Tender

Hyperbaric Oxygen Therapy (HBOT) Services for all ages - Midlands only

NHS ENGLAND

This public procurement record has 2 releases in its history.

TenderUpdate

10 Jun 2026 at 13:04

Tender

15 Dec 2025 at 15:20

Summary of the contracting process

The procurement process for Hyperbaric Oxygen Therapy (HBOT) Services, aimed at serving all age groups in the Midlands, was executed by NHS England, with the NHS Arden and Greater East Midlands Commissioning Support Unit acting on their behalf as the contracting authority. This Competitive Process aimed to establish an agreement for a duration of four years, with an optional extension of up to two additional years. The services were scheduled to commence on 1st October 2026. The deadline for submission of tenders was set for 12:00 pm on Monday, 2nd February 2026, with the tendering process being part of a Provider Selection Regime, not subject to the Public Contracts Regulations 2015. However, it was subsequently decided to abandon this procurement process under the Health Care Services (Provider Selection Regime) Regulations 2023, and thus no contract was awarded.

This tender presented significant opportunities for healthcare service providers specialising in Hyperbaric Oxygen Therapy for conditions such as Decompression Illness and Gas Embolism. Providers with a strong focus on timely clinical assessments and 24-hour service availability were particularly well-suited for this contract. The contract required facilities located within the Midlands, easily accessible from the coast, staffed with qualified professionals, and integrated with other healthcare services. Although the tender was ultimately abandoned, similar opportunities in the healthcare service sector can facilitate expansion and diversification for businesses equipped with the requisite expertise in specialised oxygen therapy services.

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Notice Title

Hyperbaric Oxygen Therapy (HBOT) Services for all ages - Midlands only

Notice Description

NHS Arden and Greater East Midlands Commissioning Support Unit (AGCSU), on behalf of NHS England (referred to as the Authority), is inviting suitably qualified and experienced providers to respond to this Competitive Process for the provision of Provision of Hyperbaric Oxygen Therapy (HBOT) Services for all ages (Midlands).<br/><br/>The service is due to commence on 1st October 2026.<br/><br/>As a result of this procurement exercise an agreement will be established with the successful bidder(s) for a period of 4 years with the Commissioners having the option to extend for up to an additional 1 + 1 year(s) (maximum contract duration 6 years).<br/><br/>The deadline for submissions is 12.00pm (noon) on Monday 2nd February 2026.

Lot Information

Lot 1

The service is commissioned in England for two specific indications in line with the service specification https://www.england.nhs.uk/wp-content/uploads/2018/11/Hyperbaric-oxygen-therapy-services-all-ages-Service-specification-January-2025.pdf

The aim of the service is to provide timely access to Hyperbaric Oxygen Therapy (HBOT) where clinically appropriate for those suffering from Decompression Illness (DCI) or Gas Embolism.

Providers are to note that the centre must be located in and deliver services from within the defined geographical area of the Midlands.

Good practice guidelines set out optimal time to treatment of 6 hours from symptom onset. As such any service should be located within 4 hours road travelling time of the nearest coastline and 4 hours road travelling time from the nearest neighbouring commissioned provider.

The above aim will be achieved by:

* Providing 24 hours a day access to specialist clinical assessment by a Hyperbaric physician for patients who have symptoms following diving or exposure to altered pressure environment, or who may have had gas enter their circulation by another mechanism (gas embolism).
* Where appropriate, onward referral or discharge of patients who do not require HBOT treatment for Decompression Illness (DCI) or Gas Embolism.
* 24-hour access to HBOT where clinically appropriate.
* HBOT delivered in facilities that are well maintained, comply with all relevant regulations, and follow best practice guidelines.
* HBOT facilities are staffed with suitably qualified, experienced teams with skills that are actively maintained.
* The delivery of care that is integrated with other services including the Emergency Department, Intensive Care, and other healthcare professionals as required.
* Wherever possible, supporting the return of the service user to their pre-injury level of function, including referral to return to diving assessment if appropriate.
* Engaging in relevant research and development of HBOT and actively engage in national audit and data collection for the HBOT service.
* Working with relevant agencies and clinicians to support education and prevention initiatives.

Decompression Illness
Decompression illness arises from exposure to an altered pressure environment, most often from diving. The geographical distribution of cases of decompression illness is determined by the local level of diving activity, and is concentrated around coastal areas, inland expanses of water and the locations of residence of the divers. Airports provide a significant minority of patients usually returning from a diving trip overseas. There is a total of approximately 150 - 200 cases in England per year.

Gas embolism
Cases of gas embolism arise from introduction of gas into a patient's circulation, most often inadvertently during a medical procedure (iatrogenic gas embolism). There are currently approximately 10 cases in England per year. However, this may be an underestimate of the number of actual cases.

Hyperbaric Oxygen Therapy is not routinely commissioned for other indications including:
- Carbon Monoxide Poisoning
- Necrotising soft tissue infections
- Soft tissue radiation damage in patient with a history pelvic irradiation
- Diabetic lower limb ulceration (diabetic foot ulcer)

For the avoidance of doubt this Competitive Process only relates to the provision of HBOT for Decompression Illness (DCI) or Gas Embolism.

Providers must be able to meet the requirements set out in this Competitive Process and deliver the contract in accordance with its terms.

To express interest and participate in the Competitive Process, please register and apply via Atamis esourcing portal https://health-family.force.com/s/Welcome. Should Tenderers have any queries, or having problems using the portal, they should contact Helpdesk at: Phone: 0800 0988 201 E-mail: support-health@atamis.co.uk

The closing date for completed Competitive Process responses is 12:00pm (noon), on Monday 2nd February 2026.

Atamis Project reference: C396433

The contract duration is for 4 years with the Commissioners having the option to extend for up to an additional 1 + 1 year(s) (maximum contract duration 6 years).

This is a Provider Selection Regime (PSR) Contract Notice. The awarding of this contract is subject to the Health Care Services (Provider Selection Regime) Regulations 2023. For the avoidance of doubt, the provisions of the Public Contracts Regulations 2015 do not apply to this award.

The decision maker of the award will be: NHS England.

The intention is to award a contract using the Competitive Process

Options: As a result of this Competitive Process, a Contract will be awarded to the successful Provider(s) for a period of 4 years with the Commissioner having the option to extend the Contract for up to a further 1 + 1 year(s).

Publication & Lifecycle

Open Contracting ID
ocds-h6vhtk-05f5f9
Publication Source
Find A Tender Service
Latest Notice
https://www.find-tender.service.gov.uk/Notice/054766-2026
Current Stage
Tender
All Stages
Tender

Procurement Classification

Notice Type
Tender Notice
Procurement Type
Standard
Procurement Category
Services
Procurement Method
Open
Procurement Method Details
Open procedure
Tender Suitability
Not specified
Awardee Scale
Not specified

Common Procurement Vocabulary (CPV)

CPV Divisions

85 - Health and social work services


CPV Codes

85100000 - Health services

Notice Value(s)

Tender Value
£6,582,600 £1M-£10M
Lots Value
£6,582,600 £1M-£10M
Awards Value
Not specified
Contracts Value
Not specified

Notice Dates

Publication Date
10 Jun 20262 days ago
Submission Deadline
2 Feb 2026Expired
Future Notice Date
Not specified
Award Date
Not specified
Contract Period
30 Sep 2026 - 30 Sep 2032 Over 5 years
Recurrence
Not specified

Notice Status

Tender Status
Active
Lots Status
Active
Awards Status
Not Specified
Contracts Status
Not Specified

Contracting Authority (Buyer)

Main Buyer
NHS ENGLAND
Contact Name
Available with D3 Tenders Premium →
Contact Email
Available with D3 Tenders Premium →
Contact Phone
Available with D3 Tenders Premium →

Buyer Location

Locality
LONDON
Postcode
SE1 8UG
Post Town
South East London
Country
England

Major Region (ITL 1)
TLI London
Basic Region (ITL 2)
TLI4 Inner London - East
Small Region (ITL 3)
TLI45 Lambeth
Delivery Location
TLF East Midlands (England), TLG West Midlands (England)

Local Authority
Lambeth
Electoral Ward
Waterloo & South Bank
Westminster Constituency
Vauxhall and Camberwell Green

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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