Pre Qualification Questionnaire Template - DOC

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                Pre Qualification Questionnaire



NHS Contract for North East Specialist Eating Disorder
Beds: Adults and Young People
Contract Reference: CPST2009-032




        NHS Procurement North East
        Centre for Health
        Unit 101
        Whitehouse Business Park
        Peterlee
        SR8 2RT

        T 0191 5874800
        F 0191 5692801
        www.nhsprocurement-northeast.nhs.uk
GUIDANCE AND INFORMATION
   NHS Contract for North East Specialist Eating Disorder Services .............................. 3
PRE-QUALIFICATION QUESTIONNAIRE (“PQQ”) ............................................................ 3
Introduction ................................................................................................................... 3
   1.1    Purpose of this Pre-Qualification Questionnaire (PQQ) ................................ 4
   1.2    Background Information ................................................................................ 4
   1.3    The Requirement ........................................................................................... 5
   1.4     Proposed Type of Agreement ...................................................................... 5
   1.5    Outline Timetable .......................................................................................... 6
   1.6    Additional Information .................................................................................. 6
   1.7    Freedom of Information ................................................................................ 6
   1.8    Instructions for Completion ........................................................................... 7
   1.9    Submission of Completed Pre-Qualification Questionnaires ........................ 8
   1.10 Consortia, Partnerships and sub-contracting ................................................ 8
   1.11 Queries about the procurement .................................................................... 9
   1.12 Provider contact point ................................................................................... 9
   1.13 Provider selection .......................................................................................... 9
PART A – GENERAL INFORMATION .............................................................................. 11
     Company Name.................................................................................................... 11
     Name .................................................................................................................... 11
     Date of formation ................................................................................................ 12
     Consortium, Partnership or Joint Venture (please state which ......................... 12
     Organisation ......................................................................................................... 13
PART B - FINANCIAL DETAILS ....................................................................................... 15
     Bank Name ........................................................................................................... 15
     Name of insurer ................................................................................................... 16
     Disclosure of Legal Proceedings........................................................................... 17
     Credit Checks for Organisations........................................................................... 17
     Credit Checks for Individuals ............................................................................... 17
PART C –TECHNICAL OR PROFESSIONAL ABILITY ......................................................... 18
PART D — STATEMENT RELATING TO GOOD STANDING ............................................ 22
     Organisation’s name ............................................................................................ 23
     Organisation’s name ............................................................................................ 24
     Deductions for liquidated and/or ascertained damages ..................................... 24
     Did the deduction exceed [£50,000]?.................................................................. 24
     Contract terminated / employment determined ................................................ 25
     Health & Safety Breaches .................................................................................... 25
     Failed to receive contract renewal ...................................................................... 25
     Legal proceedings pending .................................................................................. 25
     Finding of Unlawful Discrimination ..................................................................... 25
PART E – CONFLICT OF INTEREST ................................................................................. 26
PART F – ADDITIONAL SERVICE-SPECIFIC QUESTIONS ................................................. 27
EVALUATION METHODOLOGY MATRIX ....................................................................... 29
NHS Contract for North East Specialist Eating Disorder Services

PRE-QUALIFICATION QUESTIONNAIRE (“PQQ”)

        This document should be completed and returned in accordance with the
        Pre-Qualification Questionnaire Information and Instructions to Potential
        Provider/Potential Providers
        Questionnaires to be
        submitted by:                    5pm Thursday 21st January 2010
        To:                              PCT Commissioning Procurement Support
                                         Team
        E-mail:                          cd-pct.northeastpctsupportteam@nhs.net
        Address:                         Centre for Health, Unit 101, Whitehouse
                                         Business Park, Peterlee, SR8 2RU
        Tel:                             0191 569 2893
        Contract Reference:              CPST2009-032
        OJEU Reference & Date:
        S2H Reference & Date:


               Contact Point:                Alison Brown



Introduction
No information contained in this PQQ or in any communication made between NHS
Procurement North East (“the Authority”) and any Potential Provider in connection with this
PQQ shall be relied upon as constituting a contract, agreement or representation that any
contract shall be offered in accordance with this PQQ. The Authority reserves the right,
subject to the appropriate procurement regulations, to change without notice the basis of,
or the procedures for, the competitive tendering process or to terminate the process at any
time. Under no circumstances shall the Authority incur any liability in respect of this PQQ or
any supporting documentation.

Direct or indirect canvassing of any Minister, public sector employee or agent by any
Potential Provider concerning this requirement, or any attempt to procure information from
any Minister, public sector employee or agent concerning this PQQ may result in the
disqualification of the Potential Provider from consideration for this service.

The Authority is leading this collaborative procurement;

This is a regional procurement and County Durham PCT is acting as the lead and contracting
authority for itself and on behalf of all other North East PCTs and the Care Trust and Cumbria
PCT:
North Tyneside PCT
Newcastle PCT
Northumberland Care Trust
County Durham PCT
Darlington PCT
Sunderland PCT
South Tyneside PCT
Gateshead PCT
Middlesbrough PCT
Redcar and Cleveland PCT
Stockton Teaching PCT
Hartlepool Teaching PCT
Cumbria PCT




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1.1     Purpose of this Pre-Qualification Questionnaire (PQQ)

This PQQ sets out the information which is required by the Authority in order to assess the
suitability of Potential Providers in terms of its technical knowledge and experience,
capability/capacity, organisational and financial standing to meet the requirement. During
the PQQ stage, the intention is to arrive at a Short List of qualified providers for formal
Invitation To Tender against the requirement as advertised in the OJEU Notice specified on
page 3.

1.2     Background Information

In January 2007, HM Treasury, announced the publication of the Transforming Government
Procurement report. This unveiled a range of public procurement reforms to equip the UK
with the capability to deliver world class public services in the face of growing challenges of
global competition, changing demographics and increasing pressures on natural resources.
‘Collaborative Procurement’ is the term used to describe a procurement where two or more
contracting bodies combine their individual needs into one larger public sector requirement.
A Royal College of Psychiatrist survey of services for patients with eating disorders published
in 1992 (Council Report CR14) demonstrated that local specialist services are often absent,
and that patients may have to travel long distances from home to access treatment. Services
for patients with anorexia nervosa are particularly problematic with patients requiring care
for episodes that average a duration of six years, with the family usually operating as the
main carers for the duration of the illness.
There is a wide variation in specialist services for eating disorders around the country, which
include specialist inpatient units, specialist outpatient services, and specialism within
general mental health services, nurse practitioners, primary care and voluntary sector
initiatives. The service provision within the North East follows the national picture of
variable services with a lack of co-ordination of referral practices, assessment tools,
treatment regimens and outcome measures, leading to inequalities in both access to
treatment and clinical outcomes for patients. The Tees, Wear and Esk Valley Foundation
Trust provide a community service working alongside general mental health services and
Northumberland, Tyne & Wear Regional Eating Disorders service provide both in-patient and
out-patient services. Whilst these services are open to referrals from across the region, the
geographical location of the services tends to bias access toward those closest to the service
hubs. Access to outpatient, time-limited, evidence based therapies is currently extremely
limited across much of the region.




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1.3       The Requirement

The North East Commissioning team for Mental Health and learning Disability on behalf of
the North East Specialist Commissioning Group PCT’s would welcome expressions of interest
to provide one or both of the following;
-Ten inpatient specialist eating disorder beds for adults
- Ten inpatient specialist eating disorder beds for young people

As a minimum requirement the service will offer the following interventions:

         Medical and Psychiatric assessment and management
         Evidence based Psychological Therapies (including CBT and family therapy)
         Nutritional management (including NG feeding, supported oral refeeding program,
          dietetic input)
         Nursing care
         Therapeutic group program
         Occupational therapy
         Access to acute medical services (usually general hospital services) This element
          would be provided for out of cost and separate to this contract. The expectation is
          that there will be a high level of medical care available in a specialist tertiary ED unit.
          resulting in very few patients needing acute medical services.

The range and type of intervention made available to individual patients will vary according
to their individual needs.

Patients admitted for inpatient treatment will be admitted because of their eating disorder,
usually severe anorexia nervosa (meeting criteria 1, 2 or 3 above), but occasionally other
eating disorders where associated medical or psychiatric risk is high. The focus of admission
will be on both nutritional management/weight restoration and psychological therapy, as
recommended in the NICE Guidance (2004). Duration of inpatient care will be guided by
individual need and goals of treatment. For example, symptom reduction should require
shorter admission than full recovery. Consideration should be given to early discharge from
hospital where progress toward recovery can continue effectively in less intensive treatment
settings The range and duration of psychological therapies offered in outpatient and
inpatient settings will be compliant with the NICE guidance for EDs (2004) and appropriate
to the needs of individual patients and their families.


1.4       Proposed Type of Agreement

The successful provider(s) shall be admitted either to a framework agreement or a standard
NHS bilateral contract.




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1.5     Outline Timetable

Set out below is the proposed procurement timetable. This is intended as a guide and whilst
the Authority does not intend to depart from the timetable it reserves the right to do so at
any stage.


       Date or [Target Date]               Activity
       21st December 2009                  OJEU notice published with PQQ made available to
                                           Potential Providers
       5pm 21st January 2010               PQQ Return Date [see Public Procurement Regulations
                                           2006 for timescales]
       31st January 2010                   Evaluation of pre-qualification questionnaires
                                           completed and providers informed of outcomes
       4th February 2010                   ITT Briefing Event for those invited to tender
       15th February 2010                  Invitation to tender issued to selected providers
       5pm 24th March 2010                 Tender Return Date
       30th April 2010                     Evaluation of tenders completed
       May 2010                            Contract Award


1.6     Additional Information

Recipients are invited to complete this PQQ and to submit it, together with any requested
supporting information, to the contact point detailed on page 3 by the due date for return.
All requests for clarification or further information in respect of this PQQ should be
addressed to the contact point detailed on page 3. No approach of any kind in connection
with this PQQ should be made to any other person within, or associated with, the Authority.
This PQQ is being provided on the same basis to all Potential Providers.
The Authority expressly reserves the right to require a Potential Provider to provide
additional information supplementing or clarifying any of the information provided in
response to the requests set out in this PQQ.
The Authority will not reimburse any costs incurred by Potential Providers in connection
with preparation of their responses to this PQQ.

1.7     Freedom of Information

The Authority is committed to open government and to meeting its legal responsibilities
under the Freedom of Information Act 2000. Accordingly, information submitted to a public
authority may need to be disclosed by the public authority in response to a request under
the Act. The Authority may also decide to include certain information in the publication
scheme, which the Authority maintains under the Act.
If a Potential Provider considers that any of the information included in their PQQ is
commercially sensitive, it should identify it and explain (in broad terms) what Freedom of
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Information Act exemption clause is to be applied , and the time period applicable to that
sensitivity.
Potential providers should be aware that, even where they have indicated that information
is commercially sensitive, the Authority might be required to disclose it under the Act if a
request is received.
Potential providers should also note that the receipt of any material marked ‘confidential’ or
equivalent by the Authority should not be taken to mean that the Authority accepts any
duty of confidence by virtue of that marking.

1.8     Instructions for Completion

Potential Providers must adhere to the format of this PQQ when answering the questions.
Where questions cannot be answered fully, please provide relevant explanation and details.
Please keep responses concise . Do not provide evidence or supporting documentation as
web links or as references to documents not supplied – you must supply the required info
along with the completed questionnaire, ensuring you clearly cross-reference the
documents.

Potential providers should answer all questions as accurately and concisely as possible in the
same order as the questions are presented. Where a question is not relevant to the
Potential Provider’s organisation, this should be indicated, with an explanation.
Please ensure that you complete all sections and feel free to supply additional information
on separate sheets where there is insufficient space on the questionnaire itself. Non-
completion of any sections may render your organisation ineligible to bid.
Please ensure that any supporting documentation is clearly marked with your organisation’s
name and is cross-referenced to the appropriate section in the questionnaire. Do not
include attachments or other supporting documentation in the body of the PQQ – a
separate attachment is required.
Where reference to large documents is necessary please provide the relevant extract, if
possible, rather than the whole document.
Where possible, submissions, and any associated documents should be presented in
Portable Document Format (PDF) in order to minimise any potential compatibility issues.
Answer each of the questions raised for the organisation expressing an interest in the
project and for each business if the application is a consortium, joint venture or subject to
any other joint arrangement.
PQQ submissions that are received late, i.e. after the published deadline, are incomplete,
have errors or are confusing in any way may not be considered further.
Questions should be answered in English.
Where a Potential Provider has published their Company profile on NHS – sid4health (and
the details are up to date) cross reference may be made on the PQQ to the information
being available at NHS sid4health.

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   Responses will be evaluated in accordance with the procedures set out in section 1.13
   Provider Selection. In the event that none of the responses are deemed satisfactory, the
   Authority reserves the right to terminate the procurement.

   Failure to furnish the required information, make a satisfactory response to any question, or
   supply documentation referred to in responses, within the specified timescale, may mean
   that a Potential Provider is not invited to participate further.

   1.9     Submission of Completed Pre-Qualification Questionnaires

   You must submit your completed PQQ by email to the contact point no later than the date
   specified on page 3. Completed PQQs may be submitted at any time before the closing
   date. Please note that completed PQQs received after the closing date may be rejected.
   Potential providers must keep their contact details up to date or they will be unable to
   receive communications from the Authority.

   1.10    Consortia, Partnerships and sub-contracting

   Where a consortium, partnership or sub-contracting approach is proposed, all information
   requested should be given in respect of the proposed prime contractor, partnership or
   consortium leader. Relevant information should also be provided (as indicated in the PQQ)
   in respect of consortium members or partnership members or sub-contractors who will play
   a significant role in the delivery of the requirements under any ensuing agreement or
   contract and details should be provided as to the proposed sharing of risk for the contract.
   Responses must enable the Authority to assess the overall consortia.
   Where the proposed prime contractor is a special purpose vehicle or holding company,
   information should be provided of the extent to which it will call upon the resources and
   expertise of its members.
   The Authority recognises that arrangements in relation to consortia, partnership and sub-
   contracting may (within limits) be subject to future change. Potential providers should
   therefore respond in the light of the arrangements as currently envisaged. Potential
   providers are reminded that any future change in relation to consortia, partnership and sub-
   contracting must be notified to the Authority so that it can make a further assessment by
   applying the selection criteria to the new information provided.
   With specific reference to submitting a PQQ, Providers may be:

 single prime contractor [i.e. a sole trader, public limited company, private limited
  company], which decides that it can, on it's own footing, provide the full requirement of
  the Service, as outlined in the Service Specification

 a consortium or partnership[ [i.e. a collaboration of two or more Providers] of
  organisations acting together, which seeks to undertake the whole of the Service Delivery,
  or appropriate elements of it where feasible, as outlined in section A10. In this case, a
  consortium should appoint a Lead Member to complete and submit the PQQ on their
  behalf and the Authority will liaise only with that lead; any PQQ submission of this nature
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will require all partners of the collaboration to be clearly stated within the PQQ, with full
details for each for all sections

Please note that:

     any Applicant wishing to be considered as both a single Provider and as a ‘Member’
      of a Consortium/Partnership should submit separate responses in each capacity as
      in the event that a collaboratively submitted PQQ was not successful ALL
      organisations detailed on that PQQ would be ruled out from the process, therefore
      if you feel that there is any risk to your collaborative PQQ not being successful, then
      a SEPERATE PQQ submission for your individual organisation would also be required

     further to the above, it may be that you are unclear as to whether you will
      collaborate or not and for which elements if the service – see section A10 - and in
      this case you should submit a single PQQ for your organisation and state intentions
      clearly in section A10


1.11    Queries about the procurement

The Authority will not enter into detailed discussion of the requirements at this stage. Any
questions about the procurement should be submitted by email to the address shown on
page 3.
If the Authority considers any question or request for clarification to be of material
significance, both the question and the response will be communicated, in a suitably
anonymous form, to all Potential Providers who have responded; have expressed an
interest; or those that show an interest before the closing date for the submission of the
PQQ.
All responses received and any communication from Potential Providers will be treated in
confidence but will be subject to paragraph 1.7 above.

1.12    Provider contact point

Potential providers are asked to include a single point of contact in their organisation for
their response to the PQQ. The Authority will not be responsible for contacting the Potential
Provider through any route other than the nominated contact. The Potential Provider must
therefore undertake to notify any changes relating to the contact promptly.

1.13    Provider selection

The objective of the qualification process is to assess the responses to the PQQ and select
Potential Providers to proceed to the next stage of the procurement in accordance with its
minimum requirements so that only those Potential Providers that meet or exceed those
minimum requirements are taken forward.


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A summary of PQQ information weighting percentage and total points available is given at
Appendix 1.1 – Evaluation Methodology Matrix.
The Authority may disqualify any Potential Providers who fails to:
    (i)      comply with the requirements of Regulation 23 of the Public Contracts
             Regulations 2006 (as amended) and/or fails to certify at Part G that it has
             fulfilled these requirements
    (ii)     provide a satisfactory response to any questions in the PQQ or inadequately or
             incorrectly completes any question
    (iii)    submit its completed PQQ after the deadline
The Potential Providers who comply with the above grounds shall be evaluated on the
qualification criteria listed in the PQQ which takes into account the economic and financial
standing and the technical or professional ability of the Potential Provider and will be in
accordance with Regulations 23-25 of the Public Contracts Regulations 2006 (as amended).
A shortlist of Potential Providers will be drawn up and invited to tender.
The Authority may seek independent financial and market advice to validate information
declared or to assist in the evaluation. The Authority reserves the right to conduct Reference
site visits; ask for demonstrations; and/or presentations as part of the PQQ process.
Evaluation of tenders at the award stage will be undertaken in accordance with the high-
level evaluation criteria that will be published in the invitation to tender documentation.




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PART A – GENERAL INFORMATION
        Where there are joint bids proposed, please list each individual organisation’s
        details separately


A1      Full name, address and website of the Potential Provider:

         Company Name
         Address




         Town/City
         Postcode
         Country
         Website
        Where there are joint bids proposed, please list each individual organisation’s
        separately
A2      Name, position, tel number & e-mail address of main contact for this project:

         Name
         Position
         Telephone Number
         Fax Number
         E-mail

A3      Current legal status of the Potential Provider (e.g. sole trader, partnership, private
        limited company, etc.)

                                          Please
                                      (tick one box)
         Sole Trader
         Partnership
         Public Limited
         Company
         Private Limited
         Company
         Other (please state)

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A4      Date and place of formation of the Potential Provider, registration under the
        Companies Act, please provide copies of Certificate of Incorporation and any
        changes of name, registered office and principal place of business.

         Date of formation
         Place of formation
         Date of registration
         Registration number
         Certificates enclosed             YES / NO (please delete)
         Registered Office




A5      Please provide a brief description of the Potential Provider’s primary business and
        main products and services.




A6      Brief history of the Potential Provider’s organisation, (maximum 400 words),
        including details of any parent and associated companies and any changes of
        ownership over the last 5 years including details of significant pending
        developments, changes in financial structure or ownership, prospective take-over
        bids, buy-outs and closures etc which are currently in the public domain.




A7      Is the Potential Provider a consortium joint venture, partnership or other
        arrangement? If so, and if it is available, please provide details of the constitution
        and percentage shareholdings.

         Consortium, Partnership or Joint
         Venture (please state which
         If you are a Consortium, Partnership or joint Venture, please complete the table
         below




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                                                                                                  Proposed
                                                                                                  Percentage
           Organisation
                                                                                                  shareholding
                                                                                                  of the Contract




A8        Please provide a one-page chart illustrating the ownership structure of the Potential
          Provider including relations to any parent or other group or holding companies.

           Ownership structure enclosed (please state Yes or No)


A9      Registration with professional body

         Where applicable, is the Potential Provider registered with the appropriate trade or
         professional register(s) in the EU member state where it is established (as set out in
         Annex IX B of Directive 2004/18/EC) under the conditions laid down by that member
              *
         state ).

           Evidence of registration with appropriate professional/trade body
           Either insert required details or state ‘None’




A10       Please indicate what type of Potential Provider you are (please refer to paragraph
          1.10 (Consortia and subcontracting).


           Individual organisation, proposing to provide the required service
           wholly as an individual organisation



           Individual organisation, proposing to provide the required service
           mainly as an individual organisation, utilising sub-contractors for non-
           core services




*
 In the UK this condition is satisfied by registration with Companies House or a declaration on oath that the
candidate is carrying on business in the trade in question in the UK at a specific place of business and under a
specific trading name.
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         Collaboration of two or more organisations (please explain the main
         aspects of the proposed collaboration below with regard to the
         provision of the services ) Two lots each available as separate lots or as
         one combined lot:

         - Ten inpatient specialist eating disorder beds for adults
         - Ten inpatient specialist eating disorder beds for young people




A11     We may share your contact details with other potential providers of the proposed
        service. Please confirm that this is acceptable (or state otherwise);




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PART B - FINANCIAL DETAILS
B1      Name and address of principal banker together with banker’s reference.

         Bank Name
         Address



         Town/City
         Postcode


         Banker’s reference enclosed (please state Yes or No)


B2      Accounts information — please provide a copy of the full report and audited
        accounts for the last 3 financial years. If the accounts you are submitting are for a
        year ended more than 10 months ago please also enclose the latest set of
        management accounts.

         Last 3 Years Accounts enclosed (please state Yes or No)


B3      Please supply the following information for the last three financial years:

                                             Amount           Amount            Amount
                                              (£K)             (£K)              (£K)
                                            20xx/20xx        20xx/20xx         20xx/20xx
         Turnover
         Operating Profit
         Profit in relevant services
         Current Assets
         Current Liabilities
         Long Term Liabilities
         Net Assets


         Turnover in relevant services
         Numbers of Staff working in
         relevant services


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        If the information you are submitting is for a financial year-end more than 10
        months ago, please submit the latest available information or a statement signed by
        the Finance Director detailing any major changes in the current financial position
        since the date of the latest information provided.

        Potential Providers who do not have three years of audited accounts should provide
        whatever audited accounts they may have. Newly formed Potential Providers
        should provide a statement of the Potential Provider’s turnover, profit & loss
        account and cash flow for the most recent year of trading and / or a statement of
        the Potential Provider’s cash flow forecast for the current year and a letter from the
        Potential Provider’s bank outlining the current cash and credit position.


B4      Insurances
        Please provide evidence of the employers' liability, public liability insurance [and
        professional liability or indemnity] insurance held by the Potential Provider. The
        evidence should include the name of the insurers, policy numbers, expiry dates and
        limits for any one incident and annual aggregate caps and the excesses under the
        policies.

         Name of insurer
         Address




         Type of insurance
         Policy numbers
         Expiry date
         Limits of indemnity
         (per occurrence and
         aggregate)
         Excess (if any)




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B5      Pending Litigation
        Please provide a statement of any material pending or threatened litigation or other
        legal proceedings (where not otherwise reported) where the claim is of a value in
        excess of £XXXX [by way of example, this value could be £50,000 or 20% of the
        contract value (whichever is greater)].

         Disclosure of Legal Proceedings
         (300 words or fewer)
         Either insert required details or state ‘None’




B5      Credit Checks


         Credit Checks for Organisations

         Full Name if different
         from A1:



         Full Address if
         different from A1:
         Name of person
         authorising the check:
         Position of person
         authorising the check:


         Credit Checks for Individuals

         Full Name if different
         from A1:



         Full Address if
         different from A1 and
         note you must cover
         the last five [5] years:
         Date of Birth:



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PART C –TECHNICAL OR PROFESSIONAL ABILITY

C1      Please provide details of the number of staff currently involved directly in the
        provision of similar requirements to those outlined in paragraph 1.3.


         Permanent staff               Temporary or third     Total staff turnover as a
         numbers                       party staff numbers    percentage of staff employed
                                                              over the past three years *



        * Where significant changes have occurred in respect of key management or
        specialist staff, this should be identified


C2      Please provide details of requirements similar to those to be provided under the
        agreement (paragraph 1.3 refers) that the Potential Provider has delivered in the
        past two years. Please include dates or period on which the requirements were
        provided, the contract values and the details of the recipient of the requirements.

         Provision of similar services (Maximum 300 words)
         Insert required details or state ‘None’




C3      Please provide details of up to three major recent contracts that the Potential
        Provider has been awarded for the provision of requirements similar to those
        outlined in paragraph 1.3 . The Authority reserves the right to contact any or all of
        these companies for a reference and may wish to visit their premises. Potential
        providers should ensure that companies listed would be willing to provide a
        reference for them and be willing to discuss the Potential Provider’s performance
        with the Authority.

         Major recent contracts (Maximum 300 words)
         Insert required details or state ‘None’




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Where documented systems, policies or procedures are not available, please provide
statements describing the mechanisms used/to be used to ensure the required checks and
controls are in place. Examples and supporting statements should be fully cross-referenced.


C4      Please provide evidence of measures adopted for ensuring quality control, such as
        accreditation to ISO9002 or evidence of conformity to equivalent standards. Please
        include copies of any relevant certificates held, as well as supporting statements or
        particular examples of such measures;
         Quality Control and Quality Assurance Systems (Maximum 300 words)




C5      Please provide evidence of measures relating to the recruitment, retention,
        development and management of staff or evidence of conformity to accredited
        measures, such as Improving Working Lives (IWL), Investors In People (IIP) etc.
        Please include copies of any relevant certificates held, as well as supporting
        statements or particular examples of such measures;
         Staff Recruitment, Retention and Development (Maximum 300 words)




C6      Please provide a copy of your Customer Care Policy, along with supporting
        statements or particular examples of the successful application of this policy
         Customer Care (Maximum 300 words)




C7      Please provide a copy of your Health & Safety Policy, along with supporting
        statements or particular examples of the successful application of this policy
         Health & Safety (Maximum 300 words)




C8      Please provide a copy of your Equal Opportunities Policy, along with supporting
        statements or particular examples of the successful application of this policy
         Equal Opportunities (Maximum 300 words)




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C9      Please provide a copy of your Environmental Management Policy, along with
        supporting statements or particular examples of the successful application of this
        policy
         Environmental Management Policy (Maximum 300 words)




C10     Technical capacity to provide products/services detailed above (please provide
        details relating to the technical capacity of any particular services and supply details
        of any relevant licensing or regulatory requirements that may be applicable in the
        course of your business).
         Technical capacity to provide products/services.




C11
         Geographical restrictions in providing products or services described, for example
         area there areas of the provision that you would be unable to support?




C12
         Minimum and Maximum values of contract that you are prepared to undertake (£
         value).




C13     Please provide details of two NHS/public sector or similar contracts currently held by
        your company that are the most suitable examples to use for reference purposes.
        Permission is required to contact these clients for references.

         Reference 1
         Please Include Name, Address, Telephone Number and Email Address:




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         Reference 2
         Please Include Name, Address, Telephone Number and Email Address:




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PART D — STATEMENT RELATING TO GOOD
STANDING
GROUNDS FOR OBLIGATORY EXCLUSION (IN ELIGIBILITY) AND CRITERIA FOR REJECTION OF
CANDIDATES in accordance with Regulation 23 of the Public Contracts Regulations 2006
(as amended)
D1      We confirm that, to the best of our knowledge, the Potential Provider is not in
        breach of the provisions of Regulation 23 of the Public Contracts Regulations 2006
        (as amended) and in particular that:

Grounds for mandatory rejection (ineligibility)

The Potential Provider (or its directors or any other person who has powers of
representation, decision or control of the named organisation) has not 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 (as amended);
(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 (as amended);
(c)     the offence of bribery;
(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;
        (ii)    the offence of conspiracy to defraud;
        (iii)   fraud or theft within the meaning of the Theft Act 1968 and the Theft Act
                1978;
        (iv)    fraudulent trading within the meaning of section 458 of the Companies Act
                1985;
        (v)     defrauding the Customs within the meaning of the Customs and Excise
                Management Act 1979 and the Value Added Tax Act 1994;
        (vi)    an offence in connection with taxation in the European Community within
                the meaning of section 71 of the Criminal Justice Act 1993; or
        (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;

(e)     money laundering within the meaning of the Money Laundering Regulations 2003; or
(f)     any other offence within the meaning of Article 45(1) of the Public Sector Directive.
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         Organisation’s name

         Signed

         Position
         Date


D2      Discretionary grounds for rejection

The Potential Provider (or its directors or any other person who has powers of
representation, decision or control of the named organisation) confirms that it:
(a)     being an individual is not bankrupt or has not had a receiving order or administration
        order or bankruptcy restrictions order made against him or has not made any
        composition or arrangement with or for the benefit of his creditors or has not made
        any conveyance or assignment for the benefit of his creditors or does not appear
        unable to pay or to have no reasonable prospect of being able to pay, a debt within
        the meaning of section 268 of the Insolvency Act 1986, or article 242 of the
        Insolvency (Northern Ireland) Order 1989, or in Scotland has not granted a trust
        deed for creditors or become otherwise apparently insolvent, or is not the subject of
        a petition presented for sequestration of his estate, or is not the subject of any
        similar procedure under the law of any other state;
(b)     being a partnership constituted under Scots law has not granted a trust deed or
        become otherwise apparently insolvent, or is not the subject of a petition presented
        for sequestration of its estate;
(c)     being a company or any other entity within the meaning of section 255 of the
        Enterprise Act 2002 has not passed a resolution or is not the subject of an order by
        the court for the company’s winding up otherwise than for the purpose of bona fide
        reconstruction or amalgamation, nor had a receiver, manager or administrator on
        behalf of a creditor appointed in respect of the company’s business or any part
        thereof or is not the subject of similar procedures under the law of any other state;
(d)     has not been convicted of a criminal offence relating to the conduct of his business
        or profession;
(e)     has not committed an act of grave misconduct in the course of his business or
        profession;
(f)     has fulfilled obligations relating to the payment of social security contributions under
        the law of any part of the United Kingdom or of the relevant State in which the
        organisation is established;
(g)     has fulfilled obligations relating to the payment of taxes under the law of any part of
        the United Kingdom or of the relevant State in which the economic operator is
        established;
(h)     is not guilty of serious misrepresentation in providing any information required of
        him under this regulation;
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(i)     in relation to procedures for the award of a public services contract, is licensed in the
        relevant State in which he is established or is a member of an organisation in that
        relevant State when the law of that relevant State prohibits the provision of the
        services to be provided under the contract by a person who is not so licensed or who
        is not such a member.


         Organisation’s name

         Signed

         Position
         Date


D3      Please provide a statement of any material pending or threatened litigation or other
        legal proceedings (where not otherwise reported) where the claim is of a value in
        excess of £XXXX [by way of example, this value could be £50,000 or 20% of the
        contract value (whichever is greater)].

         Disclosure of legal proceedings (Maximum 300 words)
         Either insert required details or state ‘None’




CONTRACTUAL MATTERS

Please answer the following questions regarding contracts. If the answer to any of the
questions is ‘Yes’, please provide a full explanatory statement below.
D4      Has the Potential Provider or any of its named supply chain members ever suffered
        deductions for liquidated and/or ascertained damages in respect of any contract
        within the last two years?

         Deductions for liquidated and/or ascertained damages                   YES / NO
         If yes, please answer the following two questions:
         Did the deduction exceed [£50,000]?                                    YES / NO
         Was the deduction greater than [10%] of the whole life value of        YES / NO
         the contract?


D5      Has the Potential Provider or any of its named supply chain members (sub-
        contractors) ever had a contract terminated or its employment determined under
        the terms of the contract in the last three years?


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         Contract terminated / employment determined                         YES / NO



D6      Within the last five years, has the Potential Provider been subject to any
        prosecutions, infringement notices or other actions by the Health and Safety
        Executive or Environment Agency in respect of any breach or suspected breach by
        the Potential Provider of health and safety or environmental or equivalent
        legislation? If ’yes’, please enclose full details here of the nature of the notice or
        action (etc.) and of any remedial steps subsequently taken by the Potential Provider.

         Health & Safety Breaches                                            YES / NO



D7      Has the Potential Provider or any of its named supply chain members (sub-
        contractors) ever failed to receive a contract renewal on the basis of unsatisfactory
        performance in the last three years?

         Failed to receive contract renewal                                  YES / NO



D8      Is there any material pending or threatened litigation or other legal proceedings
        connected with similar projects against the Potential Provider and/or any of its
        named supply chain members (sub-contractors) that may affect delivery of this
        project?

         Legal proceedings pending                                           YES / NO



D9      In the last three years has any finding of unlawful discrimination in the employment
        field been made against the Potential Provider by the employment tribunal, the
        employment appeal tribunal, or any court or in comparable proceedings in any other
        jurisdiction?

         Finding of Unlawful Discrimination                                  YES / NO




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PART E – CONFLICT OF INTEREST
In order to ensure a fair and competitive procurement process, the Authority requires that
all actual or potential conflicts of interest that a Potential Bidder may have are identified and
resolved to the satisfaction of the Authority. When responding to the PQQ, the BIDDER(s)
must confirm whether or not they believe there is a conflict of interest which may apply and
detail this below.

Without limitation, such conflicts of interest may be perceived by the Authority to arise in
circumstances where:

        • a Relevant BIDDER or any person employed or engaged by or otherwise connected
        with a Relevant BIDDER has carried or is carrying out any work for the Authority or
        the DH in the last six months;

        • a Relevant BIDDER or any person employed or engaged by or otherwise connected
        with a Relevant BIDDER is providing services for more than one Potential Bidder in
        respect of this project or procurement process.

Conflict of Interest Raised

Please STATE either yes or no:



If Yes to above, please detail what you believe the conflict to be, who is involved and any
plans you may have to mitigate the conflict:

 Response:




If, following consultation with the Potential Bidder, such actual or potential conflict(s) are
not resolved to the satisfaction of the Authority then they reserve the right to exclude at any
time any Potential Bidder from the North East Procurement Process should the actual or
potential conflicts of interest be found to confer an unfair competitive advantage on one or
more Potential Bidders, or otherwise to undermine a fair and competitive procurement
process.

If the Potential Bidder becomes aware of an actual or potential conflict of interest following
submission of the PQQ it must immediately notify the Contact Point shown on page 3.



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PART F – ADDITIONAL SERVICE-SPECIFIC
QUESTIONS
F1

         Please demonstrate evidence of experience of /knowledge of partnership working
         across statutory and non statutory organisations to deliver successful and effective
         mental health services




F2

         Please demonstrate evidence of experience of /knowledge of delivering nationally
         and regionally required performance indicators




F3
         Please demonstrate evidence of experience of /knowledge of delivering outcome
         focused service pathways




F4
         Please demonstrate evidence of experience of /knowledge of implementing a new
         service that can work effectively and efficiently to meet patient needs, working
         where appropriately with other professional groups and stakeholders




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F5

         Can you evidence/show knowledge of how you have worked/would work with
         other providers to enable a smooth transition through a care pathway for adults
         and/or young people




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EVALUATION METHODOLOGY MATRIX
PQQ reference              Information requested    Weighting    Total points available
                                                    Percentage
Part A                     General Information          [5%]                20


Part B                     Financial Details            [30%]              120


Part C                     Technical or                 [35%]              140
                           Professional Ability
Part D                     Statements relating to       N/A      Pass or fail
                           Good Standing
Part E                     Conflict of Interest         N/A      Pass or fail
Part F                     Additional Service-          [30%]              120
                           Specific Questions


Totals Summary                                          100%               400




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