Request for Proposals
Response Form 1: Questions relating to
evaluation criteria
In response to the Request for Proposals
By: Te Whatu Ora - Health New Zealand
For: Gender-Affirming Primary Care – Update to Guidelines for
Act
Gender-Affirming Care
Reference: 30535
Respondent Name: [Insert Respondent name]
Information
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1: About you
This section gives the Buyer basic information about your organisation and identifies your
Point of Contact for the RFP process.
1.1 Your organisation
Item
Please complete
Full legal name:
Physical address:
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Please confirm if your
organisation is a Māori or
Pacific Business or
organisation:
1.2 Your Point of Contact
Item
Please complete:
Contact person:
Information
Position:
Mobile number:
Email address:
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2: Your Response to the Requirements
2.1 Overview of your solution
Please provide an overview of your proposed initiative/solution
(maximum of 150 words)
[insert answer here]
2.2 The Evaluation Criteria
Please provide a summary of how your proposed solution meets the evaluation criteria by
Act
answering the questions below. Please note the weightings applied to each question.
1. Capacity of your organisation
Weighting 15%
1a. Provide a brief overview of your organisation. Include a brief description of the number of
years your organisation has been operating, its organisational structure, a description of
services the organisation currently delivers and a summary of any current contracts it holds
with Government Agencies (5% overall).
[insert answer here]
Information
1b. Describe details of what resource will be provided to the update of gender-affirming care
guidelines including the team of people/person delivering an update of the guidelines, cultural
support and stakeholder consultation. Outline any significant risks associated with resourcing
capability and mitigation of these risks (10% overall).
[insert answer here]
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2. Solution fit for purpose: Clinical safety and international best
Weighting 30%
practice approach
2a. Provide an overview of your proposed solution to update gender-affirming care guidelines,
and a brief outline of the changes to be made, including updating the guidelines to bring them in
under
line with the World Professional Association for Transgender Health Standards of Care (15%
overall).
[insert answer here]
2b. Provide a description of how you will ensure that the updated guidelines will be applicable to
primary and community care providers, with clear guidance on commencing hormone therapy in
primary care (10% overall).
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[insert answer here]
2c. Provide a brief description of your organisation’s experience in developing clinical or other
guidelines for professionals (5% overall).
[insert answer here]
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3. Addressing Equity and Māori health and wellbeing
Weighting 35%
We are seeking respondents that have demonstrated a commitment to
improving Māori Health outcomes and addressing inequities in access
to gender-affirming healthcare in Aotearoa New Zealand.
3a.
Describe the following (15% overall):
i.
how your organisation wil incorporate Te Ao Māori principles and perspectives into updated
Guidelines,
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ii.
how your organisation wil ensure Māori representation in decision making at all levels of the
Guidelines development,
iii.
how your organisation will ensure that your Guidelines are appropriate for and address the
differing needs of Māori from and living in different regions,
iv.
how your organisation will ensure your stakeholder engagement processes are appropriate
for and address the needs of Māori stakeholders and whānau.
[insert answer here]
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3b. Describe how your organisation will ensure that the updated Guidelines are appropriate for and
address the needs of Pacific peoples, youth and tāngata whaikaha (15% overall).
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[insert answer here]
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3c. Describe how your organisation and the proposed solution will embed Te Tiriti o Waitangi
principles into the design and delivery of Guidelines (5% overall)
[insert answer here]
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4. Capability of the Organisation to carry out consultation with
Weighting 20%
the relevant stakeholders on gender-affirming health care
4a. Provide a brief overview of your proposed plan for developing guidelines in partnership with
and for transgender and non-binary patients, including the multiplicity of trans, non-binary,
Released
Takatāpui, and MVPFAFF+ perspectives - encompassing those with a variety of clinical, cultural
and regional needs.
Please include a summary of your experience working this way (10% overall).
[insert answer here]
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4b.
Describe your organisation’s plan for how guidelines wil be developed in partnership with
clinical and medical perspectives, ensuring that guidelines will be applicable for health
professionals across the health system and meet requirements to deliver clinical and medical
services safely (5% overall).
[insert answer here]
4c. Please provide a brief description of your organisation’s previous work with health and/or
education organisation(s). Provide a brief description illustrating how your organisation has worked
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together with health and/or education organisations to successfully deliver a project or service
within the last three years (5% overall).
[insert answer here]
5. Proposed Contract
Information
Choose one and delete the other:
Having read and understood the Proposed Contract, referred to in the RFP Section 4 and
provided to me as an accompanying document to the RFP, I confirm that these terms and
conditions are acceptable. If successful, I agree to sign a Contract based on the Proposed
Contract, or such amended terms and conditions of Contract as are agreed with the Buyer
following negotiations.
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OR
Having read and understood the Proposed Contract, referred to in the RFP Section 5 and
provided to me as an accompanying document to the RFP, I have made suggestions below. If
the
successful, I agree to sign a Contract based on the Proposed Contract subject to negotiating
the clauses described below.
[insert answer here]
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6. Your declaration
Here you are asked to make a formal declaration. Select ‘agree’ or ‘disagree’ at the end of
each row. If you don’t, you will be deemed to have agreed. Have the declaration signed by
someone who is authorised to sign and able to verify the declaration (eg, chief executive or a
senior manager).
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Respondent’s declaration
Topic
Declaration
Respondent’s
declaration
RFP Process,
I/we have read and fully understand this RFP,
[agree/disagree]
Terms and
including the RPF Process, Terms and
Conditions:
Conditions. I/we confirm that the Respondent
agrees to be bound by them.
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Collection of
I/we authorise the Buyer to:
[agree/disagree]
further
a. collect any information about the Respondent,
information:
except commercially sensitive pricing
information, from any relevant third party,
including a referee, or previous or existing
client,
b. use such information in the evaluation of
this Registration.
I/we agree that all such information will be
confidential to the Buyer.
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Requirements: I/we have read and fully understand the nature
[agree/disagree]
and extent of the Buyer’s Requirements as
described in Section 2. I/we confirm that the
Respondent/s has the necessary capacity and
capability to fully meet or exceed the
Requirements and will be available to deliver
throughout the relevant Contract period.
Ethics:
By submitting this Response, the Respondent/s
[agree/disagree]
warrants that it:
Information
a. has not entered into any improper, illegal,
collusive or anti-competitive arrangements
with any Competitor,
b. has not directly or indirectly approached any
representative of the Buyer (other than the
Point of Contact) to lobby or solicit information
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in relation to the RFP,
c. has not attempted to influence, or provide any
the
form of personal inducement, reward or
benefit to any representative of the Buyer.
Conflict of
The Respondent warrants that it has no actual,
[agree/disagree]
Interest
potential or perceived Conflict of Interest in
declaration:
submitting this Registration or entering into a
under
Contract to deliver the Requirements. Where a
Conflict of Interest arises during the procurement
process the Respondent/s will report it immediately
to the Buyer’s Point of Contact.
Details of
[if you think you may have a conflict of interest briefly describe the conflict
conflict of
and how you propose to manage it or write ‘not applicable’]
interest:
Conflict of
I understand that proposals have been sought from both Gender Minorities
Released
Interest
Aotearoa and PATHA and that individuals who are part of Gender Minorities
Management
Aotearoa are also members of PATHA. I can confirm that if I am submitting
from either of these organisations, there will be no collusion or discussion
regarding the proposals, and I agree not to talk to any other organisation
about any aspect of this procurement process.
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DECLARATION
I/we declare that in submitting the Response and this declaration:
a. the information provided is true, accurate and complete and not misleading in any material
respect.
b. the Response does not contain intellectual property that wil breach a third party’s rights.
c. I/we have secured all appropriate authorisations to submit this Response, to make the
statements and to provide the information in the Response and I/we am/are not aware of any
impediments to enter into a Contract to deliver the Requirements.
I/we understand that the falsification of information, supplying misleading information or the
suppression of material information in this declaration and the Response may result in the
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Response being eliminated from further participation in the RFP process and may be
grounds for termination of any Contract awarded as a result of the RFP.
By signing this declaration, the signatory below represents, warrants and agrees that he/she
has been authorised by the Respondent/s to make this declaration on its/their behalf.
Signature:
Full Name:
Information
Title/position:
Name of organisation:
Date:
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