Notice Information
Notice Title
Integrated Community Musculoskeletal and Pain Service
Notice Description
This is a Contract Award Notice (Intention to Award) communicating NHS Mid and South Essex Integrated Care Board 's intention to award a public contract for provision of an Integrated Community Musculoskeletal and Pain Service (the Service), in accordance with the steps laid out in regulation 11 of the Health Care Services (Provider Selection Regime) Regulations 2023. Estimated dates between which the service is intended to be provided: The Proposed Contract duration is five years from 1st February 2026 until 31st January 2031, with an option to extend for a further three years beyond the initial term, until 31st January 2034.
Lot Information
Lot 1
The Authority has undertaken a competitive process under the Health Care Services (Provider Selection Regime) Regulations 2023 (the Regulations) and intends to award the Proposed Contract for a new Integrated Community Musculoskeletal and Pain Service (the Service) to the Preferred Bidder identified through the process, Cora Health MSK Limited. Working with stakeholders since 2023, the Authority has developed a new community pathway for people aged 16 years+, based on the East of England Musculoskeletal (MSK) Pathway Improvement Framework, the Best MSK high impact recommendations and adhering to the Getting It Right First Time (GIRFT) pathway. This new model of care intends to provide integration across patient pathways, including Single Point of Access (SPoA), clinical triage, physiotherapy, orthopaedics, spinal, rheumatology, pain management, surgical interventions and therapies across MSE. It will assess and treat more patients outside of acute services and deliver improved outcomes, quality and patient experience of care. Estimated dates between which the service is intended to be provided: The Proposed Contract duration is five years from 1st February 2026 until 31st January 2031, with an option to extend for a further three years beyond the initial term, until 31st January 2034. Approximate lifetime value of the contract: At the point of publication of the PIN, the Authority proposed a cost and volume financial model (local prices) in line with national guidance. The potential aggregate contract value (incl. extension term, growth/inflation assumptions, and potential variations) was PS164,149,073 (excluding VAT). The financial envelope which acted as an affordability cap for the purposes of the competitive process was PS90,163,317 based on the initial 5-year contract term. The Proposed Contract for the first five years has been awarded at PS84,392,517.55. The Proposed Contract to be entered into by the Authority and the Preferred Bidder and a back to back version thereof with its proposed Sub-Contractor (both of which are existing providers of MSK Services in mid and south Essex), will be based on the NHS Standard Contract 2025/26 (full-length) and all subsequent variations thereof from time to time during the contract term. Additional information: See Additional information VI.3
Options: The Proposed Contract will be for a term of sixty (60) months, with the possibility of extending the term for a period of thirty-six (36) additional months beyond the initial contracted duration by agreement between the Authority and the Bidder.
Renewal: The Proposed Contract will be for a term of sixty (60) months, with the possibility of extending the term for a period of thirty-six (36) additional months beyond the initial contracted duration by agreement between the Authority and the Bidder.
Notice Details
Publication & Lifecycle
- Open Contracting ID
- ocds-h6vhtk-0509e4
- Publication Source
- Find A Tender Service
- Latest Notice
- https://www.find-tender.service.gov.uk/Notice/058719-2025
- Current Stage
- Award
- All Stages
- Planning, Tender, Award
Procurement Classification
- Notice Type
- Planning Notice
- Procurement Type
- Standard
- Procurement Category
- Services
- Procurement Method
- Open
- Procurement Method Details
- Open procedure
- Tender Suitability
- Not specified
- Awardee Scale
- Large
Common Procurement Vocabulary (CPV)
- CPV Divisions
85 - Health and social work services
-
- CPV Codes
85100000 - Health services
85140000 - Miscellaneous health services
85323000 - Community health services
Notice Value(s)
- Tender Value
- £164,149,073 £100M-£1B
- Lots Value
- £164,149,073 £100M-£1B
- Awards Value
- Not specified
- Contracts Value
- £84,392,517 £10M-£100M
Notice Dates
- Publication Date
- 22 Sep 20252 months ago
- Submission Deadline
- 28 Jul 2025Expired
- Future Notice Date
- 1 Jun 2025Expired
- Award Date
- 16 Sep 20252 months ago
- Contract Period
- 1 Feb 2026 - 31 Jan 2031 Over 5 years
- Recurrence
- Not specified
Notice Status
- Tender Status
- Complete
- Lots Status
- Cancelled
- Awards Status
- Active
- Contracts Status
- Active
Buyer & Supplier
Contracting Authority (Buyer)
- Main Buyer
- NHS MID AND SOUTH ESSEX INTEGRATED CARE BOARD
- Contact Name
- Amy Wilson
- Contact Email
- amy.wilson@attain.co.uk
- Contact Phone
- Not specified
Buyer Location
- Locality
- BASILDON
- Postcode
- SS14 0UG
- Post Town
- Slough
- Country
- England
-
- Major Region (ITL 1)
- TLJ South East (England)
- Basic Region (ITL 2)
- TLJ1 Berkshire, Buckinghamshire and Oxfordshire
- Small Region (ITL 3)
- TLJ13 Buckinghamshire
- Delivery Location
- TLH3 Essex
-
- Local Authority
- Buckinghamshire
- Electoral Ward
- Gerrards Cross
- Westminster Constituency
- Chesham and Amersham
Further Information
Notice URLs
Open Contracting Data Standard (OCDS)
View full OCDS Record for this contracting process
The Open Contracting Data Standard (OCDS) is a framework designed to increase transparency and access to public procurement data in the public sector. It is widely used by governments and organisations worldwide to report on procurement processes and contracts.
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"description": "This is an intention to award notice for a contract that is subject to the Health Care Services (Provider Selection Regime) Regulations 23. The provisions of the Public Contracts Regulations 2015 do not apply to this award. The publication of this notice marks the start of the standstill period. Representations to the Authority must be made using the contact details contained herein by midnight on 2nd October. The contract will be formally awarded upon standstill conclusion. On 130325 the ICB Board (the Decision Makers) approved the commencement of a competitive process, delegating the authority for the contract award decision to the MSK Procurement Project Board. The Authority identified four actual conflicts of interest (COI) relating to individuals on the ICBs Board because of the very nature of the 'Integrated Care System'. Such individuals recused themselves of any involvement in decision making / did not receive papers. Three potential COI from the ICBs Board were identified, investigated and considered no/low risk. These individuals took part in decision making and contributed to discussions/received papers. Four board members signed a non disclosure agreement, to ensure confidentiality. Only no/low risk potential COI were identified among the MSK Project Group and / or Evaluation Panel, numbering 22 instances across 16 individuals. Additionally potential COI were identified for all three compliant bidders and some proposed sub-contractors due to these providers being incumbents delivering the existing service and having participated in the previous and abandoned Most Suitable Provider Process. The Authority has recorded and implemented effective mitigations accordingly in each instance, full details of which cannot be detailed here due to the character restrictions within this Notice, but are available to any organisation/party requesting such information from amy.wilson@attain.gov.uk. An assessment process was undertaken against the published award criteria, and in consideration of the five Key Criteria (KC), to award the Proposed Contract based on the Authority's requirements. The total score achievable was 80% Technical and 20% Commercial. The five KC were linked to multiple tender questions which were weighted according to priority. The successful bidder (SB) submitted a compliant Tender Response, which passed all aspects of the PSQ (basic selection criteria). The SB went on to achieve the highest Weighted Technical Score (66.35%) for their Technical (Quality) Response, significantly exceeding the 48% Minimum Quality Pass Threshold. Additionally, the chosen provider scored the highest Commercial Score (20%) for their Commercial (Price) Response. The chosen provider achieved a Total Weighted Score of 86.35%, ranking 1st place and achieving the highest overall Total Score (quality & price) out of three compliant bidders. Key Criteria linked to tender questions: Service Delivery, Pathways and Transformation (9.5% weighting) - Value (V), Quality and Innovation (Q&I), Improving access, reducing health inequalities and facilitating choice (IA,RHI & FC), Integration and Collaboration and Service Sustainability (I&C&SS), Pain and Rheumatology pathways (6.4% weighting) Q&I, IA,RHI & FC, Patient Safety and Experience (8.0% weighting) Q&I, IA,RHI & FC, Patient Outcomes (8.0% weighting) Q&I, IA,RHI & FC, Financial assurance and sustainability (8.0% weighting) Q&I, V, I&C&SS, Workforce (5.6% weighting), Q&I, V, I&C&SS, Mobilisation (4.0% weighting) Q&I, V, I&C&SS, Stakeholder Collaboration (4.0% weighting) I&C&SS, Business Resilience and Service Continuity (4.0% weighting) Q&I, Digital IM&T & Reporting (8.0% weighting) Q&I, I&C&SS, IA,RHI & FC, Tackling inequality in the Contract Workforce (2.6% weighting) Social Value (SV), Improving community integration (2.6% weighting) SV, Improving health and wellbeing of the Contract Workforce (2.7% weighting) SV, Scenario 1 IA,RHI & FC, Scenario 2 IA,RHI & FC.",
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"text": "This Prior Information Notice communicates NHS Mid and South Essex Integrated Care Board 's (the Authority) intention to undertake a competitive process in June 25 for provision of an Integrated Community Musculoskeletal and Pain Service (the Service), in accordance with the steps laid out in regulation 11 of the Health Care Services (Provider Selection Regime) Regulations 2023. Working with stakeholders since 2023, the Authority has developed a new community pathway for people aged 16 years+, based on the East of England Musculoskeletal (MSK) Pathway Improvement Framework, the Best MSK high impact recommendations and adhering to the Getting It Right First Time (GIRFT) pathway. This new model of care intends to provide integration across patient pathways, including Single Point of Access (SPoA), clinical triage, physiotherapy, orthopaedics, spinal, rheumatology, pain management, surgical interventions and therapies across MSE. It will assess and treat more patients outside of acute services and deliver improved outcomes, quality and patient experience of care. Estimated dates between which the service is intended to be provided: The Proposed Contract duration is five years from 2nd February 2026 until 1st February 2031, with an option to extend for a further three years beyond the initial term, until 1st February 2034. Approximate lifetime value of the contract: At the point of publication of this PIN, the Authority proposes a cost and volume financial model (local prices) in line with national guidance. The potential aggregate contract value (incl. extension term, growth/inflation assumptions, and potential variations) is PS164,452,499 (excluding VAT). The financial envelope which will act as an affordability cap for the purposes of the competitive process will be PS86,540,287 based on the initial 5-year contract term. The Authority intends to hold a market engagement event relating to this requirement to inform the procurement approach. If any information within this Notice changes as a result of activity associated with the market engagement and or procurement strategy development between publication of this PIN, and the Contract Notice inviting offers being published, the Contract Notice will contain the updated information that will supersede that which is contained within this PIN. It is anticipated that the market engagement event will occur between 19th and 23rd May 2025 but this has not been finalised at time of publication of this PIN. Further details regarding the event (including the date and time and how to register), will be issued around 6th May, via corrigendum to this PIN. Any queries regarding the market engagement event and or the future Competitive Process should be directed to the Named Contact in this Notice and the email address provided herein."
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"text": "The Authority is undertaking this competitive process under the Health Care Services (Provider Selection Regime) Regulations 2023 (the Regulations) to award the Proposed Contract for the Integrated Community Musculoskeletal and Pain Service (the Service). Working with stakeholders since 2023, the Authority has developed a new community pathway for people aged 16 years+, based on the East of England Musculoskeletal (MSK) Pathway Improvement Framework, the Best MSK high impact recommendations and adhering to the Getting It Right First Time (GIRFT) pathway. This new model of care intends to provide integration across patient pathways, including Single Point of Access (SPoA), clinical triage, physiotherapy, orthopaedics, spinal, rheumatology, pain management, surgical interventions and therapies across MSE. It will assess and treat more patients outside of acute services and deliver improved outcomes, quality and patient experience of care. Estimated dates between which the service is intended to be provided: The Proposed Contract duration is five years from 1st February 2026 until 31st January 2031, with an option to extend for a further three years beyond the initial term, until 31st January 2034. Approximate lifetime value of the contract: At the point of publication of this PIN, the Authority proposes a cost and volume financial model (local prices) in line with national guidance. The potential aggregate contract value (incl. extension term, growth/inflation assumptions, and potential variations) is PS165,210,325 (excluding VAT). The financial envelope which will act as an affordability cap for the purposes of the competitive process will be PS90,749,348 based on the initial 5-year contract term. The Proposed Contract to be entered into by the Authority and the Preferred Bidder(s) for the Services will be based on the NHS Standard Contract 2025/26 (full-length) and all subsequent variations thereof from time to time during the contract term. Further information can be found at VI.3 and in the Process documents available from https://attain.bravosolution.co.uk/."
},
"where": {
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"label": "II.2.4) Description of the procurement"
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"oldValue": {
"text": "The Authority is undertaking this competitive process under the Health Care Services (Provider Selection Regime) Regulations 2023 (the Regulations) to award the Proposed Contract for the Integrated Community Musculoskeletal and Pain Service (the Service). Working with stakeholders since 2023, the Authority has developed a new community pathway for people aged 16 years+, based on the East of England Musculoskeletal (MSK) Pathway Improvement Framework, the Best MSK high impact recommendations and adhering to the Getting It Right First Time (GIRFT) pathway. This new model of care intends to provide integration across patient pathways, including Single Point of Access (SPoA), clinical triage, physiotherapy, orthopaedics, spinal, rheumatology, pain management, surgical interventions and therapies across MSE. It will assess and treat more patients outside of acute services and deliver improved outcomes, quality and patient experience of care. Estimated dates between which the service is intended to be provided: The Proposed Contract duration is five years from 1st February 2026 until 31st January 2031, with an option to extend for a further three years beyond the initial term, until 31st January 2034. Approximate lifetime value of the contract: At the point of publication of this PIN, the Authority proposes a cost and volume financial model (local prices) in line with national guidance. The potential aggregate contract value (incl. extension term, growth/inflation assumptions, and potential variations) is PS164,149,073 (excluding VAT). The financial envelope which will act as an affordability cap for the purposes of the competitive process will be PS90,163,317 based on the initial 5-year contract term. The Proposed Contract to be entered into by the Authority and the Preferred Bidder(s) for the Services will be based on the NHS Standard Contract 2025/26 (full-length) and all subsequent variations thereof from time to time during the contract term. Further information can be found at VI.3 and in the Process documents available from https://attain.bravosolution.co.uk/."
},
"newValue": {
"text": "The Authority is undertaking this competitive process under the Health Care Services (Provider Selection Regime) Regulations 2023 (the Regulations) to award the Proposed Contract for the Integrated Community Musculoskeletal and Pain Service (the Service). Working with stakeholders since 2023, the Authority has developed a new community pathway for people aged 16 years+, based on the East of England Musculoskeletal (MSK) Pathway Improvement Framework, the Best MSK high impact recommendations and adhering to the Getting It Right First Time (GIRFT) pathway. This new model of care intends to provide integration across patient pathways, including Single Point of Access (SPoA), clinical triage, physiotherapy, orthopaedics, spinal, rheumatology, pain management, surgical interventions and therapies across MSE. It will assess and treat more patients outside of acute services and deliver improved outcomes, quality and patient experience of care. Estimated dates between which the service is intended to be provided: The Proposed Contract duration is five years from 1st February 2026 until 31st January 2031, with an option to extend for a further three years beyond the initial term, until 31st January 2034. Approximate lifetime value of the contract: At the point of publication of this PIN, the Authority proposes a cost and volume financial model (local prices) in line with national guidance. The potential aggregate contract value (incl. extension term, growth/inflation assumptions, and potential variations) is PS165,210,325 (excluding VAT). The financial envelope which will act as an affordability cap for the purposes of the competitive process will be PS90,749,348 based on the initial 5-year contract term. The Proposed Contract to be entered into by the Authority and the Preferred Bidder(s) for the Services will be based on the NHS Standard Contract 2025/26 (full-length) and all subsequent variations thereof from time to time during the contract term. Further information can be found at VI.3 and in the Process documents available from https://attain.bravosolution.co.uk/."
},
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"section": "Section II",
"label": "II.2.4) Description of the procurement"
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},
{
"oldValue": {
"text": "Value excluding VAT: PS164,149,073"
},
"newValue": {
"text": "Value excluding VAT: PS165,210,345"
},
"where": {
"section": "Section II",
"label": "II.2.6) Estimated value"
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]
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{
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],
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"hasElectronicOrdering": true,
"electronicInvoicingPolicy": "allowed",
"hasElectronicPayment": true
},
"otherRequirements": {
"requiresStaffNamesAndQualifications": true
},
"procurementMethod": "open",
"procurementMethodDetails": "Open procedure",
"tenderPeriod": {
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"awardPeriod": {
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"date": "2025-07-28T12:00:00+01:00"
},
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"reviewDetails": "The standstill period requirements, including for review of decisions, are detailed in Regulations 12 and 14(3). Representations should be made by midnight on 2nd October latest. Provision for independent expert advice is set out in Regulation 23, including how the Independent Patient Choice and Procurement Panel may provide advice during the standstill period. Where Representations are received by 2ns October, initial reviews will be undertaken by the Authority via an appropriate internal governance mechanism that has been established to deal with representations made against provider selection decisions. The Authority will follow the relevant transparency requirements for the approach they take and will keep internal records of their decision-making. Where a provider(s) requests a further review by the Independent Patient Choice and Procurement Panel (within 5 working days of the Authority' publication of it's Further Decision) they should seek relevant advice via the contact details provided herein at VI.4.4."
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"postalCode": "SL9 7QE",
"countryName": "United Kingdom"
},
"contactPoint": {
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"email": "amy.wilson@attain.co.uk",
"url": "https://attain.bravosolution.co.uk"
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{
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{
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"address": {
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},
"contactPoint": {
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"details": {
"url": "https://www.england.nhs.uk/commissioning/how-commissioning-is-changing/nhs-provider-selection-regime/independent-patient-choice-and-procurement-panel/"
}
},
{
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{
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}
}