C298925- Provision of Crisis House in Redbridge (Most Suitable Provider Process)

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   Lot 1Cancelled

   The Health Care Services (Provider Selection Regime) Regulations 2023, Paragraph 10 - The Most Suitable Provider Process is being used to commission this service. This notice will be live for fourteen (14) days from the date of publication. This is a notice to inform the market of the intention to commission a contract for a Crisis House in the London Borough of Redbridge.

   Crisis Houses offer an alternative to hospital for users of service to remain in a communitybased setting with 24/7 mental health support, where they are at the centre of their own high-quality, rights-based care as citizens within their local community. Currently there are no such mental health crisis alternatives in Outer North East London. NELFT proposes to commission a Crisis House within the London Borough of Redbridge.

   Redbridge has a population of 306,000 and residents from an Asian background (52%) are the largest ethnic group, followed by White British (23%). Residents with Bangladeshi and Pakistani background also experience some of the worst health outcomes across the borough. 12% of the Redbridge population is income deprived, which is lower than the national average (12.9%).

   In Redbridge the levels of deprivation are concentrated in specific areas. The South and Northeast of the borough have the highest rates of deprivation and the highest levels are around Ilford.

   It also has a much higher rate of homelessness than the other NELFT boroughs, which is of particular importance to the new service as those affected can be up to 15 times more likely to suffer from Severe Mental Illness (SMI) (Redbridge JSNA 2021).

   The recent stakeholder engagement undertaken by PPL on behalf of NELFT in December 2023 identified key features of a service to support people in mental health crisis.

   One of the comments from that engagement specifically stated: "There is a need for a respite spot - somewhere where someone can be away from their family environment and does not necessarily need an inpatient admission but needs a place to go and decompress and prevent things escalating to a place they do need an admission."

   This brief crisis intervention will seek to reduce the need for acute, inpatient admission; support the private sector bed exit plan and contribute to the Trust's ambition of zero out of area placements. The Crisis House will be a collaboration between NELFT Redbridge community and crisis services and the Provider.

   The key elements of the Crisis House are that it be voluntary sector delivered using a traumainformed, autism-informed and equity-focused approach; includes peer support in the interventions and links with the person's support network, local community assets and other key partner agencies. People accessing the Crisis House will be experiencing a period of mental health crisis and will access the service to be and feel safe.

   People will be able to take part in a choice of therapeutic support while in the Crisis House that will help towards crisis resolution. Redbridge mental health services from NELFT will provide clinical input to the service. Page 5 to 6 The Provider will supply suitable accommodation in the London borough of Redbridge, which will accommodate between seven and nine users of service.

   Each user of service will have a furnished bedroom and will also have access to private toilet and bathing facilities and kitchen and dining provision. Users of service admitted will be allocated to their designated room with the Provider logging and tracking this information for reporting during their stay.

   Upon the completion of their stay, the Provider will be expected to clean and prepare the room within shortest period possible to ensure there is a sufficient turnaround with rooms for future users of service. The coproduced House Charter will inform users of service the consequences where intentional damage has been caused. It will not be the responsibility of NELFT to pay for any repair work.

   The property shall be secure for all members of staff and users of service within the building with effective security & emergency measures in place; this shall include but is not limited to the following:

   • fire alarms & fitted detection systems within the property
   • emergency lighting
   • fire extinguishers
   • fire doors
   • gas and electricity compliance
   • appropriate insurance.