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

COUNTESS OF CHESTER HOSPITAL NHS FOUNDATION TRUST

This public procurement record has 42 releases in its history.

Award

20 Aug 2026 at 11:17

Award

14 Aug 2026 at 15:18

Award

07 Aug 2026 at 15:00

TenderUpdate

31 Jul 2026 at 15:14

TenderUpdate

31 Jul 2026 at 15:09

Award

30 Jul 2026 at 11:54

Award

16 Jul 2026 at 14:10

Award

10 Jul 2026 at 14:06

Award

09 Jul 2026 at 13:17

Award

03 Jul 2026 at 10:55

Award

02 Jul 2026 at 10:06

TenderUpdate

26 Jun 2026 at 14:02

Award

26 Jun 2026 at 12:22

Award

12 Jun 2026 at 15:08

TenderUpdate

29 May 2026 at 09:08

TenderUpdate

29 May 2026 at 09:02

Award

07 May 2026 at 15:34

TenderUpdate

01 May 2026 at 10:56

Award

09 Apr 2026 at 15:31

Award

02 Apr 2026 at 15:04

TenderUpdate

27 Mar 2026 at 10:10

TenderUpdate

27 Mar 2026 at 10:06

TenderUpdate

27 Mar 2026 at 10:01

TenderUpdate

27 Mar 2026 at 09:49

Award

10 Mar 2026 at 14:15

TenderUpdate

27 Feb 2026 at 15:48

Award

05 Feb 2026 at 10:41

TenderUpdate

29 Jan 2026 at 14:11

Award

27 Jan 2026 at 15:59

Award

13 Jan 2026 at 10:26

Award

30 Dec 2025 at 10:46

TenderUpdate

29 Dec 2025 at 10:41

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 13:02

Award

23 Oct 2025 at 11:00

Award

16 Oct 2025 at 13:42

TenderUpdate

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 that supplement NHS patient care. It covers two areas: insourced services delivered on a relevant authority’s premises, potentially using its equipment, and outsourced services delivered at premises owned or operated by the provider. Both lots cover the full range of surgical and medical specialties and sub-specialties, including specialist, outpatient, rehabilitation, psychiatric, gynaecological, obstetrical, cardiology, respiratory, gastroenterology, geriatric, ophthalmology, dermatology, orthopaedic, paediatric, urology and neuromonitoring services. The framework is available to relevant NHS and Welsh health authorities and their successors. Delivery covers England and Wales, with providers based across the UK. The category is hospital and clinical services (CPV 85111000).

This is an awarded and formally concluded Provider Selection Regime framework, established through a competitive process, with providers appointed to Lot 1, Lot 2, or both. The framework’s approximate lifetime value is £100,000,000, but it creates no commitment for authorities to award call-off contracts. It runs from conclusion until 31 August 2029 and may be renewed. Appointments recorded up to 20 August 2026 include MediServices Healthcare, Endocare Diagnostics, Gutcare.org, 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, Health Now, Your Chester GP, Cora Health Diagnostics, FCMS, St Joseph’s Independent Hospital, Staff Health, North Staffordshire GP Federation, AxIOM Neuromonitoring, Dunamis, UK Vein Clinic, Doubletree Medical, HealthHarmonie, Medinet Clinical Services and The Medical & Diagnostic Care Group. Evaluation required pass/fail social value and value declarations, then a minimum 60% overall score; quality and innovation carried 50%, integration and sustainability 40%, and access and choice 10%.

This procurement demonstrates sustained demand from the Countess of Chester Hospital NHS Foundation Trust and participating health authorities for providers able to deliver clinical capacity across a broad range of specialties. A credible future competitor would need suitably qualified clinical teams, reliable access to facilities and equipment for insourced work, or compliant provider-owned premises for outsourced work. It would also need to evidence safe, high-quality patient care, positive patient experience, effective collaboration with NHS organisations, mobilisation capability, increased capacity, and communication that meets patient needs and preferences. The appointed supplier mix shows that both specialist providers and larger clinical service organisations can participate, including SMEs. Providers must satisfy the Provider Selection Regime requirements and demonstrate social value, commercial compliance, service quality, patient safety and sustainable delivery.

How relevant is this notice?

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 3 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 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: 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 3 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 3 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 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 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 3 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.

Publication & Lifecycle

Open Contracting ID
ocds-h6vhtk-0597a6
Publication Source
Find A Tender Service
Latest Notice
https://www.find-tender.service.gov.uk/Notice/079357-2026
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
20 Aug 20266 days ago
Submission Deadline
31 May 20293 years to go
Future Notice Date
Not specified
Award Date
11 Sep 202511 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

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
39
Supplier Names

Arkadia Clinical Solutions Limited

Autism Clinic London Limited

AxIOM Neuromonitoring Ltd

Britannia Vision Ltd

Cora Health Diagnostics Ltd

DMC Healthcare Ltd.

Doubletree Medical Ltd

Dunamis L & S Limited

Elite Teams Ltd

Endocare Diagnostics Ltd

FCMS (NW) Ltd

Friends Medical Service Limited

Gutcare.org Ltd.

Health Now Limited

HealthHarmonie Ltd

Healthcare Central London Ltd

InHealth Limited

Medefer Limited

MediServices Healthcare Ltd

MedicsPro Ltd

Medinet Clinical Services Ltd

National Clinical Insourcing Limited

NeurophysCare Ltd

New Medical Systems Ltd

North Staffordshire GP Federation Limited

Optimised Care Ltd

ProMedical Personnel Limited

Secure Healthcare Ltd

Shire Surgical Limited

SpaMedica Limited

St Joseph's Independent Hospital Ltd

Staff Health Limited

The Battersea Clinic Limited

The Medical & Diagnostic Care Group Ltd

Tomorrow Cardiovascular Ltd

UK Vein Clinic Ltd

VeinCentre Ltd

Your Chester GP Ltd

Your Medical Services Limited

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