Section one: Contracting authority/entity
one.1) Name and addresses
NHS Suffolk and North East Essex ICB
Endeavour House, Russell Road
Ipswich
IP1 2BX
Contact
Jane Garnett
Country
United Kingdom
Region code
UKH14 - Suffolk
NHS Organisation Data Service
QJG
Internet address(es)
Main address
Section two: Object
two.1) Scope of the procurement
two.1.1) Title
Enabling Access to Bariatric and Medical Therapeutic Weight Management Services
two.1.2) Main CPV code
- 85100000 - Health services
two.1.3) Type of contract
Services
two.2) Description
two.2.3) Place of performance
NUTS codes
- UKH14 - Suffolk
- UKH34 - Essex Haven Gateway
Main site or place of performance
The service will cover the Suffolk and North East Essex Integrated Care System locality
two.2.4) Description of the procurement at the time of conclusion of the contract:
Provision of acute and emergency health care services for Colchester, Ipswich and local areas.
Colchester and Ipswich hospitals have major Emergency Departments (A&E) and Critical Care Units.
two.2.7) Duration of the contract, framework agreement, dynamic purchasing system or concession
Duration in months
36
Section four. Procedure
four.2) Administrative information
four.2.1) Contract award notice concerning this contract
Notice number: 2099/S 001-999999
Section five. Award of contract/concession
Contract No
06T-ST-22-100183
five.2) Award of contract/concession
five.2.1) Date of conclusion of the contract/concession award decision:
3 February 2025
five.2.2) Information about tenders
The contract/concession has been awarded to a group of economic operators: No
five.2.3) Name and address of the contractor/concessionaire
East Suffolk and North Essex NHS Foundation Trust
Turner Road
Colchester
CO4 5JL
Country
United Kingdom
NUTS code
- UKH34 - Essex Haven Gateway
NHS Organisation Data Service
RDE
The contractor/concessionaire is an SME
No
five.2.4) Information on value of the contract/lot/concession (at the time of conclusion of the contract;excluding VAT)
Total value of the procurement: £1,682,486,040
Section six. Complementary information
six.3) Additional information
This is a Provider Selection Regime (PSR) contract modification notice, under the Health Care Services (Provider Selection Regime) Regulations 2023. For the avoidance of doubt, the provisions of the Public Contracts Regulations 2015 do not apply to this award. This contract has now been formally modified.
six.4) Procedures for review
six.4.1) Review body
NHS Suffolk and North East Essex Integrated Care Board
Endeavour House, Russell Road
Ipswich
IP1 2BX
Country
United Kingdom
Section seven: Modifications to the contract/concession
seven.1) Description of the procurement after the modifications
seven.1.1) Main CPV code
- 85100000 - Health services
seven.1.3) Place of performance
NUTS code
- UKH14 - Suffolk
- UKH34 - Essex Haven Gateway
Main site or place of performance
NHS Suffolk and North East Essex Integrated Care Board locality
seven.1.4) Description of the procurement:
The contract will retain the original services which includes support relating to complex obesity, offering an integrated pathway for weight related medications and surgical treatment options and this will be enhanced with the following.
The Services to be included within the Contract Modification are outlined in the Service Specification relating to 'Enabling Access to Medical and Surgical Weight Management Intervention's including the urgent pathway for high BMI patients needing Gynaecological Cancer surgery.
The provider will offer both medical and surgical interventions via an integrated pathway, collaborate with other weight management providers within the wider weight management pathway, establishing a weight management single point of access to triage all weight management referrals.
The provider has their own ITU in line with NICE requirements for bariatric surgery.
The modifications to the contract includes:
•additional requirement around establishing an integrated single point of access,
•enabling access to NICE approved weight related medication (Tirzepatide) and NHS England delivery models, which will likely incur additional demand (TBD)
•repatriation of patients from an out of area provider, who are awaiting tier 3 weight management services and choose to be treated locally
•potential modifications relating to phlebotomy arrangements may be included within the scope of the specification and contract.
The contract modification will be added to main Acute contract with an annual break clause and will be reviewed annual basis.
The specialist obesity service may be subject to change due to elements such as, ITU arrangements and wider NHSE commissioning frameworks relating to weight related medications.
National frameworks have indicated a 3-year review point to re-assess delivery options which will include e.g. access to Tirzepatide.
seven.1.5) Duration of the contract, framework agreement, dynamic purchasing system or concession
Duration in months
36
seven.1.6) Information on value of the contract/lot/concession (excluding VAT)
Total value of the contract/lot/concession:
£7,996,536
seven.1.7) Name and address of the contractor/concessionaire
East Suffolk and North Essex NHS Foundation Trust
Turner Road
Colchester
CO4 5JL
Country
United Kingdom
NUTS code
- UKH34 - Essex Haven Gateway
NHS Organisation Data Service
RDE
The contractor/concessionaire is an SME
No
seven.2) Information about modifications
seven.2.1) Description of the modifications
Nature and extent of the modifications (with indication of possible earlier changes to the contract):
The contract will retain the original services which includes support relating to complex obesity, offering an integrated pathway for weight related medications and surgical treatment options and this will be enhanced with the following.
The Services to be included within the Contract Modification are outlined in the Service Specification relating to 'Enabling Access to Medical and Surgical Weight Management Intervention's including the urgent pathway for high BMI patients needing Gynaecological Cancer surgery.
The provider will offer both medical and surgical interventions via an integrated pathway, collaborate with other weight management providers within the wider weight management pathway, establishing a weight management single point of access to triage all weight management referrals.
The provider has their own ITU in line with NICE requirements for bariatric surgery.
The modifications to the contract includes:
•additional requirement around establishing an integrated single point of access,
•enabling access to NICE approved weight related medication (Tirzepatide) and NHS England delivery models, which will likely incur additional demand (TBD)
•repatriation of patients from an out of area provider, who are awaiting tier 3 weight management services and choose to be treated locally
•potential modifications relating to phlebotomy arrangements may be included within the scope of the specification and contract.
The contract modification will be added to main Acute contract with an annual break clause and will be reviewed annual basis.
The specialist obesity service may be subject to change due to elements such as, ITU arrangements and wider NHSE commissioning frameworks relating to weight related medications.
National frameworks have indicated a 3-year review point to re-assess delivery options which will include e.g. access to Tirzepatide.
seven.2.2) Reasons for modification
Need for additional works, services or supplies by the original contractor/concessionaire.
Description of the economic or technical reasons and the inconvenience or duplication of cost preventing a change of contractor:
The NICE "Obesity: Identification, Assessment and Management" guideline (CG189), highlights the importance of and recommends moving beyond a tiered approach to obesity care. In line with this, SNEE's new integrated weight management and complex obesity disease pathway ensures that patients receive the appropriate support from the right level of service, according to their needs.
The provider will offer an integrated service model, collaborating with a range of weight management service providers to deliver both pre- and post-complex obesity care, and leads assessment, clinical prioritisation and triage for the wider weight management pathway. This model also ensures an integrated pathway across medical and surgical interventions.
There remains a recognised incidence of serious postoperative complications. Consequently, there is a requirement for critical-care resources for the occasional post-bariatric surgery patient with direct access to an on-site Intensive Treatment Unit (ITU).
seven.2.3) Increase in price
Updated total contract value before the modifications (taking into account possible earlier contract modifications, price adaptions and average inflation)
Value excluding VAT: £1,682,486,040
Total contract value after the modifications
Value excluding VAT: £1,690,482,576