Common use of Project Background Clause in Contracts

Project Background. ViiV Healthcare’s innovation unit, ‘the hive’, and Chelsea and Westminster Hospital NHS Foundation Trust (CWFT) previously undertook a joint working agreement to pilot a service concept that aimed to address challenges related to the management of virally-stable patients at the ▇▇▇▇▇▇ Clinic, one of CWFT’s HIV clinics. The pilot demonstrated promising outcome signals. The pilot was appraised by a panel of ViiV and CWFT stakeholders and joint approval was secured to implement the concept at scale, drawing on the expertise of both parties. CWFT and ViiV Healthcare have agreed to develop the stable patient service from a concept to a working model of care. As part of this development, the stable patient service must be scaled-up so that it can provide care for a larger number of patients (vs. pilot) and maintain the benefit observed during the pilot period. In addition, the stable patient service must be implemented in multiple clinics so that its final configuration is flexible enough to work at other sites. Advances in HIV care mean that services now need to transform from acute centres of care to services that manage people living with a long-term condition, referred to as ‘stable’ patients. These patients present a new set of clinical needs as they are an aging demographic and have associated co-morbidities. The clinical characteristics of this patient population, along with an increasing cohort size, has placed burden on services in providing both quality and sustainable care. There is a logical need to transform how care is provided so that positive clinical outcomes are matched with positive service outcomes. It is important that any new model of care works consistently across CWFT’s four HIV clinics. The CWFT stable patient cohort represents one of the largest HIV services in Europe – so the new model of care must work at scale. CWFT is currently updating its IT systems and it is important that the new model of care leverages opportunities presented by digitally-enabled healthcare. This project aims to implement a new model of care for stable patients that is technology- enabled, adaptable to local context, sustainable at scale, and delivers high-quality care as per BHIVA standards. The project will run from Q4 2019 to Q4 2020. The project will be delivered across three phases. During initial implementation, technology from the pilot period will be adapted and deployed in two clinics. Additional technology features will be introduced during a full implementation period, and the model will be spread to additional clinics. A core operating period will follow, where the deployed model will be observed/evaluated. The project aims for >1000 patients to be managed by this model of care. The project will be evaluated across four domains:

Project Background. ViiV Healthcare’s innovation unit, ‘the hive’, and the Chelsea and Westminster Hospital NHS Foundation Trust (CWFT) previously undertook are undertaking a joint working agreement to pilot test a proposed service concept that aimed which seeks to address challenges related to the management of virally-stable patients at the ▇▇▇▇▇▇ Clinic, one of the CWFT’s HIV clinics. The pilot demonstrated promising outcome signalsservice concept, based on insight developed during a 15-week service design initiative undertaken by the hive, is a nurse-led, technology-enabled service which centres on an Annual Review consultation, providing patients with an all-round ‘health MOT’. The pilot At the end of the 15-week period, the service concept was appraised by a panel of ViiV and CWFT stakeholders and joint approval was secured to implement pilot the concept at scalesolution in 100 stable patients, drawing on the expertise of both parties. CWFT and ViiV Healthcare have agreed to develop the stable patient service from a concept to a working model of care. As part of this development, the stable patient service must be scaled-up so that it can provide care for a larger number of patients (vs. pilot) and maintain the benefit observed during the pilot period. In addition, the stable patient service must be implemented in multiple clinics so that its final configuration is flexible enough to work at other sites. Advances in HIV care mean that services now need to transform from acute centres of care to services that manage people living with a long-term condition, referred to as ‘stable’ patients. These patients present a new set of clinical needs as they are an aging demographic and have associated co-morbidities. The clinical characteristics of this patient population, along with an increasing cohort size, has placed burden on services in providing both quality and sustainable care. There is a logical need to transform review how care is provided so that positive clinical outcomes are matched with positive service outcomes. It The ▇▇▇▇▇▇ Outpatient Clinic at Chelsea and Westminster Hospital NHS Foundation Trust is important that any new model of care works consistently across CWFT’s four HIV clinics. The CWFT stable patient cohort represents one of the largest HIV services in Europe – so Europe, caring for close to 8,000 patients, with an estimated 80% of these patients considered stable based on WHO/HARS definition. The volume of the new patient cohort along with the change in the nature and requirements of HIV management over a relatively rapid timeframe has created three distinct issues for ▇▇▇▇▇▇: quality of care; model of care; suitability of care must work at scalefor patients. CWFT is currently updating its IT systems and it It is important that ▇▇▇▇▇▇ addresses these three issues so that positive healthcare outcomes are maintained at the new model of care leverages opportunities presented by digitallyclinic over the long-enabled healthcare. This project aims to implement a new model of care for stable patients that is technology- enabled, adaptable to local context, sustainable at scale, and delivers high-quality care as per BHIVA standardsterm. The project will run service components were tested in a pilot from Q4 2019 April to Q4 2020October 2018 with 92 patients completing the pathway. The project will be delivered across three phases. During initial implementation, technology from pilot focused on the Annual Review to ensure that the pilot period will and evaluation could be adapted and deployed in two clinicscompleted within a 6-month duration. Additional technology features will be introduced during a full implementation period, A joint pilot co-ordination group was established to manage the project and the model will be spread evaluation sought to additional clinics. A core operating period will follow, where the deployed model will be observed/evaluated. The project aims for >1000 patients to be managed by this model of care. The project will be evaluated across address four domainskey objectives: