PWS PA PDHRA RN PACU - V2.docx

Physician Assistant – Post Deployment Health Reassessment (PDHR) & Registered Nurse – Pre/Post Anesthesia Care Unit (PACU)

Performance Work Statement for the 48th Medical Group

PREPARED BY: Defense Health Agency and 48th Medical Group RAF Lakenheath, England DATE: Nov 27, 2024

Table of Contents

Section Number and Title

Page Number

1.0 Description of Services

1. Description of Services

1.1. The Government requires a personal services contract for position listed in below table at the 48th Medical Group, RAF Lakenheath, England, also referred to as the “Medical Treatment Facility” (MTF) herein. Performance shall be in accordance with the requirements contained in this Performance Work Statement (PWS), and standards of the Joint Commission contained at https://www.jointcommission.org and Health Services Inspection (HSI).

1.2. Aid in the development of sponsorship of active-duty physicians, nurses, and technicians within the 48th Medical Group (MDG) in a variety of specialties. Sponsorship is defined as a local NHS or MDHU medical facility that provides oversight of a specific clinical specialty to ensure the active-duty physician has met the appropriate knowledge, skill and experience needed for General Medical Council (GMC) certification and registration, as applicable.

2. Government Furnished Property

2.1. None furnished

3. Contractor-Furnished Property

3.1. None furnished

4. General Information

4.1. Hours of Operation

4.1.1. Normal base hours of operation are 07:30 – 16:30. However, the contractor may find it necessary to deviate from the normal base hours of operation, to ensure timely completion of work under this PWS at no additional cost to the Government. Hours may be adjusted in accordance with section 3.5. of the basic contract PWS.

4.1.1.1. The contractor's work schedule will be dependent upon MTF workload and the needs of the clinic or section in which the contractor is to provide the service. The contractor may be required to work more or less than 8 hours in a single day and/or 40 hours in a week. If additional hours are worked, the Government may reduce future scheduled hours to maintain a 40-hour work week average.

4.1.1.2. The estimated hours to be worked during each period of performance is 1,912 hours.

4.1.2. Federal Holidays are listed in section 3.5.2 of the basic contract PWS.

4.1.3. Closures. The contractor shall comply with section 3.5.3 of the basic contract PWS. There are nine (9) Europe Regional Medical Command (ERMC) training holidays where HCPs will work unless they want to take leave.

4.1.4. The contractor may not work more than the hours stated in the task order schedule. The contractor is responsible for tracking employee hours and notifying the Government in the event the hours may be exceeded.

4.2. Contractor Personnel

4.2.1. Certifications

4.2.1.1. Public Health clearance is required, and the contractor shall submit immunization records and physical health certification with their proposal. The records must show proof of immunization against Hepatitis A and B, Measles, Mumps, Rubella, Varicella, and Influenza, current as of the contractor’s start date. The offeror shall also provide proof of negative tuberculosis (TB) skin test taken within the past 12 months. If the TB test was positive, submit proof of negative chest x-ray within the past 12 months. After start of work, the Government will provide post blood borne exposure protocols in accordance with applicable Air Force Instructions (AFIs). The health certification shall state the date on which the physical examination was completed, the name of the doctor who performed the examination, and a statement concerning the physical health of the individual. The certification shall also contain the following statement: “(Name of contractor personnel) is suffering from no contagious diseases to include, but not limited to, tuberculosis, hepatitis A and B and the human immunodeficiency virus (HIV).”

4.2.1.2. The contractor is required to complete and be in compliance with the List of Clinical Privileges in accordance with Appendix A.

4.3. Security Clearances

4.3.1. Contractor personnel working in 48 MDG will have a National Agency Check or host nation equivalent. The results of the check shall be provided to the Contracting Officer. The Government will not accept any employee with a federal conviction (or host nation equivalent) in their background check. See Appendix C for details.

4.4. Contractor Management

4.4.1. Non-Availability. The contractor shall comply with section 3.6.3. of the basic contract regarding absences and leave.

4.4.1.1. The contractor is required to provide temporary replacement staff for contractor absences and scheduled or unscheduled of more than or equal to 30 calendar days. In the event of permanent staff loss, the contractor shall provide qualification documentation for a technically competent replacement health care provider for approval within 30 days after their knowledge of a candidate’s intent to terminate employment. If there is a long time between the notification and the actual termination, the contractor shall provide the documentation no later than 30 days prior to the termination. The contractor shall ensure the candidate arrives and is able to work within 30 days of approval of the candidate from the Government. In the event the candidate is not approved, the 30-day timeframe does not restart. It may be in the best interest of the contractor to provide multiple candidates, though it is not mandated to do so. In the event of a delay due to circumstances beyond the contractor’s control, the contractor shall notify the CO and COR and provide a timeline for replacement.

4.4.2. Contractor employees are not subject to the Status of Forces Agreement (SOFA) and are not tax exempt in the United Kingdom. See also section 3.24 of the basic contract for logistical support.

4.4.3. Logistical support does not extend to driving privileges. However, personnel are entitled by United Kingdom (UK) Law to operate a vehicle on a valid United States driver’s license for up to one year from the date of residency or entry into the UK. For information on obtaining a UK driver’s license after the one-year driving period, please refer to www.gov.uk.

4.4.4. Logistical support is not authorized for Local National hires as it is forbidden by the Status of Forces Agreement (SOFA). Local National hires may be authorized a CAC if their duties.

4.4.4.1. Relocation and school tuition expenses are not authorized under this contract.

4.4.5. Dress and Appearance

4.4.5.1. Contractor shall present a professional, conservative, and neat appearance. Contractor shall report for duty in a professional manner, in appropriate attire befitting a healthcare setting, and comply with acceptable standards of personal hygiene expected of health care workers.

4.4.5.2. While on duty, contractor shall be neat and clean (free from visible dirt and stains), well- groomed and appropriately dressed. The personnel’s clothing shall fit correctly to provide a professional, modest appearance. If wearing scrubs, they shall match the shade of blue as the rest of the hospital.

4.4.5.3. Contractor shall display legible MTF-provided identification card on their outer clothing.

4.4.5.4. Facial hair (including beards, mustaches, and sideburns) shall be controlled (restrained) or trimmed and kept professional and clean at all times.

4.4.5.5. When required and supplied by the Government, wear special protective clothing and shoe covers. When duties are performed in specified areas, a disposable protective hood shall be worn to ensure infection control standards are met. These items shall remain the property of the Government and shall not be removed from the MTF. After use, protective clothing shall be turned in or destroyed as directed by the Chief of Service.

4.4.3. Conduct

4.4.3.1. The contractor shall comply with section 3.15 of the basic contract regarding conduct.

4.4.3.2. Disruptive Contractor Personnel. The contractor shall comply with section 3.15.10 of the basic contract PWS in the event any contract employee is found to be disrupting the normal operations of the clinic.

4.5. Healthcare Requirements

4.5.1. An annual physical examination is required. The contractor must provide proof of the medical examination (prior to starting work and before each option period) by a qualified medical practitioner and required immunizations prescribed by the MTF for continued practice within the facility. Report all information necessary to assure hospital records can be maintained correctly, and therefore comply with the Joint Commission (https://www.jointcommission.org/), Operational Safety and Health Administration (https://www.osha.gov/), and Center for Disease Control (https://www.cdc.gov/) health record requirements.

4.5.2. The Contractor shall make known to the MH flight commander, and/or Chief of the Medical Staff the presence of any medical or mental health concern that would serve to significantly impair their ability to provide mental health care as a provider in the MTF.

4.5.3. Contractor staff must comply with 48th Medical Group and unit standards of care as well as the healthcare practices of their specific profession. See Appendix B for a list of applicable publications and forms; this list is not exhaustive.

4.5.4. Participate in Quality Inspection and Risk Management activities to the extent that these events fall within the scope of this PWS.

4.5.5. Health Insurance Portability and Accountability Act (HIPAA). The contractor and their employees shall comply with HIPAA as in the basic contract, and release of information as found in the basic contract section 3.15.5.

4.6. Government Quality Assurance

4.6.1. The Government will rely on the contractor’s quality control program to assess performance whenever possible. However, the Government reserves the right to perform additional inspections as necessary, utilizing the Government’s Quality Assurance Surveillance Plan (QASP) and the inspection/acceptance provisions in the clause FAR 52.212-4 Contract Terms and Conditions -- Commercial Items.

4.7. Government-Furnished Training

4.7.1. The contractor may be required to attend additional site-specific training in patient care aspects and procedures. This training will be provided by the Government during normal work hours.

4.8. Key Control

4.8.1. The contractor shall comply with section 3.3.3 of the basic contract regarding keys.

4.9. UK Status of Forces Agreement

4.9.1. The contractor shall comply with section 3.22 of the basic contract regarding the Status of Forces Agreement.

4.10. Logistical Support

4.10.1. Individual logistical support is provided under this contract in accordance with FAR 25.301-2, DFARS 225.802, and the policies and procedures of DoD 4525.6-M and AFI 36-3026. Policies and procedures are subject to change. Examples of support are: DD Form 1173 – Uniformed Services Identification and Privilege Card; Commissary (including rationed items); AAFES Facilities (Post/Base Exchange) (including rationed items); Armed Forces Recreation Facilities; Local Morale/Welfare Recreation Services; Military Banking Facilities; Military Postal Service (APO/FPO); Officer or Non-Commissioned Officer (NCO)/Enlisted Military (EM) Clubs; POV (Privately-Owned Vehicle license); Purchase of POL (Petroleum and Oil products); Transient Billets or Visiting Officers Quarters (VOQ) on space-available; Billeting in deployed areas is on a space-required basis (non-reimbursable); Messing Facilities at deployed sites only; Medical services on a reimbursable basis; and Dental care only for emergency conditions on a reimbursable basis.

4.10.2. Contractor employees are not subject to the Status of Forces Agreement (SOFA) and are not tax exempt in the United Kingdom. See also section 3.24 of the basic contract for logistical support.

4.10.3. Logistical support does not extend to driving privileges. However, personnel are entitled by United Kingdom (UK) Law to operate a vehicle on a valid United States driver’s license for up to one year from the date of residency or entry into the UK. For information on obtaining a UK driver’s license after the one-year driving period, please refer to www.gov.uk.

4.10.4. Logistical support is not authorized for Local National hires as it is forbidden by the Status of Forces Agreement (SOFA). Local National hires may be authorized a CAC if their duties require access to Government computer programs.

1. Specific Tasks: See Appendix A for full Position Description.

2. Performance Requirement Summary (PRS)/ Service Summary

AQL: No more than two customer or substantiated patient advocate complaints per quarter.

The contractor shall protect patient confidentiality and privacy

AQL: 100% Compliant

AQL: No more than two errors per quarter

Contractor employee will ensure all required credentials and training remain up to date at all times.

AQL: 100%

quarter without prior notice

3. Definitions

8.0 Appendices

Appendix A, Medical Case Manager Appendix B, Applicable Publications and Forms Appendix C, National Agency Check/Host Nation Check

APPENDIX A

REGISTERED NURSE – PRE/POST ANESTHESIA CARE UNIT (PACU) (1 FTE)

SUMMARY. Plans, directs, and coordinates activities of patient care based upon the nursing process; being effectively involved with maintaining the standard of care for assigned patients through assessment, planning, implementation, and evaluation. Maintains optimum standards of nursing care and practice through preoperative, and postoperative assessment planning, implementation, and evaluation of patient care.

1. QUALIFICATIONS.

1.1 Knowledge. Demonstrates the knowledge and skills in the nursing process.

1.2 Education. Graduation with a Bachelor of Science in Nursing degree from an accredited school of nursing acceptable to the Surgeon General, HQ USAF is mandatory.

1.3 Experience. A minimum of 12 months of in-patient care unit or pre/post anesthesia care experience is mandatory in an in-patient care unit or pre/post anesthesia care assignment. Experience must include all phases of assessing and monitoring changes in the physical and psycho/social needs of patients utilizing the nursing process, preparing patients for surgery, and educates and counsels patient and/or caregiver with provisions for follow-up.

1.4 Certification. Must hold current Basic Life Support (BLS), Advanced Cardiac Life Support (ACLS), and Pediatric Advanced Life Support (PALS) certifications. Current state RN licensure.

2. TYPE OF WORK. The duties include but are not limited to the following:

2.1 Provides professional nursing care to patients undergoing surgery. Prepares patients room and circulates for surgical procedures within multiple specialties to include orthopedics, general surgery, podiatry, obstetrics/gynecology, plastics, otolaryngology, urology, oral maxillofacial, and pediatric dentistry. Establishes and utilizes a checklist to plan, implement, and evacuate care for surgical patients for conformity to all national standards for ensuring safety for the patient and all personnel. Assembles the type and quantity of material and special equipment needed for daily procedures and possible emergencies. Responds to surgical emergency requirements such as cardiac, pulmonary, or respiratory failure and hemorrhage.

2.2 Maintains open communication lines, both interdepartmentally and interdepartmentally, to provide for total needs of the patient. Conducts preoperative and postoperative visits. Discusses operative procedures with patients and informs them of what to expect during surgery. Consults with the operating surgeon and establishes priorities of care for each patient entering the surgical suite. Coordinates with other hospital units to include recovery room, intensive care, obstetrics, and nursing units on patient’s progress and any special equipment or supplies needed for the patient returning from surgery.

2.3 Conducts and instructs personnel in preparing, sterilizing, and caring for equipment and supplies. Coordinates an ongoing education program to update knowledge and skills of decontamination and sterilization practices.

2.4 Provides care based upon the assessed needs of the patient in relation to the proposed procedure.

2.5 Provides pre/post anesthesia nursing care, for all types of patients admitted to the surgical suite for surgical intervention. Includes elective, urgent and emergency procedures on patients of all ages.

2.6 Assesses, plans, implements, and evaluates nursing care for all surgical patients including newborns, children, adolescents, adults, and the elderly; disabled to include visually and hearing impaired; and individuals of varying ethnic and religious backgrounds to include those who do not speak or understand English.

2.7 Participates and complies with quality and process improvement activities and events to ensure compliance with national standards and guidelines.

2.8 Knowledge of a variety of pharmacological agents used in patient treatment, the desired effects, side effects, and complications of their use as well as the accurate administration of the pharmacologic agent including dosage calculations as required.

2.9 Knowledgeable of laboratory test values.

2.10 Contractor employee will ensure all required credentials and required training remain up to date at all times.

2.11 Administers medications, electrolytes, fluids, blood, and blood products.

2.12 Ensures a safe work environment, employee safe work habits and patient safety in accordance with regulatory agencies. Adheres to perioperative, infection control, and safety policies and procedures.

2.13 Safely operates and monitors specialized therapeutic and resuscitative equipment.

2.14 Skilled in setting up and monitoring specialized medical equipment such as IV infusion pumps, cardiac monitoring devices, EKG units, oxygen analyzers, and other unit specific equipment.

2.15 Effectively communicates and collaborates with a diverse group of people. Informs the healthcare team of plans/actions. Educates the patient/family and organization members. Effectively uses appropriate communication format in addressing professional issues.

2.16 Excellent written communication skills to perform accurate documentation, both written and electronic, of all activity in accordance with requirements.

2.17 Knowledge of computer operations and proficiency in the use of basic word processing, data entry and automated medical records.

2.18 Must be able to synthesize data from a variety of sources and make appropriate clinical decisions.

2.19 Coordinates patient care through a continuum and facilitates the achievement of optimal outcomes in relation to care, quality and cost effectiveness.

2.20 Ensures compliance with standards of care and practice in accordance with all established national and local policies, procedures, and guidelines used in the medical treatment facility. Provides care within ethical and legal boundaries.

2.21 Recognizes medical emergencies and responds appropriately. Initiates CPR if required. Assists surgical team in administering advanced cardiac life support measures when necessary.

2.22 Participates in the orientation and training of newly assigned personnel, as appropriate.

2.23 Serves and participates in committees, functions and other meetings as directed. Provides relevant and timely information to these groups and assists with decision- making and process improvement. Participates in customer service initiatives and medical readiness activities designed to enhance health services.

2.24 Completes orientation and competency verification programs in accordance with unit guidelines.

PHYSICIAN ASSISTANT – POST DEPLOYMENT HEALTH REASSESSMENT (PDHR) (1 FTE)

1.1. Education:

1.1.1. Physician Assistant (PA) must have a Bachelors or Masters of Physician Assistant Studies degree from a PA educational program accredited by Accreditation Review Commission for the Physician Assistant along with current, valid license and/or certification (as applicable) to practice in field of expertise.

1.1.2. Physician Assistant (PA) candidate also must hold current certification from the National Commission on Certification of Physician Assistants (NCCPA). Maintenance of required certification is mandatory.

1.2. Certifications:

1.2.1. Contractor personnel shall have and maintain a current license to practice Medicine in any one of the 50 states, the District of Columbia, Puerto Rico, Guam or the U.S. Virgin Islands that allows for the independent practice of clinical services. This license shall be current (not revoked, suspended, or lapsed in registration), valid (the issuing authority accepts and considers QA information (i.e. practitioner professional performance and conduct in determining continued licenses)), and unrestricted (not subject to restriction pertaining to the scope, location, or type of practice ordinarily granted to other applicants for similar licenses in granting jurisdiction).

1.3. Experience:

1.3.1. Shall have a minimum of 12 months of experience working as a Physician Assistant within the last 36 months.

1.4. Basic Life Support Training: All contract service providers shall possess and maintain current course completion documentation for basic life support (BLS) through an American Heart Association and/or Red Cross approved training program. BLS shall be renewed every two years.

1.5. Network Access and Security Training: All users must receive IA awareness training tailored to the system and information accessible prior to being granted information system access. Users will receive annual refresher training to maintain information system access. (AR 25-2, para 4). All personnel shall ensure that their profile data and IA training and certification information in the Army Training and Certification Tracking System (ATCTS) is current. New personnel will register at https://atc.us.army.mil at the time of appointment. Antiterrorism Level 1 Training is required annually for contractor personnel performing OCONUS.

2. Specific Tasks: The contractor shall perform or shall know how to perform the tasks listed below. The contractor shall at no point receive additional payment for performing tasks outside of this list or outside of the scope of this contract. If additional tasks are required, the contractor and customer shall contact the contracting officer prior to performance in order to increase the scope of the contract and complete negotiations for equitable adjustment.

2.1. Maintain knowledge of content and intent of DoD and USAF policy regarding deployment health.

2.2. Remain knowledgeable in DoD/Veterans Affairs (VA) Post-Deployment Health Clinical Practice Guideline (PDH-CPG).

2.3. Remain updated on deployment health assessment policy and process guidance provided by DoD and USAF.

2.4. Complete all deployment health clinician training required by DoD and USAF.

2.5. Conduct deployment health assessments, as appropriate to field of practice.

2.6. Interview and assess patients regarding pre-/post-deployment health concerns, and appropriately document all interviews and assessments.

2.7. Assess and treat patients in accordance with DoD/VA PDH-CPG.

2.8. Ensure patients are provided education regarding their individual deployment-health concerns.

2.9. Provide patient referrals for specialty care and ensure follow-up.

2.10. Document clinical encounters in patients’ electronic medical records using appropriate deployment health codes.

2.11. DHA’s allow for early identification and management of deployment-related health concerns that may surface in the months before or after deployment. They are a vital component of the Air Force’s ability to provide effective care and treatment for members with deployment-related health concerns. There are four key elements of the DHA mission:

2.11.1. Outreach. Reach out to each deployer. This is a positive outreach message that demonstrates the understanding that deployments can impact health, that deployers’ efforts are respected, and that their quality of life is important. Patients are to fill out comment cards at the end of their appointments. If there is negative information, the complaint will be validated. There should be no more than 2 valid patient complaints per quarter.

2.11.2. Early Identification. Early, proactive identification of health concerns facilitates definitive treatment and reduces probability of chronic issues, increased health care costs, and individual distress.

2.11.3. Provide DHA compliance rate information (obtained from ASIMS database) to Commanders monthly. Must maintain at least a 90% Pre/Post deployment on time currency.

2.11.4. Education. DHAs rely heavily on the delivery of multiple levels of education to multiple audiences in the process, including deployers, leaders, and clinicians. Educating patients about their individual deployment-related health concerns is critical. Must maintain logs and meeting attended and be able to brief statistics monthly to public health flight personnel.

2.11.5. Access to Care. Effective education and outreach ensure deployers know the range and avenue for accessing care, receive assistance in finding easy access to timely appointments, and obtain appropriate referral or follow-up care. All patients must be seen within 15 minutes of scheduled arrival time.

APPENDIX B

APPLICABLE PUBLICATIONS AND FORMS

Publications and forms applicable to this Performance Work Statement (PWS) are listed below. The contractor shall follow those publications to the extent (that is, the specific procedure in a paragraph, section, chapter or volume) specified in the PWS. The Government provides all publications and forms listed, they are provided electronically at http://www.e-publishing.af.mil/. The Government may issue supplements or amendments to listed publications from any organizational level during the life of the contract. It is the contractor’s responsibilities to check the website for updated supplements. The contractor shall immediately implement those changes in publications that result in a decrease or no change in the contract price. Before implementing any such revision, supplement, or amendment that will result in an increase in contract price, the contractor shall submit to the contracting officer (CO) a quote for approval. Price proposals shall be submitted within 30 calendar days from the revision, supplement, or amendment giving rise to the increase in cost of performance. The Government will consider changes in the contract price due to supplements and amendments shall be considered under the "Contract Terms and Conditions - Commercial Items" clause. The Government will continue to supply the Government forms needed for daily operations.

Publications Code:

DEPARTMENT OF DEFENSE (DOD) REGULATIONS/MANUALS/INSTRUCTIONS/DIRECTIVES

AIR FORCE REGULATIONS/MANUALS/INSTRUCTIONS

Publications

Publications are available electronically, please note updates to policies which could potentially require position requirements to change are based upon these publications.

DoD publications are available at: http://west.dtic.mil/whs/directives/

AF publications are available at: http://www.e-publishing.af.mil/

Master Privilege List for physician credentialing is available at: http://www.airforcemedicine.af.mil/Organizations/AFCCVO/Forms/Physicians

APPENDIX C

NATIONAL AGENCY CHECK (NAC)/HOST AGENCY CHECK (HAC). The Government will submit an investigation request for the awardee on AF Form 2583, “Request for Personnel Security Action”, at no additional cost to the contractor. The contractor must successfully pass a National Agency Check (NAC) US or Host Agency Check (HAC) UK to be eligible for contract award. Any contractor receiving an unfavorable NAC/HAC shall be terminated for the Default.

UNESCORTED ENTRY - CAC:

1. Those personnel requiring Common Access Cards (CAC) cards are issued one because they are either authorized logistical support (i.e. Commissary, BX, Gas/Petrol Station) and/or computer access. US personnel shall have a NAC initiated by the gaining units Security Manager or for UK personnel, the gaining units HAC point-of-contact (POC). It is the Trusted Agents (TA) responsibility to ensure these checks are initiated.

2. The contract award document contains the information whether or not an individual is authorized Logistical Support or requires computer access in performance of their job. This shall be verified by the contractors TA.

3. TAs are individuals assigned by their unit to “sponsor” contractors in Contractor Verification System (CVS) allowing them to be issued a CAC. The TA will initially load the contractor in CVS which prompts the contractor to go into CVS and verify the information. The TA will provide instructions on how this is accomplished.

4. DD Form 1172-2, Application for Department of Defense Common Access Card DEERS Enrollment, must be completed and submitted with the DD Form 557, Appointment/Termination Record- Authorized Signature. The TA must fill out the DD Form 1172-2, all typed, if there is any hand written information on the form (other than signatures) the MPF office will reject the form. The TA must fill in Section I, Employee Information; Section II, Employee Declaration and Remarks, here is where the contractor’s security clearance information (NAC or HAC) goes and all authorized Logistical Support, the contractor signs and dates boxes 37 and 38; and Section III, Authorized/Verified By, is where the TA fills in their information. They verify the contractors’ signature in Section II and then the TA signs Section III. The DD Form 577, Appointment/Termination Record- Authorized Signature, and as the name implies, verifies the TA’s name and signature. This is used to compare the name and signature in Section III of the DD Form 1172-2. MPF will not accept the DD Form 1172-2 or process the contractor in DEERS without a DD Form 577 indicating the TA.

5. Occasionally, a contractor may arrive at RAF Lakenheath assigned to a TA from another base, this is not a problem. In this instance the contractor must ensure they bring with them the completed and signed DD Form 1172-2 and a copy of the TA’s DD Form 577.

6. If the contractor has dependents accompanying them the DD Form 1172, Application for Uniformed Services Identification Card/DEERS Enrollment, may be required. The completed form is required if the dependents have never been issued a DoD identification card. The TA is required to fill out and sign the DD Form 1172 and the form must accompany the contractor. If the dependents have a current card then the DD Form 1172 is not required to accompany the contractor as MPF will be able to pull the DD Form 1172 off of the system since the individuals will already be in DEERS. IMPORTANT: Contractors must report to MPF with their passport and Social Security Card and those of their family members as well.

7. The ORIGINAL DD Form 1172-2 and DD Form 1172 must accompany the contractor. This is per the Status of Forces Agreement (SOFA); the original is required because MPF must send it to DMDC. If the contractor is assigned a TA from RAF Lakenheath the same information is required.

8. If the contractor is a foreign national, they must first complete the steps listed below for a HAC. Once the HAC is complete the contractor must go to MPF and get assigned a Foreign Identification Number (FIN); the contractor will need to coordinate with their TA and MPF. The TA needs the FIN to load the contractor into CVS and it is also required on the DD Form 1172-2. The contractor shall take the completed form to MPF and they will input the DD Form 1172-2 into DEERS and issue the CAC.

9. The contractor shall take all of the required forms and documents to MPF on the ground floor of Bldg 977 and proceed with CAC/ID issuance.

HAC – Host Agency Check:

1. The Ministry of Defense (MoD), Defense Vetting Agency, conducts HAC checks on individuals who are UK nationals, US citizens without competency status (i.e. a retiree who chooses to stay in the UK), or third country nationals (TCN). If a person falls under one these categories they must reside within the UK for 4 years before a HAC will even be accomplished.

2. These individuals will be assigned a HAC POC by their gaining unit. The POC will initiate the MOD Form 1109, Host Agency Check; please keep in mind that this check can take 4 to 6 months to accomplish and is good for 5 years. In conjunction with the MOD Form 1109 the contractor will be required to complete a Base Check Verification Record (BCVR) form; the AF Form 2583, Request for Personnel Security Action; and a United States Air Forces in Europe (USAFE) Form 19, Residency Check.

3. After return of the security check the following will occur: the gaining units HAC POC will complete the USAFE Form 79 and submit a package with all completed forms to the HAC office for review. If there are mistakes the package is returned for correction and then resubmitted. Once a proper package is completed the HAC POC will give the contractor all required forms to bring to Pass and ID, in Building 977; the number is +44 (0) 1638 52 5990 or DSN 314-226-5990. Pass and ID will then issue the contractor either a USAFE Form 77, Base Pass, which is good for 365 days or a CAC depending on their required contractual duties.

ESCORTED ENTRY:

1. Contractor personnel requiring escorted entry on to RAF Lakenheath shall provide the first name and surnames of all personnel requiring entry. Provide a list of the vehicles that will be entering the installation to include: make, model and registration number. Also, the Road Tax disc must be current. Also include the award number, location of work and start/stop dates. This shall be on company letterhead and can be either mailed or sent electronically. Bear in mind that regardless of the submittal process the contracting office must have the paperwork five days prior to start of work.

2. This information is then submitted to the requesting activity and they in turn provide the information to the Security Forces Operations branch.

NOTE: All contractors must arrive at the installation with a photo ID (i.e. passport or driver’s license), if they are not in possession of a photo ID they will not be allowed entry.