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BRISTOL AGEING BETTER

TALKING THERAPIES FOR ISOLATION AND LONELINESS PROJECT

TENDER SUBMISSION FORM

Please familiarise yourself with the information contained in the Invitation to Tender before completing this form.

Name of Provider

Please return this form and any supporting documents by e-mail to [email protected]

The deadline for submissions is 12 noon on Monday 27th November 2017. Bids received after the deadline may not be considered.

Please ensure you receive acknowledgement of receipt of your application from BAB before the closing date to ensure it will be considered. Please contact BAB if you do not receive confirmation of receipt within 2 working days.

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mailto:[email protected]

SECTION A – ABOUT YOUR ORGANISATION

Q1 ORGANISATIONAL DETAILS

1.1 Name of the Organisation submitting the bid

1.2 Contact name:

1.3 Address:

1.4 Telephone number:

1.5 E-mail address:

1.6 Date of registration or incorporation:

1.7 Company Registration number (if applicable):

1.8 Registered charity number (if applicable)

Q 2 FINANCIAL CAPABILITY TO DELIVER THE SERVICE

2.1 Please provide the name and address of your banker:

2.2 Are the most recent audited accounts for you organisation available on the Charity Commission website:

Yes / No (please delete as appropriate)

If No is selected, please include the following in your application:A copy of the most recent audited accounts for your organisation for the most recent full year of service delivery or if none of the above is available, please state the reason below:

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Q3 LEGAL AND POLICY COMPLIANCE TO DELIVER THE SERVICE

Please confirm below if your organisation has in place, or can comply with the following.

Yes/No

Constitution/Articles of Association/other Governance document for the organisation

Vulnerable Adults Safeguarding Policy

Health & Safety Policy

Equalities Policy

VOLUNTEERS: Does your organisation have a Volunteers Policy?

USER ENGAGEMENT: Does your organisation have an Older People Involvement/Service User Participation Policy?

DATA PROTECTION: Does your organisation comply with the Data Protection Act 1998 and any other relevant legislation related to the storage of and access to information?

INSURANCE : Can you confirm that the insurance levels listed below will be in place before a contract for this service is signed

Employers Liability being not less than £5 million Public Liability being not less than £5 million

DBS: Can you confirm that all staff and volunteers involved in the delivery of the service in roles which are eligible for DBS checks hold up to date enhanced DBS certificates?

COMPLAINTS: Does your organisation have a Complaints Policy?

Please include the following in your application: Safeguarding policy, Health & Safety policy, Equalities policy, Volunteers policy, Older people involvement / service user participation policy, Data protection policy

If you have answered NO to any of the above or cannot provide the requested policies with your application, please provide an explanation in the box below.

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Q4 REFERENCES

Please provide the following information for 2 referees. One of the referees must be a funder and must be independent of your organisation.(Note: Please ensure that your referees are available to provide a prompt response after the closing date for the bid.)

Name Job Title and Organisation

E-mail Telephone Number

Relationship to your organisation

1.

2.

Q5 PROJECT PARTNERS

Please identify below any intended partners for this project (you may add extra lines):

Name of Organisation

Description of Organisation

Name and email of main contact

Proposed role in project delivery

1.

2.

3.

4.

If shortlisted a representative from each project partner plus the lead partner will be expected to attend an interview on Wednesday 17th January 2018.

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SECTION B: ABOUT YOUR BID

a. Please type your response to each question in the boxes below, not exceeding the word count. In the case of partnership bids, it will be the lead provider who will complete this section making the contribution of partners clear, with regard to each question. Each text box can be expanded.

b. All responses will be scored using the evaluation weighting listed with each individual question and in accordance with the evaluation model in Appendix 2.

c. Please ensure that the declaration at the end of the questionnaire is completed.

YOUR BID AT A GLANCE – Please complete the following section that identifies key elements of your bid.

In less than 50 words, please summarise what your proposed project will deliver

What is the total of the budget you are bidding for?

Estimated number of project participants (including older service users and volunteers)

Have you read the guidance on the BAB Common Measurement framework in the appendix and do you understand how it is used with participants?

YES NO

Have you factored the use of these in your proposals? YES NO

How many of your participants do you propose will complete the CMF in the 2 years?

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A Quality (85%)

Q1: Please tell us what your organisation(s) do(es) and particularly note any experience of:

a) delivering psychological therapies.b) working with people who have mild to moderate mental health

problems.c) working with older people.

Weighting: 10% Word limit: 500 Words.

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Q2a: Please provide a detailed description of your proposed project making reference to the core criteria and project specifications set out in the Invitation to Tender and noting any particular “At Risk” groups or geographical areas you plan to focus on.

Weighting: 20% Word limit: 1,000 words

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Q2b: Please set out your evidence base behind your proposed project. This might include national research and local learning.

Weighting: 10% Word limit: 500 words

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Q3a: Please outline the outputs (actions and activities) you will undertake during the first 12 months of this project, highlighting any key milestones in each month. (If successful, this table will be the basis of your Service Level Agreement Addendum).

Weighting: 5% Word limit: N/A

Year 1 Outputs Key Milestones

1

2

3

4

5

6

7

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8

9

10

11

12

Q3b: Please provide a brief description of what you currently plan to do for year 2. We understand that this is an estimate, but it gives us an insight into your plans for the projects duration.

Weighting: 5% Word limit: 250

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Q4: Please fill out the number of expected participants per quarter for the first 12 months of project delivery.

Project participants are people who engage with project even for a one off session.

On-going participants are people who access activities that have at least two sessions (an entry point and an exit point).

Weighting: 5% Word limit: n/a

Number of one off participants

Number of ongoing participants (i.e. fully CMF-eligible)

Quarter 1

Quarter 2

Quarter 3

Quarter 4

TOTAL

Q5. Please describe how your project will contribute to the BAB outcomes of older people feeling that they:

a) have the amount and type of social contact that they wantb) can influence decisions that affect their local area and how services

are designed and deliveredc) are able to contribute to their community through such mechanisms

as volunteering, belonging to a forum, steering group or other activity

Weighting: 10% Word limit: 500

a) have the amount and type of social contact that they want

b) can influence decisions that affect their local area and how services are

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designed and delivered

c) are able to contribute to their community through such mechanisms as volunteering, belonging to a forum, steering group or other activity

Q6: Please describe how older people have and will be involved in the design and delivery of this service.


Q7: Please describe your staffing structure for this project and list your

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proposed roles (including both paid and voluntary staff) with a description of what they will do and any key skills/competencies the role requires. Please include a structure diagram.

Weighting: 5% Word limit: 300 Words.

Q8: Please provide an assessment of key risks to delivery and how you

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propose to mitigate these.


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B Best Value (15%)

TALKING THERAPIES FOR ISOLATION AND LONELINESS PROJECT

Budget Pro-forma

Please note that the maximum available budget for this service is £100,000. Your budget proposal must be submitted on this pro-forma and in the format set out below. Further rows can be added. You may add explanatory notes if you wish.

Budget Items (add additional rows as required) £

Direct Project Costs

TOTAL ALL DIRECT PROJECT COSTS

Indirect Project Costs (see Note 2)

TOTAL ALL INDIRECT PROJECT COSTS

TOTAL SERVICE COSTS

Additional Value contribution (see Note 3)

TOTAL BID COST

Note 1: Direct costs are specific costs relating directly to the delivery of services under the funded project. (e.g. salary, transport and travel, premises, running costs, supplies and services, consultation and service access)

Note 2: Indirect costs are apportioned for the service from the overhead costs of the organisation as a whole. These could, for example, include a proportionate share of premises and office costs, management costs, management committee costs, professional fees. This is to enable all providers to recover the full cost of delivering the service

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Note 3: Additional Value: If you are able to bring any additional value to this service please indicate the total value of the contribution for each year and subtract this from total service cost for each year to calculate the cost of your bid. Please provide an explanation in the box below of how the contribution has been calculated. These must be secured.

Distribution of quarterly payments year 1: Please specify in which quarterly instalments you would like to receive your payments (e.g. evenly distributed, frontloaded…)

Qtr 1 Qtr 2 Qtr 3 Qtr 4 Total

£ £ £ £ £

I certify that the information supplied is accurate to the best of my knowledge. Furthermore should my bid be successful I am able to abide by the conditions set out in the BAB Delivery Partner Contract.

Printed Name*:

BID SUBMISSION FORM DECLARATION

Name of Organisation /Lead Partner

Job title or position in organisation:

Date:

* Please type the name of the appropriate signatory and e mail this form to [email protected]. A handwritten signature is not required.

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mailto:[email protected]

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