Integrated urgent care commissioning

Following our consultation on integrated urgent care commissioning, a number of people from the local community expressed an interest in being involved in the process. We are now working closely with these people and they have been invited to sit on the evaluation panel for integrated urgent care commissioning.

We welcome their feedback throughout the process and the chance to have them represent the views of the local community.

Information about the chosen bidder and new contract will be published in April 2018.


Bristol, North Somerset and South Gloucestershire (BNSSG) Clinical Commissioning Groups (CCGs) are working in partnership to commission an Integrated Urgent Care (IUC) service for the residents of BNSSG.

We would really value your contribution to the important decision of commissioning the right service, at the right quality, ensuring the best patient experience for the best value for money.

The NHS 111 number will remain in place. We need to ensure that this element of the service is responsive and the triage pathway is reviewed and changed where appropriate, to best meet patients’ needs. The NHS 111 element of the service must deliver a prompt triage, working closely with the multi-disciplinary Clinical Assessment Service (CAS) with links to both in hours and out of hours GP services. The transformation of these services needs to move from an ‘assess and refer’ to a ‘consult and complete’ model of service delivery. For patients the service will be accessed as now but should deliver better outcomes.

The Commissioners are looking for a single integrated service where there is shared responsibility across the whole of the patient pathway. The aims are to;

  • Reduce the number of times a patient is triaged
  • Reduce unnecessary clinical intervention at all points in the patient pathway including reducing attendance at Emergency Departments
  • Reduce inappropriate ambulance dispatches
  • Increase the number of patients who can be safely managed in their own homes or community
  • Empowering patients to manage their own condition (self-care) where medically appropriate

We wish to streamline services and make patient pathways simpler, getting people to the end point of care as directly as possible with less points of interaction, avoiding unnecessary duplication of triage or being handed from service to service.

The procurement is initiated by the need to recommission the NHS 111 service and General Practice Out of Hours (GP OoH) service and to meet the mandated requirements of the national IUC specification. The procurement process commenced in October 2017 and the aim is to identify a Preferred Bidder by April 2018. The new contract will commence in April 2019.

In developing this specification members of the public through representative groups’ attendance at workshops, have expressed their views of the important aspects of urgent care. The key issues identified are consistent with findings from the national engagement undertaken by the NHSE as part of the review of urgent and emergency care services. We are currently advertising for members of the public to join the procurement evaluation panel and support commissioners in agreeing the service provider.

The draft specification for the new service is below.

Cover for Outline Specification for an Integrated Urgent Care Service

Outline Specification for an Integrated Urgent Care Service

Bristol, North Somerset and South Gloucestershire Clinical Commissioning Groups are working in partnership to recommission an Integrated Urgent Care Service for the residents of BNSSG. Please note this document was updated on 15 January 2018.