Award

Integrated Community Musculoskeletal and Pain Service

NHS MID AND SOUTH ESSEX INTEGRATED CARE BOARD

This public procurement record has 8 releases in its history.

Award

22 Sep 2025 at 20:38

TenderUpdate

11 Jul 2025 at 10:45

TenderUpdate

11 Jul 2025 at 10:39

Tender

05 Jun 2025 at 16:26

TenderUpdate

13 May 2025 at 08:56

TenderUpdate

12 May 2025 at 09:10

TenderUpdate

30 Apr 2025 at 10:22

Planning

30 Apr 2025 at 09:57

Summary of the contracting process

NHS Mid and South Essex Integrated Care Board has completed the procurement process for a public contract to deliver an Integrated Community Musculoskeletal and Pain Service. The contract is awarded to Cora Health MSK Ltd following a competitive tender process under the Health Care Services (Provider Selection Regime) Regulations 2023. This contract is valued at approximately £84.4 million for an initial five-year period, with a start date of 1st February 2026 and an end date of 31st January 2031. The service will operate in the Mid and South Essex region, focusing on health services under CPV classification 85100000 and community health services under CPV 85323000. The tender process has now concluded with the announcement of the award, and the standstill period is in effect, allowing representations to the authority by 2nd October, before the contract’s formal signing.

This tender presents significant business growth opportunities for organisations specialising in health services, particularly in community musculoskeletal care. The comprehensive service includes pathways for physiotherapy, orthopaedics, and pain management, thus providing a robust framework for service innovation and patient care quality improvement. Companies experienced in integrative care models, with capabilities in service delivery and stakeholder collaboration, would find this contract particularly suitable. They can leverage their expertise to innovate care pathways and improve patient outcomes, while also fostering collaborations with existing NHS frameworks, thereby enhancing their market presence and expanding service delivery within the public healthcare sector.

How relevant is this notice?

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

Supplier Information

Number of Suppliers
1
Supplier Name

CORA HEALTH MSK

Open Contracting Data Standard (OCDS)

View full OCDS Record for this contracting process

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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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                            "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/."
                        },
                        "where": {
                            "section": "Section II",
                            "label": "II.2.4) Description of the procurement"
                        }
                    }
                ]
            },
            {
                "id": "8",
                "unstructuredChanges": [
                    {
                        "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/."
                        },
                        "where": {
                            "section": "Section II",
                            "label": "II.2.4) Description of the procurement"
                        }
                    },
                    {
                        "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"
                        }
                    }
                ]
            }
        ],
        "submissionMethod": [
            "electronicSubmission",
            "written"
        ],
        "submissionMethodDetails": "https://attain.bravosolution.co.uk/",
        "selectionCriteria": {
            "criteria": [
                {
                    "type": "suitability",
                    "description": "Contained within the competitive process documentation available via https://attain.bravosolution.co.uk",
                    "appliesTo": [
                        "supplier"
                    ]
                }
            ]
        },
        "documents": [
            {
                "id": "economic",
                "documentType": "economicSelectionCriteria"
            },
            {
                "id": "technical",
                "documentType": "technicalSelectionCriteria"
            }
        ],
        "contractTerms": {
            "performanceTerms": "Contained within the competitive process documentation available via https://attain.bravosolution.co.uk",
            "hasElectronicOrdering": true,
            "electronicInvoicingPolicy": "allowed",
            "hasElectronicPayment": true
        },
        "otherRequirements": {
            "requiresStaffNamesAndQualifications": true
        },
        "procurementMethod": "open",
        "procurementMethodDetails": "Open procedure",
        "tenderPeriod": {
            "endDate": "2025-07-28T12:00:00+01:00"
        },
        "submissionTerms": {
            "languages": [
                "en"
            ],
            "bidValidityPeriod": {
                "durationInDays": 180
            }
        },
        "awardPeriod": {
            "startDate": "2025-07-28T12:00:00+01:00"
        },
        "bidOpening": {
            "date": "2025-07-28T12:00:00+01:00"
        },
        "hasRecurrence": false,
        "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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        {
            "id": "GB-FTS-140989",
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            },
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        {
            "id": "GB-FTS-145644",
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            },
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        {
            "id": "GB-FTS-147329",
            "name": "NHS Mid and South Essex Integrated Care Board",
            "identifier": {
                "legalName": "NHS Mid and South Essex Integrated Care Board"
            },
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                "streetAddress": "2-4 Packhorse Road Gerrards Cross",
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            },
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        },
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            "id": "GB-FTS-147466",
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                "buyerProfile": "https://attain.bravosolution.co.uk/"
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        },
        {
            "id": "GB-FTS-150414",
            "name": "NHS Mid and South Essex Integrated Care Board",
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                "legalName": "NHS Mid and South Essex Integrated Care Board",
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            "address": {
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                "region": "UKH3",
                "postalCode": "SL9 7QE",
                "countryName": "United Kingdom"
            },
            "contactPoint": {
                "name": "Amy Wilson",
                "email": "amy.wilson@attain.co.uk",
                "url": "https://attain.bravosolution.co.uk"
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            "roles": [
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            ],
            "details": {
                "url": "https://www.midandsouthessex.ics.nhs.uk/",
                "buyerProfile": "https://attain.bravosolution.co.uk/",
                "classifications": [
                    {
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            "id": "GB-FTS-150415",
            "name": "NHS Mid and South Essex Integrated Care Board",
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            "address": {
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        {
            "id": "GB-FTS-150416",
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                "streetAddress": "Wellington House",
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            "contactPoint": {
                "email": "england.procurementpanelinfo@nhs.net"
            },
            "roles": [
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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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    ],
    "bids": {
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}