---
title: "Provision of Insourced and Outsourced Clinical Services Framework (Framework Reopening)"
ocid: "ocds-h6vhtk-0597a6"
canonical_url: "https://d3tenders.com/contract/?ocid=ocds-h6vhtk-0597a6"
markdown_url: "https://d3tenders.com/contract/ocds-h6vhtk-0597a6.md"
json_url: "https://d3tenders.com/contract/ocds-h6vhtk-0597a6.json"
source: "Find A Tender Service"
current_stage: "Award"
buyer: "COUNTESS OF CHESTER HOSPITAL NHS FOUNDATION TRUST"
published: "2026-07-02"
---

# Provision of Insourced and Outsourced Clinical Services Framework (Framework Reopening)

Buyer: COUNTESS OF CHESTER HOSPITAL NHS FOUNDATION TRUST  
Current stage: Award  
OCID: ocds-h6vhtk-0597a6

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## Summary

The Countess of Chester Hospital NHS Foundation Trust has implemented the "Provision of Insourced and Outsourced Clinical Services Framework (Framework Reopening)". This comprehensive procurement process aims to provide supplementary patient care services across a wide range of medical and surgical specialties. The Framework is structured into two primary lots: Lot 1 focuses on insourced clinical services delivered on-site at the buyer's facilities, potentially utilizing their equipment; Lot 2 encompasses outsourced services executed on premises managed by the provider. With service areas extending across various UK regions, the framework adheres to the Health Care Services (Provider Selection Regime) Regulations 2023 and The Health Services (Provider Selection Regime) (Wales) Regulations 2025. While the framework was last updated on 2 July 2026, it continues to invite new applications from potential service providers throughout its term.

The framework opens substantial opportunities for growth within the healthcare service sector, accommodating all NHS trusts, local authorities, and integrated care boards across England and Wales. Businesses currently engaged in delivering medical and surgical specialties or contemplating outsourcing operations will find particularly favorable prospects. Meeting the NHS's stringent Key Performance Indicators ensures significant competitive advantage. The framework encourages diverse healthcare providers, from large firms like InHealth Limited, a major radiological service provider, to smaller entities with specialized expertise. Engagement through the competitive offer allows providers to contribute to the national healthcare agenda, with an estimated potential lifetime worth of £100,000,000.

## Notice

The aim of this Framework is to provide Relevant Authorities with fully compliant solutions which supplement the delivery of patient care by Relevant Authorities in line with the NHS' core Key Performance Indicators and standards. The Framework has two Lots. Lot 1 Insourced Clinical Services Lot 2 Outsourced Clinical Services Insourced Services are clinical services which are delivered on the premises of the contracting Relevant Authority and may use that organisation's equipment. Outsourced Services are clinical services which are delivered on premises owned or operated by the Provider. Insourced and Outsourced Services will include the full range of Surgical and Medical specialties and sub-specialties. The specialties and sub-specialties are those listed by the various Surgical and Medical Royal Colleges. This is a Framework under The Health Care Services (Provider Selection Regime) Regulations 2023 and The Health Services (Provider Selection Regime) (Wales) Regulations 2025. In accordance with Regulation 17 of The Health Care Services (Provider Selection Regime) Regulations 2023 and Regulation 17 of The Health Services (Provider Selection Regime) (Wales) Regulations 2025, the Framework will be open to applications from new potential Providers during the Term of the Framework. Previously appointed Providers are NOT obliged to re-apply. Further 'Intention to Award' notices will be published as and when new Providers are appointed.

### Lot Information

Lot 1 Insourced Clinical Services

The awarding of a framework agreement is subject to the Health Care Services (Provider Selection Regime) Regulations 2023 and The Health Services (Provider Selection Regime) (Wales) Regulations 2025. For the avoidance of doubt, the provisions of the Public Contracts Regulations 2015 and The Procurement Regulations 2024 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 at the end of 15 July 2026 to coch.cps@nhs.net. Framework agreement have not yet been formally concluded; this notice serves as an intention to establish framework agreements under the PSR. The award decision makers were two Senior Commercial Procurement Specialists, the Commercial Procurement Manager and the Director of Commercial Procurement Services. The Key Criteria were: * Social Value Pass/Fail * Value - Value Declaration Pass/Fail * Value - Commercial Questionnaire Pass/Fail * Quality and Innovation - Service quality 25% * Quality and Innovation - Patient experience & patient safety 25% * Integration, collaboration, and service sustainability - Integration & collaboration 15% * Integration, collaboration, and service sustainability - Increasing capacity 15% * Integration, collaboration, and service sustainability - Service mobilisation 10% * Improving access, reducing health inequalities, and facilitating choice - Meeting patient needs and preferences 5% * Improving access, reducing health inequalities, and facilitating choice - Communication with patients and contracting Relevant Authorities 5% The framework will be available to all Relevant Authorities (and any future successors to these organisations). "Relevant Authority" is defined in section 12ZB(7) of the National Health Service Act 2006 and in section 10A(9) of the National Health Service (Wales) Act 2006. The aim of this Framework is to provide Relevant Authorities with fully compliant solutions which supplement the delivery of patient care by Relevant Authorities in line with the NHS' core Key Performance Indicators and standards. The Framework has two Lots. Lot 1 Insourced Clinical Services Lot 2 Outsourced Clinical Services Insourced Services are clinical services which are delivered on the premises of the contracting Relevant Authority and may use that organisation's equipment. Outsourced Services are clinical services which are delivered on premises owned or operated by the Provider. Insourced and Outsourced Services will include the full range of Surgical and Medical specialties and sub-specialties. The specialties and sub-specialties are those listed by the various Surgical and Medical Royal Colleges. This is a Framework under The Health Care Services (Provider Selection Regime) Regulations 2023 and The Health Services (Provider Selection Regime) (Wales) Regulations 2025. In accordance with Regulation 17 of The Health Care Services (Provider Selection Regime) Regulations 2023 and Regulation 17 of The Health Services (Provider Selection Regime) (Wales) Regulations 2025, the Framework will be open to applications from new potential Providers during the Term of the Framework. Previously appointed Providers are NOT obliged to re-apply. Further 'Intention to Award' notices will be published as and when new Providers are appointed. Award of a Framework Agreement does not guarantee or imply any commitment to award a Call-off Contract by any Relevant Authority. Additional information: The approximate lifetime value of the framework is PS100000000 but no commitment to award a Call-off Contract is implied or given. This is a Provider Selection Regime (PSR) intention to award notice. The awarding of framework agreements is subject to the Health Care Services (Provider Selection Regime) Regulations 2023 and The Health Services (Provider Selection Regime) (Wales) Regulations 2025. For the avoidance of doubt, the provisions of the Public Contracts Regulations 2015 and The Procurement Regulations 2024 do not apply to this award. The standstill period begins on the day after the publication of this notice. Written representations should be sent to: coch.cps@nhs.net Representations by providers must be made to the Framework Host by midnight at the end of 15 July 2026 Framework agreements have not yet been formally concluded; this notice serves as an intention to establish framework agreements under the PSR. The decision was proposed by a Senior Commercial Specialist at Countess of Chester Hospital NHS Foundation Trust, and approved by the Commercial Procurement Manager and the Director of Commercial Procurement Services for Countess of Chester Hospital NHS Foundation Trust. No conflicts of interest were detected or declared during the procurement process. The relative importance of the key criteria that the relevant authority used to make a decision are set out in this notice. Each of the 5 Key Criteria elements were weighted in consideration of the subject-matter and with a view to securing the needs of the people who use the services, improving the quality of the services, and improving the efficiency of in the provision of the services. The chosen providers met the selection criteria, passed the PASS/FAIL Key Criteria and met or exceeded the published required minimum total score of 60% across the remaining Key Criteria for award to the Framework.

Renewal: The Framework may be renewed. If the Framework is renewed, the opportunity will be advertised in line with applicable regulations.

Lot 2 Outsourced Clinical Services

This is a Provider Selection Regime (PSR) intention to award notice. The awarding of a framework agreement is subject to the Health Care Services (Provider Selection Regime) Regulations 2023 and The Health Services (Provider Selection Regime) (Wales) Regulations 2025. For the avoidance of doubt, the provisions of the Public Contracts Regulations 2015 and The Procurement Regulations 2024 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 at the end of 15 July 2026 to coch.cps@nhs.net. Framework agreements have not yet been formally concluded; this notice serves as an intention to establish framework agreements under the PSR. The award decision makers were two Senior Commercial Procurement Specialists, the Commercial Procurement Manager and the Director of Commercial Procurement Services. The Key Criteria were: * Social Value Pass/Fail * Value - Value Declaration Pass/Fail * Value - Commercial Questionnaire Pass/Fail * Quality and Innovation - Service quality 25% * Quality and Innovation - Patient experience & patient safety 25% * Integration, collaboration, and service sustainability - Integration & collaboration 15% * Integration, collaboration, and service sustainability - Increasing capacity 15% * Integration, collaboration, and service sustainability - Service mobilisation 10% * Improving access, reducing health inequalities, and facilitating choice - Meeting patient needs and preferences 5% * Improving access, reducing health inequalities, and facilitating choice - Communication with patients and contracting Relevant Authorities 5% The framework will be available to all Relevant Authorities (and any future successors to these organisations). "Relevant Authority" is defined in section 12ZB(7) of the National Health Service Act 2006 and in section 10A(9) of the National Health Service (Wales) Act 2006. The aim of this Framework is to provide Relevant Authorities with fully compliant solutions which supplement the delivery of patient care by Relevant Authorities in line with the NHS' core Key Performance Indicators and standards. The Framework has two Lots. Lot 1 Insourced Clinical Services Lot 2 Outsourced Clinical Services Insourced Services are clinical services which are delivered on the premises of the contracting Relevant Authority and may use that organisation's equipment. Outsourced Services are clinical services which are delivered on premises owned or operated by the Provider. Insourced and Outsourced Services will include the full range of Surgical and Medical specialties and sub-specialties. The specialties and sub-specialties are those listed by the various Surgical and Medical Royal Colleges. This is a Framework under The Health Care Services (Provider Selection Regime) Regulations 2023 and The Health Services (Provider Selection Regime) (Wales) Regulations 2025 In accordance with Regulation 17 of The Health Care Services (Provider Selection Regime) Regulations 2023 and Regulation 17 of The Health Services (Provider Selection Regime) (Wales) Regulations 2025, the Framework will be open to applications from new potential Providers during the Term of the Framework. Previously appointed Providers are NOT obliged to re-apply. Further 'Intention to Award' notices will be published as and when new Providers are appointed. Award of a Framework Agreement does not guarantee or imply any commitment to award a Call-off Contract by any Relevant Authority. Additional information: This notice is an intention to conclude framework agreements using the competitive process. The approximate lifetime value of the framework is PS100000000 but no commitment to award a Call-off Contract is implied or given. This is a Provider Selection Regime (PSR) intention to award notice. The awarding of framework agreements is subject to the Health Care Services (Provider Selection Regime) Regulations 2023 and The Health Services (Provider Selection Regime) Wales) Regulations 2025. For the avoidance of doubt, the provisions of the Public Contracts Regulations 2015 and The Procurement Regulations 2024 do not apply to this award. The standstill period begins on the day after the publication of this notice. Written representations should be sent to: coch.cps@nhs.net Representations by providers must be made to the Framework Host by midnight at the end of 15 July 2026 Framework agreements have not yet been formally concluded; this notice serves as an intention to establish framework agreements under the PSR. The decision was proposed by a Senior Commercial Specialist at Countess of Chester Hospital NHS Foundation Trust, and approved by the Commercial Procurement Manager and the Director of Commercial Procurement Services for Countess of Chester Hospital NHS Foundation Trust. No conflicts of interest were detected or declared during the procurement process. The relative importance of the key criteria that the relevant authority used to make a decision are set out in this notice. Each of the 5 Key Criteria elements were weighted in consideration of the subject-matter and with a view to securing the needs of the people who use the services, improving the quality of the services, and improving the efficiency of in the provision of the services. The chosen providers met the selection criteria, passed the PASS/FAIL Key Criteria and met or exceeded the published required minimum total score of 60% across the remaining Key Criteria for award to the Framework.

Renewal: The Framework may be renewed. If the Framework is renewed, the opportunity will be advertised in line with applicable regulations.

### Procurement Information

This is a Provider Selection Regime (PSR) intention to award notice. The awarding of this framework agreement is subject to the Health Care Services (Provider Selection Regime)Regulations 2023 and The Health Services (Provider Selection Regime) Wales) Regulations 2025. For the avoidance of doubt, the provisions of the Public Contracts Regulations 2015 and The Procurement Regulations 2024 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/062086-2026 |
| Notice type | Tender Notice |
| Procurement type | Framework |
| 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, SME |
| All stages | Tender, Award |

## Dates

| Field | Value |
| --- | --- |
| Publication date | 2 Jul 2026 |
| Submission deadline | 31 May 2029 |
| Future notice date | Not specified |
| Award date | 10 Sep 2025 |
| Contract period | Not specified |
| Recurrence | Not specified |

## Values

| Field | Value |
| --- | --- |
| Tender value | £100,000,000 |
| Lots value | £100,000,000 |
| Awards value | Not specified |
| Contracts value | Not specified |

## Status

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

## Buyer

| Field | Value |
| --- | --- |
| Main buyer | COUNTESS OF CHESTER HOSPITAL NHS FOUNDATION TRUST |
| Locality | CHESTER |
| Post town | Chester |
| Postcode | CH2 1UL |
| Country | England |
| ITL 1 | TLD North West (England) |
| ITL 2 | TLD6 Cheshire |
| ITL 3 | TLD63 Cheshire West and Chester |
| Local authority | Cheshire West and Chester |
| Electoral ward | Upton |
| Westminster constituency | Chester North and Neston |
| 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 |

## Supplier

| Field | Value |
| --- | --- |
| Number of suppliers | 29 |
| Supplier names | ARKADIA CLINICAL SOLUTIONS; AUTISM CLINIC LONDON; BRITANNIA VISION; CORA HEALTH DIAGNOSTICS; DMC HEALTHCARE; ELITE TEAMS; ENDOCARE DIAGNOSTICS; FCMS (NW; FRIENDS MEDICAL SERVICE; GUTCARE.ORG; HEALTH NOW; HEALTHCARE CENTRAL LONDON; INHEALTH; MEDEFER; MEDICSPRO; MEDISERVICES HEALTHCARE; NATIONAL CLINICAL INSOURCING; NEUROPHYSCARE; NEW MEDICAL SYSTEMS; OPTIMISED CARE; PROMEDICAL PERSONNEL; SECURE HEALTHCARE; SHIRE SURGICAL; SPAMEDICA; THE BATTERSEA CLINIC; TOMORROW CARDIOVASCULAR; VEINCENTRE; YOUR CHESTER; YOUR MEDICAL SERVICES |

## CPV Codes

### Divisions

- 85 - Health and social work services

### Codes

- 85111000 - Hospital services
- 85111100 - Surgical hospital services
- 85111200 - Medical hospital services
- 85111300 - Gynaecological hospital services
- 85111320 - Obstetrical hospital services
- 85111400 - Rehabilitation hospital services
- 85111500 - Psychiatric hospital services
- 85112200 - Outpatient care services
- 85121200 - Medical specialist services
- 85121210 - Gyneacologic or obstetric services
- 85121220 - Nephrology or nervous system specialist services
- 85121230 - Cardiology services or pulmonary specialists services
- 85121231 - Cardiology services
- 85121232 - Pulmonary specialists services
- 85121240 - ENT or audiologist services
- 85121250 - Gastroenterologist and geriatric services
- 85121251 - Gastroenterologist services
- 85121252 - Geriatric services
- 85121270 - Psychiatrist or psychologist services
- 85121280 - Ophthalmologist, dermatology or orthopedics services
- 85121281 - Ophthalmologist services
- 85121282 - Dermatology services
- 85121283 - Orthopaedic services
- 85121290 - Paediatric or urologist services
- 85121291 - Paediatric services
- 85121292 - Urologist services
- 85121300 - Surgical specialist services

## Release History

- 2 Jul 2026 at 09:06 - Award - Award Notice - https://www.find-tender.service.gov.uk/Notice/062086-2026
- 26 Jun 2026 at 13:02 - TenderUpdate - Tender Notice - https://www.find-tender.service.gov.uk/Notice/060368-2026
- 26 Jun 2026 at 11:22 - Award - Award Notice - https://www.find-tender.service.gov.uk/Notice/060291-2026
- 12 Jun 2026 at 14:08 - Award - Award Notice - https://www.find-tender.service.gov.uk/Notice/055801-2026
- 29 May 2026 at 08:08 - TenderUpdate - Tender Notice - https://www.find-tender.service.gov.uk/Notice/050591-2026
- 29 May 2026 at 08:02 - TenderUpdate - Tender Notice - https://www.find-tender.service.gov.uk/Notice/050585-2026
- 7 May 2026 at 14:34 - Award - Award Notice - https://www.find-tender.service.gov.uk/Notice/042075-2026
- 1 May 2026 at 09:56 - TenderUpdate - Tender Notice - https://www.find-tender.service.gov.uk/Notice/040375-2026
- 9 Apr 2026 at 14:31 - Award - Award Notice - https://www.find-tender.service.gov.uk/Notice/032529-2026
- 2 Apr 2026 at 14:04 - Award - Award Notice - https://www.find-tender.service.gov.uk/Notice/031015-2026
- 27 Mar 2026 at 10:10 - TenderUpdate - Tender Notice - https://www.find-tender.service.gov.uk/Notice/028333-2026
- 27 Mar 2026 at 10:06 - TenderUpdate - Tender Notice - https://www.find-tender.service.gov.uk/Notice/028327-2026
- 27 Mar 2026 at 10:01 - TenderUpdate - Tender Notice - https://www.find-tender.service.gov.uk/Notice/028318-2026
- 27 Mar 2026 at 09:49 - TenderUpdate - Tender Notice - https://www.find-tender.service.gov.uk/Notice/028302-2026
- 10 Mar 2026 at 14:15 - Award - Award Notice - https://www.find-tender.service.gov.uk/Notice/021361-2026
- 27 Feb 2026 at 15:48 - TenderUpdate - Tender Notice - https://www.find-tender.service.gov.uk/Notice/018084-2026
- 5 Feb 2026 at 10:41 - Award - Award Notice - https://www.find-tender.service.gov.uk/Notice/010334-2026
- 29 Jan 2026 at 14:11 - TenderUpdate - Tender Notice - https://www.find-tender.service.gov.uk/Notice/008084-2026
- 27 Jan 2026 at 15:59 - Award - Award Notice - https://www.find-tender.service.gov.uk/Notice/007243-2026
- 13 Jan 2026 at 10:26 - Award - Award Notice - https://www.find-tender.service.gov.uk/Notice/002524-2026
- 30 Dec 2025 at 10:46 - Award - Award Notice - https://www.find-tender.service.gov.uk/Notice/086394-2025
- 29 Dec 2025 at 10:41 - TenderUpdate - Tender Notice - https://www.find-tender.service.gov.uk/Notice/086233-2025
- 1 Dec 2025 at 12:13 - Award - Award Notice - https://www.find-tender.service.gov.uk/Notice/078453-2025
- 28 Nov 2025 at 14:11 - TenderUpdate - Tender Notice - https://www.find-tender.service.gov.uk/Notice/078119-2025
- 28 Oct 2025 at 13:26 - Award - Award Notice - https://www.find-tender.service.gov.uk/Notice/068971-2025
- 24 Oct 2025 at 12:02 - TenderUpdate - Tender Notice - https://www.find-tender.service.gov.uk/Notice/068193-2025
- 23 Oct 2025 at 10:00 - Award - Award Notice - https://www.find-tender.service.gov.uk/Notice/067725-2025
- 16 Oct 2025 at 12:42 - Award - Award Notice - https://www.find-tender.service.gov.uk/Notice/065911-2025
- 25 Sep 2025 at 14:01 - TenderUpdate - Tender Notice - https://www.find-tender.service.gov.uk/Notice/059775-2025
- 25 Sep 2025 at 12:59 - Award - Award Notice - https://www.find-tender.service.gov.uk/Notice/059712-2025
- 11 Sep 2025 at 14:42 - Award - Award Notice - https://www.find-tender.service.gov.uk/Notice/055901-2025
- 10 Sep 2025 at 13:38 - Tender - Tender Notice - https://www.find-tender.service.gov.uk/Notice/055433-2025

## Notice URLs

- https://health-family.force.com/s/Welcome
- https://www.coch.nhs.uk/

## Provenance

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