Totally (TLY ) said its wholly owned subsidiary, Vocare, has been chosen as the qualified provider to the Yorkshire Ambulance Service NHS Trust ("YAS") after the division was awarded a place on the regional Integrated Urgent Care Clinical Support Framework.

Vocare was chosen as the qualified provider to YAS under a new NHS framework agreement which will focus on undertaking Emergency Department (ED) validations and redirection in collaboration with YAS's Yorkshire and Humber Integrated Urgent Care/NHS 111 service. 

Yorkshire Ambulance Service provides services to 19 clinical commissioning groups, serving over five million people across an area of c.6,000 square miles of Yorkshire and the Humber.

The agreement for Vocare, which forms part of Totally's Urgent Care division, will run from 1 April 2021 to 31 March 2024 and is worth up to c. £2.7m over the framework term.

Under the initial draw-down contract for 2021/22 Vocare will provide up to 64,000 ED validations with subsequent years to be agreed in line with regional service requirements. 

Its practitioners will clinically assess calls that have been taken by NHS 111 and triage patients to appropriate alternate healthcare services in the region, supporting patient flow and ensuring that the patients that need to be seen in the ED are appropriately directed.

Vocare has also been selected as one of a small number of qualified framework providers for local Clinical Assessment Services in each of the Yorkshire ICS geographies (West Yorkshire and Harrogate, South Yorkshire and Bassetlaw, and Humber, Coast and Vale).

As set out in the NHS Long Term Plan, ICSs are new partnerships between the organisations ‘that meet health and care needs across an area, to coordinate services and to plan in a way that improves population health and reduces inequalities between the organisations.’

This forms part of a wider move towards a more efficient provision of care, whereby the NHS can identify their preferred providers and work with them to deliver services going forward, without the need for a procurement process for each service, Totally noted.

It highlighted that this reduces time spent on tender processes, allowing the NHS to ‘better and more quickly’ respond to local needs and requirements as they change over time.

The company said the initial dialogue under this latest framework has now commenced, adding that it would update the market ‘as appropriate as these discussions progress.’

In addition, Totally has also informed investors that Vocare has been awarded a 12-month contract extension valued at around £3.9m for the provision of GP out of hours and minor injuries services to Vale of York Clinical Commissioning Group ("Vale of York CCG"). 

Commenting on this morning’s news, Wendy Lawrence, Chief Executive of Totally, said: "We are delighted to be one of the first organisations chosen to be a preferred provider of Emergency Department validations for the NHS as part of this shift towards the new ICS framework. Being one of the few selected as part of this competitive process is testament to the hard work of our staff and the quality of services we provide in the region.”

She added, "As the NHS moves away from large public sector tendering for services it is looking to be quicker and more efficient in responding to shifts in demand across the country and, as such, is looking to appoint partners that it can proactively work with going forward, without the need for lengthy procurement processes.”

After having been selected as a qualified provider for the  new NHS framework agreement, Totally said it believes that the the company can now “rapidly mobilise services in response to the shifting demands of YAS without needing to go through further formal processes.”

Today’s news follows a string of contracts for Totally; this includes a recent six-month extension worth c. £7.2m, two additional 12-month contract extensions for Vocare worth a total of c. £16.8m, as several other contract extensions and continued pilot funding (worth c. £7.2m) that the healthcare service provider in the UK and Ireland revealed last month. 

Shares in Totally have increased by over 50% in value since the beginning of 2021. The stock was trading 3.20% higher this morning at 32.25p immediately following the announcement.

Reasons to TLY

Totally is healthcare service provider in the UK and Ireland, working in partnership with the NHS and other providers to deliver healthcare services through its divisions of Urgent Care, Planned Care, and Insourcing. 

Market Position

Totally has established itself as a component of the provision of healthcare in Ireland the UK. Its Urgent Care, Planned Care and Insourcing services have all secured significant contracts across its target markets and now class themselves as ‘key partners’ to the NHS. 

Operating Model

Urgent Care, Planned Care and Insourcing services all operate in complementary market segments at different parts of the healthcare cycle. In its 1H20 results for the six months ended 30 September 2020, the group demonstrated increasing revenue, service-led margins and a strong operating cash flow to support a progressive dividend policy for shareholders.

Fragmented Industry plays to M&A Strategy 

Totally said it is committed to pursuing a progressive ‘buy-and-build’ consolidation strategy within the fragmented healthcare services industry. It has completed several acquisitions and continues to evaluate attractive opportunities that its disruptive service model offers.

Totally is a leading healthcare service provider in the UK and Ireland, working in partnership with the NHS and other providers to deliver healthcare services through its divisions of Urgent Care, Planned Care, and Insourcing. 

Recent Newsflow

Last month, the company said it had received a number of contract extensions for Clinical Assessment and GP Out of Hours Services and the provision of Urgent Treatment Centres across the North East of England, the Midlands and Greater London (the "Contracts").

In aggregate, the healthcare service provider in the UK and Ireland said the contracts awarded to Totally's wholly-owned subsidiaries Vocare Limited and Greenbrook Healthcare Limited, which together form Totally's Urgent Care Division, are worth a total of c.£9.8m.  

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