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

COUNTESS OF CHESTER HOSPITAL NHS FOUNDATION TRUST

This public procurement record has 52 releases in its history.

TenderUpdate

25 Sep 2026 at 16:02

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25 Sep 2026 at 15:56

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25 Sep 2026 at 15:52

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25 Sep 2026 at 15:45

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25 Sep 2026 at 15:39

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01 Sep 2026 at 14:16

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28 Aug 2026 at 15:53

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28 Aug 2026 at 15:41

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28 Aug 2026 at 15:37

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28 Aug 2026 at 15:29

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20 Aug 2026 at 11:17

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14 Aug 2026 at 15:18

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07 Aug 2026 at 15:00

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31 Jul 2026 at 15:14

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31 Jul 2026 at 15:09

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30 Jul 2026 at 11:54

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16 Jul 2026 at 14:10

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10 Jul 2026 at 14:06

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09 Jul 2026 at 13:17

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03 Jul 2026 at 10:55

Award

02 Jul 2026 at 10:06

TenderUpdate

26 Jun 2026 at 14:02

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26 Jun 2026 at 12:22

Award

12 Jun 2026 at 15:08

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29 May 2026 at 09:08

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29 May 2026 at 09:02

Award

07 May 2026 at 15:34

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01 May 2026 at 10:56

Award

09 Apr 2026 at 15:31

Award

02 Apr 2026 at 15:04

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27 Mar 2026 at 10:10

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27 Mar 2026 at 10:06

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27 Mar 2026 at 10:01

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27 Mar 2026 at 09:49

Award

10 Mar 2026 at 14:15

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27 Feb 2026 at 15:48

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05 Feb 2026 at 10:41

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29 Jan 2026 at 14:11

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27 Jan 2026 at 15:59

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13 Jan 2026 at 10:26

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30 Dec 2025 at 10:46

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29 Dec 2025 at 10:41

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01 Dec 2025 at 12:13

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28 Nov 2025 at 14:11

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28 Oct 2025 at 13:26

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24 Oct 2025 at 13:02

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23 Oct 2025 at 11:00

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16 Oct 2025 at 13:42

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25 Sep 2025 at 15:01

Award

25 Sep 2025 at 13:59

Award

11 Sep 2025 at 15:42

Tender

10 Sep 2025 at 14:38

Summary of the contracting process

Countess of Chester Hospital NHS Foundation Trust established a framework for clinical services to support NHS patient care and meet its performance standards. It covers the full range of surgical and medical specialties and subspecialties recognised by the relevant Royal Colleges, including hospital, outpatient and specialist care. Lot 1 covers insourced services delivered on the contracting authority’s premises, potentially using its equipment; Lot 2 covers outsourced services delivered at premises owned or operated by the provider. The framework is available to relevant public health authorities across England and Wales. It is intended to provide compliant additional clinical capacity, with call-off services commissioned by participating authorities as required.

The framework has been formally concluded through a competitive process under the Provider Selection Regime, with appointments made to both lots. The initial framework agreement was concluded on 25 September 2025; later provider appointments are recorded through 22 September 2026. The framework runs to 31 August 2029 and may be renewed. Its approximate lifetime value is £100 million, but this is not a commitment to award call-off contracts and no individual contract values are stated. Appointed providers include MediServices Healthcare, Endocare Diagnostics, Gutcare.org, Autism Clinic London, DMC Healthcare, Secure Healthcare, Optimised Care, Tomorrow Cardiovascular, MedicsPro, National Clinical Insourcing, NeurophysCare, New Medical Systems, Shire Surgical, VeinCentre, Your Medical Services, Arkadia Clinical Solutions, Britannia Vision, ProMedical Personnel, Medefer, InHealth, SpaMedica, The Battersea Clinic, Elite Teams, Health Now, Your Chester GP, Cora Health Diagnostics, FCMS (NW), St Joseph's Independent Hospital, Staff Health, North Staffordshire GP Federation, AxIOM Neuromonitoring, Dunamis L & S, Doubletree Medical, HealthHarmonie, Medinet Clinical Services, The Medical & Diagnostic Care Group and OMRA. Evaluation included pass/fail social value and commercial checks, then weighted quality, patient experience and safety, integration, capacity, mobilisation, access and communication criteria; suppliers needed at least 60% overall on the remaining criteria.

This framework demonstrates sustained demand for providers able to deliver clinical services across a broad range of medical and surgical specialties, either within NHS premises or from provider-operated facilities. The appointment of a diverse group of specialist and multi-service organisations shows that smaller specialist suppliers as well as larger providers can qualify. To compete credibly for this buyer’s future requirements, suppliers should be able to evidence safe, high-quality services and a strong patient experience, while supporting integration and collaboration with NHS authorities. They will also need to show that they can add capacity, mobilise services effectively, respond to patient needs and preferences, communicate well with patients and commissioning authorities, and meet social-value and commercial requirements. Call-off work is not guaranteed, so framework appointment alone does not assure revenue.

How relevant is this notice?

Notice Information

Notice Title

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

Notice Description

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 a 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. Representations by providers must be made to the relevant authority by midnight at the end of 14 September 2026 to coch.cps@nhs.net . A framework agreement has not yet been formally concluded; this notice serves as an intention to establish a framework agreement under the PSR. The award decision makers were two Senior Commercial Procurement Specialists, the Commercial Procurement Manager and the Director of Commercial Procurement Services at the Countess of Chester Hospital NHS Foundation Trust. 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 section10A(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: 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: coch.cps@nhs.net Representations by providers must be made to the Framework Host by midnight at the end of 14 September 2026. A framework agreement has not yet been formally concluded; this notice serves as an intention to establish a framework agreement 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 14 September 2026 to coch.cps@nhs.net . A framework agreement has not yet been formally concluded; this notice serves as an intention to establish a framework agreement under the PSR. The award decision makers were two Senior Commercial Procurement Specialists, the Commercial Procurement Manager and the Director of Commercial Procurement Services for Countess of Chester Hospital NHS Foundation Trust. 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 section10A(9) of the National Health Service (Wales) Act2006. 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 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: coch.cps@nhs.net Representations by providers must be made to the Framework Host by midnight at the end of 14 September 2026. A framework agreement has not yet been formally concluded; this notice serves as an intention to establish a framework agreement 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 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.

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/091149-2026
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
25 Sep 20261 weeks ago
Submission Deadline
31 May 20293 years to go
Future Notice Date
Not specified
Award Date
Not specified
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
Available with D3 Tenders Premium →
Contact Email
Available with D3 Tenders Premium →
Contact Phone
Available with D3 Tenders Premium →

Buyer Location

Locality
CHESTER
Postcode
CH2 1UL
Postcode Area
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
40
Supplier Names

MEDISERVICES HEALTHCARE LTD

EndoCare Diagnostics LTD

gutcare.org ltd

London Autism Clinic Ltd

Friends Medical Service Limited

DMC Healthcare Ltd

Secure Healthcare Ltd

Optimised Care Limited

TOMORROW CARDIOVASCULAR LIMITED

MedicsPro Limited

National Clinical Insourcing Limited

NEUROPHYSCARE LTD

NEW MEDICAL SYSTEMS LIMITED

Shire Surgical Ltd

VEINCENTRE LIMITED

Your Medical Services Limited

Arkadia Clinical Solutions Ltd

Healthcare Central London

Britannia Vision Ltd

PROMEDICAL PERSONNEL LIMITED

Medefer Limited

InHealth Limited

SPAMEDICA LTD

Battersea Clinic Ltd

Gastro Teams Seven 7 Limited

Health Now Limited

Your Chester GP Ltd

Healthshare Diagnostics Ltd

FCMS (NW) Ltd

ST JOSEPH'S INDEPENDENT HOSPITAL LIMITED

STAFF HEALTH LTD

North Staffordshire GP Federation

AxIOM Neuromonitoring Ltd

Dunamis L & S Limited

UK VEIN CLINIC LTD

Doubletree Medical Ltd

HealthHarmonie Limited

MEDINET CLINICAL SERVICES LTD

The Endoscopy Group

OMRA Ltd

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