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            "Palvelusopimuksen perusteella Kuhmoisten alueella on tuotettu melko laajasti sosiaali-\u200b ja terveyspalveluita,\u200b muun muassa neuvola-\u200b,\u200b mielenterveys-\u200b,\u200b seulonta-\u200b ja suun terveydenhuollon palveluita. N\u00e4ist\u00e4 palveluista osa tuotetaan jatkossa Pirkanmaan hyvinvointialueen omana tuotantona tai hyvinvointialueen konserniin kuuluvia palveluntuottajia k\u00e4ytt\u00e4en sek\u00e4 pienelt\u00e4 osin hankkien muilta ulkoisilta palveluntuottajilta,\u200b mist\u00e4 syyst\u00e4 muutossopimuksen perusteella teht\u00e4v\u00e4t ostot J\u00e4ms\u00e4n Terveys Oy:lta supistuvat. Pirkanmaan hyvinvointialue tuottaa omana tuotantona tai muita kanavia k\u00e4ytt\u00e4en muun muassa lasten ja nuorten palvelut,\u200b ravitsemus-\u200b ja jalkaterapian palvelut sek\u00e4 seulonnat ja erikoissairaanhoidon tutkimukset. Perheneuvolan,\u200b psykiatrian (ESH) ja oikomishoidon osalta olemassa olevat hoito-\u200b ja asiakkuussuhteet hoidetaan loppuun alkuper\u00e4isen palveluntuottajan toimesta."
        ],
        "timeFrame": {
            "type": 3,
            "beginDate": "2015-03-18T00:00:00",
            "endDate": "2025-08-31T00:00:00",
            "canBeRenewed": false,
            "renewalDescription": []
        },
        "justificationForDurationOverFourYears": [],
        "justificationForDurationOverEightYears": [],
        "totalValue": {
            "value": 685000000,
            "currency": "EUR"
        },
        "awardedToGroupOfEconomicOperators": false,
        "contractors": [
            {
                "officialName": "J\u00e4ms\u00e4n Terveys Oy",
                "nationalRegistrationNumber": "",
                "nutsCodes": [
                    "FI19"
                ],
                "postalAddress": {
                    "streetAddress": "",
                    "postalCode": "",
                    "town": "Tampere",
                    "country": "FI"
                },
                "telephoneNumber": "",
                "email": "",
                "mainUrl": "",
                "isSmallMediumEnterprise": false,
                "validationState": 0
            }
        ],
        "description": [
            "Muutossopimuksen yleisen\u00e4 l\u00e4ht\u00f6kohtana on,\u200b ett\u00e4 alkuper\u00e4inen palvelusopimus s\u00e4ilyy voimassa aikaisemmassa laajuudessa ja vastaavin hinnoin. Sopimukseen tehd\u00e4\u00e4n v\u00e4ltt\u00e4m\u00e4tt\u00f6m\u00e4t muutokset koskien palvelutuotannon hallinnointia ja sopimukseen lis\u00e4t\u00e4\u00e4n irtisanomisehto. Hankinnan arvoa,\u200b laajuutta tai sopimuskauden kestoa ei laajenneta. Muutokset perustuvat ensisijaisesti siihen,\u200b ettei Pirkanmaan hyvinvointialue ole osapuoli aikaisempaan sopimuskokonaisuuteen kuuluvassa J\u00e4ms\u00e4n Terveytt\u00e4 koskevassa osakassopimuksessa eik\u00e4 osakkeenomistajan asemassa suhteessa kyseiseen yhti\u00f6\u00f6n. Muutossopimukseen kuuluu osana erillinen hintaliite ja palvelunkuvaus,\u200b joissa m\u00e4\u00e4ritell\u00e4\u00e4n tarkemmin tuotettavat palvelut sek\u00e4 niist\u00e4 maksettavat korvaukset. Arvio tulevasta muutossopimuksen mukaisesta kokonaislaskutuksesta on noin 550 000\u2013600 000 \u20ac vuodessa. Muutossopimus tulee voimaan allekirjoituksen j\u00e4lkeen takautuvasti 1.1.2023 l\u00e4htien."
        ],
        "reason": 2,
        "reasonDescriptionEconomic": [],
        "reasonDescriptionCircumstances": [
            "Hankintalain (1397\/2016) 136 \u00a7 2 mom. 3) kohta mahdollistaa alkuper\u00e4iseen hankintasopimukseen teht\u00e4v\u00e4t muutokset,\u200b jos muutoksen tarve johtuu olosuhteista,\u200b joita ei ole voitu ennakoida,\u200b eik\u00e4 muutos vaikuta hankintasopimuksen yleiseen luonteeseen. Hyvinvointialueiden perustamisen yhteydess\u00e4 Pirkanmaan ja Keski-\u200bSuomen hyvinvointialueiden v\u00e4linen maantieteellinen raja m\u00e4\u00e4riteltiin niin,\u200b ett\u00e4 Kuhmoisten kunta kuuluu Pirkanmaan hyvinvointialueeseen ja J\u00e4ms\u00e4n kaupunki siirtyi Keski-\u200bSuomen hyvinvointialueelle. T\u00e4m\u00e4n vuoksi J\u00e4ms\u00e4n ja Kuhmoisten yhteistoiminta sosiaali-\u200b ja terveydenhuollon palvelujen j\u00e4rjest\u00e4misess\u00e4 p\u00e4\u00e4ttyi vuoden 2022 lopussa."
        ],
        "increaseBeforeModifications": {
            "value": 685000000,
            "currency": "EUR"
        },
        "increaseAfterModifications": {
            "value": 67100000,
            "currency": "EUR"
        },
        "validationState": 2
    },
    "contractAwardsDefence": [],
    "hilmaStatistics": {
        "validationState": 0
    },
    "annexes": {
        "d1": {
            "noTenders": false,
            "procedureType": 0,
            "suppliesManufacturedForResearch": false,
            "providedByOnlyParticularOperator": false,
            "reasonForNoCompetition": 0,
            "extremeUrgency": false,
            "additionalDeliveries": false,
            "repetitionExisting": false,
            "designContestAward": false,
            "commodityMarket": false,
            "advantageousTerms": false,
            "advantageousPurchaseReason": 0,
            "justification": []
        },
        "d2": {
            "noTenders": false,
            "pureResearch": false,
            "providedByOnlyParticularOperator": false,
            "reasonForNoCompetition": 0,
            "extremeUrgency": false,
            "additionalDeliveries": false,
            "repetitionExisting": false,
            "designContestAward": false,
            "commodityMarket": false,
            "advantageousTerms": false,
            "advantageousPurchaseReason": 0,
            "bargainPurchase": false,
            "justification": []
        },
        "d3": {
            "noTenders": false,
            "procedureType": 0,
            "otherServices": false,
            "productsManufacturedForResearch": false,
            "allTenders": false,
            "providedByOnlyParticularOperator": false,
            "reasonForNoCompetition": 0,
            "crisisUrgency": false,
            "extremeUrgency": false,
            "additionalDeliveries": false,
            "repetitionExisting": false,
            "commodityMarket": false,
            "advantageousTerms": false,
            "advantageousPurchaseReason": 0,
            "maritimeService": false,
            "otherJustification": 0,
            "justification": []
        },
        "d4": {
            "noTenders": false,
            "providedByOnlyParticularOperator": false,
            "reasonForNoCompetition": 0,
            "justification": []
        },
        "directNational": {
            "purchaseType": 0,
            "justification": []
        }
    },
    "isPrivateSmallValueProcurement": false,
    "espdRequestReferences": [],
    "hilmaSubmissionDate": "2023-07-28T12:29:25.7422901",
    "dateCreated": "2023-07-26T07:11:03.5053702",
    "dateModified": "2023-08-02T07:00:06.0175735"
}