---
title: "BNSSG_C424804_2026-2027_Spire Healthcare Ltd"
ocid: "ocds-h6vhtk-07846b"
canonical_url: "https://d3tenders.com/contract/?ocid=ocds-h6vhtk-07846b"
markdown_url: "https://d3tenders.com/contract/ocds-h6vhtk-07846b.md"
json_url: "https://d3tenders.com/contract/ocds-h6vhtk-07846b.json"
source: "Find A Tender Service"
current_stage: "Award"
buyer: "NHS BRISTOL, NORTH SOMERSET AND SOUTH GLOUCESTERSHIRE INTEGRATED CARE BOARD"
published: "2026-10-09"
---

# BNSSG_C424804_2026-2027_Spire Healthcare Ltd

Buyer: NHS BRISTOL, NORTH SOMERSET AND SOUTH GLOUCESTERSHIRE INTEGRATED CARE BOARD  
Current stage: Award  
OCID: ocds-h6vhtk-07846b

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## Summary

NHS Bristol, North Somerset and South Gloucestershire Integrated Care Board commissioned routine elective orthopaedic and musculoskeletal care for eligible patients using patient-choice arrangements. The service covers joint and pain management, with the full patient pathway delivered where appropriate: referral management, triage and clinical assessment, diagnostics, consultations, pre-treatment assessment, outpatient, ambulatory or inpatient treatment, discharge planning and follow-up. Follow-up may include specialist support and referrals to services such as GPs or district nurses, with self-care support for up to 14 days after discharge. The service is delivered at Spire Bristol Hospital, Redland Hill, Durdham Down, Bristol. Further premises require prior commissioner approval. The commissioned scope also refers to spinal services where the ICB is the commissioner, and general surgery.

The contract has been awarded to Spire Healthcare Ltd under the Provider Selection Regime’s Direct Award Process B, without a prior call for competition. The award was made under the Health Care Services (Provider Selection Regime) Regulations 2023. The contract period runs from 1 April 2026 to 31 March 2027, with no extension provision. The contract was signed on 1 April 2026. It is activity-based and has no guaranteed value; the published contract value is £0.01. Patient choice was the sole stated award criterion, weighted at 100%; price was weighted at 0%. The process was conducted in line with Right to Choose requirements. One lot covered the service, and one bid was recorded. Bristol North Somerset and South Gloucestershire ICB and Gloucestershire ICB are working together towards a merger effective 1 April 2027.

This award shows demand for elective orthopaedic and musculoskeletal care through patient-choice arrangements in Bristol. A credible provider needs to deliver a complete pathway, not treatment alone: referral handling, triage, assessment, diagnostics, consultations, pre-treatment work-up, treatment, discharge planning and timely follow-up. Relevant capability includes joint and pain management aligned with local pathways, and capacity to provide outpatient, ambulatory and inpatient care as appropriate. Providers must also be able to coordinate specialist follow-up and onward referrals, including to primary and community services, and support patients’ self-care after discharge. Delivery depends on suitable hospital premises and the ability to secure commissioner approval for any additional sites. The selection placed all stated weight on patient choice, so providers should be able to demonstrate how their service supports eligible patients choosing their care provider. The award went to a large healthcare provider.

## Notice

This service provides routine elective secondary care, outpatient, diagnostic and treatment services for eligible patients under patient choice arrangements. The Provider is commissioned for following services * Orthopedics / Musculoskeletal including joints and pain management (in line with local pathways relating to the management of these conditions) The services will include, where appropriate * Pre-treatment e.g. referral processes; triage/clinical assessment; diagnostics; consultation; pre-treatment assessment and / or work up. * Treatment e.g. outpatient/ambulatory/inpatient treatment * Discharge e.g. expected physical, self-care, psychological capabilities prior to discharge. * Follow up e.g. specialist support post discharge, referrals to other general or specialist services such as GP or District Nurse, self-care requirements for a period up to and including 14 days post discharge service supports access to commissioned specialties including Orthopaedics, Spinal Services (where ICB is Commissioner), General Surgery. The provider is required to deliver the full patient pathway where appropriate, including referral management, triage, diagnostics, consultation, pre-treatment assessment, treatment, discharge and follow-up within the commissioned scope. The service is delivered by Spire Healthcare Limited from Spire Bristol Hospital, Redland Hill, Durdham Down, Bristol, BS6 6UT, which is included as an agreed additional premises, with any further premises requiring prior Commissioner approval.

### Lot Information

Lot 1

This service provides routine elective secondary care, outpatient, diagnostic and treatment services for eligible patients under patient choice arrangements. The Provider is commissioned for following services * Orthopaedics / Musculoskeletal including joints and pain management (in line with local pathways relating to the management of these conditions) The services will include, where appropriate * Pre-treatment e.g. referral processes; triage/clinical assessment; diagnostics; consultation; pre-treatment assessment and / or work up. * Treatment e.g. outpatient/ambulatory/inpatient treatment * Discharge e.g. expected physical, self-care, psychological capabilities prior to discharge. * Follow up e.g. specialist support post discharge, referrals to other general or specialist services such as GP or District Nurse, self-care requirements for a period up to and including 14 days post discharge service supports access to commissioned specialties including Orthopaedics, Spinal Services (where ICB is Commissioner), General Surgery. The award has been made following Direct Award Process B. The procurement has been conducted in line with Right To Choose requirements. This is an activity-based contract with no guaranteed value. The contract has been awarded for the period 01/04/2026 - 31/03/2027 with no provision for extension included NHS Bristol, North Somerset and South Gloucestershire Integrated Care Board (ICB) and Gloucestershire ICB are currently working together in a formal "clustering" arrangement to prepare for their merger into a single, new organisation (name to be confirmed), effective from 1st April 2027. This procurement notice has been issued out by NHS South, Central and West Commissioning Support Unit (SCW) on behalf of the Commissioners.

### 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. For the avoidance of doubt, the provisions of the Public Contracts Regulations 2015 and The Procurement Act 2023 do not apply to this award. This contract has now been formally awarded using direct award process B

## Key Details

| Field | Value |
| --- | --- |
| Publication source | Find A Tender Service |
| Latest notice | https://www.find-tender.service.gov.uk/Notice/095521-2026 |
| 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 | 9 Oct 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 | Not specified |

## Status

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

## Buyer

| Field | Value |
| --- | --- |
| Main buyer | NHS BRISTOL, NORTH SOMERSET AND SOUTH GLOUCESTERSHIRE INTEGRATED CARE BOARD |
| Locality | BRISTOL |
| Postcode area | Bristol |
| Postcode | BS1 6AG |
| Country | England |
| ITL 1 | TLK South West (England) |
| ITL 2 | TLK5 West of England |
| ITL 3 | TLK51 Bristol, City of |
| Local authority | Bristol, City of |
| Electoral ward | Central |
| Westminster constituency | Bristol Central |
| Delivery location | TLK11 Bristol, City of |

## Supplier

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

## CPV Codes

### Divisions

- 85 - Health and social work services

### Codes

- 85111100 - Surgical hospital services

## Release History

- 9 Oct 2026 at 10:38 - Award - Award Notice - https://www.find-tender.service.gov.uk/Notice/095521-2026

## Notice URLs

- https://bnssg.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-07846b. The underlying structured data is available as OCDS JSON at https://d3tenders.com/contract/ocds-h6vhtk-07846b.json.