Expression of Interest to work with Advance on the DWP Work and Health Programme Central England

This tender form is designed to allow organisations who wish to work with Advance to provide us with information about their structure, and their proposed operational model. The responses to this questionnaire will be assessed as part of our selection process for the contract. Please ensure that you answer each question. If any do not apply to your organisation, please state N/A.

On completion, please send to: partneropportunities@advanceuk.org

Please note the deadline for returning applications is: Friday October 21st at 12pm

Section 1: Organisation Information

1.1 Details about your organisationOrganisation name:

Trading name (if different):

Registered address:

Postcode:

Website address:

Company registration and / or charity number:

VAT registration number:

Name and job title of main contact:

Main contact name:

Job title:

Address:

Postcode:

Office number:

Mobile number:

Email address:

Alternative contact name: Office number:

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Job title:

Address:

Postcode:

Mobile number:

Email address:

1.2 Details of your parent organisation (if applicable)Parent organisation name:

Registered address:

Postcode:

Company registration and / or charity number:

Please confirm your relationship with immediate controlling parent organisation

Wholly owned subsidiary

More than 50% owned

Other relationship (please specify below):

1.3 Organisation overviewPlease tick the box which best describes the legal status of your organisationPrivate Limited Company

Public Limited Company

Registered Charity

Public Sector

Social Enterprise

Consortium / SPV

Other (please specify below)

1.4 Financial information If requested, could you provide three years’ audited accounts or prepared financial statements?

Yes No (if no, please provide reasons why)

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1.5 Please indicate the turnover of your organisation for the last three years Year Date: Turnover 1 £ 2 £ 3 £

1.6 Insurance policies held, the sum insured and date of renewal Insurance policy: Amount insured : Date of renewal

Employer’s liability Yes No £

Public liability Yes No £

Professional indemnity Yes No £

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Section 2: Current delivery information/ track record

2.1 Services offered Please indicate which services you are able to offer ( multiple boxes may be selected)

End-to-end provision : Able to deliver Referral Partner : mainstream employment / skills provision to a wide range of customers across one or more geographic areas

Specialist end-to-end provision: Able to Other: (please specify below)deliver employment / skills provision to a specific customer group across one ormore specific geographic areas

Short courses / specific elements of provision: Able to deliver shorter,more specific elements of provision (e.g. sector specific training)

Apprenticeship provider:Able to deliver apprenticeships, including placements

Specialist: Delivering specific elements of the service to particular customer groups (e.g. customers with health conditions / self/employment)

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Section 3: Delivery Locations

3.1 Area(s) of interest * See Annex APlease indicate all areas where you can deliver your services across Central England and specify the relevant local authority areas

3.2 Delivery locations Specific Delivery Locations Size of delivery locations Nature of location (sq ft)

PermanentTemporary Permanent

Temporary Permanent

Temporary Permanent

Temporary Permanent

Temporary Permanent

Temporary

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Section 4: Services

4.1 What specialist customer groups do you have experience of delivery with? Please indicate below (select all that apply)

Mental health condition

Learning disability

Sight impairment

Hearing impairment

Carers

Over 25’s

Long Term Unemployed

Autistic spectrum disorder

Substance and alcohol misuse

Offenders

BME

Single Parents

Over 50’s

Families

Homelessness

Other (please specify)

4.2 What types of advice have you delivered in the past?Please indicate below (select all that apply)

Information, advice and guidance

Employability Skills

In work support

Training

Benefits advice

Debt advice

Self-employed

Homeless/at risk

Skills for life

Other (please specify below)

Apprenticeships

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Section 5: Quality

5.1 Does your organisation have documented policies in the following areas:Policy Policy held Updated in last 12 months

Policy held?

Updated in the past 12

months?

Anti-bribery

Bonus schemes/payments

Business code of ethics

Business continuity

Fraud Prevention

Whistle blowing

Data Protection and Storage

Equality and Diversity

Health and Safety

Safety of Work Placements

Safeguarding –

(vulnerable adults and

children)

Environmental and

sustainability

Quality

Recruitment and personnel

Disciplinary and Grievance

Complaints and Harassment

Information security

Please be aware that you may at some point be required to ensure that you have all these policies in place. You should therefore bear in mind the additional costs of achieving this.

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5.2 Current Contracts If you currently deliver MOJ, ESF NOMS, LA DWP, SFA and / or other contracts, please list the following information

Contract name Date of most recent audit Assurance grading

5.3 Standards and accreditations your organisation currently holds or are working towards

Standard/Accreditation Held Working towards

Policy held?

Updated in the past 12

months?

Investors in People

Merlin Standard

Momenta-Accredited

MATRIX

PQASSO

Customer First

ISO 14001

ISO 9001

ISO 27001

EQFM Excellence

IPPF

Training Quality Standard

Total Quality Management

Positive About Disability

Other (please specify)

5.4 Memberships

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Please indicate whether your organisation is a member of any professional bodies

5.5 Terminated contracts Has your organisation had any contracts terminated over the last three years?

Yes No (if yes, please provide details and explanation below)

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Section 6: Additional information

6.1 Overview

Please provide a brief overview of your organisation, including areas not covered elsewhere in this questionnaire. This may include your delivery offer outline, unique selling points, organisational culture and values, and your top three strengths, (500 word maximum)

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6.2 Previous Performance: Please provide details of how you have successfully managed and improved performance in

previous contracts, including a brief description of the services delivered which demonstrates experience of delivering similar provision.

Include a clear description of the processes and systems used to monitor performance against your contractual obligations.

Provide actual performance data which demonstrates satisfactory performance against your contractual performance obligations.

6.3 Stakeholder engagement and management:11

Demonstrate how you have previously engaged with a wide range of stakeholders such as employers, Jobcentre Plus, Local Authorities, LEPs and relevant stakeholders in primary and secondary care

Provide an example of where this strategy has been effectively implemented in previous Employment and / or Health Related Service contracts and with what success.

How your employer engagement strategy will identify quality employment opportunities for customers and how you will work with employers to place the two main customer groups (the long term unemployed and customers with Health conditions and / or disabilities) into sustainable employment.

6.4 Delivery Challenges:

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Provide examples and evidence of where you have overcome challenges in the delivery of previous Employment and / or Health Related Service contracts and with what success

6.5 How does your management mechanism support the delivery of a good quality service to customers?

Section 7: Declarations 13

7.1 Administrative order Has a receiving / administrative or winding up order been made against the organisation or an individual or has a winding up order been passed or a receiver, manager, administrator equivalent been appointed?

Yes No (if yes, please provide details and explanation below)

7.2 Fraud / disqualifications Have any of the directors, senior managers or trustees of the organisation been found guilty of fraud, been involved in any company which has had a winding up order or had an administrator appointed, or been disqualified from being a director?

Yes No (if yes, please provide details and explanation below)

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7.3 Legal proceedings Are there any legal proceedings, including bankruptcy or winding up petitions in progress that may affect the performance of the contract obligations or has the organisation been prosecuted under EU / National law in the last three years?

Yes No (if yes, please provide details and explanation below)

7.4 Obligations Has the origination ever failed to fulfill any obligations regarding payment of social security / UK taxes or possession of a license / membership of an organisation where the law of the state required it?

Yes No (if yes, please provide details and explanation below)

7.5 Please provide contact details for two organisations you currently work with who we could obtain a reference from.

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Section 8: Signature8. SignatureI confirm that the above information is accurate and that my organization wishes to be considered in the tender selection process for this contract.

Name of person completing the form:

Position within the organisation

Date completed:

Please ensure you complete Appendix 1: Contract delivery performance.

If the information you have provided changes, or you no longer want us to retain your information on file, please notify us via email: partneropportunities@advanceuk.org

9. For Advance use only Reviewed by:

Position within the organisation:

Date the form was reviewed:

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Annex A:

Central England Aylesbury Vale Bedford Birmingham Blaby Boston Bromsgrove Cannock Chase Central Bedfordshire Charnwood Corby Coventry Daventry Dudley East Lindsey East Northamptonshire East Staffordshire Harborough Herefordshire, County of Hinckley and Bosworth Kettering Leicester Lichfield Lincoln Luton Malvern Hills Melton Milton Keynes Newcastle-under-Lyme North Kesteven North Warwickshire North West Leicestershire Northampton Nuneaton and Bedworth Oadby and Wigston Redditch Rugby Sandwell Shropshire Solihull South Holland South Kesteven South Northamptonshire South Staffordshire Stafford Staffordshire Moorlands

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Stoke-on-Trent Stratford-on-Avon TamworthTelford and Wrekin Walsall Warwick Wellingborough West Lindsey Wolverhampton Worcester Wychavon Wyre Forest

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Central England