Section one: Contracting authority/entity
one.1) Name and addresses
NHS SOUTH WEST LONDON INTEGRATED CARE BOARD
120 The Broadway
London
SW191RH
Country
United Kingdom
Region code
UKI63 - Merton, Kingston upon Thames and Sutton
NHS Organisation Data Service
36L
Internet address(es)
Main address
https://www.southwestlondon.icb.nhs.uk
Buyer's address
Section two: Object
two.1) Scope of the procurement
two.1.1) Title
Individual Placement Contract -MH0228 Cygnet
two.1.2) Main CPV code
- 85111500 - Psychiatric hospital services
two.1.3) Type of contract
Services
two.2) Description
two.2.2) Additional CPV code(s)
- 85111500 - Psychiatric hospital services
two.2.3) Place of performance
NUTS codes
- UKI - London
two.2.4) Description of the procurement at the time of conclusion of the contract:
Patient has a diagnosis of OCD, tourettes, tics, depression, suspected autism but not yet assessed as yet. Presents with risk of harm to self and others - head banging, punching, scratching, poking eyes, self neglect, poor medication adherence, absconding. Due to the increase in risk the patient can no longer be safely managed in the community despite being on 4:1 staffing ratio. Cygnet Harrow is an inpatient hospital that offers assessment and treatment to individuals with mental health needs and who have a dual diagnosis of autism spectrum disorder. Given the significant clinical risk and lack of NHS bed urgent admission was sought. This direct award is appropriate and proportionate to the urgent need and will be reviewed inline with the PSR guidance.
A mental health assessment was carried out on the 25th July 2025 and patient placed on Section 2 of the MHA and hospital admission recommended. A placement was found at Cygnet Hospital Harrow as there were no NHS beds available. Admission was agreed and signed off by Chief Finance officer, Helen Jameson 19.08.25
Contract start date: 25/07/2025. To be reviewed every 3 months
two.2.7) Duration of the contract, framework agreement, dynamic purchasing system or concession
Start date
14 February 2026
Section four. Procedure
four.2) Administrative information
four.2.1) Contract award notice concerning this contract
Notice number: 2025/S 000-054159
Section five. Award of contract/concession
Contract No
1
five.2) Award of contract/concession
five.2.1) Date of conclusion of the contract/concession award decision:
25 July 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
Cygnet Hospital Harrow
Harrow on the Hill Middlesex
Harrow
HA1 3JL
Country
United Kingdom
NUTS code
- UKI - London
Justification for not providing organisation identifier
Not on any register
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: £1,354,844
Section six. Complementary information
six.3) Additional information
This contract has been awarded under the urgent circumstances provision of the Provider Selection Regime (PSR). It is awarded in accordance with the Health Care Services (Provider Selection Regime) Regulations 2023. For the avoidance of doubt, the provisions of the Procurement Act 2023 do not apply to this award.
The award has been made under Regulation 14 due to urgent clinical need: the patient requires a crisis admission under the Mental Health Act (MHA) for assessment and treatment. The community placement broke down and was no longer safe, appropriate, or sustainable. An immediate transfer was necessary to prevent further deterioration and risk of harm. No suitable NHS alternatives were available within the required timeframe. A competitive process was not feasible without compromising patient and public safety. The selected provider, Cygnet Harrow, had immediate capacity and is a clinically appropriate and cost-effective provider for this highly specialised care.
The contract duration will be reviewed every three months to ensure continuity of care and clinical stability while long-term community arrangements are planned and agreed. The decision to award this contract was made by Helen Jameson, Chief Finance Officer, in line with organisational governance.
No conflicts of interest were declared by any individual involved in the decision-making process. A conflict of interest check was completed and recorded, and no actual or perceived conflicts required mitigation.
six.4) Procedures for review
six.4.1) Review body
South West London ICB
London
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
- 85111500 - Psychiatric hospital services
seven.1.3) Place of performance
NUTS code
- UKI - London
seven.1.4) Description of the procurement:
Patient has a diagnosis of OCD, tourettes, tics, depression, suspected autism but not yet assessed as yet. Presents with risk of harm to self and others - head banging, punching, scratching, poking eyes, self neglect, poor medication adherence, absconding. Due to the increase in risk the patient can no longer be safely managed in the community despite being on 4:1 staffing ratio. Cygnet Harrow is an inpatient hospital that offers assessment and treatment to individuals with mental health needs and who have a dual diagnosis of autism spectrum disorder. Given the significant clinical risk and lack of NHS bed urgent admission was sought. This direct award is appropriate and proportionate to the urgent need and will be reviewed inline with the PSR guidance.
A mental health assessment was carried out on the 25th July 2025 and patient placed on Section 2 of the MHA and hospital admission recommended. A placement was found at Cygnet Hospital Harrow as there were no NHS beds available. Admission was agreed and signed off by Chief Finance officer, Helen Jameson 19.08.25
Contract start date: 25/07/2025. To be reviewed every 3 months
seven.1.5) Duration of the contract, framework agreement, dynamic purchasing system or concession
Start date
14 February 2026
seven.1.6) Information on value of the contract/lot/concession (excluding VAT)
Total value of the contract/lot/concession:
£1,354,844
seven.1.7) Name and address of the contractor/concessionaire
Cygnet Hospital Harrow
London
Country
United Kingdom
NUTS code
- UKI - London
Justification for not providing organisation identifier
Not on any register
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 original notice incorrectly stated the total contract value as £320,139; the correct total value is £1,354,844. No other changes have been made to the scope, duration, terms, or conditions of the contract. Contract start date: 25/07/2025
seven.2.2) Reasons for modification
Need for modification brought about by circumstances which a diligent contracting authority/entity could not foresee.
Description of the circumstances which rendered the modification necessary and explanation of the unforeseen nature of these circumstances:
The original notice incorrectly stated the total contract value as £320,139; the correct total value is £1,354,844. No other changes have been made to the scope, duration, terms, or conditions of the contract. Contract start date: 25/07/2025
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: £305,396
Total contract value after the modifications
Value excluding VAT: £1,354,844