---
title: "Local Enhanced Services (Services specifically commissioned across Herefordshire & Worcestershire)"
ocid: "ocds-h6vhtk-045827"
canonical_url: "https://d3tenders.com/contract/?ocid=ocds-h6vhtk-045827"
markdown_url: "https://d3tenders.com/contract/ocds-h6vhtk-045827.md"
json_url: "https://d3tenders.com/contract/ocds-h6vhtk-045827.json"
source: "Find A Tender Service"
current_stage: "Award"
buyer: "NHS HEREFORDSHIRE & WORCESTERSHIRE INTEGRATED CARE BOARD"
published: "2026-04-01"
---

# Local Enhanced Services (Services specifically commissioned across Herefordshire & Worcestershire)

Buyer: NHS HEREFORDSHIRE & WORCESTERSHIRE INTEGRATED CARE BOARD  
Current stage: Award  
OCID: ocds-h6vhtk-045827

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## Summary

The NHS Herefordshire & Worcestershire Integrated Care Board has issued a contract modification notice for Local Enhanced Services under the Health Care Services (Provider Selection Regime) Regulations 2023. Initially covering the period from 1 April 2024 to 31 March 2025, the contracts were extended until 31 March 2026 to accommodate an ongoing Clinical Review. The procurement process falls outside the Public Contracts Regulations 2015 and follows Direct Award Process B without prior competition. The services, primarily in the medical practice category, include a universal enhanced service specification covering a range of high-priority healthcare services across Herefordshire and Worcestershire. Contracts were initially awarded to 78 GP Practices with a total value of £6,957,822, which has been modified to £13,915,644 for the Clinical Review and an additional £1,880,000 modification effective from 1 April 2026.

This tender presents significant opportunities for businesses in the healthcare sector, particularly those offering innovative medical practice services and solutions for enhanced primary care. Companies specialising in general practitioner services, health services, and advanced medical technology can leverage this opportunity to collaborate with NHS Herefordshire & Worcestershire Integrated Care Board. The procurement process encourages continuity and improvement in delivering healthcare services, enabling business growth through stable, long-term contracts and potential future participation in the evolving Universal Enhanced Service Specification framework. This scenario is particularly well-suited for large-scale healthcare providers ready to engage in comprehensive clinical reviews and optimise service delivery across the region.

## Notice

This Contract Award Notice is placed by Midlands and Lancashire Commissioning Support Unit on behalf of NHS Herefordshire and Worcestershire Integrated Care Board to confirm the direct award of contracts for Local Enhanced Services for 2024/45 pursuant to Regulation 8 (Direct Award Process B) of the NHS Provider Selection Regime (PSR) regulations. Local Enhanced Services are services outside of the national GP contract providing a wider range of primary medical services to meet local population needs and priorities. Local Enhanced Services are included as an appendix to each Practice's General Medical Service's (GMS) Contract. A description of each contract is provided in Section II.2.4 below.

### Lot Information

Lot 1

Local Enhanced Services are services outside of the national GP contract providing a wider range of primary medical services to meet local population needs and priorities. Local Enhanced Services are included as an appendix to each Practice's GMS Contract. NHS Herefordshire and Worcestershire Integrated Care Board directly awarded contracts for Local Enhanced Services pursuant to Regulation 8 (Direct Award Process B) under the NHS Provider Selection Regime for the period of 1st April 2024 to 31st March 2025 to 78 GP Practices across the Herefordshire and Worcestershire geographical area at a total cost of PS6,957,822. These Local Enhanced Services (LES) are commissioned on a rolling basis and reviewed annually. PSR supplementary guidance for arranging primary care services confirms that "where all GP practices provide a wider range of services or provide their core services at an enhanced level, these services may be carried out under a contract modification." The original contract award for these services was for a 12-month period from 1st April 2024 to 31st March 2025. During this period, the ICB commenced a comprehensive Clinical Review in December 2024, with the aim to complete this (and for the ICB to issue new contracts) for 1st April 2025. However, the time period required to undertake the comprehensive Clinical Review has been considerably longer than was originally estimated. Therefore, the contracts were extended (initially until June 2025, and then) for a further period until 31st March 2026 to enable the Clinical Review to take place. During this period, there has not been any material changes to the character of the existing contracts; the contract end date was extended to allow for the comprehensive Clinical Review. The contract extensions were formally approved in accordance with the ICB's formal corporate governance procedures at its Strategic Commissioning Committee (i.e., the extension for 1st April 2025 to 30th June 2025 was formally approved at the NHS Herefordshire and Worcestershire Strategic Commissioning Committee meeting on 15th January 2025; the further extension to 31st March 2026 was approved at the above committee on 4th June 2025). The total cost of the contracts including the extensions to allow for the Clinical Review was PS13,915,644. This modification is put in place to commence from 1st April 2026 at a value of PS1,880,000. The test for considerable change has not been met as the modification does not materially alter the character of the contracts. The comprehensive Clinical Review is continuing for these services for 2026/27. The high priority services have been reviewed and combined into a Universal Enhanced Service (UES) Specification which include the adoption of a full evaluation and costing model for each included service. This will ensure a standardised, equitable and sustainable LES framework ensuring all patients have access to the same level of service regardless of location. The remaining services will be rolled forward into 2026/27 where the Clinical Review will continue to prioritise and evaluate each service. At this meeting, the voting members: * Approved the commissioning of the Universal Enhanced Services Specification. * Approved the roll forward of the remaining Local Enhanced Services * Noted the planned review of the rolled forward Local Enhanced Services in 2026/27

### 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 Direct Award Process B. For the avoidance of doubt, the provisions of the Public Contracts Regulations 2015 do not apply to this award.

## Key Details

| Field | Value |
| --- | --- |
| Publication source | Find A Tender Service |
| Latest notice | https://www.find-tender.service.gov.uk/Notice/030507-2026 |
| 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 |
| All stages | Award |

## Dates

| Field | Value |
| --- | --- |
| Publication date | 1 Apr 2026 |
| Submission deadline | Not specified |
| Future notice date | Not specified |
| Award date | 31 Mar 2024 |
| Contract period | Not specified |
| Recurrence | Not specified |

## Values

| Field | Value |
| --- | --- |
| Tender value | Not specified |
| Lots value | Not specified |
| Awards value | Not specified |
| Contracts value | £22,753,466 |

## Status

| Field | Value |
| --- | --- |
| Tender status | Complete |
| Lots status | Cancelled |
| Awards status | Active |
| Contracts status | Active |

## Buyer

| Field | Value |
| --- | --- |
| Main buyer | NHS HEREFORDSHIRE & WORCESTERSHIRE INTEGRATED CARE BOARD |
| Locality | WORCESTER |
| Post town | Worcester |
| Postcode | WR3 7NS |
| Country | England |
| ITL 1 | TLG West Midlands (England) |
| ITL 2 | TLG1 Herefordshire, Worcestershire and Warwickshire |
| ITL 3 | TLG12 Worcestershire CC |
| Local authority | Worcester |
| Electoral ward | Claines |
| Westminster constituency | Worcester |
| Delivery location | TLG11 Herefordshire, County of, TLG12 Worcestershire CC |

## Supplier

| Field | Value |
| --- | --- |
| Number of suppliers | 2 |
| Supplier names | PLEASE SEE SECTION II.2.4; PLEASE SEE SECTION II.24 OF ORIGINAL NOTICE |

## CPV Codes

### Divisions

- 85 - Health and social work services

### Codes

- 85100000 - Health services
- 85121000 - Medical practice services
- 85121100 - General-practitioner services

## Release History

- 1 Apr 2026 at 14:50 - AwardUpdate - Award Notice - https://www.find-tender.service.gov.uk/Notice/030507-2026
- 9 May 2024 at 06:05 - Award - Award Notice - https://www.find-tender.service.gov.uk/Notice/014763-2024

## Notice URLs

- https://herefordshireandworcestershire.icb.nhs.uk
- https://herefordshireandworcestershire.icb.nhs.uk/

## 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-045827. The underlying structured data is available as OCDS JSON at https://d3tenders.com/contract/ocds-h6vhtk-045827.json.