---
title: "PSR - Direct Award C - Transferring NHS patients to an ISP (outsourcing)"
ocid: "ocds-h6vhtk-077919"
canonical_url: "https://d3tenders.com/contract/?ocid=ocds-h6vhtk-077919"
markdown_url: "https://d3tenders.com/contract/ocds-h6vhtk-077919.md"
json_url: "https://d3tenders.com/contract/ocds-h6vhtk-077919.json"
source: "Find A Tender Service"
current_stage: "Award"
buyer: "Luton and Dunstable Hospital"
published: "2026-09-24"
---

# PSR - Direct Award C - Transferring NHS patients to an ISP (outsourcing)

Buyer: Luton and Dunstable Hospital  
Current stage: Award  
OCID: ocds-h6vhtk-077919

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## Summary

Bedfordshire Hospitals NHS Foundation Trust arranged for NHS patients to receive outsourced elective orthopaedic treatment at Spire Healthcare’s independent-sector premises. The requirement is for additional capacity to support elective recovery, reduce waiting times and improve patient access while maintaining safe, high-quality care. The service is delivered by an independent provider rather than at Trust premises; the stated delivery area is Bedfordshire. Spire Healthcare was the Trust’s existing provider for this requirement. The work centres on treating NHS patients through established elective pathways, with clinical oversight and governance, patient safety and quality assurance, performance monitoring and continuous improvement forming part of the service model. It is healthcare treatment services, specifically orthopaedic services (CPV 85121283).

The process reached the award stage: Bedfordshire Hospitals NHS Foundation Trust selected Spire Healthcare Limited for the single service lot. The contract value is £850,000. The contract was signed on 23 September 2026; the stated duration is six months. The procurement used the Provider Selection Regime’s Direct Award Process C, without a prior competition. The award decision was based on the existing provider’s performance and expectation that it would meet the requirement to a sufficient standard. The stated weighting was 100% quality and 0% price. The decision criteria also covered quality and innovation, value, integration and collaboration, service sustainability, access, health inequalities, patient choice and social value. The lot is marked cancelled, although the award and contract are recorded as active.

For providers competing for similar work from Bedfordshire Hospitals NHS Foundation Trust, the award indicates demand for outsourced elective orthopaedic treatment that can add capacity and help reduce waiting times. A credible supplier would need to demonstrate safe, effective care, strong clinical governance and oversight, positive patient outcomes, and established systems for quality assurance, patient safety and performance monitoring. Evidence of continuous improvement and a proven service model would matter, particularly where additional activity must be mobilised quickly and delivered through efficient elective pathways. Suppliers should also be prepared to show how their service supports access, reduces health inequalities, facilitates patient choice, integrates and collaborates with NHS services, and sustains delivery. The Trust’s stated assessment also considered innovation, value and social value, so capability and quality—not price alone—were central to its decision.

## Notice

BHFT is transferring NHS patients to Spire, an independent sector provider, for treatment on their premises (outsourcing)

### Lot Information

Lot 1

Outsourcing of NHS patient activity to an independent sector provider. The intention is to award a contract to our existing provider, by following the Provider Selection Regime (PSR) direct award process C. Contract duration - 6 months Estimated value - PS850,000

### Procurement Information

Additional elective capacity is required as a matter of urgency to support Bedfordshire Hospitals NHS Foundation Trust in reducing waiting times and delivering elective recovery objectives by March 2027. The provider has demonstrated the ability to deliver high-quality elective care with robust clinical governance, effective clinical oversight, and positive patient outcomes. The provider has established systems for quality assurance, patient safety, performance monitoring and continuous improvement, providing assurance that services will continue to be delivered to a high standard throughout the proposed contract term. The provider also offers an established and proven service model that can be mobilised quickly, enabling the additional capacity required to be made available within the necessary timescales. The proposed arrangement supports innovation through efficient elective pathways, streamlined processes and service delivery approaches designed to maximise activity, improve patient access and reduce waiting times whilst maintaining quality standards. Based on current performance and the provider's demonstrated capability, the commissioner is satisfied that the provider will be able to satisfy the new contract to a sufficient standard, delivering safe, effective and high-quality care while providing the additional elective capacity required to support waiting list reduction by March 2027.

## Key Details

| Field | Value |
| --- | --- |
| Publication source | Find A Tender Service |
| Latest notice | https://www.find-tender.service.gov.uk/Notice/090375-2026 |
| 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 | SME |
| All stages | Award |

## Dates

| Field | Value |
| --- | --- |
| Publication date | 24 Sep 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 | £850,000 |

## Status

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

## Buyer

| Field | Value |
| --- | --- |
| Main buyer | Luton and Dunstable Hospital |
| Locality | LUTON |
| Postcode area | Luton |
| Postcode | LU4 0DZ |
| Country | England |
| ITL 1 | TLH East (England) |
| ITL 2 | TLH2 Bedfordshire and Hertfordshire |
| ITL 3 | TLH21 Luton |
| Local authority | Luton |
| Electoral ward | Poets |
| Westminster constituency | Luton North |
| Delivery location | TLH2 Bedfordshire and Hertfordshire |

## Supplier

| Field | Value |
| --- | --- |
| Number of suppliers | 1 |
| Supplier names | Spire Healthcare |

## CPV Codes

### Divisions

- 85 - Health and social work services

### Codes

- 85121283 - Orthopaedic services

## Release History

- 24 Sep 2026 at 08:41 - Award - Award Notice - https://www.find-tender.service.gov.uk/Notice/090375-2026

## Notice URLs

- https://www.bedfordshirehospitals.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-077919. The underlying structured data is available as OCDS JSON at https://d3tenders.com/contract/ocds-h6vhtk-077919.json.