Award

Provision of Insourced and Outsourced Clinical Services Framework (Framework Reopening)

COUNTESS OF CHESTER HOSPITAL NHS FOUNDATION TRUST

This public procurement record has 10 releases in its history.

Award

01 Dec 2025 at 12:13

TenderUpdate

28 Nov 2025 at 14:11

Award

28 Oct 2025 at 13:26

TenderUpdate

24 Oct 2025 at 12:02

Award

23 Oct 2025 at 10:00

Award

16 Oct 2025 at 12:42

TenderUpdate

25 Sep 2025 at 14:01

Award

25 Sep 2025 at 12:59

Award

11 Sep 2025 at 14:42

Tender

10 Sep 2025 at 13:38

Summary of the contracting process

The Countess of Chester Hospital NHS Foundation Trust has reopened its Provision of Insourced and Outsourced Clinical Services Framework to facilitate enhanced healthcare delivery, in accordance with the Health Care Services (Provider Selection Regime) Regulations 2023 and the Health Services (Provider Selection Regime) (Wales) Regulations 2025. This extensive framework, valued at approximately £1 billion, aims to support the NHS with insourced and outsourced hospital services, classified under the CPV code 85111000. The tender is at the award stage, with the framework already established. Set to run until at least 31st August 2029, this framework remains open to new applications, and Relevant Authorities are encouraged to apply by 12th December 2025, the end date for representations. The procurement method used is a limited procedure without prior publication of a call for competition, focusing on providing flexible, high-quality healthcare services across UK regions, including UKC, UKD, UKE, UKF, UKG, UKH, UKI, UKJ, UKK, and UKL. The overall procurement process concluded on 1st December 2025.

This framework presents significant growth opportunities for businesses in the healthcare sector, particularly small and medium-sized enterprises (SMEs), with several SMEs such as MedicsPro Ltd, NeurophysCare Ltd, and Shire Surgical Limited already actively participating as suppliers. The framework's focus spans across numerous medical specialities and incorporates service categories like surgical, medical, outpatient care, and specialist hospital services. This is an excellent avenue for healthcare providers aiming to expand their operations and increase capacity through both insourced services on NHS premises and outsourced services at provider-operated locations. Businesses skilled in integration, collaboration, and service innovation will find ample opportunity here. The framework prioritises service quality, patient safety, capacity building, and reducing health inequalities, making it an attractive opportunity for companies dedicated to high-quality, sustainable healthcare solutions.

How relevant is this notice?

Notice Information

Notice Title

Provision of Insourced and Outsourced Clinical Services Framework (Framework Reopening)

Notice Description

This is a Provider Selection Regime (PSR) intention to award notice. The aim of this Framework is to provide Relevant Authorities with fully compliant solutions which supplement the delivery of patient care by Relevant Authorities in line with the NHS' core Key Performance Indicators and standards. The Framework has two Lots. Lot 1 Insourced Clinical Services Lot 2 Outsourced Clinical Services Insourced Services are clinical services which are delivered on the premises of the contracting Relevant Authority and may use that organisation's equipment. Outsourced Services are clinical services which are delivered on premises owned or operated by the Provider. Insourced and Outsourced Services will include the full range of Surgical and Medical specialties and sub-specialties. The specialties and sub-specialties are those listed by the various Surgical and Medical Royal Colleges. This is a Framework under The Health Care Services (Provider Selection Regime) Regulations 2023 and The Health Services (Provider Selection Regime) (Wales) Regulations 2025 In accordance with Regulation 17 of The Health Care Services (Provider Selection Regime) Regulations 2023 and Regulation 17 of The Health Services (Provider Selection Regime) (Wales) Regulations 2025, the Framework will be open to applications from new potential Providers during the Term of the Framework. Previously appointed Providers are NOT obliged to re-apply. Further 'Intention to Award' notices will be published as and when new Providers are appointed.

Lot Information

Lot 1 Insourced Clinical Services

The awarding of framework agreements is subject to the Health Care Services (Provider Selection Regime) Regulations 2023 and The Health Services (Provider Selection Regime) (Wales) Regulations 2025. For the avoidance of doubt, the provisions of the Public Contracts Regulations 2015 and The Procurement Regulations 2024 do not apply to this award. The standstill period begins on the day after the publication of this notice. Representations by providers must be made to the relevant authority by midnight at the end of 12 December 2025 to info@coch-cps.co.uk. Framework agreements have not yet been formally concluded; this notice serves as an intention to establish the framework agreements under the PSR. The award decision makers were two Senior Commercial Procurement Specialists, the Commercial Procurement Manager and the Director of Commercial Procurement Services. The Key Criteria were: * Social Value Pass/Fail * Value - Value Declaration Pass/Fail * Value - Commercial Questionnaire Pass/Fail * Quality and Innovation - Service quality 25% * Quality and Innovation - Patient experience & patient safety 25% * Integration, collaboration, and service sustainability - Integration & collaboration 15% * Integration, collaboration, and service sustainability - Increasing capacity 15% * Integration, collaboration, and service sustainability - Service mobilisation 10% * Improving access, reducing health inequalities, and facilitating choice - Meeting patient needs and preferences 5% * Improving access, reducing health inequalities, and facilitating choice - Communication with patients and contracting Relevant Authorities 5% The framework will be available to all Relevant Authorities (and any future successors to these organisations). "Relevant Authority" is defined in section 12ZB(7) of the National Health Service Act 2006 and in section 10A(9) of the National Health Service (Wales) Act 2006. The aim of this Framework is to provide Relevant Authorities with fully compliant solutions which supplement the delivery of patient care by Relevant Authorities in line with the NHS' core Key Performance Indicators and standards. The Framework has two Lots. Lot 1 Insourced Clinical Services Lot 2 Outsourced Clinical Services Insourced Services are clinical services which are delivered on the premises of the contracting Relevant Authority and may use that organisation's equipment. Outsourced Services are clinical services which are delivered on premises owned or operated by the Provider. Insourced and Outsourced Services will include the full range of Surgical and Medical specialties and sub-specialties. The specialties and sub-specialties are those listed by the various Surgical and Medical Royal Colleges. This is a Framework under The Health Care Services (Provider Selection Regime) Regulations 2023 and The Health Services (Provider Selection Regime) (Wales) Regulations 2025 In accordance with Regulation 17 of The Health Care Services (Provider Selection Regime) Regulations 2023 and Regulation 17 of The Health Services (Provider Selection Regime) (Wales) Regulations 2025, the Framework will be open to applications from new potential Providers during the Term of the Framework. Previously appointed Providers are NOT obliged to re-apply. Further 'Intention to Award' notices will be published as and when new Providers are appointed. Award of a Framework Agreement does not guarantee or imply any commitment to award a Call-off Contract by any Relevant Authority. Additional information: This notice is an intention to conclude framework agreements using the competitive process. The approximate lifetime value of the framework is PS100000000 but no commitment to award a Call-off Contract is implied or given. This is a Provider Selection Regime (PSR) intention to award notice. The awarding of framework agreements is subject to the Health Care Services (Provider Selection Regime) Regulations 2023 and The Health Services (Provider Selection Regime) (Wales) Regulations 2025. For the avoidance of doubt, the provisions of the Public Contracts Regulations 2015 and The Procurement Regulations 2024 do not apply to this award. The standstill period begins on the day after the publication of this notice. Written representations should be sent to: info@coch-cps.co.uk Representations by providers must be made to the Framework Host by midnight at the end of 12 December 2025 Framework agreements have not yet been formally concluded; this notice serves as an intention to establish the framework agreements under the PSR. The decision was proposed by a Senior Commercial Specialist at Countess of Chester Hospital NHS Foundation Trust, and approved by the Commercial Procurement Manager and the Director of Commercial Procurement Services for Countess of Chester Hospital NHS Foundation Trust. No conflicts of interest were detected or declared during the procurement process. The relative importance of the key criteria that the relevant authority used to make a decision are set out in this notice. Each of the 5 Key Criteria elements were weighted in consideration of the subject-matter and with a view to securing the needs of the people who use the services, improving the quality of the services, and improving the efficiency of in the provision of the services. The chosen providers met the selection criteria, passed the PASS/FAIL Key Criteria and met or exceeded the published required minimum total score of 60% across the remaining Key Criteria for award to the Framework.

Renewal: The Framework may be renewed. If the Framework is renewed, the opportunity will be advertised in line with applicable regulations.

Lot 2 Outsourced Clinical Services

This is a Provider Selection Regime (PSR) intention to award notice. The awarding of framework agreements is subject to the Health Care Services (Provider Selection Regime) Regulations 2023 and The Health Services (Provider Selection Regime) (Wales) Regulations 2025. For the avoidance of doubt, the provisions of the Public Contracts Regulations 2015 and The Procurement Regulations 2024 do not apply to this award. The standstill period begins on the day after the publication of this notice. Representations by providers must be made to the relevant authority by midnight at the end of 12 December 2025 to info@coch-cps.co.uk. The framework agreements have not yet been formally concluded; this notice serves as an intention to establish the framework agreements under the PSR. The award decision makers were two Senior Commercial Procurement Specialists, the Commercial Procurement Manager and the Director of Commercial Procurement Services. The Key Criteria were: * Social Value Pass/Fail * Value - Value Declaration Pass/Fail * Value - Commercial Questionnaire Pass/Fail * Quality and Innovation - Service quality 25% * Quality and Innovation - Patient experience & patient safety 25% * Integration, collaboration, and service sustainability - Integration & collaboration 15% * Integration, collaboration, and service sustainability - Increasing capacity 15% * Integration, collaboration, and service sustainability - Service mobilisation 10% * Improving access, reducing health inequalities, and facilitating choice - Meeting patient needs and preferences 5% * Improving access, reducing health inequalities, and facilitating choice - Communication with patients and contracting Relevant Authorities 5% The framework will be available to all Relevant Authorities (and any future successors to these organisations). "Relevant Authority" is defined in section 12ZB(7) of the National Health Service Act 2006 and in section 10A(9) of the National Health Service (Wales) Act 2006. The aim of this Framework is to provide Relevant Authorities with fully compliant solutions which supplement the delivery of patient care by Relevant Authorities in line with the NHS' core Key Performance Indicators and standards. The Framework has two Lots. Lot 1 Insourced Clinical Services Lot 2 Outsourced Clinical Services Insourced Services are clinical services which are delivered on the premises of the contracting Relevant Authority and may use that organisation's equipment. Outsourced Services are clinical services which are delivered on premises owned or operated by the Provider. Insourced and Outsourced Services will include the full range of Surgical and Medical specialties and sub-specialties. The specialties and sub-specialties are those listed by the various Surgical and Medical Royal Colleges. This is a Framework under The Health Care Services (Provider Selection Regime) Regulations 2023 and The Health Services (Provider Selection Regime) (Wales) Regulations 2025 In accordance with Regulation 17 of The Health Care Services (Provider Selection Regime) Regulations 2023 and Regulation 17 of The Health Services (Provider Selection Regime) (Wales) Regulations 2025, the Framework will be open to applications from new potential Providers during the Term of the Framework. Previously appointed Providers are NOT obliged to re-apply. Further 'Intention to Award' notices will be published as and when new Providers are appointed. Award of a Framework Agreement does not guarantee or imply any commitment to award a Call-off Contract by any Relevant Authority. Additional information: This notice is an intention to conclude a framework agreement using the competitive process. The approximate lifetime value of the framework is PS100000000 but no commitment to award a Call-off Contract is implied or given. This is a Provider Selection Regime (PSR) intention to award notice. The awarding of this framework agreement is subject to the Health Care Services (Provider Selection Regime) Regulations 2023 and The Health Services (Provider Selection Regime) (Wales) Regulations 2025. For the avoidance of doubt, the provisions of the Public Contracts Regulations 2015 and The Procurement Regulations 2024 do not apply to this award. The standstill period begins on the day after the publication of this notice. Written representations should be sent to: info@coch-cps.co.uk Representations by providers must be made to the Framework Host by midnight at the end of 12 December 2025 Framework agreements have not yet been formally concluded; this notice serves as an intention to establish framework agreements under the PSR. The decision was proposed by a Senior Commercial Specialist at Countess of Chester Hospital NHS Foundation Trust, and approved by the Commercial Procurement Manager and the Director of Commercial Procurement Services for Countess of Chester Hospital NHS Foundation Trust. No conflicts of interest were detected or declared during the procurement process. The relative importance of the key criteria that the relevant authority used to make a decision are set out in this notice. Each of the 5 Key Criteria elements were weighted in consideration of the subject-matter and with a view to securing the needs of the people who use the services, improving the quality of the services, and improving the efficiency of in the provision of the services. The chosen providers met the selection criteria, passed the PASS/FAIL Key Criteria and met or exceeded the published required minimum total score of 60% across the remaining Key Criteria for award to the Framework.

Renewal: The Framework may be renewed. If the Framework is renewed, the opportunity will be advertised in line with applicable regulations.

Procurement Information

This is a Provider Selection Regime (PSR) intention to award notice. The awarding of this framework agreement is subject to the Health Care Services (Provider Selection Regime) Regulations 2023 and The Health Services (Provider Selection Regime) Wales) Regulations 2025. For the avoidance of doubt, the provisions of the Public Contracts Regulations 2015 and The Procurement Regulations 2024 do not apply to this award.

Notice Details

Publication & Lifecycle

Open Contracting ID
ocds-h6vhtk-0597a6
Publication Source
Find A Tender Service
Latest Notice
https://www.find-tender.service.gov.uk/Notice/078453-2025
Current Stage
Award
All Stages
Tender, Award

Procurement Classification

Notice Type
Tender Notice
Procurement Type
Framework
Procurement Category
Services
Procurement Method
Limited
Procurement Method Details
Award procedure without prior publication of a call for competition
Tender Suitability
Not specified
Awardee Scale
Large, SME

Common Procurement Vocabulary (CPV)

CPV Divisions

85 - Health and social work services


CPV Codes

85111000 - Hospital services

85111100 - Surgical hospital services

85111200 - Medical hospital services

85111300 - Gynaecological hospital services

85111320 - Obstetrical hospital services

85111400 - Rehabilitation hospital services

85111500 - Psychiatric hospital services

85112200 - Outpatient care services

85121200 - Medical specialist services

85121210 - Gyneacologic or obstetric services

85121220 - Nephrology or nervous system specialist services

85121230 - Cardiology services or pulmonary specialists services

85121231 - Cardiology services

85121232 - Pulmonary specialists services

85121240 - ENT or audiologist services

85121250 - Gastroenterologist and geriatric services

85121251 - Gastroenterologist services

85121252 - Geriatric services

85121270 - Psychiatrist or psychologist services

85121280 - Ophthalmologist, dermatology or orthopedics services

85121281 - Ophthalmologist services

85121282 - Dermatology services

85121283 - Orthopaedic services

85121290 - Paediatric or urologist services

85121291 - Paediatric services

85121292 - Urologist services

85121300 - Surgical specialist services

Notice Value(s)

Tender Value
£100,000,000 £100M-£1B
Lots Value
£100,000,000 £100M-£1B
Awards Value
Not specified
Contracts Value
Not specified

Notice Dates

Publication Date
1 Dec 20253 days ago
Submission Deadline
31 May 20294 years to go
Future Notice Date
Not specified
Award Date
10 Sep 20252 months ago
Contract Period
Not specified - Not specified
Recurrence
Not specified

Notice Status

Tender Status
Complete
Lots Status
Cancelled
Awards Status
Active
Contracts Status
Active

Buyer & Supplier

Contracting Authority (Buyer)

Main Buyer
COUNTESS OF CHESTER HOSPITAL NHS FOUNDATION TRUST
Contact Name
Ian Bailiff
Contact Email
info@coch-cps.co.uk
Contact Phone
Not specified

Buyer Location

Locality
CHESTER
Postcode
CH2 1UL
Post Town
Chester
Country
England

Major Region (ITL 1)
TLD North West (England)
Basic Region (ITL 2)
TLD6 Cheshire
Small Region (ITL 3)
TLD63 Cheshire West and Chester
Delivery Location
TLC North East (England), TLD North West (England), TLE Yorkshire and The Humber, TLF East Midlands (England), TLG West Midlands (England), TLH East (England), TLI London, TLJ South East (England), TLK South West (England), TLL Wales

Local Authority
Cheshire West and Chester
Electoral Ward
Upton
Westminster Constituency
Chester North and Neston

Supplier Information

Number of Suppliers
14
Supplier Names

AUTISM CLINIC LONDON

DMC HEALTHCARE

ENDOCARE DIAGNOSTICS

FRIENDS MEDICAL SERVICE

GUTCARE.ORG

MEDICSPRO

MEDISERVICES HEALTHCARE

NATIONAL CLINICAL INSOURCING

NEUROPHYSCARE

NEW MEDICAL SYSTEMS

OPTIMISED CARE

SECURE HEALTHCARE

SHIRE SURGICAL

TOMORROW CARDIOVASCULAR

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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        "submissionMethodDetails": "https://health-family.force.com/s/Welcome",
        "selectionCriteria": {
            "criteria": [
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                "id": "economic",
                "documentType": "economicSelectionCriteria"
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                "id": "technical",
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        ],
        "procurementMethod": "limited",
        "procurementMethodDetails": "Award procedure without prior publication of a call for competition",
        "techniques": {
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        },
        "coveredBy": [
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        "tenderPeriod": {
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        },
        "hasRecurrence": false,
        "contractTerms": {
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            "electronicInvoicingPolicy": "allowed",
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        ],
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        "amendments": [
            {
                "id": "1",
                "description": "This is a Provider Selection Regime (PSR) confirmation of establishment of a framework agreement. This framework agreement has been concluded under the Health Care Services (Provider Selection Regime) Regulations 2023 and The Health Services (Provider Selection Regime) (Wales) Regulations 2025. For the avoidance of doubt, the provisions of the Procurement Act Regulations 2023 and the provisions of the Public Contracts Regulations 2015 do not apply to this award. This framework agreement has now been formally concluded using the competitive process. The framework agreement was concluded on 25/9/25 The framework agreement will run from the date of conclusion until 31/9/29 The approximate lifetime value of the entire framework is PS100000000 but no commitment to award a Call-off Contract is implied or given."
            },
            {
                "id": "2",
                "description": "This is a Provider Selection Regime (PSR) confirmation of establishment of a framework agreement. This framework agreement has been concluded under the Health Care Services (Provider Selection Regime) Regulations 2023 and The Health Services (Provider Selection Regime) (Wales) Regulations 2025. For the avoidance of doubt, the provisions of the Procurement Act Regulations 2023 and the provisions of the Public Contracts Regulations 2015 do not apply to this award. A framework agreement has now been formally concluded using the competitive process. The confirmed provider for this notice is Gutcare.Org Ltd. The framework agreement was concluded on 13/10/25 The framework agreement will run from the date of conclusion until 31/8/29 The approximate lifetime value of the entire framework is PS100000000 but no commitment to award a Call-off Contract is implied or given."
            },
            {
                "id": "3",
                "description": "This is a Provider Selection Regime (PSR) confirmation of establishment of a framework agreement. This framework agreement has been concluded under the Health Care Services (Provider Selection Regime) Regulations 2023 and The Health Services (Provider Selection Regime) (Wales) Regulations 2025. For the avoidance of doubt, the provisions of the Procurement Act Regulations 2023 and the provisions of the Public Contracts Regulations 2015 do not apply to this award. A framework agreement has now been formally concluded using the competitive process. The confirmed providers for this notice are DMC Healthcare Ltd (Lot 1 & Lot 2) Date of conclusion 7 November 2025 Secure Healthcare Ltd (Lot 1) Date of conclusion 13 November 2025 Skyline Hospitals Ltd (Lot 2) Date of conclusion 3 November 2025 Autism Clinic London Ltd (Lot 2) Date of conclusion 28 November 2025 Framework agreements will run from the date of conclusion until 31/8/29 The approximate lifetime value of the entire framework is PS100000000 but no commitment to award a Call-off Contract is implied or given."
            }
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