---
title: "Procurement for the provision of specialised surgical services: Gender Dysphoria Masculinising Genital Pathway to NHS England, NHS Scotland and NHS Wales"
ocid: "ocds-h6vhtk-02a57c"
canonical_url: "https://d3tenders.com/contract/?ocid=ocds-h6vhtk-02a57c"
markdown_url: "https://d3tenders.com/contract/ocds-h6vhtk-02a57c.md"
json_url: "https://d3tenders.com/contract/ocds-h6vhtk-02a57c.json"
source: "Find A Tender Service"
current_stage: "Tender"
buyer: "NHS ENGLAND (NATIONAL)"
published: "2021-04-13"
---

# Procurement for the provision of specialised surgical services: Gender Dysphoria Masculinising Genital Pathway to NHS England, NHS Scotland and NHS Wales

Buyer: NHS ENGLAND (NATIONAL)  
Current stage: Tender  
OCID: ocds-h6vhtk-02a57c

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## Summary

The procurement process concerns the provision of specialised surgical services under the title "Procurement for the provision of specialised surgical services: Gender Dysphoria Masculinising Genital Pathway" to NHS England, NHS Scotland, and NHS Wales. The primary buying organisation is NHS England, located in Bristol, with additional participation from NHS Scotland and NHS Wales. This process falls within the health services category (CPV code 85100000) and is being conducted via an open procurement methodology, currently in the planning stage. The submission deadline for bids is set for 28 April 2021, with contracts expected to span an initial term of five years, potentially extendable by an additional two years. The tender specifically targets providers capable of delivering gender dysphoria surgical services, operating within the regulatory framework of the Light Touch Regime.

This tender represents a significant opportunity for healthcare service providers with expertise in gender dysphoria and surgical interventions. Businesses that specialise in health services, particularly those equipped to offer gender-affirming surgeries, are well-suited to compete. The procurement process is designed to assess the capability and capacity of potential providers through a two-stage evaluation, which enhances the chances for qualified organisations to secure contracts. Successful bidders will play a crucial role in providing essential services to NHS-funded patients across England, Scotland, and Wales, potentially leading to substantial business growth and contribution to patient care in this specialised healthcare sector.

## Notice

NHS England and NHS Scotland seek bids from providers who have the capability and capacity to deliver Gender Dysphoria Surgical Services. Services being procured are and Genital surgery (trans masculine). The Services will be available to individuals eligible for NHS-funded care who are ordinarily resident in England, Scotland or Wales - or otherwise who are the commissioning responsibility of the NHS in England, Scotland or Wales - and who meet the eligibility criteria described in the Service Specification. Successful Bidders will hold a single contract with NHS England for services provided to eligible patients who are the commissioning responsibility of NHS England, NHS Scotland and NHS Wales. The NHS pathway of care for adults with gender dysphoria will differ according to the individual's goals. The envisaged adult pathway may typically be summarised as: * Referral to a specialist Gender Dysphoria Clinic * Assessment for gender dysphoria, and diagnosis * Individuals who meet the criteria for diagnosis of gender dysphoria are accepted on to the NHS care pathway and an individual treatment plan is agreed between the individual and their lead clinician in the Gender Dysphoria Clinic * Certain therapeutic interventions are delivered by the Gender Dysphoria Clinic; and / or referral for interventions with other providers; which may include recommendations to primary care for prescribing endocrine treatments * Gender Dysphoria Clinic makes a referral for surgical interventions of the chest and genitals if criteria are met via a planned National Referral Support Service * Ongoing review and monitoring during and after interventions * Conclusion of contact: discharge to primary care Contracts will be for an initial term of 5 years with a possible extension of any period up to a further 2 years as defined and at the discretion of the Commissioner. The approach for improving the surgical market is focused on establishing a flexible contract that facilitates patient choice based on a consideration of reliable data including new quality indicators. No volumes are guaranteed on the award of a contract. Contracts will be awarded to all providers who meet the minimum standard criteria This tendering process will consist of two stages: (1) Stage 1 will entail Providers expressing their interest and providing evidence of their capability and capacity in relation to the service requirements. The aim of this shortlisting stage is predominantly to test the capability and capacity of potential providers for this specialist service; (2) Stage 2 will either be: (a) for providers who already hold a NHSEI Gender Dysphoria Surgical Contract an assurance process assessing their capability to deliver the surgical element of the female to male pathway; or (b) for providers who do not hold a NHSEI Gender Dysphoria Surgical Contract an assurance process assessing all aspects of surgical delivery and ongoing care for Gender Dysphoria patients. The Assurance Process will be a collaborative and flexible, evidence based approach to securing the delivery of the services. Evidence will be considered by subject matter experts and assessed against critical success factors and expected minimum standards". This procurement is being carried out by NHS South, Central and West Commissioning Support Unit (SCW) on behalf of the Commissioners.

### Lot Information

Lot 1

NHS England and NHS Scotland seek bids from providers who have the capability and capacity to deliver Gender Dysphoria Surgical Services. Services being procured are and Genital surgery (trans masculine). The Services will be available to individuals eligible for NHS-funded care who are ordinarily resident in England, Scotland or Wales - or otherwise who are the commissioning responsibility of the NHS in England, Scotland or Wales - and who meet the eligibility criteria described in the Service Specification. Successful Bidders will hold a single contract with NHS England for services provided to eligible patients who are the commissioning responsibility of NHS England, NHS Scotland and NHS Wales. The NHS pathway of care for adults with gender dysphoria will differ according to the individual's goals. The envisaged adult pathway may typically be summarised as: * Referral to a specialist Gender Dysphoria Clinic * Assessment for gender dysphoria, and diagnosis * Individuals who meet the criteria for diagnosis of gender dysphoria are accepted on to the NHS care pathway and an individual treatment plan is agreed between the individual and their lead clinician in the Gender Dysphoria Clinic * Certain therapeutic interventions are delivered by the Gender Dysphoria Clinic; and / or referral for interventions with other providers; which may include recommendations to primary care for prescribing endocrine treatments * Gender Dysphoria Clinic makes a referral for surgical interventions of the chest and genitals if criteria are met via a planned National Referral Support Service * Ongoing review and monitoring during and after interventions * Conclusion of contact: discharge to primary care Contracts will be for an initial term of 5 years with a possible extension of any period up to a further 2 years as defined and at the discretion of the Commissioner. The approach for improving the surgical market is focused on establishing a flexible contract that facilitates patient choice based on a consideration of reliable data including new quality indicators. No volumes are guaranteed on the award of a contract. Contracts will be awarded to all providers who meet the minimum standard criteria This tendering process will consist of two stages: (1) Stage 1 will entail Providers expressing their interest and providing evidence of their capability and capacity in relation to the service requirements. The aim of this shortlisting stage is predominantly to test the capability and capacity of potential providers for this specialist service; (2) Stage 2 will either be: (a) for providers who already hold a NHSEI Gender Dysphoria Surgical Contract an assurance process assessing their capability to deliver the surgical element of the female to male pathway; or (b) for providers who do not hold a NHSEI Gender Dysphoria Surgical Contract an assurance process assessing all aspects of surgical delivery and ongoing care for Gender Dysphoria patients. The Assurance Process will be a collaborative and flexible, evidence based approach to securing the delivery of the services. Evidence will be considered by subject matter experts and assessed against critical success factors and expected minimum standards". Interested providers will be able to view this notice via the 'current tenders' list on the e-procurement system In-Tend, available on the following link: https://in-tendhost.co.uk/scwcsu/aspx/Home In order to submit a bid, you will need to be registered on the e-procurement system and 'express an interest', and then complete a response as specified within the procurement documents. On registration, please include at least two contacts to allow for access to the system in times of absence. The services are healthcare services falling within Schedule 3 to the Public Contracts Regulations 2015 ("the Regulations") which are not subject to the full regime of the Regulations, but is instead governed by the "Light Touch Regime" contained within Chapter 3, Section 7 of the Regulations (Regulations 74 to 77). The tendering process will be conducted in accordance with the requirements and flexibilities provided by Articles 74 to 76 of the Directive, and Regulations 74 to 76 of the Regulations. The Authority will run a transparent tender process, treating all Bidders equally. For the avoidance of doubt, the Authority will not be bound by the Regulations or the Treaty on the Functioning of the European Union or any other regulations or legislation except for the specific parts or circumstances that apply to the procurement of these Services. Neither the inclusion of a Bidder selection stage, nor the use of any language or terms found in the Directive or Regulations, nor the description of the procedure voluntarily adopted by the Authority ("Open", "Restricted", "Competitive Procedure with Negotiation", "Competitive Dialogue" or any other description), nor any other indication, shall be taken to mean that the Authority intends to hold itself bound by the Directive or Regulations, save by the provisions applicable to services coming within the scope of Annex XIV of the Directive / Schedule 3 of the Regulations.

## Key Details

| Field | Value |
| --- | --- |
| Publication source | Find A Tender Service |
| Latest notice | https://www.find-tender.service.gov.uk/Notice/007726-2021 |
| Notice type | Planning Notice |
| Procurement type | Standard |
| Procurement category | Services |
| Procurement method | Open |
| Procurement method details | Open procedure |
| Tender suitability | Not specified |
| Awardee scale | Not specified |
| All stages | Planning, Tender |

## Dates

| Field | Value |
| --- | --- |
| Publication date | 13 Apr 2021 |
| Submission deadline | 28 Apr 2021 |
| Future notice date | Not specified |
| Award date | Not specified |
| Contract period | Not specified |
| Recurrence | Not specified |

## Values

| Field | Value |
| --- | --- |
| Tender value | £4,000,000 |
| Lots value | Not specified |
| Awards value | Not specified |
| Contracts value | Not specified |

## Status

| Field | Value |
| --- | --- |
| Tender status | Active |
| Lots status | Active |
| Awards status | Not specified |
| Contracts status | Not specified |

## Buyer

| Field | Value |
| --- | --- |
| Main buyer | NHS ENGLAND (NATIONAL) |
| Additional buyers | NHS SCOTLAND; NHS WALES |
| Locality | BRISTOL |
| Post town | Bristol |
| Postcode | BS1 3NX |
| Country | England |
| ITL 1 | TLK South West (England) |
| ITL 2 | TLK5 West of England |
| ITL 3 | TLK51 Bristol, City of |
| Local authority | Bristol, City of |
| Electoral ward | Central |
| Westminster constituency | Bristol Central |
| 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, TLM Scotland |

## CPV Codes

### Divisions

- 85 - Health and social work services

### Codes

- 85100000 - Health services

## Release History

- 13 Apr 2021 at 14:22 - TenderUpdate - Tender Notice - https://www.find-tender.service.gov.uk/Notice/007726-2021
- 13 Apr 2021 at 11:42 - Planning - Planning Notice - https://www.find-tender.service.gov.uk/Notice/007691-2021

## Notice URLs

- https://in-tendhost.co.uk/scwcsu/aspx/Home

## Provenance

This Markdown file is an alternate public rendering of the D3 Tenders contract record. The canonical page is https://d3tenders.com/contract/?ocid=ocds-h6vhtk-02a57c. The underlying structured data is available as OCDS JSON at https://d3tenders.com/contract/ocds-h6vhtk-02a57c.json.