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									  The Royal College of Radiologists

                   Radiology Accreditation Programme (RAP)


      INVITATION TO TENDER FOR THE MARKET TESTING OF THE
             RADIOLOGY ACCREDITATION PROGRAMME




Issue of Invitation to tender              Tuesday 23rd October 07

Return of Tenders                          Wednesday 14th November 07

Proposed Interview/Presentation Date Wednesday 21st November 07

Preferred Tenderer Appointment             Monday 19th November 07
Confirmation




Contact Details

All tender proposals should be submitted to the RAP project team:

Email: Katherine_leggett@rcr.ac.uk
Tel No: 020 7636 4432 ext. 1164
Website: http://accreditation.rcr.ac.uk/


For further information regarding the market testing please contact Ethna
Glean, RAP Project Manager:

Email: ethna_glean@rcr.ac.uk
Tel No: 020 7636 4432 ext. 1165
                      Radiology Accreditation Programme (RAP)




Contents                                                Page

Introduction                                            3

Background                                              3

Instructions to Tenderers                               6

Submission Instructions                                 7

Evaluation of Tenders                                   8

Contract Timetable                                      8

Deliverables                                            8

Budget                                                  8




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               Ethna Glean – RAP Project Manager – 23 October 2007
                        Radiology Accreditation Programme (RAP)

Introduction

The development of the Radiology Accreditation Programme began in April 2006.
Radiology service accreditation is in use successfully in other countries including the
USA, Finland and Australia.

Our goal is to ensure that radiology services in Trusts and Boards across the UK,
both within and outwith the NHS, can participate in a professionally led, patient
focused accreditation programme which will be able to confirm the safety of the
service as well as continuous quality improvement which will be supported by
dedicated developmental support.

A developmental pilot with five Radiology Services in England started in April 2007
and will run until end October 2007. 12 assessors joined the developmental pilot in
July 2007. Pilot sites have undertaken a process of self assessment against the draft
standards followed by a peer review visit by a team of assessors. Work to model the
accreditation process and to identify the operating model for the accreditation body is
ongoing.

We are looking for a person or team to help us to market test the accreditation
programme assumptions and to provide market research data on customers.

Background

The Royal College of Radiologists and the Society and College of Radiographers

The Royal College of Radiologists can trace its roots back to the Roentgen Society
which was founded in 1897 and then through the British Association of Radiologists
(1934), the Society of Radiotherapists of Great Britain and Northern Ireland (1935)
and the Faculty of Radiologists (1939). By a Royal Charter granted in 1953 a “body
politic and corporate” was constituted by the name of the Faculty of Radiologists. In
1975, the Faculty of Radiologists was granted a Supplemental Charter which
changed its name to The Royal College of Radiologists. In 2002, the College was
granted a further Supplemental Charter which simplified the 1975 Supplemental
Charter by transferring much of the operational detail from the Supplemental Charter
to the Regulations. The text of the Charter, By-Laws and Regulations may be found
in the Governance section of the website at www.rcr.ac.uk.

The role of the College is to advance the science and practice of radiology and
oncology, further public education and promote study and research through setting
professional standards of practice.

The Society of Radiographers was founded in 1920; it is one of the oldest and most
experienced radiography organisations in the world.

The College of Radiographers is the charitable subsidiary of The Society and it exists
to serve the public good. The College's objects are directed towards education,
research and other activities in support of the science and practice of radiography.

The Society and College shape the healthcare agenda and lead opinion on a wide
range of professional issues. This involves setting the standards that become the
policies adopted and acclaimed by governments and health professionals worldwide.
In the workplace, this involves pioneering new ways of working and ensuring that
imaging professionals work in a safe and fair environment and ensure that patients

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                 Ethna Glean – RAP Project Manager – 23 October 2007
                        Radiology Accreditation Programme (RAP)

receive the best possible care. Further information about the Society and College of
Radiographers can be found on their website at
http://www.sor.org/public/aboutus.htm.

The Royal College of Radiologists and the Society and College of Radiographers are
jointly developing the Radiology Accreditation Programme in collaboration with other
health professionals and patient representatives to ensure safety and improving
quality.

The Royal College of Radiologists and the Society and College of Radiographers are
the ‘sponsors’.

Aims and purpose of the Radiology Accreditation Programme

The Radiology Accreditation Programme has a dual focus. There is a minimum aim
that services must be safe and a quality improvement aim to support continuous
quality improvement.

The purpose of the Radiology Accreditation Programme is to ensure high quality care
for patients and a safe working environment for staff. The programme will do this
through the use of expert specialty advice (including that of patients and users) and
peer review against explicit, agreed standards, criteria and evidence which map to
the patient pathway through radiology services.

The function of the Radiology Accreditation Programme explains the benefits of the
programme to each of the interested parties involved in it:

Patients can be reassured that:

       a.     The Services that they are using are safe.

       b.      Services have been informed by patient and user experiences.

       c.     The Services that they are using have been reviewed by peer experts
              and areas of good practice and areas of weakness have been
              identified.

       d.     The Services that they are using have an Action Plan in place to strive
              for better quality.

       e.      The accreditation model used for radiology services is in line with
               international best practice that sits firmly within the UK health quality
               context.

Providers of radiology services can be assured that:

       a.     The Services they are providing are safe.

       b.     The staff providing those services are competent to undertake the
              tasks that are involved.

       c.     Those accountable for delivery of those services can access expert
              external advice about the strengths and weaknesses of the Service to
              help them to agree an Action Plan for improvement.

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                 Ethna Glean – RAP Project Manager – 23 October 2007
                            Radiology Accreditation Programme (RAP)

         d.      The Action Plan has been informed by an analysis of patient and user
                 experience and feedback.

The health care professionals can be reassured that:

         a.      The services that they are providing have been assessed externally as
                 being safe.

         b.      They and their colleagues are competent to provide those services.

         c.      The provider accountable for the Service / their employer is committed
                 to transparent service with a focus on constant quality improvement
                 and is committed to a plan of Quality Improvement.

         d.      The Action Plan for Quality Improvement has been informed by patient
                 and user experience and feedback.

1.      The principles underpinning the Radiology Accreditation Programme are
         drawn from those referred to in the recent Government White Paper: Trust,
         Assurance and Safety: the regulation of health professionals in the 21st
         century1, the General Medical Council, GMC, and Post Medical Education
         and Training Board, PMETB, principles for quality assurance set out in their
         publication Principles for good medical education and training2 and
         established principles for accreditation programmes from the International
         Society for Quality in Health Care, ISQUA³ . These have been adapted to
         ensure appropriate integrated links between the patient, the employer, the
         Service and the specialty specific expertise of the two College sponsors.

2.      The Radiology Accreditation Programme should:

         a.      Ensure that the overriding interest is the safety and quality of the care
                 that patients receive from health professionals.

         b.      Be independent and impartial of the Services accredited.

         c.      Sustain and improve the radiology services accredited.

         d.      Be proportionate and not impose unnecessary burdens on the
                 radiology services accredited.

         e.      Be sufficiently flexible to apply to the different health needs and
                 health care approaches within and outwith the NHS in England,
                 Northern Ireland, Scotland and Wales.




1
  See Trust, Assurance and Safety: the regulation of health professionals in the 21st Century, 2007,
http://www.dh.gov.uk/en/Publicationsandstatistics/Publications/PublicationsPolicyAndGuidance/DH_065
946 accessed on 23 July 2007
2
  Principles of Good Medical Education and Training, 2006, http://www.gmc-
uk.org/education/publications/gui_principles_FINAL_1.0.pdf accessed on 23 July 2007
³ Toolkit for Accreditation Programmes, Charles D Shaw, International Society for Quality in Healthcare
for the World Bank, 2006 http://www.isqua.org/isquapages/Accreditation/Toolkit%20checklist.pdf
accessed 7 August 2007



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                        Radiology Accreditation Programme (RAP)

       f.      Be valid – only measuring matters which are necessary to its
               overall aims and purpose.

       g.      Be reliable. It should ensure that judgements made about service
               schemes are reproducible and evidence based (whilst allowing
               for professional judgment).

       h.      Ensure that assessors have an appropriate range of expertise and
               knowledge and are supported with appropriate training.

       i.      Be inclusive and should include the views and experiences of
               patients and all health and other professionals involved in radiology
               services.

       j.      Be accountable and transparent. It should ensure that findings are
               available to the public, except where it is not in the public interest to
               publish issues. In these cases, explanations should be available to the
               public on request.

       k.      Ensure evidence collected is co-ordinated with the evidence collected
               by other healthcare regulators in the four countries of the UK.

       l.      Ensure an appropriate appeals process is in place.

Further the standards should:

       m.      Be developed though an iterative process.

       n.      Be understandable, relevant, challenging but achievable.

       o.      Be consistent with standards of other relevant organisations.


Instructions to Tenderers

Tender requirements

We are inviting any interested party to submit a proposal (the ‘Tender Proposal’) the
market testing of the programme. The market testing should deliver market research
data derived from desk research, questionnaires and interviews with customers and
relevant stakeholders e.g. funders, health insurers and government bodies that will
help us to understand:
    • Who the potential customers are?
    • Where they are?
    • How many there are in various segments?
    • How much the customers are willing to pay?
    • What the customers want/need?


Instructions for completion

The specifications for the tender, budget and contract are set out in this document.
The tender should include a fully developed proposal that addresses all the
requirements and specifications described in this document. It should also include a

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                 Ethna Glean – RAP Project Manager – 23 October 2007
                        Radiology Accreditation Programme (RAP)

concise CV, no more than two pages long for each person in the team. Please read
the instructions carefully. Failure to comply with them may invalidate your tender.

The tender proposal should clearly identify:

   1.      A clear work plan explaining milestones and dates for delivery.

   2.      Explanation of the methods to be used for the market testing to ensure
           that the requirements of the tender are met (see above).

   3.      The staff to be used in the main areas of work and where management
           responsibility will rest.

   4.      A single point of contact with full contact details for all correspondence
           related to the project.

   5.      Previous relevant experience and other professional information set out in
           a concise (maximum two pages) CV.

   6.      Confirmation that the terms and conditions set out within this document
           are accepted. If the Tenderer is unable to comply with any of the terms
           and conditions, there must be an explanation about why compliance is not
           possible along with suggested alternative wording.

   7.      A summary of how the tender meets the evaluation criteria (see below).

The tender proposal should be no longer than 3000 words, excluding CVs.

Submission Instructions

The tender must be received in a sealed envelope on or before 12 noon,
Wednesday 14th November 2007

One unbound copy of the tender and one electronic copy of the tender are required.

This invitation to tender does not represent an offer representation or agreement and
does not imply that an agreement will be entered into.

The sponsors will not pay for any expenses or losses incurred in the preparation of
the tender proposal.

The sponsors will not bind themselves to accept the lowest or any tender.

No tender will be deemed to have been accepted until such acceptance has been
notified to the Tenderer in writing.

The sponsors do not warrant that the information in this document is accurate,
complete or updated. However, they will take reasonable steps to do so.

Any lists or schedules provided by the Sponsors outlining confidential information are
of indicative value only.




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                   Invitation to Tender for the Market Testing of the RAP_v1
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                 Ethna Glean – RAP Project Manager – 23 October 2007
                          Radiology Accreditation Programme (RAP)



Evaluation of Tenders

Your tender proposal will be evaluated using the following criteria (not in order of
merit or weight):

    1.      Background and experience of team
    2.      Goals / Objective: Does the tender proposal address the requirements of
            the tender?
    3.      Appropriate methods used?
    4.      Value for money
    5.      Demonstration of a commitment to equality and diversity
    6.      Ability to comply with our terms and conditions


Contract Timetable

The tender proposal should set out a detailed preliminary schedule that indicates
realistic interim and final deadlines.

Issue of Invitation to tender: 23rd October 07
Return of Tenders: 12noon, 14th November 07
Proposed Interview Date: 21st November 07
Preferred Tenderer Appointment confirmation: 19th November

Deliverables

The market testing should ensure that the following are delivered:

•   A preliminary report setting out the framework for market testing.

•   A final report by 18th January 2008 to include:

    -    List and description of customers including who they are, overall numbers in
         each segment and characteristics.

    -    How much each customer is willing to pay and how they will procure.

    -    Expected benefits.

    -    A high level cost and benefits analysis.




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