---
title: "APMS GP Services Cressex Health Centre"
ocid: "ocds-h6vhtk-06ed28"
canonical_url: "https://d3tenders.com/contract/?ocid=ocds-h6vhtk-06ed28"
markdown_url: "https://d3tenders.com/contract/ocds-h6vhtk-06ed28.md"
json_url: "https://d3tenders.com/contract/ocds-h6vhtk-06ed28.json"
source: "Find A Tender Service"
current_stage: "Award"
buyer: "NHS Thames Valley Integrated Care Board"
published: "2026-08-27"
---

# APMS GP Services Cressex Health Centre

Buyer: NHS Thames Valley Integrated Care Board  
Current stage: Award  
OCID: ocds-h6vhtk-06ed28

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## Summary

NHS Thames Valley Integrated Care Board commissioned Alternative Provider Medical Services (APMS) at Cressex Health Centre in High Wycombe, Buckinghamshire. The requirement is comprehensive primary medical care for the registered practice population, including routine and urgent general practice, clinical assessment and treatment, prevention and health promotion, long-term condition management, referrals and care coordination. It also includes a dedicated primary-care gender dysphoria service for eligible adults, covering assessment, treatment, monitoring, appropriate prescribing and liaison with specialist gender identity services. Services are delivered from Cressex Health Centre and Lynton House Branch Surgery, with collaboration across the wider health and care system. The procurement is for general-practitioner services (CPV 85121100), commissioned by the ICB and carried out with support from NHS South, Central and West Commissioning Support Unit.

The process has reached award: Better Health Bucks C.I.C was selected, with the contract signed on 12 August 2026. The award followed the Provider Selection Regime’s Direct Award C procedure, without a prior call for competition, rather than the Public Contracts Regulations 2015 or Procurement Act 2023. Evaluation gave 80% weight to the existing provider’s performance and likelihood of meeting the proposed contract standard, and 20% to price. The contract is for 10 years from 1 April 2027. Its estimated annual value is £1,265,548 and estimated total value is £12,655,480, both in GBP. The annual amount may vary with the weighted patient population, funding arrangements and contractual adjustments. One bid was recorded and the award is active.

This procurement demonstrates sustained demand from NHS Thames Valley ICB for an established APMS provider able to operate comprehensive general practice across a main health centre and branch surgery. A credible future supplier would need the clinical workforce, governance and operational capacity to provide routine and urgent primary care, safeguarding, clinical governance, information governance, reporting, performance monitoring and patient access at practice scale. Relevant experience should include managing long-term conditions, prevention, referrals and care coordination, while working effectively with other NHS and care partners. The requirement also calls for capability in primary-care gender dysphoria services for adults, including assessment, treatment, monitoring, appropriate prescribing and specialist liaison. Evidence of satisfactory contract delivery, compliance with NHS requirements and applicable law, and reliable invoicing and performance records would strengthen a competing provider’s position.

## Notice

NHS Thames Valley ICB ("the Commissioner") is commissioning APMS GP Services at Cressex Health Centre, High Wycombe, Buckinghamshire. The contract is for the provision of Alternative Provider Medical Services (APMS) to deliver comprehensive primary medical services to the registered practice population. The Contract period will commence 01 April 2027. Thames Valley ICB has followed PSR Direct Award C for the contract to which this notice relates.

### Lot Information

Lot 1

NHS Thames Valley ICB ("the Commissioner") is commissioning APMS GP Services at Cressex Health Centre, High Wycombe, Buckinghamshire. The contract is for the provision of Alternative Provider Medical Services (APMS) to deliver comprehensive primary medical services to the registered practice population. The service will provide accessible, safe and high-quality general practice services in accordance with the requirements of the APMS contract, including the provision of routine and urgent primary care, clinical assessment and treatment, preventative and health promotion services, long-term condition management, referral and care coordination, and appropriate collaboration with other health and care services. The service also includes the provision of a dedicated gender dysphoria service for eligible patients, supporting the assessment, care and ongoing management of adults with gender dysphoria/gender incongruence within primary care. This includes appropriate clinical assessment, treatment and monitoring, prescribing where clinically appropriate and within the agreed service scope, and liaison and coordination with specialist gender identity services and other relevant healthcare professionals. The provider will be expected to deliver the service in accordance with relevant national guidance, clinical standards and locally agreed pathways, and to work collaboratively with the wider health and care system to support continuity of care, access and health outcomes for the patient population. The services will be delivered from Cressex Health Centre and Lynton House Branch Surgery and will include services provided to the registered practice population and, where applicable, patients accessing the gender dysphoria service in accordance with the agreed eligibility and referral arrangements. Thames Valley ICB has followed PSR Direct Award C for the contract to which this notice relates. The contract has a duration of 10 years. The contract value is calculated by reference to the weighted patient population, using the applicable per-weighted-patient funding methodology for the APMS service. The estimated annual contract value has been calculated using the most recent completed financial year as the baseline, with an annual value of PS1,265,548. On this basis, the estimated total contract value over the 10-year contract term is PS12,655,480. The annual value will be subject to variation over the contract term in accordance with changes to the weighted patient population, applicable national/local funding arrangements and any other payments or adjustments provided for under the contract. The value stated is therefore an estimate based on the most recent financial year's position and is not a fixed annual payment for each year of the contract. The contract period will commence on 01 April 2027. This procurement has been carried out by NHS South, Central and West Commissioning Support Unit (SCW) on behalf of the Commissioners. Additional information: Evidence that Better Health Bucks have satisfied the existing APMS contract to a sufficient standard: the provider has delivered the existing APMS services in accordance with the contractual requirements and service specification and has provided the required documentation, information and policies. The provider has complied with the contractual requirements relating to the delivery and quality of primary medical services, patient access, safeguarding, clinical governance, information governance, reporting and performance monitoring, and has met the applicable requirements for invoicing and payment. The provider has also complied with the relevant NHS requirements and applicable legislation, policies and standards associated with the delivery of the APMS services, including requirements relating to safeguarding, quality and patient safety, information governance and cooperation with the Commissioner and other health and care partners. The provider has delivered the existing services to a satisfactory standard and there is no evidence of material or persistent contractual non-compliance that would indicate that it is unable to continue to deliver the services to the required standard. The proposed contracting arrangements are substantially consistent with the existing APMS arrangements and the nature and scope of services currently delivered by the provider. Accordingly, the Commissioner is satisfied, based on the provider's performance under the existing contract and the evidence available, that Better Health Bucks is likely to continue to deliver the services to the required standard under the proposed contract. The Commissioner's assessment has taken account of the provider's performance throughout the current contractual period, including relevant quality, performance, governance and contractual information available to the Commissioner.

### Procurement Information

This is a Provider Selection Regime (PSR) intention to award notice under Direct Award C. 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 and The Procurement Act 2023 do not apply to this award. The publication of this notice marks the start of the standstill period. Representations by providers must be made to the relevant authority by midnight 09 September 2026. This contract has not yet formally been awarded; this notice serves as an intention to award under the PSR.

## Key Details

| Field | Value |
| --- | --- |
| Publication source | Find A Tender Service |
| Latest notice | https://www.find-tender.service.gov.uk/Notice/081583-2026 |
| 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 | 27 Aug 2026 |
| Submission deadline | Not specified |
| Future notice date | Not specified |
| Award date | Not specified |
| Contract period | Not specified |
| Recurrence | Not specified |

## Values

| Field | Value |
| --- | --- |
| Tender value | Not specified |
| Lots value | Not specified |
| Awards value | Not specified |
| Contracts value | £12,655,480 |

## Status

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

## Buyer

| Field | Value |
| --- | --- |
| Main buyer | NHS Thames Valley Integrated Care Board |
| Locality | OXFORD |
| Postcode area | Oxford |
| Postcode | OX4 2PG |
| Country | England |
| ITL 1 | TLJ South East (England) |
| ITL 2 | TLJ1 Berkshire, Buckinghamshire and Oxfordshire |
| ITL 3 | TLJ14 Oxfordshire CC |
| Local authority | Oxford |
| Electoral ward | Blackbird Leys |
| Westminster constituency | Oxford East |
| Delivery location | TLJ13 Buckinghamshire |

## Supplier

| Field | Value |
| --- | --- |
| Number of suppliers | 1 |
| Supplier names | Better Health Bucks C.I.C |

## CPV Codes

### Divisions

- 85 - Health and social work services

### Codes

- 85121100 - General-practitioner services

## Release History

- 27 Aug 2026 at 09:11 - Award - Award Notice - https://www.find-tender.service.gov.uk/Notice/081583-2026

## Notice URLs

- https://www.thamesvalley.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-06ed28. The underlying structured data is available as OCDS JSON at https://d3tenders.com/contract/ocds-h6vhtk-06ed28.json.