In Greater Manchester there are an estimated 120,000 people experiencing Multiple Disadvantage. This is defined as a combination of homelessness, substance misuse, mental health issues, domestic abuse and contact with the criminal justice system. People facing multiple disadvantage are at the sharp end of socio-economic and health inequalities. As part of Greater Manchester´s Live Well commitment to tackling health inequality, we want to build on the existing Inclusion health service to reduce this inequality. GMCA are looking for providers to deliver two distinct services which will remove a range of different barriers for people experiencing MD to having their health needs met. Lot 1: Primary Care Led Support- Deliver support in a primary care setting to people facing Multiple Disadvantage, in Rochdale, Oldham and Manchester. This high-quality health and social support will be embedded in primary care and work collaboratively with other agencies to improve public health outcomes Total estimated value over 5 years is £2,762,767.81 Lot 2: Palliative Care Support- The provision of a palliative care service for adults experiencing homelessness alongside life-limiting and end-of-life physical health conditions. Total estimated value over 4 years is £461,615.00 – Lot nr.: 1 Primary Care Led Multi Disadvantage Support Primary Care Led Support- Deliver support in a primary care setting to people facing Multiple Disadvantage, in Rochdale, Oldham and Manchester. This high-quality health and social support will be embedded in primary care and work collaboratively with other agencies to improve public health outcomes Duration contract start date : 15/01/2027 12:00:00 AM Duration contract end date : 14/01/2030 11:59:59 PM Criteria definitions: Quality: 60 (Quality Stage 1) Quality: 30 (Quality Stage 2) Price: 10 (Price Stage 1) – Lot nr.: 2 Palliative Care Support The provision of a palliative care service for adults experiencing homelessness alongside life-limiting and end-of-life physical health conditions. Duration contract start date : 31/03/2027 11:00:00 PM Duration contract end date : 31/03/2029 10:59:59 PM Criteria definitions: Quality: 60 (Quality Stage 1) Quality: 30 (Quality Stage 2) Price: 10 (Price Stage 1)