safeguarding Arrangements

The Council's Adult Protection Policy and Procedures can be accessed via the Council's website at www.worcestershire.gov.uk/safeguardingadults

- Insurances

The information supplied for each section will be assessed as SATISFACTORY (i.e. there are no concerns about the applicant's suitability to be considered) or NOT SATISFACTORY (i.e. there are concerns about the applicant’s suitability to be considered). Where any information is evaluated as NOT SATISFACTORY the council may seek further clarification from the applicant. The selection panel overseeing the PQQ will decide whether or not the application can progress to the next stage of the procurement process.

Section 4: Weighted scoring

There are 9 questions in this section. For each, the Council will evaluate the information which has been supplied in the PQQ response. Column 2 shows the proportion of the total scoring which is allocated for each question.

A score of zero for any one of the following questions - 4.1, 4.2, 4.3, 4.4, or 4.5 will result in an application being disqualified.

Information to be evaluated % Weighting

Question 4.1 20%Question 4.2 15%Question 4.3 15%Question 4.4 15%Question 4.5 15%Question 4.6 5%Question 4.7 5%Question 4.8 5%Question 4.9 5%

Section 5: References

This section asks applicants to provide details of 3 referees for services similar to those required by this PQQ. If an organisation is selected within the shortlist for tender, the Council will contact at least one referee for a reference. Permission to do so will be assumed unless an applicant states any objections within the PQQ response. If the reference received is not satisfactory, the Council may approach a second referee. If this reference is not satisfactory this will result in the application being disqualified at this stage.


http://www.worcestershire.gov.uk/safeguardingadults

PQQ ARRANGEMENTS AND TIMETABLE

a. To submit a PQQ please complete and return the PQQ in accordance with the completion guidance at the start of the Questionnaire.

b. Applicants are responsible for obtaining all information necessary to complete the PQQ and for any costs, expenses or liabilities incurred in preparing and submitting their PQQ.

c. Any questions relating to this PQQ should be sent by e-mail to [email protected] and must be received by midday on 20th February 2013.

d. Telephone questions will not be accepted.

e. An open meeting for prospective applicants will be held at 13.30pm (for one hour) at the Council Chamber, County Hall, Spetchley Road, Worcester, WR5 2NP on 11th February 2013. At this meeting Council Officers will give a verbal response to all questions that have been submitted so far and to any questions raised at the meeting. Although questions will be accepted on the day, it would be helpful to have received questions beforehand to ensure that the Officers are able to give a full response. Please notify Annie Carter at [email protected] if you are going to attend the open meeting. A written summary of the verbal responses given by Officers will be published on the Council’s e-tender website www.worcestershire.gov.uk/tendering. Further questions can be submitted after this meeting up until midday on 20th February 2013. Responses will be published on the Council’s e-tender website www.worcestershire.gov.uk/tendering.

f. In line with its obligations under the Freedom of Information Act (FoIA), the Council cannot accept blanket confidentiality clauses in applications, tenders or any subsequent Contract. If, at any stage of the tender process, you provide any information to the Council in the expectation that it will be held in confidence, you must indicate clearly what material is to be considered confidential and why a duty of confidence applies. Any future disclosure of that information by the Council will be made in accordance with the FoIA. The Council publishes a list of all contracts awarded by the Council with a total value greater than £50,000 on its website.

g. The Council anticipates completing the selection process by the 11 th March 2013 following which all applicants will be contacted in writing and advised of the outcome. Applicants who have been unsuccessful will be advised of the arrangements for debriefing.


http://www.worcestershire.gov.uk/tendering

http://www.worcestershire.gov.uk/tendering

mailto:[email protected]


h. A summary of the timetable is given below.

Process Timescale

Advertise PQQ 24.01.2013

Closing date for submission of questions 12 midday 20.02.2013

Open meeting for potential applicants 11.02.2013

Summary published of response to questions 15.02.2013 and 22.02.2013

Closing date and time for receipt of completed PQQ's 4.00 PM on 28.02.2013

Evaluation of PQQ's 01.03.2013 – 11.03.2013

Contacting applicants of the outcome Week commencing 11.03.2013

Successful applicants Invitation to Tender 18.03.2013

Open meeting for tenderers 25.03.2013

Closing date and time for receipt of completed tenders

4.00 PM on 03.05.2013

i. If at any stage you believe that the Council is undertaking the PQQ process in a way which is not transparent, equal, fair and proportional you should write to, or email, Michael Howard, the Council’s Strategic Procurement Manager, at County Hall, Spetchley Road, Worcester, WR5 2NP (e-mail: [email protected])

COMPLETION GUIDANCE

i) All applicants must fully complete the PQQ including the Declaration which is part of the PQQ, in accordance with this Guidance.

ii) The PQQ will be used to select which applicants the Council Invites to Tender

iii) If your organisation is part of a larger organisation or a group of organisations, please complete the PQQ solely for your organisation.

iv) If you do not operate in the United Kingdom (UK), you should fully complete the PQQ, but make clear the appropriate legislation to which your answer relates if it is not UK legislation.

v) Please supply the Council with two copies of the completed PQQ and any other information specified in the PQQ.



vi) One copy of the completed PQQ must be in ring bound paper form. The other copy should be in Word format on a CD or a memory stick and must not be encrypted. In the event of any variation between the paper copy and the electronic version, the paper copy shall take precedence. Submissions must not exceed the maximum number of pages/ word limit stated in the PQQ pack (PQQ document and Prospectus).

vii) In the paper copy, the Declaration in the PQQ must contain an original signature on behalf of your organisation. The Council will assume that the person signing is authorised to do so.

viii) PQQs completed electronically must be in Arial font, size 10.

ix) Before completing the PQQ you must read the PQQ Pack to ensure you are clear about the Council’s requirements and arrangements.

x) The Council shall in its absolute discretion be entitled to reject any PQQ that is not submitted entirely in accordance with the requirements of this PQQ Pack or if the PQQ is incomplete in any way.

xi) Do not submit any information which is not specifically requested in the PQQ Pack. Any such information which you submit will be disregarded.

xii) Questions should be answered as concisely as possible and any limitation on the size of the answer must be adhered to.

xiii) In answering each question do not cross-refer to other answers or expect the Council to take into account information given elsewhere in your PQQ.

xiv) In completing the PQQ you must not make any assumptions about the Council’s knowledge of your organisation. The Council will only evaluate your PQQ on the information you supply as part of the PQQ process.

xv) The Council reserves the right to disqualify your PQQ and any subsequent Tender and to terminate any resulting negotiation or Contract, if you make any material misrepresentation in the PQQ or in any supporting information.

xvi) The Council reserves the right to seek clarification or further information about any matter covered by the PQQ at any time during the PQQ process. This includes the right to contact other organisations which you have indicated you currently provide, or have within the last 5 years provided, services for. It also covers the right to contact your Bank for a reference.

xvii) All questions must be answered in full. If an answer is “Nil”, “None”, or “Not Applicable”, this must be stated.

xviii) Each schedule, enclosure, continuation sheet or other document you supply must be clearly marked with the name of your organisation and the number of the relevant question and must only contain information relevant to the specific question to which it relates.

xix) When you have completed the PQQ then i) complete the checklist to confirm that you have enclosed all relevant documentation and ii) sign the Declaration. Please note that if your PQQ is incomplete or unsigned it will be disqualified as non-compliant with the PQQ arrangements and not considered.

xx) Completed PQQs and supporting documentation must be submitted in a sealed envelope or package addressed as below.


xxi) PQQ's received by facsimile or e-mail will not be accepted.

xxii) All documents submitted by the applicant in response to this PQQ shall become the property of the Council. Intellectual property in the PQQ application shall remain the property of the applicant. This Clause is without prejudice to any provisions to the contrary in any subsequent Contract between the Council and applicant.

xxiii) Completed PQQ's must be received by the Council by 4.00pm on Thursday 28th

February 2013. Any PQQ's received after this date will be disqualified as non-compliant with the PQQ requirements and not considered. Consequently you are advised to obtain a timed delivery receipt for your PQQ.

xxiv) Prior to filling in the PQQ please refer to the High Level User Requirement Definition within the Prospectus. The requirements are mandatory (see question 2.3 within the PQQ)

xxv) Only the Lead Provider of consortium applications should complete this PQQ about their organisation

xxvi) Unless otherwise stated, responses to all questions within this PQQ should be no more than one side of A4 paper


PQQ for Supply of a Solution for Assistive Technology forWorcestershireDirector of ResourcesCounty HallSpetchley RoadWorcesterWR5 2NP

SECTION 1: ORGANISATIONAL DETAILS`

Details of Applicant

1.1 Organisation Name

1.2 Registered / Head Office Address

1.3 Address for correspondence (if different to 1.2)

1.4 Contact person for this Tender:

Name:

Post Title:

Telephone Number:

E-mail Address:

1.5 Criteria for Applicants

i) An organisation applying itself to provide the Serviceii) A consortium with legal status iii) An organisation applying as the lead organisation for two or more organisations

who (a) wish to provide the service as a consortium without legal status; (b) can evidence a written basis under which the consortium would operate for the duration of the service required; and (c) agree that the lead organisation will be contracting with the Council on their behalf


Please identify which criteria you are applying under i

ii

iiiTick as appropriate

1.6 If your organisation has a legal status please send us evidence of your standing – for example if you are an Incorporated Company send us a copy of your Certificate of Incorporation or if you are a Charity send us proof of your registration by the Charity Commission.

If you do not have a legal status, please send us evidence confirming your identity/status.

Enclosed Not enclosed

1.7 If you have indicated that you are an Incorporated Company, are you part of a Group?

Yes No

1.8 Has any existing Director, Partner or Trustee of your organisation ever been involved in an organisation which has been liquidated or gone into receivership or had an action heard against it in a Court or Tribunal?

Yes No

If you have answered Yes please give details in the box below.

1.9 Has any existing Director, Partner or Trustee of your organisation ever been subject to bankruptcy proceedings or had judgment debt over £10,000 enforced upon them?

Yes No



1.10 Has any existing Director, Partner or Trustee of your organisation ever been employed by the Council?

Yes No


1.11 Does any existing Director, Partner or Trustee of your organisation have a close relative who is a current elected member or employee of the Council?

Yes No



Professional Experience

1.12 Do you currently, or have you at any time during the last 5 years, provided any County Council or any other public body (including NHS) with services of a similar nature to those sought by the Council in this procurement process?

Yes No

If you have answered Yes please give details in the box below :

Service Period Annual Value (£) Council Contact Person

1.13 Please tell us about any other experience you have in providing services of a similar nature to those sought by the Council in this procurement process?

Service Period Annual Value (£)

1.14 Please give us details of your existing and planned partnerships to deliver this contract. This should include any consortium arrangements (although please note that any contract awarded to a consortium application will be with the lead partner only). Please include in your response:

The roles and responsibilities of each partner Each partners experience of providing this type of service



1.15 Has any contract or service agreement or service level agreement which your organisation has or has had with a public body, or any grant funding you received from a public body, ever been terminated before expiry or been suspended?

Yes No

If you have answered Yes please give details in the box below. Use a continuation sheet, based on the same format, if necessary.

1.16 Are there any current, pending, outstanding or potential claims against your organisation which will/would be heard in a Court or Tribunal?

Yes No



i) Name of Authority …………………………………………………….……….

Type of Service …………………………………………………………..…….…….

Start and End Dates ……………………………………………….…………….

Annual Volume and/or Value ………………………………………………….……

ii) Name of Authority …………………………………………………………….

Type of Service …………………………………………………………………...….

Start and End Dates ………………………………………………………….….

Annual Volume and/or Value …………………………………………………….…

Contract Performance

1.17 Has your firm suffered deductions totalling £5,000 for liquidated and ascertained damages in respect of any contract within the last three years?

YES

NOTick as appropriate

1.18 Has your firm had a contract terminated within the last three years? YES


1.19 Has your firm ever had a contract not renewed or an option to renew not taken up, for failure to perform to the terms of a contract within the last three years?

YES


1.20 Have any of your firm’s contracts within the last three years ended early by mutual agreement following allegations of default on your firm’s part?

YES


1.21 If the answer to any of the questions 1.17 – 1.20 above is YES, please enclose details. ENCLOSED

Tick if enclosed

1.22 Has any contract undertaken by your firm been the subject of arbitration or adjudication in the resolution of disputes?

YES


1.23 If the answer to question 1.22 is YES, please enclose details. ENCLOSED

Tick if enclosed


SECTION 2: PASS/ FAIL

Responses to questions 2.1 and 2.2.1 should be no more than one side of A4 paper.

2.1 Enclose brief details and supply evidence of experience and expertise in Project Management and or Programme Management. Include relevant qualifications of employees that would be working on the project.

2.2 Risk sharing is a key part of this partnership. Do you agree to share the risk? YES


2.2.1 If you have answered yes to 2.2: Please outline your understanding of risk sharing in relation to mainstreaming assistive technology across Worcestershire.

2.3 Do you meet all of the mandatory requirements set out in the Higher Level User Requirement (in the Prospectus)? YES


If you have answered YES to 2.3, please note that an explanation and / or evidence of your ability to meet these mandatory requirements will be required during the tender stage of this procurement process.

If you have answered NO to 2.3, please identify which mandatory requirements you do not currently meet, with an explanation of how you will intend to meet these requirements. (The response to this question should be no more than 10 sides of A4 paper).

COMPLIANCE WITH PUBLIC CONTRACT REGULATIONS

2.4 Has your Organisation or any of its directors or any other person who has powers of representation, decision or control of the Organisation been convicted of any of the following offences:

a Conspiracy within the meaning of section 1 of the Criminal Law Act 1977 (where that conspiracy relates to participation in a criminal Organisation as defined in Article 2(1) of Council Joint Action 98/733/JHA;

YES


b Corruption within the meaning of section 1 of the Public Bodies Corrupt Practices Act 1889 or section 1 of the Prevention of Corruption Act 1906;

YES


c The offence of bribery YES



d Fraud, where the offence relates to fraud affecting the financial interests of the European Communities as defined by Article 1 of the Convention relating to the protection of the financial interests of the European Union, within the meaning of:

i) The offence of cheating the Revenue YES


ii) The offence of conspiracy to defraud YES


iii) Fraud or theft within the meaning of the Theft Act 1968 and the Theft Act 1978 YES


iv) Fraudulent trading within the meaning of section 458 of the Companies Act 1985 YES


v) Defrauding HM Revenue & Customs within the meaning of the Customs and Excise Management Act 1979 and the Value Added Tax Act 1994

YES


vi) An offence in connection with taxation in the European Community within the meaning of section 71 of the Criminal Justice Act 1993;or

YES


vii) Destroying, defacing or concealing of documents or procuring the extension of a valuable security within the meaning of section 20 of the Theft Act 1968

YES


viii) Money laundering within the meaning of the Money Laundering Regulations 2003; or YES


ix) Any other offence within the meaning of Article 45(1) of the Public Sector Directive YES



2.5 Do any of the following apply to the applicant Organisation?

a) Is in a state of bankruptcy (if an individual), insolvency, compulsory winding up (other than for the purpose of bona fide reconstruction or amalgamation), administration, receivership, composition with creditors or any analogous state, or subject to relevant proceedings, or any similar procedure under the law of any other state

YES


b) Has been convicted of a criminal offence related to business or professional conduct YES


c) Has committed an act of grave misconduct in the course of business (or if an individual, in the course of his profession)

YES


d) Has not fulfilled obligations relating to payment of social security contributions YES


e) Has not fulfilled obligations relating to payment of taxes YES


f) Is guilty of serious misrepresentations in supplying information required by the Authority under the Regulations

YES


g) Is not in possession of a licence or not a member of the appropriate Organisation where required by law YES



SECTION 3: SATISFACTORY/ NON SATISFACTORY

Registration

3.1 Are you registered with the TSA (Telecare Services Association) Code of practice or equivalent? YES


If the answer to question 3.1 is yes, please provide proof of certification YES

Tick if enclosed

Financial Matters

3.2 Is the person named in 1.4, your contact person for financial matters?

YYes No

If you have entered No enter below details of your contact person.

Name................................................................................................

Post Title....................................................................................................................

...................................................................................................................................

Telephone Number.....................................................................................................

Fax Number...............................................................................................................

...................................................................................................................................

E-mail Address...........................................................................................................

...................................................................................................................................

3.3 Please give the name and address of your Bank:

Name..........................................................................................................................

Address......................................................................................................................

...................................................................................................................................

...................................................................................................................................

Post Code..................................................................................................................

3.4 Please enclose the last audited accounts for your organisation. If these are for a 12 month period which ended more than 9 months before the closing date of this Tender, please also enclose up to date Management Accounts.


i) Last audited accounts

Enclosed Not enclosed Not applicable

ii) Management Accounts


If you have ticked NOT APPLICABLE but you are not a charity, please now complete Section 3.5.

If you have ticked NOT APPLICABLE, because you are a Charity, please now complete Section 3.6.

3.5 Please explain below why you have not supplied your last Audited Accounts and/or, if applicable, Management Accounts and supply equivalent documentation.

i) Equivalent documentation to last audited accounts:


ii) Equivalent documentation to Management Accounts:


Now go to 3.7

3.6 If you are a charity and have not therefore supplied Audited Accounts under 3.3. please supply equivalent documentation.


i) Equivalent documentation


Now go to 3.7

3.7 Please supply a Business Plan for your organisation (and consortium as appropriate)


If you have entered NOT ENCLOSED, please explain why in the box below.

Equal Opportunities

3.8 Does your organisation have a written policy and/or procedures for Equal Opportunities practices?

Yes No

3.9 Does your organisation comply with all UK legislation and EU Directives in relation to equal rights, equal pay, employment law and minimum wages?

Yes No

3.10 Has any court or tribunal ever heard an action brought against your organisation in relation to any matter covered by 3.8?

Yes No

If you have answered Yes please give further details, including the outcome, in the box below:


3.11 Are you aware of any current or impending action against your organisation in relation to any matter covered by 3.8?

Yes No

If you have answered Yes please give further details in the box below:

Health and Safety

3.12 Does your organisation have a current written health and safety policy, signed by a senior person in your organisation, which identifies your health and safety arrangements and specific post holders responsible for carrying them out?

Yes No

3.13 Has your organisation ever:

i) been served with any formal prosecutions, improvement or prohibition notices under the Health and Safety at Work etc Act 1974 or any related legislation or guidance, or been subject to a formal investigation by the Health and Safety Executive?

ii) had a court or tribunal action brought against you in relation to any matter covered by 3.12?

iii) been served with any formal prosecutions, enforcement notices or prohibition notices under the Regulatory Reform (Fire Safety) order 2005?

Yes No

If you have answered Yes please enclose details and a copy of any notices.

Enclosed Not Enclosed


3.14 Is your organisation aware of any potential or impending prosecution or notice under the Health and Safety at Work etc Act or any related legislation or guidance by the Health and Safety Executive or any other body charged with ensuring health and safety standards?

Yes No

3.15 Person and/or organisation from whom competent Health and Safety advice or assistance would be obtained for this contract

Name........................................................Position..........................................................

Employer..................................................Telephone......................................................

E-mail.............................................................................................................................

Details of relevant training, expertise, knowledge and qualifications which enable the above named person/organisation to properly assist in Health and Safety matters.


Safeguarding Adults, Children and Young People

3.16 Who in your organisation has the lead responsibility for Safeguarding?

Name: ....................................................................................................

Position: .................................................................................................

3.17 Does your organisation have a written policy and/or procedures for safeguarding?

Yes No

3.18 Does the policy / procedure cover;

Adults Children and Young People

3.19 If you have answered NO to Q3.17, please provide an explanation:


3.20 If you have answered YES to Q3.17 please enclose a copy of the policy/ies and/or procedures. If you are signed up to multi-agency partnership arrangements for Safeguarding, you are expected to submit the internal policies and/or procedures that provide the details of how your organisation, and not the partnership, will recognise and investigate Safeguarding concerns.


3.21 If you have answered YES to Q3.17 please self-assess your policy and/or procedures and complete the table below, stating where in the document(s) each area is covered.

Note: if a particular area is not covered in your main Safeguarding policy and/or procedure but is covered in another policy and/or procedure, please also include that policy and/or procedure and indicate the relevant pages in the document.

AreaEssential

/ Desirabl

e

Covered in Policy/ Procedure?

Yes/No

Please indicate which page(s) in the

document this is covered

Contains a statement of the organisation's basic philosophy and principles relating to safeguarding adults, children and young people ensuring a commitment to participating in a multiagency approach to all safeguarding arrangements

E

Identifies who in the organisation has lead responsibility for safeguarding arrangements and their position within the organisation

E

Defines the meaning/coverage of adults at risk, children and young people E

Identifies the following types of abuse i) physical; ii) discriminatory; iii) sexual; iv) institutional; v) financial; vi) neglect; vii) psychological and promotes an understanding of these types of abuse

E

Identifies what staff and volunteers must do if they see/suspect abuse, including "whistle blowing" arrangements for circumstances where normal reporting lines cannot be followed

E

Identifies what service users (or their representatives, carers) should do if concerned about possible abuse by a staff member, volunteer or any other person

E

Identifies how concerns reported by staff, volunteers , services users (or others acting on their behalf) will be dealt with

E

Identifies how and when concerns should be escalated to appropriate statutory bodies

E

Identifies circumstances where consent must/may be required in relation to reporting concerns

E

Covers arrangements for ensuring safe recruitment E


of staff and volunteers

Identifies mandatory induction training arrangements for staff and volunteers ensuring they are made aware of and understand their professional boundaries and that their practice reflects this

E

Identifies issues of mental capacity in relation to safeguarding adults, children and young people

E

Identifies need to consider preventative measures in relation to safeguarding

D

Identifies arrangements for reviewing policies and procedures annually ensuring they are relevant and in line with current legislation

E

Insurance

For the duration of the Contract the Service Provider will be expected to maintain the following insurances and provide the Council with a copy of the relevant schedule on request.

i) Employers Liability Insurance as required to comply with legislative requirements.

ii) Public Liability Insurance in a minimum amount of £10 million for each and every claim, act or occurrence or series of claims, acts or occurrences.

iii) Professional Indemnity Insurance in a minimum amount of £2 million

Please give details of insurance as indicated below.

(a) Employers Liability Insurance held.

Insurer

Policy Number

Limit of Indemnity

Expiry Date

(b) Public Liability (Third Party) Insurance

Insurer

Policy Number

Limit of Indemnity


Does this include Products liability

Expiry Date

(c) Professional Indemnity Insurance

Insurer

Policy Number

Limit of Indemnity

Expiry Date

3.22 Have you ever sought and been declined insurance cover? YES


3.23 If the answer to 3.22 is YES please provide full details ENCLOSED

Tick if enclosed


SECTION 4: WEIGHTED SCORING

Unless otherwise stated, responses to all questions should be no more than one side of A4 paper.

4.1 Please describe your previous experience of providing successful fully managed assistive technology service similar in type, scale and complexity to those required by Worcestershire County Council. Successful provision should be described in terms of budget, timescale and quality criteria.

4.2 Do you have a clinical governance structure to support the development of telehealth in Worcestershire? YES


If the answer to 4.2 is yes, please describe this structure If the answer to 4.2 is no, please describe how would you intend to develop this structure

4.3 The Whole Systems Demonstrator highlighted that interoperability was one of the main barriers to successful mainstreaming of Assistive Technology. Please describe how you would achieve interoperability between the partnering organisations.

4.4 Have you got previous experience of providing clinical monitoring? YES


If the answer to 4.4 is yes, please describe how this is currently provided within your organisationIf the answer to 4.4 is no, please describe how you would intend to develop this

4.5 In order to meet the aims of 3millionlives and to achieve the efficiencies required, rapid expansion of the number of people accessing AT in Worcestershire will be


necessary. Please describe your previous experience of providing services at this scale and how you would manage demand.

4.6 The provision of monitoring for telecare, telehealth and the supporting of telecoaching are a key part of this service. Please describe your previous experience of providing these (monitoring) services.

4.7 Please enclose details of your organisation – e.g. organisation chart, statement of organisational values. State the approximate number of employees employed on a regular basis on similar projects to this proposed contract

4.8 Describe the systems your Company uses for managing your own business. What tools are used for financial management, contract management, selection of suppliers/sub contractors, performance management, risk management, change management, client invoicing etc.

4.9 Please explain how our requirements fit with your core business and what percentage of your core business would this contract be.

SECTION 5: REFERENCES

5.1 Please provide details of 3 referees for services similar to those required by this PQQ.

ENCLOSED

Tick if enclosed

Service Period Annual Value Contact person, name, job title, organisation, address, telephone number and email address

Brief description of service

Word limit: 200


Document Checklist

Please complete the checklist below to ensure that you have submitted all relevant supporting information required in the PQQ Application. Failure to submit any relevant supporting information may result in your PQQ being disqualified as non compliant with the PQQ requirements and not considered.

Brief details of document Question Enclosed Not Enclosed

Not Applicable

Evidence of status 1.6

Details of partnerships 1.14

Contract performance 1.21

Contract performance 1.23

Response to Question 2.1 2.1

Response to Question 2.2.1 2.2.1


Proof of certification 3.1

Last audited accounts 3.4

Management Accounts 3.4

Equivalent documentation to Management Accounts (non charities only)

3.5

Equivalent documentation to last audited accounts (excluding charities)

3.5

Equivalent documentation to Audited Accounts (Charities only) 3.6

Business Plan 3.7

Health and Safety Prosecutions / Notices / Actions 3.13

Details of relevant training, expertise, knowledge and qualifications re Health and Safety matters

3.15


Safeguarding Policy / Procedures 3.20

Declined insurance cover 3.23

References 5.1











Declaration

PLEASE READ AND SIGN THE DECLARATION BELOW

I certify that the information supplied is accurate to the best of my knowledge and that I accept the conditions and undertakings in this PQQ. I understand that giving false, incomplete, misleading or inadequate information that materially affects or could materially affect the decision making process could result in my exclusion from the application process, or subsequent termination of any Contract subsequently awarded to my organisation as a result of this Tender.

I understand that it is a criminal offence, punishable by imprisonment, to give or offer any gift or consideration whatsoever as an inducement or reward to any servant of a public body and that any such action will result in my exclusion from the PQQ and Tender process.

Signed

Name (Block Capitals)

Position

For and on behalf of (state name of organisation

Date

BEFORE RETURNING THIS APPLICATION FORM PLEASE ENSURE THAT YOU HAVE:

i) Answered all of the questions.

ii) Enclosed the relevant schedule and enclosures, having first marked them clearly with the name of your organisation and the number of the question to which they apply.

iii) Completed the checklist indicating which documents have been enclosed.

iv) Completed and signed the above Declaration.


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Documents

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