Section one: Contracting authority
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
https://www.southwestlondon.icb.nhs.uk/
one.4) Type of the contracting authority
Body governed by public law
one.5) Main activity
Health
Section two: Object
two.1) Scope of the procurement
two.1.1) Title
Individual Placement Contract -MH0228 Royal Hospital for Neuro-Disability
two.1.2) Main CPV code
- 85312500 - Rehabilitation services
two.1.3) Type of contract
Services
two.1.4) Short description
A period of inpatient assessment and intervention within the Neuro-behavioural Service at the Royal Hospital for Neuro-disability (RHND) to review patient's care needs and Huntingdon's disease symptom management, and to optimise her level of function and engagement with a view to reduce her overall care
two.1.6) Information about lots
This contract is divided into lots: No
two.1.7) Total value of the procurement (excluding VAT)
Value excluding VAT: £260,000
two.2) Description
two.2.2) Additional CPV code(s)
- 85312500 - Rehabilitation services
two.2.3) Place of performance
NUTS codes
- UKI - London
two.2.4) Description of the procurement
The patient has advanced Huntington's disease with severe behavioural disturbance and complex physical health needs that can no longer be safely managed in their current psychiatric ward setting. RHND is a nationally recognised specialist provider with the expertise and facilities to meet these immediate care needs and has confirmed capacity to accept the referral without delay. Given the significant clinical risk associated with any delay and the absence of suitable alternatives, a competitive process is not feasible. This direct award is a time-limited, appropriate, and proportionate response to an urgent need, with a review to follow in line with PSR guidance.
Discussed at MH/LDA Joint Funding Panel on 26th June 2025. Panel recommended admission to specialist placement at Royal Hospital for Neuro-disability (RHND). Signed off by CFO Helen Jameson on 31st July 2025.
Contract start date: 13/08/2025. To be reviewed initially after 6 weeks and then every 3 months.
two.2.5) Award criteria
Quality criterion - Name: to address immediate risks to safety and quality of care with the weighting 100. / Weighting: 100
Price - Weighting: 0
two.2.11) Information about options
Options: Yes
Description of options
Contract start date: 13/08/2025. To be reviewed initially after 6 weeks and then every 3 months.
£260,000 - 12 months
24/7 1:1 for the first week's admission is needed as part of the transition.
One to one provision is charged at a rate of £21.38 per hour and is in addition to the core weekly fee.
However, whilst one to one is required, we will reduce the core weekly fee
• One to one between 12hrs and 24hrs per day Charged per hour as required at a rate of £21.38 per hour Core weekly admission fee- discounted rate £4,000 per week
• One to one hours between 06hrs and 11hrs per day Charged per hour as required at a rate of £21.38 per hour Core weekly admission fee- discounted rate £4,500 per week
• One to one between 3hrs and 5hrs per day Charged per hour as required at a rate of £21.38 per hour Core weekly cost - discounted rate £5,000 per week Should the MDT successfully remove the one to one requirement, the core weekly admission fee will be £5,500 per week
two.2.14) Additional information
This contract has been awarded under the urgent circumstances provision of the Provider Selection Regime (PSR). This contract has been awarded under 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 has advanced Huntington's disease with complex physical care requirements and severe behavioural disturbance, and their current psychiatric ward setting is no longer clinically appropriate or sustainable. An immediate transfer was necessary to prevent further deterioration and risk of harm, and there were no suitable local alternatives available within the timeframe required. A competitive process was therefore not feasible without compromising patient safety. The selected provider, the Royal Hospital for Neuro-disability (RHN), has confirmed immediate capacity and is a clinically appropriate and cost-effective provider for this highly specialised care.
The contract duration is up to 12 months, which is necessary to ensure continuity of care and clinical stability while long-term arrangements are reviewed and planned appropriately. The decision to award the 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.
Section four. Procedure
four.1) Description
four.1.1) Type of procedure
Award of a contract without prior publication of a call for competition in the cases listed below
- Extreme urgency brought about by events unforeseeable for the contracting authority
Explanation:
This contract has been awarded under the urgent circumstances provision of the Provider Selection Regime (PSR). This contract has been awarded under 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 has advanced Huntington's disease with complex physical care requirements and severe behavioural disturbance, and their current psychiatric ward setting is no longer clinically appropriate or sustainable. An immediate transfer was necessary to prevent further deterioration and risk of harm, and there were no suitable local alternatives available within the timeframe required. A competitive process was therefore not feasible without compromising patient safety. The selected provider, the Royal Hospital for Neuro-disability (RHN), has confirmed immediate capacity and is a clinically appropriate and cost-effective provider for this highly specialised care.
four.1.8) Information about the Government Procurement Agreement (GPA)
The procurement is covered by the Government Procurement Agreement: Yes
Section five. Award of contract
A contract/lot is awarded: Yes
five.2) Award of contract
five.2.1) Date of conclusion of the contract
13 August 2025
five.2.2) Information about tenders
Number of tenders received: 1
The contract has been awarded to a group of economic operators: No
five.2.3) Name and address of the contractor
Royal Hospital for Neuro-Disability
West Hill, London
London
SW15 3SW
Country
United Kingdom
NUTS code
- UKI - London
Justification for not providing organisation identifier
Not on any register
The contractor is an SME
No
five.2.4) Information on value of contract/lot (excluding VAT)
Total value of the contract/lot: £260,000
Section six. Complementary information
six.3) Additional information
£260,000 - 12 months
24/7 1:1 for the first week's admission is needed as part of the transition.
One to one provision is charged at a rate of £21.38 per hour and is in addition to the core weekly fee.
However, whilst one to one is required, we will reduce the core weekly fee
• One to one between 12hrs and 24hrs per day Charged per hour as required at a rate of £21.38 per hour Core weekly admission fee- discounted rate £4,000 per week
• One to one hours between 06hrs and 11hrs per day Charged per hour as required at a rate of £21.38 per hour Core weekly admission fee- discounted rate £4,500 per week
• One to one between 3hrs and 5hrs per day Charged per hour as required at a rate of £21.38 per hour Core weekly cost - discounted rate £5,000 per week Should the MDT successfully remove the one to one requirement, the core weekly admission fee will be £5,500 per week
six.4) Procedures for review
six.4.1) Review body
South West London ICB
London
Country
United Kingdom