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7. Public sector procurement regulations and directives and the process of purchasing 7.1 Standing orders and standing financial instructions (SFIs) The process of procurement of goods and services in the NHS is governed by SFIs. There is a financial value for an order or contract above which a competitive process should be used; often this is in the region of £15,000 to £30,000. 7.2 Procurement directives All public sector procurement is subject to the principles of the Treaty of Rome (transparency and fairness) and the significant majority (including all medical equipment) is also subject to the EU Procurement Directives. The Directives were updated in 2006 to account for the use of eEnablement technologies in public sector procurement and enable greater flexibility for complex procurements. The relevant Directive for medical equipment is the Procurement Directive 2004/18/EC, 31 March 2004 for Public Contracts for which the UK Regulation that enforces the Directive is Public Contracts Regulations SI 2006 No 5 [7,8]. 7.3 EU procurement thresholds The EU Procurement Directives apply to all orders and contracts for any given organisation (or groups of organisations when collaborative procurement is undertaken). Splitting lots to avoid the thresholds contravenes the Directives. A notice of intent (indicative notice) of known future expenditure should be placed. 15
EU procurement thresholds Thresholds applicable from 1 January 2008 are given below. Thresholds are net of VAT. Public contracts regulations 2006 - from 1 January 2008 Other public sector contracting authorities Indicative notices SUPPLIES SERVICES WORKS £139,893 (€206,000) £509,317 (€750,000) £139,893 (€206,000) £509,317 (€750,000) £3,497,313 (€5,150,000) £3,497,313 (€5,150,000) (NB. The Euro values are the reference quantities. The conversion rate to pounds was based on a exchange rate of 0.68 which may vary). 7.4 Process of purchasing Most Trusts will use the following process for the purchase of medical equipment unless it is part of a more complex procurement. The basic steps involved in this process are: • Indicative notice (if relevant) • Advert in the Official Journal of the European Union (OJEU) • Suppliers express an interest • Suppliers provide prequalification information (should be via the NHS supplier information database, SID) • Short listing and suppliers notified • Issue of tender • Presentations by suppliers, visits to suppliers • Return of completed tender by suppliers • Evaluation of tenders • Award notified • Standstill period (see 7.6) • Award of contract 16
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Recommendations for the Safe Transf
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CONTENTS Section I Summary and Reco
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SECTION II - BACKGROUND In 1996 the
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SECTION IV - ORGANISATION AND COMMU
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SECTION V - STAFFING REQUIREMENTS A
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A p p ropriate re s p i ra t o ry s
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SECTION VII - THE TRANSFER The tran
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SECTION VIII - EQUIPMENT AND DRUGS
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SECTION IX - EDUCATION AND TRAINING
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SECTION X - RESOURCE IMPLICATIONS F
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APPENDIX I INDICATIONS FOR INTUBATI
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APPENDIX III ADDITIONAL INFORMATION
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AAGBI SAFETY GUIDELINE Suspected An
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GUIDELINES Suspected Anaphylactic R
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Suspected anaphylactic reactions as
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numbers of staff are needed to roll
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Table 7 Equipment for managing obes
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11. Schneider HJ, Glaesmer H, Klots
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21 Portland Place, London, W1B 1PY
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This guideline was originally publi
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Anaesthesia 2015 Barker et al. | Gu
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Out of Hours Activity (Anaesthesia)
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Considerations for anaesthetists Th
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OAA / AAGBI Guidelines for Obstetri
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Contents 1. Key recommendations 2 2
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2. Introduction This is the third v
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Recommendations Medical staff The t
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appointed directly from other count
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Peripartum care Pre-operative asses
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Intravenous patient-controlled opio
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depression. In the absence of contr
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of clinical deterioration, as recom
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5. Training and education Each obst
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• Skills and drills training: ana
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• The midwife caring for a woman
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7. Support services, equipment, fac
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Equipment for PCA must be available
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8. The future The delivery of healt
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The following national guidelines s
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19. Obstetric Anaesthetists’ Asso
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At the first meeting held on 9 th M
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Methods to estimate/establish publi
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Recommendations The WP recommends:
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Anaesthesia, 2007, 62, pages 1199-1
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Anaesthesia, 2007, 62, pages 1199-1
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OPTION 3 - PRESUMED CONSENT. ‘Pre
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Power of Attorney) while requiring
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Needle-stick injury and HIV testing
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egain capacity, and the absence of
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treatment if it was understood that
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Management of hypertension before e
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AAGBI Safety Guideline Management o
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Malignant Hyperthermia Crisis Task
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MEMBERSHIP OF THE WORKING PARTY Dr
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Section 1 Recommendations 1. Transf
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Section 3 Introduction In 1997 it w
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This process may require many telep
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Section 6 Accompanying the patient
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Section 7 Monitoring, drugs and equ
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heavily congested areas, but not al
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APPENDIX 1 Departure checklist Do a
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13. Bercault N, Wolf M, Runge I, Fl
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21 Portland Place, London W1B 1PY T
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Membership of the Working Party Dr
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Infection control in anaesthesia An
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AAGBI SAFETY GUIDELINE Immediate Po
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Guidelines Immediate post-anaesthes
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The Royal College of Anaesthetists
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Contents ❚ Foreword 4 Introductio
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Introduction ❚ The Good Anaesthet
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Related guidelines and sources of i
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Domain A: knowledge, skills and per
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Domain B: safety and quality Attrib
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Domain C: communication, partnershi
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Domain D: maintaining trust Attribu
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Day Case and Short Stay Surgery 2 P
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GUIDELINES Day case and short stay
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Guidelines: Day case and short stay
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