Section one: Contracting authority/entity
one.1) Name and addresses
NHS NORFOLK AND WAVENEY INTEGRATED CARE BOARD
8th Floor, County Hall, Martineau Lane
Norwich
NR12DH
nwicb.contractsandprocurement@nhs.net
Country
United Kingdom
Region code
UKH15 - Norwich and East Norfolk
NHS Organisation Data Service
26A
Internet address(es)
Main address
Section two: Object
two.1) Scope of the procurement
two.1.1) Title
Spire Norwich Hospital 2023-2024
Reference number
2526-133
two.1.2) Main CPV code
- 85111100 - Surgical hospital services
two.1.3) Type of contract
Services
two.2) Description
two.2.3) Place of performance
NUTS codes
- UKH15 - Norwich and East Norfolk
two.2.4) Description of the procurement at the time of conclusion of the contract:
This contract was awarded under previous rules (PCR2015)
Elective surgery - procedures for Hips, Knees, Shoulders, Foot and Ankle and Spinal for patients in Norfolk and Waveney ICB area. This contract commenced 1st April 2023 and expires 31st August 2025.
The original lifetime value of this contract was £2,827,776.
two.2.7) Duration of the contract, framework agreement, dynamic purchasing system or concession
Duration in months
29
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
2099 /S 001-999999
five.2) Award of contract/concession
five.2.1) Date of conclusion of the contract/concession award decision:
1 April 2023
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
Spire Healthcare Limited
London
Country
United Kingdom
NUTS code
- UKI - London
NHS Organisation Data Service
NT318
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: £2,827,776
Section six. Complementary information
six.3) Additional information
This contract has been awarded under the urgent circumstances provision of the Provider Selection Regime (PSR) Health Care Services Regulations 2023. For the avoidance of doubt, the provisions of the Procurement Act Regulations 2024 do not apply to this award.
The urgent nature of this modification was not foreseeable by or attributable to the relevant authority. The NHSE further consultation on the NHS Standard Contract was not finalised until 8th May 2025. The new service conditions allowed the commissioner to set an Indicative Activity Plan for the Contract Year where an IAP could not be agreed after a period of time.
Because the contract ends part way through the year (31/08/2025) and the financial position an urgent modification has been put in place to allow the commissioner to manage activity for the year and to ensure there is no significant risk to patients who have planned surgery with the provider.
This award has no impact on market opportunities for these services to potential new providers, a Direct Award Process B may still be undertaken if a new provider wishes to provide these services to Norfolk and Waveney Service Users. Any providers who are reading this notice and wish to provide the same services are welcome to contact the commissioner at nwicb.contractsandprocurement@nhs.net
This decision was made by Associate Director of Contracting and Procurement and approved by Norfolk and Waveney ICB Executive Director of Finance on 29th August 2025.
No conflicts or potential conflicts of interest were declared.
six.4) Procedures for review
six.4.1) Review body
NHS Norfolk and Waveney Integrated Care Board (ICB)
Norwich
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
- 85111100 - Surgical hospital services
seven.1.3) Place of performance
NUTS code
- UKH15 - Norwich and East Norfolk
seven.1.4) Description of the procurement:
Elective surgery - procedures for Hips, Knees, Shoulders, Foot and Ankle and Spinal for patients in Norfolk and Waveney ICB area.
seven.1.5) Duration of the contract, framework agreement, dynamic purchasing system or concession
Duration in months
7
seven.1.6) Information on value of the contract/lot/concession (excluding VAT)
Total value of the contract/lot/concession:
£2,827,776
seven.1.7) Name and address of the contractor/concessionaire
Spire Healthcare Limited
London
Country
United Kingdom
NUTS code
- UKI - London
NHS Organisation Data Service
NT318
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):
Contract to be extended for 7 months from 31st August to 31st March 2026 by urgent modification. The estimated value of modification £1,844,638. This value is greater in comparison to previously due to the new IAP rules and increased activity levels.
It has not been possible to agree an IAP with provider as per revised NHS England 25/26 Service Conditions by 30th June 2025. Due to the time this has taken, Norfolk and Waveney ICB have been unable to start re-accrediting the provider without a clear plan for current activity.
This Urgent Award will allow Norfolk and Waveney ICB to manage activity for the entirety of the 2025/26 Financial Year as the contract is due to expire on 31st August 2025.
This Urgent Award has no impact on market opportunities for potential new providers, a Direct Award Process B can still be undertaken. (Any providers reading this notice who wish to provide the same services may contact the commissioner at nwicb.contractsandprocurement@nhs.net)
Original contract 01/04/2023 - 31/03/2025 (including 12 month optional extension)
Previous modification used to extend from 1/04/2025 - 31/08/2025
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:
It has not been possible to agree an IAP with provider as per revised NHS England 25/26 Service Conditions by 30th June 2025. Due to the time this has taken, Norfolk and Waveney ICB have been unable to start re-accrediting the provider without a clear plan for current activity.
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: £3,527,776
Total contract value after the modifications
Value excluding VAT: £5,372,414