--- title: "High Intensity User (HIU) Programme - Outcomes Partnership (Market Engagement)" ocid: "ocds-h6vhtk-077e88" canonical_url: "https://d3tenders.com/contract/?ocid=ocds-h6vhtk-077e88" markdown_url: "https://d3tenders.com/contract/ocds-h6vhtk-077e88.md" json_url: "https://d3tenders.com/contract/ocds-h6vhtk-077e88.json" source: "Find A Tender Service" current_stage: "Planning" buyer: "NHS North East London Integrated Care Board" published: "2026-10-01" --- # High Intensity User (HIU) Programme - Outcomes Partnership (Market Engagement) Buyer: NHS North East London Integrated Care Board Current stage: Planning OCID: ocds-h6vhtk-077e88 [View canonical contract page](https://d3tenders.com/contract/?ocid=ocds-h6vhtk-077e88) [Download OCDS JSON](https://d3tenders.com/contract/ocds-h6vhtk-077e88.json) ## Summary NHS North East London Integrated Care Board is planning an ICB-wide High Intensity User (HIU) Outcomes Partnership, a preventative health service for people who repeatedly use urgent and emergency care. The programme aims to improve individuals’ wellbeing and confidence in managing their health, address wider needs such as housing, finances and loneliness, and reduce A&E attendances, emergency admissions and ambulance journeys. It is intended to respond to repeated crisis use linked to unmet social needs, trauma, limited community support and fragmented services. The proposed work has two phases: co-designing the service and outcomes framework with the ICB, then delivering the intervention. Co-design would review current services, gaps and local priorities, and identify the target group and area. Delivery is planned across North East London. This is at planning and market-exploration stage: the ICB has stated an intention to commission the service, but this is not an invitation to tender. The proposed arrangement is an outcomes partnership, with all service funding linked to evidenced results; the provider supplying upfront working capital would carry the risk if outcomes are not achieved. The anticipated contract term is three years. The overall estimated value is £2.63 million. The target cohort, delivery geography and total contract value are to be established through co-design, so the service’s final scope remains subject to development. The buyer expects to publish a further notice on 16 October 2026. The process is described as subject to the Provider Selection Regime for healthcare services. This is likely to suit providers with a proven record of delivering preventative health social outcomes partnerships and the ability to work collaboratively with an NHS integrated care board. Suppliers should be prepared to undertake co-design with the commissioner at their own risk, including involving hospital multidisciplinary team leads and patients, reviewing existing provision and jointly developing an outcomes framework. The provider must have access to at least £1 million of approved social investment risk capital, available for drawdown on contract award. Delivery requires the ability to mobilise, evaluate and adapt an intervention as evidence emerges, while addressing complex health and social needs and measuring outcomes for individuals. Providers with established approaches to reducing secondary-care use among high-intensity users are particularly aligned with the buyer’s stated aims. No specific accreditation is stated. ## Notice NHS North East London Integrated Care Board (NEL ICB) is exploring the market ahead of seeking to commission an ICB-wide High Intensity User (HIU) Outcomes Partnership. The provider must have proven experience in delivering preventative health Social Outcomes Partnerships, be willing to undertake co-design with NEL ICB at risk, and have access to at least PS1.0m of approved social investment risk capital available for drawdown upon contract award. Health and care systems face a growing, structural challenge: a small number of people experiencing the deepest deprivation and complexity account for a disproportionate share of urgent and emergency care demand. This is not a marginal issue; it is a material driver of pressure, cost and inequality across the NHS. High Intensity Use is predictable, persistent, and concentrated. It is driven by unmet social need, trauma, poor access to community-based support and fragmented systems. Left unaddressed, it results in repeated crisis presentations, poor outcomes for individuals and escalating system cost. High Intensity Use of urgent and emergency care represents a significant and growing challenge across UK health systems. National evaluation evidence shows that fewer than one per cent of people account for approximately: * 16% of A&E attendances. * 29% of ambulance arrivals. * 26% of emergency admissions. This activity is estimated to cost the NHS at least PS2.5 billion per year. Individuals with repeated attendances are highly likely to continue using emergency care unless targeted intervention occurs. By a person's eighth emergency attendance within a year, there is a greater than 50% likelihood that they will continue to attend frequently for at least two years, rising to over 80% by the fifteenth attendance. This creates a clearly identifiable cohort for targeted preventative intervention. There are proven delivery models addressing these challenges, with a track record of reducing secondary care usage for high intensity users. However, despite the potential to improve outcomes for these individuals and reduce demand on the system, funding for these interventions has traditionally been both small compared to the need, and short-term. An outcomes approach offers a potential solution to this. Outcomes partnerships are services where 100% of the funding is linked to evidenced outcomes achieved by individuals on the Programme. They add value in issue areas which require a change in policy focus (i.e., from sickness to prevention) through creating an environment to test ideas, build and develop new services, or continue to improve existing ones. The work is proposed to consist of two phases: 1. A Co-design phase working with NEL to develop the delivery model and outcomes framework, and; 2. the delivery of the intervention. The co-design phase will include analysis of existing services, gaps in provisions, and local priorities to identify the target cohort, geography, and total contract value for the service. This would be followed by co-design of the delivery model, facilitating input from all key stakeholders (including Hospital MDT leads and patients), and joint development of an outcomes framework. A key feature of an outcomes partnership is the flexibility of the delivery model, which can be improved over time as the Programme learns what works. The typical duration of support is expected to be between 9 to 12 weeks, but this will vary depending on the cohort to ensure sustained improvement and positive health outcomes. The outcomes the service would be targeting include: * Improved wellbeing and patient activation. * Improvement in wider social determinants of health including housing, financial situation, and loneliness. * Reduce use of secondary care services including; A&E attendances, Emergency admissions, and Ambulance conveyances. ### Lot Information Lot 1 NHS North East London Integrated Care Board (NEL ICB) is exploring the market ahead of seeking to commission an ICB-wide High Intensity User (HIU) Outcomes Partnership. This is a Provider Selection Regime (PSR) notice. The awarding of this contract will be subject to the Health Care Services (Provider Selection Regime) Regulations 2023. For the avoidance of doubt, the provisions of the Procurement Act 2023 would not apply to this award. The Provider(s) would be expected to work closely with NEL ICB to mobilise, deliver and evaluate the service model. The Commissioner may request modifications from the Provider(s) in delivery of the service if the findings give just reason. The contract has an anticipated term of 3 years. The service would be fully funded on outcomes with the Provider(s) of the upfront working capital holding the financial risk of the outcomes not being delivered. For enquiries or to register interest, please contact kieran.james-paterson@nhs.net using the following reference: PRJ2286 Any registered interest should be submitted no later than 23:59pm on Thursday 15 October 2026. ## Key Details | Field | Value | | --- | --- | | Publication source | Find A Tender Service | | Latest notice | https://www.find-tender.service.gov.uk/Notice/092793-2026 | | Notice type | Planning Notice | | Procurement type | Standard | | Procurement category | Services | | Procurement method | Not Specified | | Procurement method details | Not specified | | Tender suitability | Not specified | | Awardee scale | Not specified | | All stages | Planning | ## Dates | Field | Value | | --- | --- | | Publication date | 1 Oct 2026 | | Submission deadline | Not specified | | Future notice date | 16 Oct 2026 | | Award date | Not specified | | Contract period | Not specified | | Recurrence | Not specified | ## Values | Field | Value | | --- | --- | | Tender value | £2,630,000 | | Lots value | Not specified | | Awards value | Not specified | | Contracts value | Not specified | ## Status | Field | Value | | --- | --- | | Tender status | Planned | | Lots status | Planned | | Awards status | Not specified | | Contracts status | Not specified | ## Buyer | Field | Value | | --- | --- | | Main buyer | NHS North East London Integrated Care Board | | Locality | LONDON | | Postcode area | Not specified | | Postcode | Not specified | | Country | Not specified | | ITL 1 | Not specified | | ITL 2 | Not specified | | ITL 3 | Not specified | | Local authority | Not specified | | Electoral ward | Not specified | | Westminster constituency | Not specified | | Delivery location | TLI London | ## CPV Codes ### Divisions - 85 - Health and social work services ### Codes - 85100000 - Health services ## Release History - 1 Oct 2026 at 12:11 - Planning - Planning Notice - https://www.find-tender.service.gov.uk/Notice/092793-2026 ## Notice URLs - https://northeastlondon.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-077e88. The underlying structured data is available as OCDS JSON at https://d3tenders.com/contract/ocds-h6vhtk-077e88.json.