Tender: Neighbourhood COPD Risk Stratification and Population Health Model – Hull & East Yorkshire

About

Supplier needed to develop and implement a specialist-led, integrated neighbourhood model of care for people living with COPD across Hull and East Yorkshire, including development, testing and implementation of a population health digital risk stratification tool using linked system-level data held by the Humber and North Yorkshire Integrated Care Board (ICB). The project aims to proactively identify high-risk patients, support preventive interventions and improve access to specialist respiratory care within community settings, with Primary Care Networks (PCNs) invited to participate as delivery partners and to work alongside specialist respiratory services provided by Hull University Teaching Hospitals NHS Trust. The neighbourhood model will test feasibility and impact, support development of respiratory capability and capacity in primary care, and generate learning to inform future commissioning and potential wider adoption across the Humber region and beyond; organisations already participating in another COPD integrated risk stratification project cannot participate concurrently, and ideally two PCNs will be awarded contracts with selection prioritised by COPD prevalence if more than two compliant expressions of interest are received.