This public procurement record has 1 release in its history.

Award

09 Oct 2026 at 10:38

Summary of the contracting process

NHS Bristol, North Somerset and South Gloucestershire Integrated Care Board commissioned routine elective orthopaedic and musculoskeletal care for eligible patients using patient-choice arrangements. The service covers joint and pain management, with the full patient pathway delivered where appropriate: referral management, triage and clinical assessment, diagnostics, consultations, pre-treatment assessment, outpatient, ambulatory or inpatient treatment, discharge planning and follow-up. Follow-up may include specialist support and referrals to services such as GPs or district nurses, with self-care support for up to 14 days after discharge. The service is delivered at Spire Bristol Hospital, Redland Hill, Durdham Down, Bristol. Further premises require prior commissioner approval. The commissioned scope also refers to spinal services where the ICB is the commissioner, and general surgery.

The contract has been awarded to Spire Healthcare Ltd under the Provider Selection Regime’s Direct Award Process B, without a prior call for competition. The award was made under the Health Care Services (Provider Selection Regime) Regulations 2023. The contract period runs from 1 April 2026 to 31 March 2027, with no extension provision. The contract was signed on 1 April 2026. It is activity-based and has no guaranteed value; the published contract value is £0.01. Patient choice was the sole stated award criterion, weighted at 100%; price was weighted at 0%. The process was conducted in line with Right to Choose requirements. One lot covered the service, and one bid was recorded. Bristol North Somerset and South Gloucestershire ICB and Gloucestershire ICB are working together towards a merger effective 1 April 2027.

This award shows demand for elective orthopaedic and musculoskeletal care through patient-choice arrangements in Bristol. A credible provider needs to deliver a complete pathway, not treatment alone: referral handling, triage, assessment, diagnostics, consultations, pre-treatment work-up, treatment, discharge planning and timely follow-up. Relevant capability includes joint and pain management aligned with local pathways, and capacity to provide outpatient, ambulatory and inpatient care as appropriate. Providers must also be able to coordinate specialist follow-up and onward referrals, including to primary and community services, and support patients’ self-care after discharge. Delivery depends on suitable hospital premises and the ability to secure commissioner approval for any additional sites. The selection placed all stated weight on patient choice, so providers should be able to demonstrate how their service supports eligible patients choosing their care provider. The award went to a large healthcare provider.

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Notice Information

Notice Title

BNSSG_C424804_2026-2027_Spire Healthcare Ltd

Notice Description

This service provides routine elective secondary care, outpatient, diagnostic and treatment services for eligible patients under patient choice arrangements. The Provider is commissioned for following services * Orthopedics / Musculoskeletal including joints and pain management (in line with local pathways relating to the management of these conditions) The services will include, where appropriate * Pre-treatment e.g. referral processes; triage/clinical assessment; diagnostics; consultation; pre-treatment assessment and / or work up. * Treatment e.g. outpatient/ambulatory/inpatient treatment * Discharge e.g. expected physical, self-care, psychological capabilities prior to discharge. * Follow up e.g. specialist support post discharge, referrals to other general or specialist services such as GP or District Nurse, self-care requirements for a period up to and including 14 days post discharge service supports access to commissioned specialties including Orthopaedics, Spinal Services (where ICB is Commissioner), General Surgery. The provider is required to deliver the full patient pathway where appropriate, including referral management, triage, diagnostics, consultation, pre-treatment assessment, treatment, discharge and follow-up within the commissioned scope. The service is delivered by Spire Healthcare Limited from Spire Bristol Hospital, Redland Hill, Durdham Down, Bristol, BS6 6UT, which is included as an agreed additional premises, with any further premises requiring prior Commissioner approval.

Lot Information

Lot 1

This service provides routine elective secondary care, outpatient, diagnostic and treatment services for eligible patients under patient choice arrangements. The Provider is commissioned for following services * Orthopaedics / Musculoskeletal including joints and pain management (in line with local pathways relating to the management of these conditions) The services will include, where appropriate * Pre-treatment e.g. referral processes; triage/clinical assessment; diagnostics; consultation; pre-treatment assessment and / or work up. * Treatment e.g. outpatient/ambulatory/inpatient treatment * Discharge e.g. expected physical, self-care, psychological capabilities prior to discharge. * Follow up e.g. specialist support post discharge, referrals to other general or specialist services such as GP or District Nurse, self-care requirements for a period up to and including 14 days post discharge service supports access to commissioned specialties including Orthopaedics, Spinal Services (where ICB is Commissioner), General Surgery. The award has been made following Direct Award Process B. The procurement has been conducted in line with Right To Choose requirements. This is an activity-based contract with no guaranteed value. The contract has been awarded for the period 01/04/2026 - 31/03/2027 with no provision for extension included NHS Bristol, North Somerset and South Gloucestershire Integrated Care Board (ICB) and Gloucestershire ICB are currently working together in a formal "clustering" arrangement to prepare for their merger into a single, new organisation (name to be confirmed), effective from 1st April 2027. This procurement notice has been issued out by NHS South, Central and West Commissioning Support Unit (SCW) on behalf of the Commissioners.

Procurement Information

This is a Provider Selection Regime (PSR) confirmation of contract award notice. This contract has been awarded under the Health Care Services (Provider Selection Regime) Regulations 2023. For the avoidance of doubt, the provisions of the Public Contracts Regulations 2015 and The Procurement Act 2023 do not apply to this award. This contract has now been formally awarded using direct award process B

Notice Details

Publication & Lifecycle

Open Contracting ID
ocds-h6vhtk-07846b
Publication Source
Find A Tender Service
Latest Notice
https://www.find-tender.service.gov.uk/Notice/095521-2026
Current Stage
Award
All Stages
Award

Procurement Classification

Notice Type
Award Notice
Procurement Type
Standard
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

Common Procurement Vocabulary (CPV)

CPV Divisions

85 - Health and social work services


CPV Codes

85111100 - Surgical hospital services

Notice Value(s)

Tender Value
Not specified
Lots Value
Not specified
Awards Value
Not specified
Contracts Value
Not specified

Notice Dates

Publication Date
9 Oct 20262 weeks ago
Submission Deadline
Not specified
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
NHS BRISTOL, NORTH SOMERSET AND SOUTH GLOUCESTERSHIRE INTEGRATED CARE BOARD
Contact Name
Available with D3 Tenders Premium →
Contact Email
Available with D3 Tenders Premium →
Contact Phone
Available with D3 Tenders Premium →

Buyer Location

Locality
BRISTOL
Postcode
BS1 6AG
Postcode Area
Bristol
Country
England

Major Region (ITL 1)
TLK South West (England)
Basic Region (ITL 2)
TLK5 West of England
Small Region (ITL 3)
TLK51 Bristol, City of
Delivery Location
TLK11 Bristol, City of

Local Authority
Bristol, City of
Electoral Ward
Central
Westminster Constituency
Bristol Central

Supplier Information

Number of Suppliers
1
Supplier Name

Spire Healthcare

Further Information

Open Contracting Data Standard (OCDS)

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