Source: https://tendernation.io/opportunities/01a13bef-4440-714f-ab11-ee2569265860/carpal-tunnel-services-for-north-east-essex-clinical-commissioning-group awarded GB open procedure Suitable for SMEs # Carpal Tunnel Services for North East Essex Clinical Commissioning Group [Attain Commissioning Services Limited](https://tendernation.io/buyers/attain-commissioning-services-limited) Estimated value £1,699,058 Published 18 Nov 2016 Deadline Closed 5 Feb 2016 ## Who can bid - Buyer says suitable for SMEs The buyer ticked “suitable for SMEs” on the notice. Anyone can still bid. - Buyer says suitable for VCSEs The buyer ticked “suitable for voluntary, community and social enterprises” on the notice. - Open procedure Anyone can submit a full tender; there is no shortlisting stage. [More contracts for small businesses and VCSEs](https://tendernation.io/opportunities/for-small-businesses) ## About this tender Please note link to the original contract notice [contractsfinder.service.gov.uk](https://www.contractsfinder.service.gov.uk/Notice/24c06a31-b098-4925-9918-dd8151b76a5a) NEE CCG wishes to establish a single community provider contract for the provision of Carpal Tunnel Services. This will be a Community Service provided under a separate community contract. The Provider will receive all NEE referrals into this community service and there will be a community fixed price tariff i.e. non PbR. Referrals will be made by NEE GP Practices, the community physiotherapy service and the Clinical Assessment Service. In line with the DOH Patient Choice Framework, as a community service is available, there will be no legal requirement for a patient to be offered a choice of provider. GP practices will make the initial assessment and provide the first stage of conservative treatment i.e. wrist brace (where deemed appropriate) in primary care. Practices that are clinically competent will also administer steroid injections as the second stage of conservative treatment where appropriate. Practices recorded by the CCG as not being able to administer injections will refer patients to this community service for one course of treatment only (unless exceptional circumstances such as surgery is not an option). Following receipt of an injection, patients will be discharged back to their GP. If the GP believes that the conservative treatment has not been effective following the prescribed period, the GP may make a separate referral for decompression. On a restricted basis, if a patient has been referred for an injection, but the service feels the patient should go straight to surgery, then this will be permitted without referral back to the GP. Where following assessment by this service, the patient is found to have more complex needs and requires referral to an acute provider, this Service will make the referral & offer a choice of provider. Where this service is unable to achieve an accurate diagnosis, it may refer to secondary care for an EMG test, if required or perform the EMG test independently if competent to do so, subject to a threshold on numbers. The Community Provider will be expected to keep diagnosis via EMG tests to a minimum. GPs will not have direct access to EMG tests from acute providers, in order to reduce costs. This pathway will be supported by a local protocol for GPs with restriction criteria concerning referrals. The CCG is seeking to commission a consistent, timely, high quality, flexible and accessible service to patients that will focus on patient outcomes. Read full description ## CPV classification Health and social work services Source Contracts Finder (UK) [View official notice](https://www.contractsfinder.service.gov.uk/notice/c898950f-adc9-11e6-9901-0019b9f3037b) Never miss a tender like this again Get AI summaries, deadline alerts and a bid pipeline for tenders matched to your business. Free to start. 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