Most Suitable Provider: Hyperbaric Oxygen Therapy (HBOT) Services for all ages

{
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    "id": "ocds-h6vhtk-0647a0-2026-02-05T09:48:31Z",
    "date": "2026-02-05T09:48:31Z",
    "ocid": "ocds-h6vhtk-0647a0",
    "description": "This is a Provider Selection Regime (PSR) intention to award notice. This intention to award notice is subject to Regulation 10(7) of the Health Care Services (Provider Selection Regime) Regulations 2023. For the avoidance of doubt, the provisions of the Procurement Act Regulations 2023 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 on Tuesday 17 February 2026. This contract has not yet formally been awarded; this notice serves as an intention to award under the PSR.<br/><br/>Written representations should be sent to jessica.gaucher-thompson@nhs.net, ensuring the<br/>following details are referenced:<br/>Project reference: C367512<br/>Project title: Hyperbaric Oxygen Therapy (HBOT) Services for all ages - Most Suitable Provider process<br/><br/>This decision has been made as per NHS England governance processes, by the National Commissioning Group on 5th February 2026. No conflicts of Interest were identified amongst decision makers.<br/><br/>Each of the 5 key criteria were balanced with equal priority and considered on this basis and consideration was given to the basic selection criteria. Following provider assessments, it was agreed that the providers are the only providers capable of meeting the service specifications and requirements.",
    "initiationType": "tender",
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        "id": "ocds-h6vhtk-0647a0",
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        "title": "Most Suitable Provider: Hyperbaric Oxygen Therapy (HBOT) Services for all ages",
        "status": "complete",
        "classification": {
            "scheme": "CPV",
            "id": "85100000",
            "description": "Health services"
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        "mainProcurementCategory": "services",
        "description": "This is a notice of intention to make an award in respect of the Most Suitable Provider (MSP) Process for the Hyperbaric Oxygen Therapy (HBOT) Services for all ages (Lot 1: North West and Lot 2: North East and Yorkshire). For the avoidance of doubt, this is an intention to award notice. A notice of the confirmation of the award of each contract will be issued once they are signed.<br/><br/>The service is commissioned in England for two specific indications in line with NHS England published Service Specification: Hyperbaric oxygen therapy for decompression illness/gas embolism (all ages).<br/>https://www.england.nhs.uk/wp-content/uploads/2018/11/Hyperbaric-oxygen-therapy-services-all-ages-Service-specification-January-2025.pdf<br/><br/>The aim of the service is to deliver Hyperbaric Oxygen Therapy (HBOT) where clinically appropriate for those suffering from Decompression Illness (DCI) or Gas Embolism.<br/><br/>The above aim will be achieved by:<br/>(a) Providing 24 hour 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).<br/>(b) Where appropriate, onward referral or discharge of patients who do not require HBOT<br/>treatment for Decompression Illness (DCI) or Gas Embolism.<br/>(c) 24-hour access to HBOT where clinically appropriate.<br/>(d) HBOT delivered in facilities that are well maintained, comply with all relevant regulations, and follow best practice guidelines.<br/>(e) HBOT facilities are staffed with suitably qualified, experienced teams with skills that are actively maintained.<br/>(f) The delivery of care that is integrated with other services including the Emergency Department, Intensive Care, and other healthcare professionals as required.<br/>(g) 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.<br/>(h) Engaging in relevant research and development of HBOT and actively engage in national audit and data collection for the HBOT service.<br/>(i) Working with relevant agencies and clinicians to support education and prevention initiatives.<br/><br/>Decompression Illness<br/>Decompression illness arises from exposure to an altered pressure environment, most often from diving. There is a total of approximately 150 - 200 cases in England per year.<br/><br/>Gas embolism<br/>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. <br/><br/>The Commissioner intends to award contracts following the Most Suitable Process to 2 providers which are existing providers of this service. <br/><br/>The approximate lifetime value of the contract for both Lots is PS13,887,945.<br/><br/>The services will start on 1st April 2026 and the initial period will run until 30th September 3030 with an option to extend for up to a further 1+1 years ( full contract term 6.5 years).",
        "lots": [
            {
                "id": "1",
                "title": "Lot 1 - North West",
                "description": "The service is commissioned in England for two specific indications in line with NHS England published Service Specification: Hyperbaric oxygen therapy for decompression illness/gas embolism (all ages).<br/>https://www.england.nhs.uk/wp-content/uploads/2018/11/Hyperbaric-oxygen-therapy-services-all-ages-Service-specification-January-2025.pdf<br/><br/>The aim of the service is to deliver Hyperbaric Oxygen Therapy (HBOT) where clinically appropriate for those suffering from Decompression Illness (DCI) or Gas Embolism.<br/><br/>The above aim will be achieved by:<br/>(a) Providing 24 hour 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).<br/>(b) Where appropriate, onward referral or discharge of patients who do not require HBOT<br/>treatment for Decompression Illness (DCI) or Gas Embolism.<br/>(c) 24-hour access to HBOT where clinically appropriate.<br/>(d) HBOT delivered in facilities that are well maintained, comply with all relevant regulations, and follow best practice guidelines.<br/>(e) HBOT facilities are staffed with suitably qualified, experienced teams with skills that are actively maintained.<br/>(f) The delivery of care that is integrated with other services including the Emergency Department, Intensive Care, and other healthcare professionals as required.<br/>(g) 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.<br/>(h) Engaging in relevant research and development of HBOT and actively engage in national audit and data collection for the HBOT service.<br/>(i) Working with relevant agencies and clinicians to support education and prevention initiatives.<br/><br/>Decompression Illness<br/>Decompression illness arises from exposure to an altered pressure environment, most often from diving. There is a total of approximately 150 - 200 cases in England per year.<br/><br/>Gas embolism<br/>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. <br/><br/>The Commissioner intends to award this contract following the Most Suitable Process to the existing provider of this service.<br/><br/>The approximate lifetime value of the contract for Lot 1 - North West is PS6,965,741.<br/><br/>The services will start on 1st April 2026 and the initial period will run until 30th September 3030 with an option to extend for up to a further 1+1 years ( full contract term 6.5 years).",
                "awardCriteria": {
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                            "description": "100"
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                "hasOptions": true,
                "options": {
                    "description": "Following the initial 4.5 years the Commissioner has the option to extend for up to a further 1 + 1 years"
                },
                "status": "cancelled"
            },
            {
                "id": "2",
                "title": "Lot 2 : North East & Yorkshire",
                "description": "The service is commissioned in England for two specific indications in line with NHS England published Service Specification: Hyperbaric oxygen therapy for decompression illness/gas embolism (all ages).<br/>https://www.england.nhs.uk/wp-content/uploads/2018/11/Hyperbaric-oxygen-therapy-services-all-ages-Service-specification-January-2025.pdf<br/><br/>The aim of the service is to deliver Hyperbaric Oxygen Therapy (HBOT) where clinically appropriate for those suffering from Decompression Illness (DCI) or Gas Embolism.<br/><br/>The above aim will be achieved by:<br/>(a) Providing 24 hour 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).<br/>(b) Where appropriate, onward referral or discharge of patients who do not require HBOT<br/>treatment for Decompression Illness (DCI) or Gas Embolism.<br/>(c) 24-hour access to HBOT where clinically appropriate.<br/>(d) HBOT delivered in facilities that are well maintained, comply with all relevant regulations, and follow best practice guidelines.<br/>(e) HBOT facilities are staffed with suitably qualified, experienced teams with skills that are actively maintained.<br/>(f) The delivery of care that is integrated with other services including the Emergency Department, Intensive Care, and other healthcare professionals as required.<br/>(g) 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.<br/>(h) Engaging in relevant research and development of HBOT and actively engage in national audit and data collection for the HBOT service.<br/>(i) Working with relevant agencies and clinicians to support education and prevention initiatives.<br/><br/>Decompression Illness<br/>Decompression illness arises from exposure to an altered pressure environment, most often from diving. There is a total of approximately 150 - 200 cases in England per year.<br/><br/>Gas embolism<br/>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. <br/><br/>The Commissioner intends to award this contract following the Most Suitable Process to the existing provider of this service.<br/><br/>The approximate lifetime value of the contract for Lot 2 - North East & Yorkshire is PS6,992,204.<br/><br/>The services will start on 1st April 2026 and the initial period will run until 30th September 3030 with an option to extend for up to a further 1+1 years ( full contract term 6.5 years).",
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            }
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        "procurementMethod": "limited",
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        "procurementMethodRationale": "This is a Provider Selection Regime (PSR) intention to award 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 standstill period begins on the day after the publication of this notice. Representations by providers must be made to decision makers by Tuesday 17 February 2026. This contract has not yet formally been awarded; this notice serves as an intention to award under the PSR."
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