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            "releases": [
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                    "id": "033046-2022",
                    "date": "2022-11-22T10:52:13Z",
                    "tag": [
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                    "description": "Patients and their family/carers will have the option to choose which MS Hub Lead Centre they wish to be referred to in discussion with their referring clinician, although it is envisaged that patient flows will be mainly geographic, with patients attending the Hub Lead Centre for their Regional area.\nThe existing contracts are due to expire on 31st March 2023 and the Commissioner is running this market engagement exercise to ascertain whether there is competition in the market and to help inform future commissioning plans.\nEach year in UK, there are likely to be 78 new paediatric patients who need detailed assessment and treatment in the highly specialised service. These are individuals who present with recurrent demyelination and immediately fulfil the criteria for MS or who are at risk of being diagnosed with paediatric MS within the first 12 months after presentation or who have relapsing demyelination/other acquired demyelinating syndromes. The mean age of presentation is 12 years of age. There is understood to be a current caseload of some 230 paediatric patients in England who have been diagnosed with MS, or with an ‘MS-like’ recurrent acquired demyelinating condition that requires the same treatment.\nAs well as the caseload of more complex patients, at any point in time, there will be other patients being assessed, most of whom will not remain on the caseload once assessment has been completed and any care planning for local delivery has been completed. This is due to these individuals having a low level of care need or because MS or an ‘MS-like’ condition has been ruled out.\nIncumbent providers are required to respond to this market engagement exercise along with prospective providers.\nContract value and activity levels have been derived based on past experience. The estimated total value of the contracts for all three Lots is £2,550,000 and payment will be either the standard national tariffs or existing local tariffs as is currently the case. There is anticipated to be no net change in the number of patients accessing care in the NHS or the related cost.\nNHS England highly specialised commissioning is the contracting and commissioning authority for this service and wishes to commission centres across three Lots in England (North, Midlands and London and the South) to be delivered as part of a network arrangement as detailed in the questionnaire.",
                    "initiationType": "tender",
                    "tender": {
                        "id": "62208 - Multiple Sclerosis",
                        "legalBasis": {
                            "id": "32014L0024",
                            "scheme": "CELEX"
                        },
                        "title": "Provision of Multiple Sclerosis Management Service for Children",
                        "status": "planned",
                        "classification": {
                            "scheme": "CPV",
                            "id": "85000000",
                            "description": "Health and social work services"
                        },
                        "mainProcurementCategory": "services",
                        "description": "NHS Arden and Greater East Midlands Commissioning Support Unit (AGCSU), on behalf of NHS England Highly Specialised Services (referred to as the Commissioner), is undertaking a market engagement exercise to understand the current and future capacity and capability of providers and potential providers within this highly specialised area. All interested parties, including incumbent providers, are encouraged to register their interest and participate in the market engagement questionnaire which will provide feedback to commissioners. Please note that this is not a call for competition although the commissioner would encourage all potential providers to respond to this market engagement exercise. The outcome of this market engagement will help inform commissioners of the current and future capacity and capability of the market and will be considered to inform the commissioning approach.",
                        "lots": [
                            {
                                "id": "1",
                                "title": "Lot 1 - North comprising the NHS England Regions: the North East and Yorkshire; the North West,",
                                "description": "This exercise is to commission a service that is able to expertly manage the provision of the Multiple Sclerosis Management Service for Children, including patients with suspected Multiple Sclerosis (MS) or equally rare ‘MS-like’, recurrent acquired demyelinating syndromes (ADS) or who have had a first demyelination episode and have a high risk of relapse which would require a similar treatment approach, including: Neuromyelitis Optica Spectrum Disorder (NMO, NMOSD) and other AQP4 antibody associated demyelination; Myelin Oligodendrocyte Glycoprotein (MOG) antibody associated relapsing demyelination and other forms of recurrent relapsing demyelination.\nThe MS Hub Lead Centres will be geographically spaced across the Regional areas of NHS England as follows:\ni) Lot 1 - North comprising the NHS England Regions: the North East and Yorkshire; the North West,\nii) Lot 2 - the Midlands comprising the NHS England Regions: the Midlands; the East of England\niii) Lot 3 - London and the South: comprising the South East; the South West; London\nWe would like to hear from incumbent and potential paediatric providers who can meet the following essential criteria:\nI. Have staff in place with paediatric neuroinflammatory expertise as listed in the service specification : (https://www.england.nhs.uk/wp-content/uploads/2017/08/multiple-sclerosis-mgt-for-children-sept-2017.pdf);\nII. Be currently actively managing, as an expert care provider and have seen face to face in the last year, a minimum of 20 children with paediatric Remitting Demyelinating Syndromes (RDS) (including first presentation or first event MS or high risk RDS);\nIII. Be actively prescribing innovative therapeutic pharmacological MS treatments for these children using the NHS England BluTeq online system;\nIV. Have received in a tertiary capacity for expert review, five to ten new paediatric referrals of acute multiple sclerosis/MS-like cases per year in each of the last three years (2018/19, 2019/20 and 2020/21. With the requests being for second opinions/advice on the treatment plan.\nV. Must be an existing provider of tertiary paediatric neurosciences.\nThe anticipated contract period is 3 years.\nThe Commissioner reserves the right to direct award where competition is absent.\nThis notice is to advise incumbent and prospective providers in the market of the commissioner’s intention to commission this service and to provide an opportunity to engage with and participate in a market engagement questionnaire. The outcome of this market engagement will help inform commissioners of the current and future capacity and capability of the market and will be considered with other evidence to inform the commissioning approach,\nApplications may be made jointly where partners can demonstrate appropriate expertise and meet the service criteria set out in the questionnaire and service specification: multiple-sclerosis-mgt-for-children-sept-2017.pdf (england.nhs.uk)..\nThe questionnaire is available through the EU Supply portal: https://uk.eu-supply.com/login.asp?B=agcsu\nThe reference is 62208 and the closing date for submission of the completed questionnaire will be: 12pm, midday on Tuesday 20th December 2022.",
                                "status": "planned"
                            },
                            {
                                "id": "2",
                                "title": "Lot 2 - the Midlands comprising the NHS England Regions: the Midlands; the East of England",
                                "description": "This exercise is to commission a service that is able to expertly manage the provision of the Multiple Sclerosis Management Service for Children, including patients with suspected Multiple Sclerosis (MS) or equally rare ‘MS-like’, recurrent acquired demyelinating syndromes (ADS) or who have had a first demyelination episode and have a high risk of relapse which would require a similar treatment approach, including: Neuromyelitis Optica Spectrum Disorder (NMO, NMOSD) and other AQP4 antibody associated demyelination; Myelin Oligodendrocyte Glycoprotein (MOG) antibody associated relapsing demyelination and other forms of recurrent relapsing demyelination.\nThe MS Hub Lead Centres will be geographically spaced across the Regional areas of NHS England as follows:\ni) Lot 1 - North comprising the NHS England Regions: the North East and Yorkshire; the North West,\nii) Lot 2 - the Midlands comprising the NHS England Regions: the Midlands; the East of England\niii) Lot 3 - London and the South: comprising the South East; the South West; London\nWe would like to hear from incumbent and potential paediatric providers who can meet the following essential criteria:\nI. Have staff in place with paediatric neuroinflammatory expertise as listed in the service specification : (https://www.england.nhs.uk/wp-content/uploads/2017/08/multiple-sclerosis-mgt-for-children-sept-2017.pdf);\nII. Be currently actively managing, as an expert care provider and have seen face to face in the last year, a minimum of 20 children with paediatric Remitting Demyelinating Syndromes (RDS) (including first presentation or first event MS or high risk RDS);\nIII. Be actively prescribing innovative therapeutic pharmacological MS treatments for these children using the NHS England BluTeq online system;\nIV. Have received in a tertiary capacity for expert review, five to ten new paediatric referrals of acute multiple sclerosis/MS-like cases per year in each of the last three years (2018/19, 2019/20 and 2020/21. With the requests being for second opinions/advice on the treatment plan.\nV. Must be an existing provider of tertiary paediatric neurosciences.\nThe anticipated contract period is 3 years.\nThe Commissioner reserves the right to direct award where competition is absent.\nThis notice is to advise incumbent and prospective providers in the market of the commissioner’s intention to commission this service and to provide an opportunity to engage with and participate in a market engagement questionnaire. The outcome of this market engagement will help inform commissioners of the current and future capacity and capability of the market and will be considered with other evidence to inform the commissioning approach,\nApplications may be made jointly where partners can demonstrate appropriate expertise and meet the service criteria set out in the questionnaire and service specification: multiple-sclerosis-mgt-for-children-sept-2017.pdf (england.nhs.uk)..\nThe questionnaire is available through the EU Supply portal: https://uk.eu-supply.com/login.asp?B=agcsu\nThe reference is 62208 and the closing date for submission of the completed questionnaire will be: 12pm, midday on Tuesday 20th December 2022.",
                                "status": "planned"
                            },
                            {
                                "id": "3",
                                "title": "Lot 3 - London and the South: comprising the South East; the South West; London",
                                "description": "This exercise is to commission a service that is able to expertly manage the provision of the Multiple Sclerosis Management Service for Children, including patients with suspected Multiple Sclerosis (MS) or equally rare ‘MS-like’, recurrent acquired demyelinating syndromes (ADS) or who have had a first demyelination episode and have a high risk of relapse which would require a similar treatment approach, including: Neuromyelitis Optica Spectrum Disorder (NMO, NMOSD) and other AQP4 antibody associated demyelination; Myelin Oligodendrocyte Glycoprotein (MOG) antibody associated relapsing demyelination and other forms of recurrent relapsing demyelination.\nThe MS Hub Lead Centres will be geographically spaced across the Regional areas of NHS England as follows:\ni) Lot 1 - North comprising the NHS England Regions: the North East and Yorkshire; the North West,\nii) Lot 2 - the Midlands comprising the NHS England Regions: the Midlands; the East of England\niii) Lot 3 - London and the South: comprising the South East; the South West; London\nWe would like to hear from incumbent and potential paediatric providers who can meet the following essential criteria:\nI. Have staff in place with paediatric neuroinflammatory expertise as listed in the service specification : (https://www.england.nhs.uk/wp-content/uploads/2017/08/multiple-sclerosis-mgt-for-children-sept-2017.pdf);\nII. Be currently actively managing, as an expert care provider and have seen face to face in the last year, a minimum of 20 children with paediatric Remitting Demyelinating Syndromes (RDS) (including first presentation or first event MS or high risk RDS);\nIII. Be actively prescribing innovative therapeutic pharmacological MS treatments for these children using the NHS England BluTeq online system;\nIV. Have received in a tertiary capacity for expert review, five to ten new paediatric referrals of acute multiple sclerosis/MS-like cases per year in each of the last three years (2018/19, 2019/20 and 2020/21. With the requests being for second opinions/advice on the treatment plan.\nV. Must be an existing provider of tertiary paediatric neurosciences.\nThe anticipated contract period is 3 years.\nThe Commissioner reserves the right to direct award where competition is absent.\nThis notice is to advise incumbent and prospective providers in the market of the commissioner’s intention to commission this service and to provide an opportunity to engage with and participate in a market engagement questionnaire. The outcome of this market engagement will help inform commissioners of the current and future capacity and capability of the market and will be considered with other evidence to inform the commissioning approach,\nApplications may be made jointly where partners can demonstrate appropriate expertise and meet the service criteria set out in the questionnaire and service specification: multiple-sclerosis-mgt-for-children-sept-2017.pdf (england.nhs.uk)..\nThe questionnaire is available through the EU Supply portal: https://uk.eu-supply.com/login.asp?B=agcsu\nThe reference is 62208 and the closing date for submission of the completed questionnaire will be: 12pm, midday on Tuesday 20th December 2022.",
                                "status": "planned"
                            }
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                        "items": [
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                                "id": "1",
                                "additionalClassifications": [
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                                        "scheme": "CPV",
                                        "id": "85000000",
                                        "description": "Health and social work services"
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                                        "id": "85100000",
                                        "description": "Health services"
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                                "additionalClassifications": [
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                                        "id": "85000000",
                                        "description": "Health and social work services"
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                                    {
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                                "relatedLot": "2"
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                                "relatedLot": "3"
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                        "communication": {
                            "futureNoticeDate": "2023-01-12T00:00:00Z"
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                                "countryName": "United Kingdom"
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                    "id": "030459-2023",
                    "date": "2023-10-16T14:06:30+01:00",
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                    "description": "Patients and their family/carers will have the option to choose which MS Hub Lead Centre they wish to be referred to in discussion with their referring clinician, although it is envisaged that patient flows will be mainly geographic, with patients attending the Hub Lead Centre for their Regional area.\nThe existing contracts are due to expire on 31st March 2023 and the Commissioner is running this market engagement exercise to ascertain whether there is competition in the market and to help inform future commissioning plans.\nEach year in UK, there are likely to be 78 new paediatric patients who need detailed assessment and treatment in the highly specialised service. These are individuals who present with recurrent demyelination and immediately fulfil the criteria for MS or who are at risk of being diagnosed with paediatric MS within the first 12 months after presentation or who have relapsing demyelination/other acquired demyelinating syndromes. The mean age of presentation is 12 years of age. There is understood to be a current caseload of some 230 paediatric patients in England who have been diagnosed with MS, or with an ‘MS-like’ recurrent acquired demyelinating condition that requires the same treatment.\nAs well as the caseload of more complex patients, at any point in time, there will be other patients being assessed, most of whom will not remain on the caseload once assessment has been completed and any care planning for local delivery has been completed. This is due to these individuals having a low level of care need or because MS or an ‘MS-like’ condition has been ruled out.\nIncumbent providers are required to respond to this market engagement exercise along with prospective providers.\nContract value and activity levels have been derived based on past experience. The estimated total value of the contracts for all three Lots is £2,550,000 and payment will be either the standard national tariffs or existing local tariffs as is currently the case. There is anticipated to be no net change in the number of patients accessing care in the NHS or the related cost.\nNHS England highly specialised commissioning is the contracting and commissioning authority for this service and wishes to commission centres across three Lots in England (North, Midlands and London and the South) to be delivered as part of a network arrangement as detailed in the questionnaire.",
                    "initiationType": "tender",
                    "tender": {
                        "id": "62208 - Multiple Sclerosis",
                        "legalBasis": {
                            "id": "32014L0024",
                            "scheme": "CELEX"
                        },
                        "title": "Provision of Multiple Sclerosis Management Service for Children",
                        "status": "complete",
                        "classification": {
                            "scheme": "CPV",
                            "id": "85000000",
                            "description": "Health and social work services"
                        },
                        "mainProcurementCategory": "services",
                        "description": "NHS Arden and Greater East Midlands Commissioning Support Unit (AGCSU), on behalf of NHS England Highly Specialised Services (referred to as the Commissioner), is undertaking a market engagement exercise to understand the current and future capacity and capability of providers and potential providers within this highly specialised area. All interested parties, including incumbent providers, are encouraged to register their interest and participate in the market engagement questionnaire which will provide feedback to commissioners. Please note that this is not a call for competition although the commissioner would encourage all potential providers to respond to this market engagement exercise. The outcome of this market engagement will help inform commissioners of the current and future capacity and capability of the market and will be considered to inform the commissioning approach.",
                        "lots": [
                            {
                                "id": "1",
                                "title": "Lot 1 - North comprising the NHS England Regions: the North East and Yorkshire; the North West,",
                                "description": "This exercise is to commission a service that is able to expertly manage the provision of the Multiple Sclerosis Management Service for Children, including patients with suspected Multiple Sclerosis (MS) or equally rare ‘MS-like’, recurrent acquired demyelinating syndromes (ADS) or who have had a first demyelination episode and have a high risk of relapse which would require a similar treatment approach, including: Neuromyelitis Optica Spectrum Disorder (NMO, NMOSD) and other AQP4 antibody associated demyelination; Myelin Oligodendrocyte Glycoprotein (MOG) antibody associated relapsing demyelination and other forms of recurrent relapsing demyelination.\nThe MS Hub Lead Centres will be geographically spaced across the Regional areas of NHS England as follows:\ni) Lot 1 - North comprising the NHS England Regions: the North East and Yorkshire; the North West,\nii) Lot 2 - the Midlands comprising the NHS England Regions: the Midlands; the East of England\niii) Lot 3 - London and the South: comprising the South East; the South West; London\nWe would like to hear from incumbent and potential paediatric providers who can meet the following essential criteria:\nI. Have staff in place with paediatric neuroinflammatory expertise as listed in the service specification : (https://www.england.nhs.uk/wp-content/uploads/2017/08/multiple-sclerosis-mgt-for-children-sept-2017.pdf);\nII. Be currently actively managing, as an expert care provider and have seen face to face in the last year, a minimum of 20 children with paediatric Remitting Demyelinating Syndromes (RDS) (including first presentation or first event MS or high risk RDS);\nIII. Be actively prescribing innovative therapeutic pharmacological MS treatments for these children using the NHS England BluTeq online system;\nIV. Have received in a tertiary capacity for expert review, five to ten new paediatric referrals of acute multiple sclerosis/MS-like cases per year in each of the last three years (2018/19, 2019/20 and 2020/21. With the requests being for second opinions/advice on the treatment plan.\nV. Must be an existing provider of tertiary paediatric neurosciences.\nThe anticipated contract period is 3 years.\nThe Commissioner reserves the right to direct award where competition is absent.\nThis notice is to advise incumbent and prospective providers in the market of the commissioner’s intention to commission this service and to provide an opportunity to engage with and participate in a market engagement questionnaire. The outcome of this market engagement will help inform commissioners of the current and future capacity and capability of the market and will be considered with other evidence to inform the commissioning approach,\nApplications may be made jointly where partners can demonstrate appropriate expertise and meet the service criteria set out in the questionnaire and service specification: multiple-sclerosis-mgt-for-children-sept-2017.pdf (england.nhs.uk)..\nThe questionnaire is available through the EU Supply portal: https://uk.eu-supply.com/login.asp?B=agcsu\nThe reference is 62208 and the closing date for submission of the completed questionnaire will be: 12pm, midday on Tuesday 20th December 2022.",
                                "awardCriteria": {
                                    "criteria": [
                                        {
                                            "name": "Technical",
                                            "type": "cost",
                                            "description": "100"
                                        }
                                    ]
                                },
                                "hasOptions": false,
                                "status": "cancelled"
                            },
                            {
                                "id": "2",
                                "title": "Lot 2 - the Midlands comprising the NHS England Regions: the Midlands; the East of England",
                                "description": "This exercise is to commission a service that is able to expertly manage the provision of the Multiple Sclerosis Management Service for Children, including patients with suspected Multiple Sclerosis (MS) or equally rare ‘MS-like’, recurrent acquired demyelinating syndromes (ADS) or who have had a first demyelination episode and have a high risk of relapse which would require a similar treatment approach, including: Neuromyelitis Optica Spectrum Disorder (NMO, NMOSD) and other AQP4 antibody associated demyelination; Myelin Oligodendrocyte Glycoprotein (MOG) antibody associated relapsing demyelination and other forms of recurrent relapsing demyelination.\nThe MS Hub Lead Centres will be geographically spaced across the Regional areas of NHS England as follows:\ni) Lot 1 - North comprising the NHS England Regions: the North East and Yorkshire; the North West,\nii) Lot 2 - the Midlands comprising the NHS England Regions: the Midlands; the East of England\niii) Lot 3 - London and the South: comprising the South East; the South West; London\nWe would like to hear from incumbent and potential paediatric providers who can meet the following essential criteria:\nI. Have staff in place with paediatric neuroinflammatory expertise as listed in the service specification : (https://www.england.nhs.uk/wp-content/uploads/2017/08/multiple-sclerosis-mgt-for-children-sept-2017.pdf);\nII. Be currently actively managing, as an expert care provider and have seen face to face in the last year, a minimum of 20 children with paediatric Remitting Demyelinating Syndromes (RDS) (including first presentation or first event MS or high risk RDS);\nIII. Be actively prescribing innovative therapeutic pharmacological MS treatments for these children using the NHS England BluTeq online system;\nIV. Have received in a tertiary capacity for expert review, five to ten new paediatric referrals of acute multiple sclerosis/MS-like cases per year in each of the last three years (2018/19, 2019/20 and 2020/21. With the requests being for second opinions/advice on the treatment plan.\nV. Must be an existing provider of tertiary paediatric neurosciences.\nThe anticipated contract period is 3 years.\nThe Commissioner reserves the right to direct award where competition is absent.\nThis notice is to advise incumbent and prospective providers in the market of the commissioner’s intention to commission this service and to provide an opportunity to engage with and participate in a market engagement questionnaire. The outcome of this market engagement will help inform commissioners of the current and future capacity and capability of the market and will be considered with other evidence to inform the commissioning approach,\nApplications may be made jointly where partners can demonstrate appropriate expertise and meet the service criteria set out in the questionnaire and service specification: multiple-sclerosis-mgt-for-children-sept-2017.pdf (england.nhs.uk)..\nThe questionnaire is available through the EU Supply portal: https://uk.eu-supply.com/login.asp?B=agcsu\nThe reference is 62208 and the closing date for submission of the completed questionnaire will be: 12pm, midday on Tuesday 20th December 2022.",
                                "awardCriteria": {
                                    "criteria": [
                                        {
                                            "name": "Technical",
                                            "type": "cost",
                                            "description": "100"
                                        }
                                    ]
                                },
                                "hasOptions": false,
                                "status": "cancelled"
                            },
                            {
                                "id": "3",
                                "title": "Lot 3 - London and the South: comprising the South East; the South West; London",
                                "description": "This exercise is to commission a service that is able to expertly manage the provision of the Multiple Sclerosis Management Service for Children, including patients with suspected Multiple Sclerosis (MS) or equally rare ‘MS-like’, recurrent acquired demyelinating syndromes (ADS) or who have had a first demyelination episode and have a high risk of relapse which would require a similar treatment approach, including: Neuromyelitis Optica Spectrum Disorder (NMO, NMOSD) and other AQP4 antibody associated demyelination; Myelin Oligodendrocyte Glycoprotein (MOG) antibody associated relapsing demyelination and other forms of recurrent relapsing demyelination.\nThe MS Hub Lead Centres will be geographically spaced across the Regional areas of NHS England as follows:\ni) Lot 1 - North comprising the NHS England Regions: the North East and Yorkshire; the North West,\nii) Lot 2 - the Midlands comprising the NHS England Regions: the Midlands; the East of England\niii) Lot 3 - London and the South: comprising the South East; the South West; London\nWe would like to hear from incumbent and potential paediatric providers who can meet the following essential criteria:\nI. Have staff in place with paediatric neuroinflammatory expertise as listed in the service specification : (https://www.england.nhs.uk/wp-content/uploads/2017/08/multiple-sclerosis-mgt-for-children-sept-2017.pdf);\nII. Be currently actively managing, as an expert care provider and have seen face to face in the last year, a minimum of 20 children with paediatric Remitting Demyelinating Syndromes (RDS) (including first presentation or first event MS or high risk RDS);\nIII. Be actively prescribing innovative therapeutic pharmacological MS treatments for these children using the NHS England BluTeq online system;\nIV. Have received in a tertiary capacity for expert review, five to ten new paediatric referrals of acute multiple sclerosis/MS-like cases per year in each of the last three years (2018/19, 2019/20 and 2020/21. With the requests being for second opinions/advice on the treatment plan.\nV. Must be an existing provider of tertiary paediatric neurosciences.\nThe anticipated contract period is 3 years.\nThe Commissioner reserves the right to direct award where competition is absent.\nThis notice is to advise incumbent and prospective providers in the market of the commissioner’s intention to commission this service and to provide an opportunity to engage with and participate in a market engagement questionnaire. The outcome of this market engagement will help inform commissioners of the current and future capacity and capability of the market and will be considered with other evidence to inform the commissioning approach,\nApplications may be made jointly where partners can demonstrate appropriate expertise and meet the service criteria set out in the questionnaire and service specification: multiple-sclerosis-mgt-for-children-sept-2017.pdf (england.nhs.uk)..\nThe questionnaire is available through the EU Supply portal: https://uk.eu-supply.com/login.asp?B=agcsu\nThe reference is 62208 and the closing date for submission of the completed questionnaire will be: 12pm, midday on Tuesday 20th December 2022.",
                                "awardCriteria": {
                                    "criteria": [
                                        {
                                            "name": "Technical",
                                            "type": "cost",
                                            "description": "100"
                                        }
                                    ]
                                },
                                "hasOptions": false,
                                "status": "cancelled"
                            }
                        ],
                        "items": [
                            {
                                "id": "1",
                                "additionalClassifications": [
                                    {
                                        "scheme": "CPV",
                                        "id": "85000000",
                                        "description": "Health and social work services"
                                    },
                                    {
                                        "scheme": "CPV",
                                        "id": "85100000",
                                        "description": "Health services"
                                    }
                                ],
                                "deliveryAddresses": [
                                    {
                                        "region": "UKE"
                                    },
                                    {
                                        "region": "UKD"
                                    },
                                    {
                                        "region": "UKC"
                                    }
                                ],
                                "relatedLot": "1"
                            },
                            {
                                "id": "2",
                                "additionalClassifications": [
                                    {
                                        "scheme": "CPV",
                                        "id": "85000000",
                                        "description": "Health and social work services"
                                    },
                                    {
                                        "scheme": "CPV",
                                        "id": "85100000",
                                        "description": "Health services"
                                    }
                                ],
                                "deliveryAddresses": [
                                    {
                                        "region": "UKH"
                                    },
                                    {
                                        "region": "UKG"
                                    },
                                    {
                                        "region": "UKF"
                                    }
                                ],
                                "relatedLot": "2"
                            },
                            {
                                "id": "3",
                                "additionalClassifications": [
                                    {
                                        "scheme": "CPV",
                                        "id": "85000000",
                                        "description": "Health and social work services"
                                    },
                                    {
                                        "scheme": "CPV",
                                        "id": "85100000",
                                        "description": "Health services"
                                    }
                                ],
                                "deliveryAddresses": [
                                    {
                                        "region": "UKK"
                                    },
                                    {
                                        "region": "UKJ"
                                    },
                                    {
                                        "region": "UKI"
                                    }
                                ],
                                "relatedLot": "3"
                            }
                        ],
                        "procurementMethod": "limited",
                        "procurementMethodDetails": "Award procedure without prior publication of a call for competition",
                        "coveredBy": [
                            "GPA"
                        ],
                        "procurementMethodRationaleClassifications": [
                            {
                                "scheme": "TED_PT_AWARD_CONTRACT_WITHOUT_CALL",
                                "id": "D_OUTSIDE_SCOPE",
                                "description": "The procurement falls outside the scope of application of the directive"
                            }
                        ],
                        "procurementMethodRationale": "Following the PIN notice and market engagement exercise, it was apparent that competition was absent and direct awards have been placed with all capable providers for each of the Lots. The PIN and market engagement documentation clearly stated that commissioners would consider placing direct awards where competition is deemed to be absent following a review of the market engagement responses."
                    },
                    "awards": [
                        {
                            "id": "030459-2023-1-1",
                            "relatedLots": [
                                "1"
                            ],
                            "title": "Lot 1 - North comprising the NHS England Regions: the North East and Yorkshire; the North West,",
                            "status": "active",
                            "suppliers": [
                                {
                                    "id": "GB-FTS-18796",
                                    "name": "Manchester University NHS Foundation Trust "
                                }
                            ]
                        },
                        {
                            "id": "030459-2023-2-2",
                            "relatedLots": [
                                "2"
                            ],
                            "title": "Lot 2 - the Midlands comprising the NHS England Regions: the Midlands; the East of England",
                            "status": "active",
                            "suppliers": [
                                {
                                    "id": "GB-FTS-1009",
                                    "name": "Birmingham Women’s and Children’s NHS Foundation Trust "
                                },
                                {
                                    "id": "GB-FTS-6625",
                                    "name": "Cambridge University Hospitals NHS Foundation Trust"
                                }
                            ]
                        },
                        {
                            "id": "030459-2023-3-3",
                            "relatedLots": [
                                "3"
                            ],
                            "title": "Lot 3 - London and the South: comprising the South East; the South West; London",
                            "status": "active",
                            "suppliers": [
                                {
                                    "id": "GB-FTS-95413",
                                    "name": "Great Ormond Street Hospital for Children NHS Foundation Trust "
                                },
                                {
                                    "id": "GB-FTS-21063",
                                    "name": "Guy’s and St Thomas’ NHS Foundation Trust"
                                },
                                {
                                    "id": "GB-FTS-122",
                                    "name": "Oxford University Hospitals NHS Foundation Trust "
                                }
                            ]
                        }
                    ],
                    "parties": [
                        {
                            "name": "NHS England - Specialised Commissioning",
                            "id": "GB-FTS-4052",
                            "identifier": {
                                "legalName": "NHS England - Specialised Commissioning",
                                "id": "na"
                            },
                            "address": {
                                "streetAddress": "80 London Road",
                                "locality": "London",
                                "region": "UK",
                                "postalCode": "SE1 6LH",
                                "countryName": "United Kingdom"
                            },
                            "contactPoint": {
                                "name": "Josselin Canévet",
                                "telephone": "+44 1234567890",
                                "email": "josselin.canevet@nhs.net"
                            },
                            "roles": [
                                "buyer"
                            ],
                            "details": {
                                "url": "http://www.england.nhs.uk",
                                "buyerProfile": "https://uk.eu-supply.com/ctm/Company/CompanyInformation/Index/68205",
                                "classifications": [
                                    {
                                        "scheme": "TED_CA_TYPE",
                                        "id": "BODY_PUBLIC",
                                        "description": "Body governed by public law"
                                    },
                                    {
                                        "scheme": "COFOG",
                                        "id": "07",
                                        "description": "Health"
                                    }
                                ]
                            }
                        },
                        {
                            "name": "Manchester University NHS Foundation Trust ",
                            "id": "GB-FTS-18796",
                            "identifier": {
                                "legalName": "Manchester University NHS Foundation Trust "
                            },
                            "address": {
                                "locality": "Manchester",
                                "region": "UKD",
                                "countryName": "United Kingdom"
                            },
                            "roles": [
                                "supplier"
                            ],
                            "details": {
                                "scale": "large"
                            }
                        },
                        {
                            "name": "Birmingham Women’s and Children’s NHS Foundation Trust ",
                            "id": "GB-FTS-1009",
                            "identifier": {
                                "legalName": "Birmingham Women’s and Children’s NHS Foundation Trust "
                            },
                            "address": {
                                "locality": "Birmingham",
                                "region": "UKG",
                                "countryName": "United Kingdom"
                            },
                            "roles": [
                                "supplier"
                            ],
                            "details": {
                                "scale": "large"
                            }
                        },
                        {
                            "name": "Great Ormond Street Hospital for Children NHS Foundation Trust ",
                            "id": "GB-FTS-95413",
                            "identifier": {
                                "legalName": "Great Ormond Street Hospital for Children NHS Foundation Trust "
                            },
                            "address": {
                                "locality": "London",
                                "region": "UKI",
                                "countryName": "United Kingdom"
                            },
                            "roles": [
                                "supplier"
                            ],
                            "details": {
                                "scale": "large"
                            }
                        },
                        {
                            "name": "Cambridge University Hospitals NHS Foundation Trust",
                            "id": "GB-FTS-6625",
                            "identifier": {
                                "legalName": "Cambridge University Hospitals NHS Foundation Trust"
                            },
                            "address": {
                                "locality": "Cambridge",
                                "region": "UKH",
                                "countryName": "United Kingdom"
                            },
                            "roles": [
                                "supplier"
                            ],
                            "details": {
                                "scale": "large"
                            }
                        },
                        {
                            "name": "Guy’s and St Thomas’ NHS Foundation Trust",
                            "id": "GB-FTS-21063",
                            "identifier": {
                                "legalName": "Guy’s and St Thomas’ NHS Foundation Trust"
                            },
                            "address": {
                                "locality": "London",
                                "region": "UKI",
                                "countryName": "United Kingdom"
                            },
                            "roles": [
                                "supplier"
                            ],
                            "details": {
                                "scale": "large"
                            }
                        },
                        {
                            "name": "Oxford University Hospitals NHS Foundation Trust ",
                            "id": "GB-FTS-122",
                            "identifier": {
                                "legalName": "Oxford University Hospitals NHS Foundation Trust "
                            },
                            "address": {
                                "locality": "Oxford",
                                "region": "UKI",
                                "countryName": "United Kingdom"
                            },
                            "roles": [
                                "supplier"
                            ],
                            "details": {
                                "scale": "large"
                            }
                        },
                        {
                            "name": "Arden & GEM Commissioning Support Unit",
                            "id": "GB-FTS-2639",
                            "identifier": {
                                "legalName": "Arden & GEM Commissioning Support Unit"
                            },
                            "address": {
                                "locality": "Derby",
                                "countryName": "United Kingdom"
                            },
                            "roles": [
                                "reviewBody",
                                "mediationBody",
                                "reviewContactPoint"
                            ]
                        }
                    ],
                    "buyer": {
                        "id": "GB-FTS-4052",
                        "name": "NHS England - Specialised Commissioning"
                    },
                    "contracts": [
                        {
                            "id": "030459-2023-1-1",
                            "awardID": "030459-2023-1-1",
                            "title": "Lot 1 - North comprising the NHS England Regions: the North East and Yorkshire; the North West,",
                            "status": "active",
                            "value": {
                                "amount": 2797834,
                                "currency": "GBP"
                            },
                            "dateSigned": "2023-03-10T00:00:00Z"
                        },
                        {
                            "id": "030459-2023-2-2",
                            "awardID": "030459-2023-2-2",
                            "title": "Lot 2 - the Midlands comprising the NHS England Regions: the Midlands; the East of England",
                            "status": "active",
                            "value": {
                                "amount": 1480332,
                                "currency": "GBP"
                            },
                            "dateSigned": "2023-03-10T00:00:00Z"
                        },
                        {
                            "id": "030459-2023-3-3",
                            "awardID": "030459-2023-3-3",
                            "title": "Lot 3 - London and the South: comprising the South East; the South West; London",
                            "status": "active",
                            "value": {
                                "amount": 5574979,
                                "currency": "GBP"
                            },
                            "dateSigned": "2023-03-10T00:00:00Z"
                        }
                    ],
                    "bids": {
                        "statistics": [
                            {
                                "id": "1",
                                "measure": "bids",
                                "relatedLot": "1",
                                "value": 1
                            },
                            {
                                "id": "2",
                                "measure": "bids",
                                "relatedLot": "2",
                                "value": 2
                            },
                            {
                                "id": "3",
                                "measure": "bids",
                                "relatedLot": "3",
                                "value": 4
                            }
                        ]
                    },
                    "language": "en"
                },
                {
                    "ocid": "ocds-h6vhtk-038737",
                    "id": "044469-2026",
                    "date": "2026-05-14T15:23:02+01:00",
                    "tag": [
                        "awardUpdate",
                        "contractUpdate"
                    ],
                    "description": "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 provision of the Public Contracts Regulations 2015 do not apply to this award. This contract has now been formally modified.<br/>This contract modification was approved by the National Commissioning Group on 20th January 2026.",
                    "initiationType": "tender",
                    "tender": {
                        "id": "C442430",
                        "legalBasis": {
                            "id": "32014L0024",
                            "scheme": "CELEX"
                        },
                        "title": "Multiple Sclerosis Management Service for Children - Contract Modification",
                        "classification": {
                            "scheme": "CPV",
                            "id": "85100000",
                            "description": "Health services"
                        },
                        "mainProcurementCategory": "services",
                        "lots": [
                            {
                                "id": "1",
                                "description": "The service is currently delivered by 6 providers across the 3 Lots. The service will continue for the duration of this modification.",
                                "contractPeriod": {
                                    "durationInDays": 1080
                                }
                            }
                        ],
                        "items": [
                            {
                                "id": "1",
                                "deliveryAddresses": [
                                    {
                                        "region": "UK"
                                    }
                                ],
                                "relatedLot": "1"
                            }
                        ]
                    },
                    "awards": [
                        {
                            "id": "044469-2026-1-1",
                            "relatedLots": [
                                "1"
                            ],
                            "title": "Multiple Sclerosis Management Service for Children - Contract Modification",
                            "status": "active",
                            "suppliers": [
                                {
                                    "id": "GB-FTS-148352",
                                    "name": "CAMBRIDGE UNIVERSITY HOSPITALS NHS FOUNDATION TRUST"
                                }
                            ]
                        }
                    ],
                    "parties": [
                        {
                            "name": "NHS England",
                            "id": "GB-FTS-130973",
                            "identifier": {
                                "legalName": "NHS England"
                            },
                            "address": {
                                "streetAddress": "Wellington House, 133-135 Waterloo Rd",
                                "locality": "London",
                                "region": "UKI",
                                "postalCode": "SE1 8UG",
                                "countryName": "United Kingdom"
                            },
                            "contactPoint": {
                                "name": "Anna Salt",
                                "email": "anna.salt@nhs.net"
                            },
                            "roles": [
                                "buyer"
                            ],
                            "details": {
                                "url": "https://www.england.nhs.uk/",
                                "buyerProfile": "https://www.england.nhs.uk/"
                            }
                        },
                        {
                            "name": "CAMBRIDGE UNIVERSITY HOSPITALS NHS FOUNDATION TRUST",
                            "id": "GB-FTS-148352",
                            "identifier": {
                                "legalName": "CAMBRIDGE UNIVERSITY HOSPITALS NHS FOUNDATION TRUST",
                                "id": "00000N/A"
                            },
                            "address": {
                                "streetAddress": "Hills Road",
                                "locality": "Cambridge",
                                "region": "UKH",
                                "postalCode": "CB2 0QQ",
                                "countryName": "United Kingdom"
                            },
                            "contactPoint": {
                                "email": "cuh.procurement@nhs.net"
                            },
                            "roles": [
                                "supplier"
                            ],
                            "details": {
                                "scale": "large"
                            }
                        },
                        {
                            "name": "NHS Arden and Greater East Midlands Commissioning Support Unit",
                            "id": "GB-FTS-141301",
                            "identifier": {
                                "legalName": "NHS Arden and Greater East Midlands Commissioning Support Unit"
                            },
                            "address": {
                                "streetAddress": "Cardinal Square, 10 Nottingham Road",
                                "locality": "Derby",
                                "postalCode": "DE1 3QT",
                                "countryName": "United Kingdom"
                            },
                            "roles": [
                                "reviewBody"
                            ],
                            "details": {
                                "url": "https://www.ardengemcsu.nhs.uk/"
                            }
                        }
                    ],
                    "buyer": {
                        "id": "GB-FTS-130973",
                        "name": "NHS England"
                    },
                    "contracts": [
                        {
                            "id": "044469-2026-1-1",
                            "awardID": "044469-2026-1-1",
                            "title": "Multiple Sclerosis Management Service for Children - Contract Modification",
                            "status": "active",
                            "value": {
                                "amount": 12139810,
                                "currency": "GBP"
                            },
                            "dateSigned": "2026-04-01T00:00:00+01:00",
                            "period": {
                                "startDate": "2026-04-01T00:00:00+01:00",
                                "endDate": "2026-11-30T23:59:59Z"
                            },
                            "items": [
                                {
                                    "id": "1",
                                    "classification": {
                                        "scheme": "CPV",
                                        "id": "85100000",
                                        "description": "Health services"
                                    },
                                    "deliveryAddresses": [
                                        {
                                            "region": "UK"
                                        }
                                    ],
                                    "relatedLot": "1"
                                }
                            ],
                            "amendments": [
                                {
                                    "id": "1",
                                    "description": "The contract modification is required to allow the service to continue while allowing sufficient time to identify and complete the most appropriate procurement route in accordance with The Healthcare Services (Provider Selection Regime) Regulations 2023(PSR).<br/>The modification will extend the existing contract for an additional 8 months and the value of the modification is £2,286,667. The initial contract award value was £9,853,146.<br/>The modification effective date is 1st April 2026.",
                                    "rationale": "Need for additional works, services or supplies by the original contractor/concessionaire: The contract modification is required to allow the service to continue while allowing sufficient time to identify and complete the most appropriate procurement route in accordance with The Healthcare Services (Provider Selection Regime) Regulations 2023 (PSR)."
                                }
                            ]
                        }
                    ],
                    "language": "en"
                },
                {
                    "ocid": "ocds-h6vhtk-038737",
                    "id": "044470-2026",
                    "date": "2026-05-14T15:23:23+01:00",
                    "tag": [
                        "awardUpdate",
                        "contractUpdate"
                    ],
                    "description": "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 provision of the Public Contracts Regulations 2015 do not apply to this award. This contract has now been formally modified.<br/>This contract modification was approved by the National Commissioning Group on 20th January 2026.",
                    "initiationType": "tender",
                    "tender": {
                        "id": "C442430",
                        "legalBasis": {
                            "id": "32014L0024",
                            "scheme": "CELEX"
                        },
                        "title": "Multiple Sclerosis Management Service for Children - Contract Modification",
                        "classification": {
                            "scheme": "CPV",
                            "id": "85100000",
                            "description": "Health services"
                        },
                        "mainProcurementCategory": "services",
                        "lots": [
                            {
                                "id": "1",
                                "description": "The service is currently delivered by 6 providers across the 3 Lots. The service will continue for the duration of this modification.",
                                "contractPeriod": {
                                    "durationInDays": 1080
                                }
                            }
                        ],
                        "items": [
                            {
                                "id": "1",
                                "deliveryAddresses": [
                                    {
                                        "region": "UK"
                                    }
                                ],
                                "relatedLot": "1"
                            }
                        ]
                    },
                    "awards": [
                        {
                            "id": "044470-2026-1-1",
                            "relatedLots": [
                                "1"
                            ],
                            "title": "Multiple Sclerosis Management Service for Children - Contract Modification",
                            "status": "active",
                            "suppliers": [
                                {
                                    "id": "GB-FTS-148352",
                                    "name": "CAMBRIDGE UNIVERSITY HOSPITALS NHS FOUNDATION TRUST"
                                }
                            ]
                        }
                    ],
                    "parties": [
                        {
                            "name": "NHS England",
                            "id": "GB-FTS-130973",
                            "identifier": {
                                "legalName": "NHS England"
                            },
                            "address": {
                                "streetAddress": "Wellington House, 133-135 Waterloo Rd",
                                "locality": "London",
                                "region": "UKI",
                                "postalCode": "SE1 8UG",
                                "countryName": "United Kingdom"
                            },
                            "contactPoint": {
                                "name": "Anna Salt",
                                "email": "anna.salt@nhs.net"
                            },
                            "roles": [
                                "buyer"
                            ],
                            "details": {
                                "url": "https://www.england.nhs.uk/",
                                "buyerProfile": "https://www.england.nhs.uk/"
                            }
                        },
                        {
                            "name": "CAMBRIDGE UNIVERSITY HOSPITALS NHS FOUNDATION TRUST",
                            "id": "GB-FTS-148352",
                            "identifier": {
                                "legalName": "CAMBRIDGE UNIVERSITY HOSPITALS NHS FOUNDATION TRUST",
                                "id": "00000N/A"
                            },
                            "address": {
                                "streetAddress": "Hills Road",
                                "locality": "Cambridge",
                                "region": "UKH",
                                "postalCode": "CB2 0QQ",
                                "countryName": "United Kingdom"
                            },
                            "contactPoint": {
                                "email": "cuh.procurement@nhs.net"
                            },
                            "roles": [
                                "supplier"
                            ],
                            "details": {
                                "scale": "large"
                            }
                        },
                        {
                            "name": "NHS Arden and Greater East Midlands Commissioning Support Unit",
                            "id": "GB-FTS-141301",
                            "identifier": {
                                "legalName": "NHS Arden and Greater East Midlands Commissioning Support Unit"
                            },
                            "address": {
                                "streetAddress": "Cardinal Square, 10 Nottingham Road",
                                "locality": "Derby",
                                "postalCode": "DE1 3QT",
                                "countryName": "United Kingdom"
                            },
                            "roles": [
                                "reviewBody"
                            ],
                            "details": {
                                "url": "https://www.ardengemcsu.nhs.uk/"
                            }
                        }
                    ],
                    "buyer": {
                        "id": "GB-FTS-130973",
                        "name": "NHS England"
                    },
                    "contracts": [
                        {
                            "id": "044470-2026-1-1",
                            "awardID": "044470-2026-1-1",
                            "title": "Multiple Sclerosis Management Service for Children - Contract Modification",
                            "status": "active",
                            "value": {
                                "amount": 12139810,
                                "currency": "GBP"
                            },
                            "dateSigned": "2026-04-01T00:00:00+01:00",
                            "period": {
                                "startDate": "2026-04-01T00:00:00+01:00",
                                "endDate": "2026-11-30T23:59:59Z"
                            },
                            "items": [
                                {
                                    "id": "1",
                                    "classification": {
                                        "scheme": "CPV",
                                        "id": "85100000",
                                        "description": "Health services"
                                    },
                                    "deliveryAddresses": [
                                        {
                                            "region": "UK"
                                        }
                                    ],
                                    "relatedLot": "1"
                                }
                            ],
                            "amendments": [
                                {
                                    "id": "2",
                                    "description": "The contract modification is required to allow the service to continue while allowing sufficient time to identify and complete the most appropriate procurement route in accordance with The Healthcare Services (Provider Selection Regime) Regulations 2023(PSR).<br/>The modification will extend the existing contract for an additional 8 months and the value of the modification is £2,286,667. The initial contract award value was £9,853,146.<br/>The modification effective date is 1st April 2026.",
                                    "rationale": "Need for additional works, services or supplies by the original contractor/concessionaire: The contract modification is required to allow the service to continue while allowing sufficient time to identify and complete the most appropriate procurement route in accordance with The Healthcare Services (Provider Selection Regime) Regulations 2023 (PSR)."
                                }
                            ]
                        }
                    ],
                    "language": "en"
                },
                {
                    "ocid": "ocds-h6vhtk-038737",
                    "id": "045612-2026",
                    "date": "2026-05-19T08:48:23+01:00",
                    "tag": [
                        "awardUpdate",
                        "contractUpdate"
                    ],
                    "description": "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 provision of the Public Contracts Regulations 2015 do not apply to this award. This contract has now been formally modified.<br/>This contract modification was approved by the National Commissioning Group on 20th January 2026.",
                    "initiationType": "tender",
                    "tender": {
                        "id": "C442430",
                        "legalBasis": {
                            "id": "32014L0024",
                            "scheme": "CELEX"
                        },
                        "title": "Multiple Sclerosis Management Service for Children - Contract Modification",
                        "classification": {
                            "scheme": "CPV",
                            "id": "85100000",
                            "description": "Health services"
                        },
                        "mainProcurementCategory": "services",
                        "lots": [
                            {
                                "id": "1",
                                "description": "The service is currently delivered by 6 providers across the 3 Lots. The service will continue for the duration of this modification.",
                                "contractPeriod": {
                                    "durationInDays": 1080
                                }
                            }
                        ],
                        "items": [
                            {
                                "id": "1",
                                "deliveryAddresses": [
                                    {
                                        "region": "UK"
                                    }
                                ],
                                "relatedLot": "1"
                            }
                        ]
                    },
                    "awards": [
                        {
                            "id": "045612-2026-1-1",
                            "relatedLots": [
                                "1"
                            ],
                            "title": "Multiple Sclerosis Management Service for Children - Contract Modification",
                            "status": "active",
                            "suppliers": [
                                {
                                    "id": "GB-FTS-148352",
                                    "name": "CAMBRIDGE UNIVERSITY HOSPITALS NHS FOUNDATION TRUST"
                                }
                            ]
                        }
                    ],
                    "parties": [
                        {
                            "name": "NHS England",
                            "id": "GB-FTS-130973",
                            "identifier": {
                                "legalName": "NHS England"
                            },
                            "address": {
                                "streetAddress": "Wellington House, 133-135 Waterloo Rd",
                                "locality": "London",
                                "region": "UKI",
                                "postalCode": "SE1 8UG",
                                "countryName": "United Kingdom"
                            },
                            "contactPoint": {
                                "name": "Anna Salt",
                                "email": "anna.salt@nhs.net"
                            },
                            "roles": [
                                "buyer"
                            ],
                            "details": {
                                "url": "https://www.england.nhs.uk/",
                                "buyerProfile": "https://www.england.nhs.uk/"
                            }
                        },
                        {
                            "name": "CAMBRIDGE UNIVERSITY HOSPITALS NHS FOUNDATION TRUST",
                            "id": "GB-FTS-148352",
                            "identifier": {
                                "legalName": "CAMBRIDGE UNIVERSITY HOSPITALS NHS FOUNDATION TRUST",
                                "id": "00000N/A"
                            },
                            "address": {
                                "streetAddress": "Hills Road",
                                "locality": "Cambridge",
                                "region": "UKH",
                                "postalCode": "CB2 0QQ",
                                "countryName": "United Kingdom"
                            },
                            "contactPoint": {
                                "email": "cuh.procurement@nhs.net"
                            },
                            "roles": [
                                "supplier"
                            ],
                            "details": {
                                "scale": "large"
                            }
                        },
                        {
                            "name": "NHS Arden and Greater East Midlands Commissioning Support Unit",
                            "id": "GB-FTS-141301",
                            "identifier": {
                                "legalName": "NHS Arden and Greater East Midlands Commissioning Support Unit"
                            },
                            "address": {
                                "streetAddress": "Cardinal Square, 10 Nottingham Road",
                                "locality": "Derby",
                                "postalCode": "DE1 3QT",
                                "countryName": "United Kingdom"
                            },
                            "roles": [
                                "reviewBody"
                            ],
                            "details": {
                                "url": "https://www.ardengemcsu.nhs.uk/"
                            }
                        }
                    ],
                    "buyer": {
                        "id": "GB-FTS-130973",
                        "name": "NHS England"
                    },
                    "contracts": [
                        {
                            "id": "045612-2026-1-1",
                            "awardID": "045612-2026-1-1",
                            "title": "Multiple Sclerosis Management Service for Children - Contract Modification",
                            "status": "active",
                            "value": {
                                "amount": 12139810,
                                "currency": "GBP"
                            },
                            "dateSigned": "2026-04-01T00:00:00+01:00",
                            "period": {
                                "startDate": "2026-04-01T00:00:00+01:00",
                                "endDate": "2026-11-30T23:59:59Z"
                            },
                            "items": [
                                {
                                    "id": "1",
                                    "classification": {
                                        "scheme": "CPV",
                                        "id": "85100000",
                                        "description": "Health services"
                                    },
                                    "deliveryAddresses": [
                                        {
                                            "region": "UK"
                                        }
                                    ],
                                    "relatedLot": "1"
                                }
                            ],
                            "amendments": [
                                {
                                    "id": "3",
                                    "description": "The contract modification is required to allow the service to continue while allowing sufficient time to identify and complete the most appropriate procurement route in accordance with The Healthcare Services (Provider Selection Regime) Regulations 2023(PSR).<br/>The modification will extend the existing contract for an additional 8 months and the value of the modification is £2,286,667. The initial contract award value was £9,853,146.<br/>The modification effective date is 1st April 2026.",
                                    "rationale": "Need for additional works, services or supplies by the original contractor/concessionaire: The contract modification is required to allow the service to continue while allowing sufficient time to identify and complete the most appropriate procurement route in accordance with The Healthcare Services (Provider Selection Regime) Regulations 2023 (PSR)."
                                }
                            ]
                        }
                    ],
                    "language": "en"
                },
                {
                    "ocid": "ocds-h6vhtk-038737",
                    "id": "045613-2026",
                    "date": "2026-05-19T08:48:32+01:00",
                    "tag": [
                        "awardUpdate",
                        "contractUpdate"
                    ],
                    "description": "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 provision of the Public Contracts Regulations 2015 do not apply to this award. This contract has now been formally modified.<br/>This contract modification was approved by the National Commissioning Group on 20th January 2026.",
                    "initiationType": "tender",
                    "tender": {
                        "id": "C442430",
                        "legalBasis": {
                            "id": "32014L0024",
                            "scheme": "CELEX"
                        },
                        "title": "Multiple Sclerosis Management Service for Children - Contract Modification",
                        "classification": {
                            "scheme": "CPV",
                            "id": "85100000",
                            "description": "Health services"
                        },
                        "mainProcurementCategory": "services",
                        "lots": [
                            {
                                "id": "1",
                                "description": "The service is currently delivered by 6 providers across the 3 Lots. The service will continue for the duration of this modification.",
                                "contractPeriod": {
                                    "durationInDays": 1080
                                }
                            }
                        ],
                        "items": [
                            {
                                "id": "1",
                                "deliveryAddresses": [
                                    {
                                        "region": "UK"
                                    }
                                ],
                                "relatedLot": "1"
                            }
                        ]
                    },
                    "awards": [
                        {
                            "id": "045613-2026-1-1",
                            "relatedLots": [
                                "1"
                            ],
                            "title": "Multiple Sclerosis Management Service for Children - Contract Modification",
                            "status": "active",
                            "suppliers": [
                                {
                                    "id": "GB-FTS-148352",
                                    "name": "CAMBRIDGE UNIVERSITY HOSPITALS NHS FOUNDATION TRUST"
                                }
                            ]
                        }
                    ],
                    "parties": [
                        {
                            "name": "NHS England",
                            "id": "GB-FTS-130973",
                            "identifier": {
                                "legalName": "NHS England"
                            },
                            "address": {
                                "streetAddress": "Wellington House, 133-135 Waterloo Rd",
                                "locality": "London",
                                "region": "UKI",
                                "postalCode": "SE1 8UG",
                                "countryName": "United Kingdom"
                            },
                            "contactPoint": {
                                "name": "Anna Salt",
                                "email": "anna.salt@nhs.net"
                            },
                            "roles": [
                                "buyer"
                            ],
                            "details": {
                                "url": "https://www.england.nhs.uk/",
                                "buyerProfile": "https://www.england.nhs.uk/"
                            }
                        },
                        {
                            "name": "CAMBRIDGE UNIVERSITY HOSPITALS NHS FOUNDATION TRUST",
                            "id": "GB-FTS-148352",
                            "identifier": {
                                "legalName": "CAMBRIDGE UNIVERSITY HOSPITALS NHS FOUNDATION TRUST",
                                "id": "00000N/A"
                            },
                            "address": {
                                "streetAddress": "Hills Road",
                                "locality": "Cambridge",
                                "region": "UKH",
                                "postalCode": "CB2 0QQ",
                                "countryName": "United Kingdom"
                            },
                            "contactPoint": {
                                "email": "cuh.procurement@nhs.net"
                            },
                            "roles": [
                                "supplier"
                            ],
                            "details": {
                                "scale": "large"
                            }
                        },
                        {
                            "name": "NHS Arden and Greater East Midlands Commissioning Support Unit",
                            "id": "GB-FTS-141301",
                            "identifier": {
                                "legalName": "NHS Arden and Greater East Midlands Commissioning Support Unit"
                            },
                            "address": {
                                "streetAddress": "Cardinal Square, 10 Nottingham Road",
                                "locality": "Derby",
                                "postalCode": "DE1 3QT",
                                "countryName": "United Kingdom"
                            },
                            "roles": [
                                "reviewBody"
                            ],
                            "details": {
                                "url": "https://www.ardengemcsu.nhs.uk/"
                            }
                        }
                    ],
                    "buyer": {
                        "id": "GB-FTS-130973",
                        "name": "NHS England"
                    },
                    "contracts": [
                        {
                            "id": "045613-2026-1-1",
                            "awardID": "045613-2026-1-1",
                            "title": "Multiple Sclerosis Management Service for Children - Contract Modification",
                            "status": "active",
                            "value": {
                                "amount": 12139810,
                                "currency": "GBP"
                            },
                            "dateSigned": "2026-04-01T00:00:00+01:00",
                            "period": {
                                "startDate": "2026-04-01T00:00:00+01:00",
                                "endDate": "2026-11-30T23:59:59Z"
                            },
                            "items": [
                                {
                                    "id": "1",
                                    "classification": {
                                        "scheme": "CPV",
                                        "id": "85100000",
                                        "description": "Health services"
                                    },
                                    "deliveryAddresses": [
                                        {
                                            "region": "UK"
                                        }
                                    ],
                                    "relatedLot": "1"
                                }
                            ],
                            "amendments": [
                                {
                                    "id": "4",
                                    "description": "The contract modification is required to allow the service to continue while allowing sufficient time to identify and complete the most appropriate procurement route in accordance with The Healthcare Services (Provider Selection Regime) Regulations 2023(PSR).<br/>The modification will extend the existing contract for an additional 8 months and the value of the modification is £2,286,667. The initial contract award value was £9,853,146.<br/>The modification effective date is 1st April 2026.",
                                    "rationale": "Need for additional works, services or supplies by the original contractor/concessionaire: The contract modification is required to allow the service to continue while allowing sufficient time to identify and complete the most appropriate procurement route in accordance with The Healthcare Services (Provider Selection Regime) Regulations 2023 (PSR)."
                                }
                            ]
                        }
                    ],
                    "language": "en"
                },
                {
                    "ocid": "ocds-h6vhtk-038737",
                    "id": "063829-2026",
                    "date": "2026-07-07T16:34:36+01:00",
                    "tag": [
                        "awardUpdate",
                        "contractUpdate"
                    ],
                    "description": "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 provision of the Public Contracts Regulations 2015 do not apply to this award. This contract has now been formally modified.<br/>This contract modification was approved by the National Commissioning Group on 20th January 2026.",
                    "initiationType": "tender",
                    "tender": {
                        "id": "C442430",
                        "legalBasis": {
                            "id": "32014L0024",
                            "scheme": "CELEX"
                        },
                        "title": "Multiple Sclerosis Management Servicefor Children - Contract Modification",
                        "classification": {
                            "scheme": "CPV",
                            "id": "85100000",
                            "description": "Health services"
                        },
                        "mainProcurementCategory": "services",
                        "lots": [
                            {
                                "id": "1",
                                "description": "The service is currently delivered by 6 providers across the 3 Lots, as follows. The service will continue for the duration of this modification.<br/>i) Lot 1 - North comprising the NHS England Regions: the North East and Yorkshire; the North West<br/><br/>* Manchester University NHS Foundation Trust<br/><br/>ii) Lot 2 - the Midlands comprising the NHS England Regions: the Midlands; the East of England<br/><br/>* Birmingham Women's and Children's NHS Foundation Trust<br/>* Cambridge University Hospitals NHS Foundation Trust<br/><br/>iii) Lot 3 - London and the South: comprising the South East; the South West; London<br/><br/>* Great Ormond Street Hospital for Children NHS Foundation Trust<br/>* Guys & St Thomas' Hospital NHS Foundation Trust",
                                "contractPeriod": {
                                    "durationInDays": 1080
                                }
                            }
                        ],
                        "items": [
                            {
                                "id": "1",
                                "deliveryAddresses": [
                                    {
                                        "region": "UK"
                                    }
                                ],
                                "relatedLot": "1"
                            }
                        ]
                    },
                    "awards": [
                        {
                            "id": "063829-2026-1-1",
                            "relatedLots": [
                                "1"
                            ],
                            "title": "Multiple Sclerosis Management Service for Children - Contract Modification",
                            "status": "active",
                            "suppliers": [
                                {
                                    "id": "GB-FTS-176429",
                                    "name": "Birmingham Women's and Children's NHS Foundation Trust"
                                }
                            ]
                        }
                    ],
                    "parties": [
                        {
                            "name": "NHS England",
                            "id": "GB-FTS-130973",
                            "identifier": {
                                "legalName": "NHS England"
                            },
                            "address": {
                                "streetAddress": "Wellington House, 133-135 Waterloo Rd",
                                "locality": "London",
                                "region": "UKI",
                                "postalCode": "SE1 8UG",
                                "countryName": "United Kingdom"
                            },
                            "contactPoint": {
                                "name": "Anna Salt",
                                "email": "anna.salt@nhs.net"
                            },
                            "roles": [
                                "buyer"
                            ],
                            "details": {
                                "url": "https://www.england.nhs.uk/",
                                "buyerProfile": "https://www.england.nhs.uk/"
                            }
                        },
                        {
                            "name": "Birmingham Women's and Children's NHS Foundation Trust",
                            "id": "GB-FTS-176429",
                            "identifier": {
                                "legalName": "Birmingham Women's and Children's NHS Foundation Trust",
                                "id": "10841099"
                            },
                            "address": {
                                "streetAddress": "C/O Birmingham Women's Hospital  Mindelsohn Way",
                                "locality": "Birmingham",
                                "region": "UKG",
                                "postalCode": "B15 2TG",
                                "countryName": "United Kingdom"
                            },
                            "contactPoint": {
                                "email": "martyngreen@snsg.co.uk"
                            },
                            "roles": [
                                "supplier"
                            ],
                            "details": {
                                "url": "http://www.bch.org.uk",
                                "scale": "large"
                            }
                        },
                        {
                            "name": "NHS Arden and Greater East Midlands Commissioning Support Unit",
                            "id": "GB-FTS-141301",
                            "identifier": {
                                "legalName": "NHS Arden and Greater East Midlands Commissioning Support Unit"
                            },
                            "address": {
                                "streetAddress": "Cardinal Square, 10 Nottingham Road",
                                "locality": "Derby",
                                "postalCode": "DE1 3QT",
                                "countryName": "United Kingdom"
                            },
                            "roles": [
                                "reviewBody"
                            ],
                            "details": {
                                "url": "https://www.ardengemcsu.nhs.uk/"
                            }
                        }
                    ],
                    "buyer": {
                        "id": "GB-FTS-130973",
                        "name": "NHS England"
                    },
                    "contracts": [
                        {
                            "id": "063829-2026-1-1",
                            "awardID": "063829-2026-1-1",
                            "title": "Multiple Sclerosis Management Service for Children - Contract Modification",
                            "status": "active",
                            "value": {
                                "amount": 12042731,
                                "currency": "GBP"
                            },
                            "dateSigned": "2026-04-01T00:00:00+01:00",
                            "period": {
                                "startDate": "2026-04-01T00:00:00+01:00",
                                "endDate": "2026-11-30T23:59:59Z"
                            },
                            "items": [
                                {
                                    "id": "1",
                                    "classification": {
                                        "scheme": "CPV",
                                        "id": "85100000",
                                        "description": "Health services"
                                    },
                                    "deliveryAddresses": [
                                        {
                                            "region": "UK"
                                        }
                                    ],
                                    "relatedLot": "1"
                                }
                            ],
                            "amendments": [
                                {
                                    "id": "5",
                                    "description": "The contract modification is required to allow the service to continue while allowing sufficient time to identify and complete the most appropriate procurement route in accordance with The Healthcare Services (Provider Selection Regime) Regulations 2023(PSR).<br/>The modifications will extend the existing contract for an additional 8 months and the value of all modifications for all 6 providers across the 3 Lots is £2,189,588. The initial contract award value for all 6 providers across the 3 Lots was £9,853,146.<br/>The modification effective date is 1st April 2026.<br/>Please note that multiple contract modification notices are being published; one for each provider, due to system issues.",
                                    "rationale": "Need for additional works, services or supplies by the original contractor/concessionaire: The contract modification is required to allow the service to continue while allowing sufficient time to identify and complete the most appropriate procurement route in accordance with The Healthcare Services (Provider Selection Regime) Regulations 2023(PSR)."
                                }
                            ]
                        }
                    ],
                    "language": "en"
                },
                {
                    "ocid": "ocds-h6vhtk-038737",
                    "id": "063839-2026",
                    "date": "2026-07-07T16:46:00+01:00",
                    "tag": [
                        "awardUpdate",
                        "contractUpdate"
                    ],
                    "description": "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 provision of the Public Contracts Regulations 2015 do not apply to this award. This contract has now been formally modified.<br/>This contract modification was approved by the National Commissioning Group on 20th January 2026.",
                    "initiationType": "tender",
                    "tender": {
                        "id": "C442430",
                        "legalBasis": {
                            "id": "32014L0024",
                            "scheme": "CELEX"
                        },
                        "title": "Multiple Sclerosis Management Servicefor Children - Contract Modification",
                        "classification": {
                            "scheme": "CPV",
                            "id": "85100000",
                            "description": "Health services"
                        },
                        "mainProcurementCategory": "services",
                        "lots": [
                            {
                                "id": "1",
                                "description": "The service is currently delivered by 6 providers across the 3 Lots, as follows. The service will continue for the duration of this modification.<br/>i) Lot 1 - North comprising the NHS England Regions: the North East and Yorkshire; the North West<br/><br/>* Manchester University NHS Foundation Trust<br/><br/>ii) Lot 2 - the Midlands comprising the NHS England Regions: the Midlands; the East of England<br/><br/>* Birmingham Women's and Children's NHS Foundation Trust<br/>* Cambridge University Hospitals NHS Foundation Trust<br/><br/>iii) Lot 3 - London and the South: comprising the South East; the South West; London<br/><br/>* Great Ormond Street Hospital for Children NHS Foundation Trust<br/>* Guys & St Thomas' Hospital NHS Foundation Trust",
                                "contractPeriod": {
                                    "durationInDays": 1080
                                }
                            }
                        ],
                        "items": [
                            {
                                "id": "1",
                                "deliveryAddresses": [
                                    {
                                        "region": "UK"
                                    }
                                ],
                                "relatedLot": "1"
                            }
                        ]
                    },
                    "awards": [
                        {
                            "id": "063839-2026-1-1",
                            "relatedLots": [
                                "1"
                            ],
                            "title": "Multiple Sclerosis Management Service for Children - Contract Modification",
                            "status": "active",
                            "suppliers": [
                                {
                                    "id": "GB-FTS-140639",
                                    "name": "Cambridge University Hospitals NHS Foundation Trust"
                                }
                            ]
                        }
                    ],
                    "parties": [
                        {
                            "name": "NHS England",
                            "id": "GB-FTS-130973",
                            "identifier": {
                                "legalName": "NHS England"
                            },
                            "address": {
                                "streetAddress": "Wellington House, 133-135 Waterloo Rd",
                                "locality": "London",
                                "region": "UKI",
                                "postalCode": "SE1 8UG",
                                "countryName": "United Kingdom"
                            },
                            "contactPoint": {
                                "name": "Anna Salt",
                                "email": "anna.salt@nhs.net"
                            },
                            "roles": [
                                "buyer"
                            ],
                            "details": {
                                "url": "https://www.england.nhs.uk/",
                                "buyerProfile": "https://www.england.nhs.uk/"
                            }
                        },
                        {
                            "name": "Cambridge University Hospitals NHS Foundation Trust",
                            "id": "GB-FTS-140639",
                            "identifier": {
                                "legalName": "Cambridge University Hospitals NHS Foundation Trust",
                                "id": "00000N/A"
                            },
                            "address": {
                                "streetAddress": "Hills Road,  Cambridge",
                                "locality": "Cambridge",
                                "region": "UKH",
                                "postalCode": "CB2 0QQ",
                                "countryName": "United Kingdom"
                            },
                            "roles": [
                                "supplier"
                            ],
                            "details": {
                                "url": "http://www.cuh.nhs.uk",
                                "scale": "large"
                            }
                        },
                        {
                            "name": "NHS Arden and Greater East Midlands Commissioning Support Unit",
                            "id": "GB-FTS-141301",
                            "identifier": {
                                "legalName": "NHS Arden and Greater East Midlands Commissioning Support Unit"
                            },
                            "address": {
                                "streetAddress": "Cardinal Square, 10 Nottingham Road",
                                "locality": "Derby",
                                "postalCode": "DE1 3QT",
                                "countryName": "United Kingdom"
                            },
                            "roles": [
                                "reviewBody"
                            ],
                            "details": {
                                "url": "https://www.ardengemcsu.nhs.uk/"
                            }
                        }
                    ],
                    "buyer": {
                        "id": "GB-FTS-130973",
                        "name": "NHS England"
                    },
                    "contracts": [
                        {
                            "id": "063839-2026-1-1",
                            "awardID": "063839-2026-1-1",
                            "title": "Multiple Sclerosis Management Service for Children - Contract Modification",
                            "status": "active",
                            "value": {
                                "amount": 12042731,
                                "currency": "GBP"
                            },
                            "dateSigned": "2026-04-01T00:00:00+01:00",
                            "period": {
                                "startDate": "2026-04-01T00:00:00+01:00",
                                "endDate": "2026-11-30T23:59:59Z"
                            },
                            "items": [
                                {
                                    "id": "1",
                                    "classification": {
                                        "scheme": "CPV",
                                        "id": "85100000",
                                        "description": "Health services"
                                    },
                                    "deliveryAddresses": [
                                        {
                                            "region": "UK"
                                        }
                                    ],
                                    "relatedLot": "1"
                                }
                            ],
                            "amendments": [
                                {
                                    "id": "6",
                                    "description": "The contract modification is required to allow the service to continue while allowing sufficient time to identify and complete the most appropriate procurement route in accordance with The Healthcare Services (Provider Selection Regime) Regulations 2023(PSR).<br/>The modifications will extend the existing contract for an additional 8 months and the value of all modifications for all 6 providers across the 3 Lots is £2,189,588. The initial contract award value for all 6 providers across the 3 Lots was £9,853,146.<br/>The modification effective date is 1st April 2026.<br/>Please note that multiple contract modification notices are being published; one for each provider, due to system issues.",
                                    "rationale": "Need for additional works, services or supplies by the original contractor/concessionaire: The contract modification is required to allow the service to continue while allowing sufficient time to identify and complete the most appropriate procurement route in accordance with The Healthcare Services (Provider Selection Regime) Regulations 2023(PSR)."
                                }
                            ]
                        }
                    ],
                    "language": "en"
                },
                {
                    "ocid": "ocds-h6vhtk-038737",
                    "id": "063847-2026",
                    "date": "2026-07-07T16:57:47+01:00",
                    "tag": [
                        "awardUpdate",
                        "contractUpdate"
                    ],
                    "description": "This is a Provider Selection Regime<br/>(PSR) contract modification notice,<br/>under the Health Care Services<br/>(Provider Selection Regime)<br/>Regulations 2023. For the avoidance of<br/>doubt, the provision of the Public<br/>Contracts Regulations 2015 do not<br/>apply to this award. This contract has<br/>now been formally modified.<br/>This contract modification was<br/>approved by the National<br/>Commissioning Group on 20th January<br/>2026.",
                    "initiationType": "tender",
                    "tender": {
                        "id": "C442430",
                        "legalBasis": {
                            "id": "32014L0024",
                            "scheme": "CELEX"
                        },
                        "title": "Multiple Sclerosis Management Service for Children - Contract Modification",
                        "classification": {
                            "scheme": "CPV",
                            "id": "85100000",
                            "description": "Health services"
                        },
                        "mainProcurementCategory": "services",
                        "lots": [
                            {
                                "id": "1",
                                "description": "The service is currently delivered by 6<br/>providers across the 3 Lots, as follows.<br/>The service will continue for the<br/>duration of this modification.<br/>i) Lot 1 - North comprising the NHS<br/>England Regions: the North East and<br/>Yorkshire; the North West<br/>* Manchester University NHS<br/>Foundation Trust<br/>ii) Lot 2 - the Midlands comprising the<br/>NHS England Regions: the Midlands;<br/>the East of England<br/>* Birmingham Women's and Children's<br/>NHS Foundation Trust<br/>* Cambridge University Hospitals NHS<br/>Foundation Trust<br/>iii) Lot 3 - London and the South:<br/>comprising the South East; the South<br/>West; London",
                                "contractPeriod": {
                                    "durationInDays": 1080
                                }
                            }
                        ],
                        "items": [
                            {
                                "id": "1",
                                "deliveryAddresses": [
                                    {
                                        "region": "UK"
                                    }
                                ],
                                "relatedLot": "1"
                            }
                        ]
                    },
                    "awards": [
                        {
                            "id": "063847-2026-1-1",
                            "relatedLots": [
                                "1"
                            ],
                            "title": "Multiple Sclerosis Management Service for Children - Contract Modification",
                            "status": "active",
                            "suppliers": [
                                {
                                    "id": "GB-FTS-142966",
                                    "name": "GREAT ORMOND STREET HOSPITAL FOR CHILDREN NHS FOUNDATION TRUST"
                                }
                            ]
                        }
                    ],
                    "parties": [
                        {
                            "name": "NHS England",
                            "id": "GB-FTS-130973",
                            "identifier": {
                                "legalName": "NHS England"
                            },
                            "address": {
                                "streetAddress": "Wellington House, 133-135 Waterloo Rd",
                                "locality": "London",
                                "region": "UKI",
                                "postalCode": "SE1 8UG",
                                "countryName": "United Kingdom"
                            },
                            "contactPoint": {
                                "name": "Anna Salt",
                                "email": "anna.salt@nhs.net"
                            },
                            "roles": [
                                "buyer"
                            ],
                            "details": {
                                "url": "https://www.england.nhs.uk/",
                                "buyerProfile": "https://www.england.nhs.uk/"
                            }
                        },
                        {
                            "name": "GREAT ORMOND STREET HOSPITAL FOR CHILDREN NHS FOUNDATION TRUST",
                            "id": "GB-FTS-142966",
                            "identifier": {
                                "legalName": "GREAT ORMOND STREET HOSPITAL FOR CHILDREN NHS FOUNDATION TRUST",
                                "id": "00000N/A"
                            },
                            "address": {
                                "streetAddress": "Great Ormond Street",
                                "locality": "London",
                                "region": "UKI",
                                "postalCode": "WC1N 3JH",
                                "countryName": "United Kingdom"
                            },
                            "contactPoint": {
                                "email": "info@gosh.nhs.uk"
                            },
                            "roles": [
                                "supplier"
                            ],
                            "details": {
                                "url": "http://www.gosh.nhs.uk",
                                "scale": "large"
                            }
                        },
                        {
                            "name": "NHS Arden and Greater East Midlands Commissioning Support Unit",
                            "id": "GB-FTS-141301",
                            "identifier": {
                                "legalName": "NHS Arden and Greater East Midlands Commissioning Support Unit"
                            },
                            "address": {
                                "streetAddress": "Cardinal Square, 10 Nottingham Road",
                                "locality": "Derby",
                                "postalCode": "DE1 3QT",
                                "countryName": "United Kingdom"
                            },
                            "roles": [
                                "reviewBody"
                            ],
                            "details": {
                                "url": "https://www.ardengemcsu.nhs.uk/"
                            }
                        }
                    ],
                    "buyer": {
                        "id": "GB-FTS-130973",
                        "name": "NHS England"
                    },
                    "contracts": [
                        {
                            "id": "063847-2026-1-1",
                            "awardID": "063847-2026-1-1",
                            "title": "Multiple Sclerosis Management Service for Children - Contract Modification",
                            "status": "active",
                            "value": {
                                "amount": 12042731,
                                "currency": "GBP"
                            },
                            "dateSigned": "2026-04-01T00:00:00+01:00",
                            "period": {
                                "startDate": "2026-04-01T00:00:00+01:00",
                                "endDate": "2026-11-30T23:59:59Z"
                            },
                            "items": [
                                {
                                    "id": "1",
                                    "classification": {
                                        "scheme": "CPV",
                                        "id": "85100000",
                                        "description": "Health services"
                                    },
                                    "deliveryAddresses": [
                                        {
                                            "region": "UK"
                                        }
                                    ],
                                    "relatedLot": "1"
                                }
                            ],
                            "amendments": [
                                {
                                    "id": "7",
                                    "description": "The contract modification is required to<br/>allow the service to continue while<br/>allowing sufficient time to identify and<br/>complete the most appropriate<br/>procurement route in accordance with<br/>The Healthcare Services (Provider<br/>Selection Regime) Regulations<br/>2023(PSR).<br/>The modifications will extend the<br/>existing contract for an additional 8<br/>months and the value of all<br/>modifications for all 6 providers across<br/>the 3 Lots is £2,189,588. The initial<br/>contract award value for all 6 providers<br/>across the 3 Lots was £9,853,146.<br/>The modification effective date is 1st<br/>April 2026.<br/>Please note that multiple contract<br/>modification notices are being<br/>published; one for each provider, due to<br/>system issues.",
                                    "rationale": "Need for additional works, services or supplies by the original contractor/concessionaire: The contract modification is required to<br/>allow the service to continue while<br/>allowing sufficient time to identify and<br/>complete the most appropriate<br/>procurement route in accordance with<br/>The Healthcare Services (Provider<br/>Selection Regime) Regulations<br/>2023(PSR)."
                                }
                            ]
                        }
                    ],
                    "language": "en"
                },
                {
                    "ocid": "ocds-h6vhtk-038737",
                    "id": "063890-2026",
                    "date": "2026-07-08T08:15:42+01:00",
                    "tag": [
                        "awardUpdate",
                        "contractUpdate"
                    ],
                    "description": "This is a Provider Selection Regime<br/>(PSR) contract modification notice,<br/>under the Health Care Services<br/>(Provider Selection Regime)<br/>Regulations 2023. For the avoidance of<br/>doubt, the provision of the Public<br/>Contracts Regulations 2015 do not<br/>apply to this award. This contract has<br/>now been formally modified.<br/>This contract modification was<br/>approved by the National<br/>Commissioning Group on 20th January<br/>2026.",
                    "initiationType": "tender",
                    "tender": {
                        "id": "C442430",
                        "legalBasis": {
                            "id": "32014L0024",
                            "scheme": "CELEX"
                        },
                        "title": "Multiple Sclerosis Management Service for Children - Contract Modification",
                        "classification": {
                            "scheme": "CPV",
                            "id": "85100000",
                            "description": "Health services"
                        },
                        "mainProcurementCategory": "services",
                        "lots": [
                            {
                                "id": "1",
                                "description": "The service is currently delivered by 6<br/>providers across the 3 Lots, as follows.<br/>The service will continue for the<br/>duration of this modification.<br/>i) Lot 1 - North comprising the NHS<br/>England Regions: the North East and<br/>Yorkshire; the North West<br/>* Manchester University NHS<br/>Foundation Trust<br/>ii) Lot 2 - the Midlands comprising the<br/>NHS England Regions: the Midlands;<br/>the East of England<br/>* Birmingham Women's and Children's<br/>NHS Foundation Trust<br/>* Cambridge University Hospitals NHS<br/>Foundation Trust<br/>iii) Lot 3 - London and the South:<br/>comprising the South East; the South<br/>West; London<br/>VI.4.2 Mediation<br/>address<br/>VI.4.3.1 Info on<br/>deadline for review<br/>VI.5.0.1 Date of<br/>dispatch<br/>VII.1.3.1 NUTS Code VII.1.3.2 Main Site<br/>VII.1.4.1 Description<br/>of procurement<br/>* Great Ormond Street Hospital for<br/>Children NHS Foundation Trust<br/>* Guys & St Thomas' Hospital NHS<br/>Foundation Trust",
                                "contractPeriod": {
                                    "durationInDays": 1080
                                }
                            }
                        ],
                        "items": [
                            {
                                "id": "1",
                                "deliveryAddresses": [
                                    {
                                        "region": "UK"
                                    }
                                ],
                                "relatedLot": "1"
                            }
                        ]
                    },
                    "awards": [
                        {
                            "id": "063890-2026-1-1",
                            "relatedLots": [
                                "1"
                            ],
                            "title": "Multiple Sclerosis Management Service for Children - Contract Modification",
                            "status": "active",
                            "suppliers": [
                                {
                                    "id": "GB-FTS-184383",
                                    "name": "Guys and St Thomas' Hospital NHS Foundation Trust"
                                }
                            ]
                        }
                    ],
                    "parties": [
                        {
                            "name": "NHS England",
                            "id": "GB-FTS-130973",
                            "identifier": {
                                "legalName": "NHS England"
                            },
                            "address": {
                                "streetAddress": "Wellington House, 133-135 Waterloo Rd",
                                "locality": "London",
                                "region": "UKI",
                                "postalCode": "SE1 8UG",
                                "countryName": "United Kingdom"
                            },
                            "contactPoint": {
                                "name": "Anna Salt",
                                "email": "anna.salt@nhs.net"
                            },
                            "roles": [
                                "buyer"
                            ],
                            "details": {
                                "url": "https://www.england.nhs.uk/",
                                "buyerProfile": "https://www.england.nhs.uk/"
                            }
                        },
                        {
                            "name": "Guys and St Thomas' Hospital NHS Foundation Trust",
                            "id": "GB-FTS-184383",
                            "identifier": {
                                "legalName": "Guys and St Thomas' Hospital NHS Foundation Trust",
                                "id": "00000N/A"
                            },
                            "address": {
                                "streetAddress": "Great Maze Pond, London,",
                                "locality": "London",
                                "region": "UKI",
                                "postalCode": "SE1 9RT",
                                "countryName": "United Kingdom"
                            },
                            "contactPoint": {
                                "email": "pals@gstt.nhs.uk"
                            },
                            "roles": [
                                "supplier"
                            ],
                            "details": {
                                "scale": "large"
                            }
                        },
                        {
                            "name": "NHS Arden and Greater East Midlands Commissioning Support Unit",
                            "id": "GB-FTS-141301",
                            "identifier": {
                                "legalName": "NHS Arden and Greater East Midlands Commissioning Support Unit"
                            },
                            "address": {
                                "streetAddress": "Cardinal Square, 10 Nottingham Road",
                                "locality": "Derby",
                                "postalCode": "DE1 3QT",
                                "countryName": "United Kingdom"
                            },
                            "roles": [
                                "reviewBody"
                            ],
                            "details": {
                                "url": "https://www.ardengemcsu.nhs.uk/"
                            }
                        }
                    ],
                    "buyer": {
                        "id": "GB-FTS-130973",
                        "name": "NHS England"
                    },
                    "contracts": [
                        {
                            "id": "063890-2026-1-1",
                            "awardID": "063890-2026-1-1",
                            "title": "Multiple Sclerosis Management Service for Children - Contract Modification",
                            "status": "active",
                            "value": {
                                "amount": 12042731,
                                "currency": "GBP"
                            },
                            "dateSigned": "2026-04-01T00:00:00+01:00",
                            "period": {
                                "startDate": "2026-04-01T00:00:00+01:00",
                                "endDate": "2026-11-30T23:59:59Z"
                            },
                            "items": [
                                {
                                    "id": "1",
                                    "classification": {
                                        "scheme": "CPV",
                                        "id": "85100000",
                                        "description": "Health services"
                                    },
                                    "deliveryAddresses": [
                                        {
                                            "region": "UK"
                                        }
                                    ],
                                    "relatedLot": "1"
                                }
                            ],
                            "amendments": [
                                {
                                    "id": "8",
                                    "description": "The contract modification is required to<br/>allow the service to continue while<br/>allowing sufficient time to identify and<br/>complete the most appropriate<br/>procurement route in accordance with<br/>The Healthcare Services (Provider<br/>Selection Regime) Regulations<br/>2023(PSR).<br/>The modifications will extend the<br/>existing contract for an additional 8<br/>months and the value of all<br/>modifications for all 6 providers across<br/>the 3 Lots is £2,189,588. The initial<br/>contract award value for all 6 providers<br/>across the 3 Lots was £9,853,146.<br/>The modification effective date is 1st<br/>April 2026.<br/>Please note that multiple contract<br/>modification notices are being<br/>published; one for each provider, due to<br/>system issues.",
                                    "rationale": "Need for additional works, services or supplies by the original contractor/concessionaire: The contract modification is required to<br/>allow the service to continue while<br/>allowing sufficient time to identify and<br/>complete the most appropriate<br/>procurement route in accordance with<br/>The Healthcare Services (Provider<br/>Selection Regime) Regulations<br/>2023(PSR)."
                                }
                            ]
                        }
                    ],
                    "language": "en"
                },
                {
                    "ocid": "ocds-h6vhtk-038737",
                    "id": "063895-2026",
                    "date": "2026-07-08T08:23:30+01:00",
                    "tag": [
                        "awardUpdate",
                        "contractUpdate"
                    ],
                    "description": "This is a Provider Selection Regime<br/>(PSR) contract modification notice,<br/>under the Health Care Services<br/>(Provider Selection Regime)<br/>Regulations 2023. For the avoidance of<br/>doubt, the provision of the Public<br/>Contracts Regulations 2015 do not<br/>apply to this award. This contract has<br/>now been formally modified.<br/>This contract modification was<br/>approved by the National<br/>Commissioning Group on 20th January<br/>2026.",
                    "initiationType": "tender",
                    "tender": {
                        "id": "C442430",
                        "legalBasis": {
                            "id": "32014L0024",
                            "scheme": "CELEX"
                        },
                        "title": "Multiple Sclerosis Management Service for Children - Contract Modification",
                        "classification": {
                            "scheme": "CPV",
                            "id": "85100000",
                            "description": "Health services"
                        },
                        "mainProcurementCategory": "services",
                        "lots": [
                            {
                                "id": "1",
                                "description": "The service is currently delivered by 6<br/>providers across the 3 Lots, as follows.<br/>The service will continue for the<br/>duration of this modification.<br/>i) Lot 1 - North comprising the NHS<br/>England Regions: the North East and<br/>Yorkshire; the North West<br/>* Manchester University NHS<br/>Foundation Trust<br/>ii) Lot 2 - the Midlands comprising the<br/>NHS England Regions: the Midlands;<br/>the East of England<br/>* Birmingham Women's and Children's<br/>NHS Foundation Trust<br/>* Cambridge University Hospitals NHS<br/>Foundation Trust<br/>iii) Lot 3 - London and the South:<br/>comprising the South East; the South<br/>West; London<br/>* Great Ormond Street Hospital for<br/>Children NHS Foundation Trust<br/>* Guys & St Thomas' Hospital NHS<br/>Foundation Trust",
                                "contractPeriod": {
                                    "durationInDays": 1080
                                }
                            }
                        ],
                        "items": [
                            {
                                "id": "1",
                                "deliveryAddresses": [
                                    {
                                        "region": "UK"
                                    }
                                ],
                                "relatedLot": "1"
                            }
                        ]
                    },
                    "awards": [
                        {
                            "id": "063895-2026-1-1",
                            "relatedLots": [
                                "1"
                            ],
                            "status": "active",
                            "suppliers": [
                                {
                                    "id": "GB-FTS-125859",
                                    "name": "Manchester University NHS Foundation Trust"
                                }
                            ]
                        }
                    ],
                    "parties": [
                        {
                            "name": "NHS England",
                            "id": "GB-FTS-130973",
                            "identifier": {
                                "legalName": "NHS England"
                            },
                            "address": {
                                "streetAddress": "Wellington House, 133-135 Waterloo Rd",
                                "locality": "London",
                                "region": "UKI",
                                "postalCode": "SE1 8UG",
                                "countryName": "United Kingdom"
                            },
                            "contactPoint": {
                                "name": "Anna Salt",
                                "email": "anna.salt@nhs.net"
                            },
                            "roles": [
                                "buyer"
                            ],
                            "details": {
                                "url": "https://www.england.nhs.uk/",
                                "buyerProfile": "https://www.england.nhs.uk/"
                            }
                        },
                        {
                            "name": "Manchester University NHS Foundation Trust",
                            "id": "GB-FTS-125859",
                            "identifier": {
                                "legalName": "Manchester University NHS Foundation Trust",
                                "id": "OC388522"
                            },
                            "address": {
                                "streetAddress": "Finance & Procurement Business Unit  Trafford General Hospital,Moorside Road  M41 5SL",
                                "locality": "Manchester",
                                "region": "UKD",
                                "postalCode": "M41 5SL",
                                "countryName": "United Kingdom"
                            },
                            "contactPoint": {
                                "email": "purchasing@mft.nhs.uk"
                            },
                            "roles": [
                                "supplier"
                            ],
                            "details": {
                                "scale": "large"
                            }
                        },
                        {
                            "name": "NHS Arden and Greater East Midlands Commissioning Support Unit",
                            "id": "GB-FTS-141301",
                            "identifier": {
                                "legalName": "NHS Arden and Greater East Midlands Commissioning Support Unit"
                            },
                            "address": {
                                "streetAddress": "Cardinal Square, 10 Nottingham Road",
                                "locality": "Derby",
                                "postalCode": "DE1 3QT",
                                "countryName": "United Kingdom"
                            },
                            "roles": [
                                "reviewBody"
                            ],
                            "details": {
                                "url": "https://www.ardengemcsu.nhs.uk/"
                            }
                        }
                    ],
                    "buyer": {
                        "id": "GB-FTS-130973",
                        "name": "NHS England"
                    },
                    "contracts": [
                        {
                            "id": "063895-2026-1-1",
                            "awardID": "063895-2026-1-1",
                            "status": "active",
                            "value": {
                                "amount": 12042731,
                                "currency": "GBP"
                            },
                            "dateSigned": "2026-04-01T00:00:00+01:00",
                            "period": {
                                "startDate": "2026-04-01T00:00:00+01:00",
                                "endDate": "2026-11-30T23:59:59Z"
                            },
                            "items": [
                                {
                                    "id": "1",
                                    "classification": {
                                        "scheme": "CPV",
                                        "id": "85100000",
                                        "description": "Health services"
                                    },
                                    "deliveryAddresses": [
                                        {
                                            "region": "UK"
                                        }
                                    ],
                                    "relatedLot": "1"
                                }
                            ],
                            "amendments": [
                                {
                                    "id": "9",
                                    "description": "The contract modification is required to<br/>allow the service to continue while<br/>allowing sufficient time to identify and<br/>complete the most appropriate<br/>procurement route in accordance with<br/>The Healthcare Services (Provider<br/>Selection Regime) Regulations<br/>2023(PSR).<br/>The modifications will extend the<br/>existing contract for an additional 8<br/>months and the value of all<br/>modifications for all 6 providers across<br/>the 3 Lots is £2,189,588. The initial<br/>contract award value for all 6 providers<br/>across the 3 Lots was £9,853,146.<br/>The modification effective date is 1st<br/>April 2026.<br/>Please note that multiple contract<br/>modification notices are being<br/>published; one for each provider, due to<br/>system issues.",
                                    "rationale": "Need for additional works, services or supplies by the original contractor/concessionaire: The contract modification is required to<br/>allow the service to continue while<br/>allowing sufficient time to identify and<br/>complete the most appropriate<br/>procurement route in accordance with<br/>The Healthcare Services (Provider<br/>Selection Regime) Regulations<br/>2023(PSR)."
                                }
                            ]
                        }
                    ],
                    "language": "en"
                },
                {
                    "ocid": "ocds-h6vhtk-038737",
                    "id": "063897-2026",
                    "date": "2026-07-08T08:30:59+01:00",
                    "tag": [
                        "awardUpdate",
                        "contractUpdate"
                    ],
                    "description": "This is a Provider Selection Regime<br/>(PSR) contract modification notice,<br/>under the Health Care Services<br/>(Provider Selection Regime)<br/>Regulations 2023. For the avoidance of<br/>doubt, the provision of the Public<br/>Contracts Regulations 2015 do not<br/>apply to this award. This contract has<br/>now been formally modified.<br/>This contract modification was<br/>approved by the National<br/>Commissioning Group on 20th January<br/>2026.",
                    "initiationType": "tender",
                    "tender": {
                        "id": "C442430",
                        "legalBasis": {
                            "id": "32014L0024",
                            "scheme": "CELEX"
                        },
                        "title": "Multiple Sclerosis Management Service for Children - Contract Modification",
                        "classification": {
                            "scheme": "CPV",
                            "id": "85100000",
                            "description": "Health services"
                        },
                        "mainProcurementCategory": "services",
                        "lots": [
                            {
                                "id": "1",
                                "description": "The service is currently delivered by 6<br/>providers across the 3 Lots, as follows.<br/>The service will continue for the<br/>duration of this modification.<br/>i) Lot 1 - North comprising the NHS<br/>England Regions: the North East and<br/>Yorkshire; the North West<br/>* Manchester University NHS<br/>Foundation Trust<br/>ii) Lot 2 - the Midlands comprising the<br/>NHS England Regions: the Midlands;<br/>the East of England<br/>* Birmingham Women's and Children's<br/>NHS Foundation Trust<br/>* Cambridge University Hospitals NHS<br/>Foundation Trust<br/>iii) Lot 3 - London and the South:<br/>comprising the South East; the South<br/>West; London<br/>* Great Ormond Street Hospital for<br/>Children NHS Foundation Trust<br/>* Guys & St Thomas' Hospital NHS<br/>Foundation Trust",
                                "contractPeriod": {
                                    "durationInDays": 1080
                                }
                            }
                        ],
                        "items": [
                            {
                                "id": "1",
                                "deliveryAddresses": [
                                    {
                                        "region": "UK"
                                    }
                                ],
                                "relatedLot": "1"
                            }
                        ]
                    },
                    "awards": [
                        {
                            "id": "063897-2026-1-1",
                            "relatedLots": [
                                "1"
                            ],
                            "status": "active",
                            "suppliers": [
                                {
                                    "id": "GB-FTS-148555",
                                    "name": "OXFORD UNIVERSITY HOSPITALS NHS FOUNDATION TRUST"
                                }
                            ]
                        }
                    ],
                    "parties": [
                        {
                            "name": "NHS England",
                            "id": "GB-FTS-130973",
                            "identifier": {
                                "legalName": "NHS England"
                            },
                            "address": {
                                "streetAddress": "Wellington House, 133-135 Waterloo Rd",
                                "locality": "London",
                                "region": "UKI",
                                "postalCode": "SE1 8UG",
                                "countryName": "United Kingdom"
                            },
                            "contactPoint": {
                                "name": "Anna Salt",
                                "email": "anna.salt@nhs.net"
                            },
                            "roles": [
                                "buyer"
                            ],
                            "details": {
                                "url": "https://www.england.nhs.uk/",
                                "buyerProfile": "https://www.england.nhs.uk/"
                            }
                        },
                        {
                            "name": "OXFORD UNIVERSITY HOSPITALS NHS FOUNDATION TRUST",
                            "id": "GB-FTS-148555",
                            "identifier": {
                                "legalName": "OXFORD UNIVERSITY HOSPITALS NHS FOUNDATION TRUST",
                                "id": "00000N/A"
                            },
                            "address": {
                                "streetAddress": "John Radcliffe Hospital  Headley Way  Headington  Oxford",
                                "locality": "Oxford",
                                "region": "UKJ",
                                "postalCode": "OX3 9DU",
                                "countryName": "United Kingdom"
                            },
                            "contactPoint": {
                                "email": "procurementandsuppliesqueries@ouh.nhs.uk"
                            },
                            "roles": [
                                "supplier"
                            ],
                            "details": {
                                "scale": "large"
                            }
                        },
                        {
                            "name": "NHS Arden and Greater East Midlands Commissioning Support Unit",
                            "id": "GB-FTS-141301",
                            "identifier": {
                                "legalName": "NHS Arden and Greater East Midlands Commissioning Support Unit"
                            },
                            "address": {
                                "streetAddress": "Cardinal Square, 10 Nottingham Road",
                                "locality": "Derby",
                                "postalCode": "DE1 3QT",
                                "countryName": "United Kingdom"
                            },
                            "roles": [
                                "reviewBody"
                            ],
                            "details": {
                                "url": "https://www.ardengemcsu.nhs.uk/"
                            }
                        }
                    ],
                    "buyer": {
                        "id": "GB-FTS-130973",
                        "name": "NHS England"
                    },
                    "contracts": [
                        {
                            "id": "063897-2026-1-1",
                            "awardID": "063897-2026-1-1",
                            "status": "active",
                            "value": {
                                "amount": 12042731,
                                "currency": "GBP"
                            },
                            "dateSigned": "2026-04-01T00:00:00+01:00",
                            "period": {
                                "startDate": "2026-04-01T00:00:00+01:00",
                                "endDate": "2026-11-30T23:59:59Z"
                            },
                            "items": [
                                {
                                    "id": "1",
                                    "classification": {
                                        "scheme": "CPV",
                                        "id": "85100000",
                                        "description": "Health services"
                                    },
                                    "deliveryAddresses": [
                                        {
                                            "region": "UK"
                                        }
                                    ],
                                    "relatedLot": "1"
                                }
                            ],
                            "amendments": [
                                {
                                    "id": "10",
                                    "description": "The contract modification is required to<br/>allow the service to continue while<br/>allowing sufficient time to identify and<br/>complete the most appropriate<br/>procurement route in accordance with<br/>The Healthcare Services (Provider<br/>Selection Regime) Regulations<br/>2023(PSR).<br/>The modifications will extend the<br/>existing contract for an additional 8<br/>months and the value of all<br/>modifications for all 6 providers across<br/>the 3 Lots is £2,189,588. The initial<br/>contract award value for all 6 providers<br/>across the 3 Lots was £9,853,146.<br/>The modification effective date is 1st<br/>April 2026.<br/>Please note that multiple contract<br/>modification notices are being<br/>published; one for each provider, due to<br/>system issues.",
                                    "rationale": "Need for additional works, services or supplies by the original contractor/concessionaire: The contract modification is required to<br/>allow the service to continue while<br/>allowing sufficient time to identify and<br/>complete the most appropriate<br/>procurement route in accordance with<br/>The Healthcare Services (Provider<br/>Selection Regime) Regulations<br/>2023(PSR)."
                                }
                            ]
                        }
                    ],
                    "language": "en"
                }
            ],
            "compiledRelease": {
                "tag": [
                    "compiled"
                ],
                "id": "ocds-h6vhtk-038737-2026-07-08T08:30:59+01:00",
                "date": "2026-07-08T08:30:59+01:00",
                "ocid": "ocds-h6vhtk-038737",
                "description": "This is a Provider Selection Regime<br/>(PSR) contract modification notice,<br/>under the Health Care Services<br/>(Provider Selection Regime)<br/>Regulations 2023. For the avoidance of<br/>doubt, the provision of the Public<br/>Contracts Regulations 2015 do not<br/>apply to this award. This contract has<br/>now been formally modified.<br/>This contract modification was<br/>approved by the National<br/>Commissioning Group on 20th January<br/>2026.",
                "initiationType": "tender",
                "tender": {
                    "id": "C442430",
                    "legalBasis": {
                        "id": "32014L0024",
                        "scheme": "CELEX"
                    },
                    "title": "Multiple Sclerosis Management Service for Children - Contract Modification",
                    "status": "complete",
                    "classification": {
                        "scheme": "CPV",
                        "id": "85100000",
                        "description": "Health services"
                    },
                    "mainProcurementCategory": "services",
                    "description": "NHS Arden and Greater East Midlands Commissioning Support Unit (AGCSU), on behalf of NHS England Highly Specialised Services (referred to as the Commissioner), is undertaking a market engagement exercise to understand the current and future capacity and capability of providers and potential providers within this highly specialised area. All interested parties, including incumbent providers, are encouraged to register their interest and participate in the market engagement questionnaire which will provide feedback to commissioners. Please note that this is not a call for competition although the commissioner would encourage all potential providers to respond to this market engagement exercise. The outcome of this market engagement will help inform commissioners of the current and future capacity and capability of the market and will be considered to inform the commissioning approach.",
                    "lots": [
                        {
                            "id": "1",
                            "title": "Lot 1 - North comprising the NHS England Regions: the North East and Yorkshire; the North West,",
                            "description": "The service is currently delivered by 6<br/>providers across the 3 Lots, as follows.<br/>The service will continue for the<br/>duration of this modification.<br/>i) Lot 1 - North comprising the NHS<br/>England Regions: the North East and<br/>Yorkshire; the North West<br/>* Manchester University NHS<br/>Foundation Trust<br/>ii) Lot 2 - the Midlands comprising the<br/>NHS England Regions: the Midlands;<br/>the East of England<br/>* Birmingham Women's and Children's<br/>NHS Foundation Trust<br/>* Cambridge University Hospitals NHS<br/>Foundation Trust<br/>iii) Lot 3 - London and the South:<br/>comprising the South East; the South<br/>West; London<br/>* Great Ormond Street Hospital for<br/>Children NHS Foundation Trust<br/>* Guys & St Thomas' Hospital NHS<br/>Foundation Trust",
                            "status": "cancelled",
                            "awardCriteria": {
                                "criteria": [
                                    {
                                        "name": "Technical",
                                        "type": "cost",
                                        "description": "100"
                                    }
                                ]
                            },
                            "hasOptions": false,
                            "contractPeriod": {
                                "durationInDays": 1080
                            }
                        },
                        {
                            "id": "2",
                            "title": "Lot 2 - the Midlands comprising the NHS England Regions: the Midlands; the East of England",
                            "description": "This exercise is to commission a service that is able to expertly manage the provision of the Multiple Sclerosis Management Service for Children, including patients with suspected Multiple Sclerosis (MS) or equally rare ‘MS-like’, recurrent acquired demyelinating syndromes (ADS) or who have had a first demyelination episode and have a high risk of relapse which would require a similar treatment approach, including: Neuromyelitis Optica Spectrum Disorder (NMO, NMOSD) and other AQP4 antibody associated demyelination; Myelin Oligodendrocyte Glycoprotein (MOG) antibody associated relapsing demyelination and other forms of recurrent relapsing demyelination.\nThe MS Hub Lead Centres will be geographically spaced across the Regional areas of NHS England as follows:\ni) Lot 1 - North comprising the NHS England Regions: the North East and Yorkshire; the North West,\nii) Lot 2 - the Midlands comprising the NHS England Regions: the Midlands; the East of England\niii) Lot 3 - London and the South: comprising the South East; the South West; London\nWe would like to hear from incumbent and potential paediatric providers who can meet the following essential criteria:\nI. Have staff in place with paediatric neuroinflammatory expertise as listed in the service specification : (https://www.england.nhs.uk/wp-content/uploads/2017/08/multiple-sclerosis-mgt-for-children-sept-2017.pdf);\nII. Be currently actively managing, as an expert care provider and have seen face to face in the last year, a minimum of 20 children with paediatric Remitting Demyelinating Syndromes (RDS) (including first presentation or first event MS or high risk RDS);\nIII. Be actively prescribing innovative therapeutic pharmacological MS treatments for these children using the NHS England BluTeq online system;\nIV. Have received in a tertiary capacity for expert review, five to ten new paediatric referrals of acute multiple sclerosis/MS-like cases per year in each of the last three years (2018/19, 2019/20 and 2020/21. With the requests being for second opinions/advice on the treatment plan.\nV. Must be an existing provider of tertiary paediatric neurosciences.\nThe anticipated contract period is 3 years.\nThe Commissioner reserves the right to direct award where competition is absent.\nThis notice is to advise incumbent and prospective providers in the market of the commissioner’s intention to commission this service and to provide an opportunity to engage with and participate in a market engagement questionnaire. The outcome of this market engagement will help inform commissioners of the current and future capacity and capability of the market and will be considered with other evidence to inform the commissioning approach,\nApplications may be made jointly where partners can demonstrate appropriate expertise and meet the service criteria set out in the questionnaire and service specification: multiple-sclerosis-mgt-for-children-sept-2017.pdf (england.nhs.uk)..\nThe questionnaire is available through the EU Supply portal: https://uk.eu-supply.com/login.asp?B=agcsu\nThe reference is 62208 and the closing date for submission of the completed questionnaire will be: 12pm, midday on Tuesday 20th December 2022.",
                            "status": "cancelled",
                            "awardCriteria": {
                                "criteria": [
                                    {
                                        "name": "Technical",
                                        "type": "cost",
                                        "description": "100"
                                    }
                                ]
                            },
                            "hasOptions": false
                        },
                        {
                            "id": "3",
                            "title": "Lot 3 - London and the South: comprising the South East; the South West; London",
                            "description": "This exercise is to commission a service that is able to expertly manage the provision of the Multiple Sclerosis Management Service for Children, including patients with suspected Multiple Sclerosis (MS) or equally rare ‘MS-like’, recurrent acquired demyelinating syndromes (ADS) or who have had a first demyelination episode and have a high risk of relapse which would require a similar treatment approach, including: Neuromyelitis Optica Spectrum Disorder (NMO, NMOSD) and other AQP4 antibody associated demyelination; Myelin Oligodendrocyte Glycoprotein (MOG) antibody associated relapsing demyelination and other forms of recurrent relapsing demyelination.\nThe MS Hub Lead Centres will be geographically spaced across the Regional areas of NHS England as follows:\ni) Lot 1 - North comprising the NHS England Regions: the North East and Yorkshire; the North West,\nii) Lot 2 - the Midlands comprising the NHS England Regions: the Midlands; the East of England\niii) Lot 3 - London and the South: comprising the South East; the South West; London\nWe would like to hear from incumbent and potential paediatric providers who can meet the following essential criteria:\nI. Have staff in place with paediatric neuroinflammatory expertise as listed in the service specification : (https://www.england.nhs.uk/wp-content/uploads/2017/08/multiple-sclerosis-mgt-for-children-sept-2017.pdf);\nII. Be currently actively managing, as an expert care provider and have seen face to face in the last year, a minimum of 20 children with paediatric Remitting Demyelinating Syndromes (RDS) (including first presentation or first event MS or high risk RDS);\nIII. Be actively prescribing innovative therapeutic pharmacological MS treatments for these children using the NHS England BluTeq online system;\nIV. Have received in a tertiary capacity for expert review, five to ten new paediatric referrals of acute multiple sclerosis/MS-like cases per year in each of the last three years (2018/19, 2019/20 and 2020/21. With the requests being for second opinions/advice on the treatment plan.\nV. Must be an existing provider of tertiary paediatric neurosciences.\nThe anticipated contract period is 3 years.\nThe Commissioner reserves the right to direct award where competition is absent.\nThis notice is to advise incumbent and prospective providers in the market of the commissioner’s intention to commission this service and to provide an opportunity to engage with and participate in a market engagement questionnaire. The outcome of this market engagement will help inform commissioners of the current and future capacity and capability of the market and will be considered with other evidence to inform the commissioning approach,\nApplications may be made jointly where partners can demonstrate appropriate expertise and meet the service criteria set out in the questionnaire and service specification: multiple-sclerosis-mgt-for-children-sept-2017.pdf (england.nhs.uk)..\nThe questionnaire is available through the EU Supply portal: https://uk.eu-supply.com/login.asp?B=agcsu\nThe reference is 62208 and the closing date for submission of the completed questionnaire will be: 12pm, midday on Tuesday 20th December 2022.",
                            "status": "cancelled",
                            "awardCriteria": {
                                "criteria": [
                                    {
                                        "name": "Technical",
                                        "type": "cost",
                                        "description": "100"
                                    }
                                ]
                            },
                            "hasOptions": false
                        }
                    ],
                    "items": [
                        {
                            "id": "1",
                            "additionalClassifications": [
                                {
                                    "scheme": "CPV",
                                    "id": "85000000",
                                    "description": "Health and social work services"
                                },
                                {
                                    "scheme": "CPV",
                                    "id": "85100000",
                                    "description": "Health services"
                                }
                            ],
                            "deliveryAddresses": [
                                {
                                    "region": "UKE"
                                },
                                {
                                    "region": "UKD"
                                },
                                {
                                    "region": "UKC"
                                },
                                {
                                    "region": "UKE"
                                },
                                {
                                    "region": "UKD"
                                },
                                {
                                    "region": "UKC"
                                },
                                {
                                    "region": "UK"
                                },
                                {
                                    "region": "UK"
                                },
                                {
                                    "region": "UK"
                                },
                                {
                                    "region": "UK"
                                },
                                {
                                    "region": "UK"
                                },
                                {
                                    "region": "UK"
                                },
                                {
                                    "region": "UK"
                                },
                                {
                                    "region": "UK"
                                },
                                {
                                    "region": "UK"
                                },
                                {
                                    "region": "UK"
                                }
                            ],
                            "relatedLot": "1"
                        },
                        {
                            "id": "2",
                            "additionalClassifications": [
                                {
                                    "scheme": "CPV",
                                    "id": "85000000",
                                    "description": "Health and social work services"
                                },
                                {
                                    "scheme": "CPV",
                                    "id": "85100000",
                                    "description": "Health services"
                                }
                            ],
                            "deliveryAddresses": [
                                {
                                    "region": "UKH"
                                },
                                {
                                    "region": "UKG"
                                },
                                {
                                    "region": "UKF"
                                },
                                {
                                    "region": "UKH"
                                },
                                {
                                    "region": "UKG"
                                },
                                {
                                    "region": "UKF"
                                }
                            ],
                            "relatedLot": "2"
                        },
                        {
                            "id": "3",
                            "additionalClassifications": [
                                {
                                    "scheme": "CPV",
                                    "id": "85000000",
                                    "description": "Health and social work services"
                                },
                                {
                                    "scheme": "CPV",
                                    "id": "85100000",
                                    "description": "Health services"
                                }
                            ],
                            "deliveryAddresses": [
                                {
                                    "region": "UKK"
                                },
                                {
                                    "region": "UKJ"
                                },
                                {
                                    "region": "UKI"
                                },
                                {
                                    "region": "UKK"
                                },
                                {
                                    "region": "UKJ"
                                },
                                {
                                    "region": "UKI"
                                }
                            ],
                            "relatedLot": "3"
                        }
                    ],
                    "communication": {
                        "futureNoticeDate": "2023-01-12T00:00:00Z"
                    },
                    "coveredBy": [
                        "GPA"
                    ],
                    "procurementMethod": "limited",
                    "procurementMethodDetails": "Award procedure without prior publication of a call for competition",
                    "procurementMethodRationaleClassifications": [
                        {
                            "scheme": "TED_PT_AWARD_CONTRACT_WITHOUT_CALL",
                            "id": "D_OUTSIDE_SCOPE",
                            "description": "The procurement falls outside the scope of application of the directive"
                        }
                    ],
                    "procurementMethodRationale": "Following the PIN notice and market engagement exercise, it was apparent that competition was absent and direct awards have been placed with all capable providers for each of the Lots. The PIN and market engagement documentation clearly stated that commissioners would consider placing direct awards where competition is deemed to be absent following a review of the market engagement responses."
                },
                "parties": [
                    {
                        "id": "GB-FTS-4052",
                        "name": "NHS England - Specialised Commissioning",
                        "identifier": {
                            "legalName": "NHS England - Specialised Commissioning",
                            "id": "na"
                        },
                        "address": {
                            "streetAddress": "80 London Road",
                            "locality": "London",
                            "region": "UK",
                            "postalCode": "SE1 6LH",
                            "countryName": "United Kingdom"
                        },
                        "contactPoint": {
                            "name": "Josselin Canévet",
                            "telephone": "+44 1234567890",
                            "email": "josselin.canevet@nhs.net",
                            "url": "https://uk.eu-supply.com/ctm/Supplier/Documents/Folder/52947"
                        },
                        "roles": [
                            "buyer"
                        ],
                        "details": {
                            "url": "http://www.england.nhs.uk",
                            "buyerProfile": "https://uk.eu-supply.com/ctm/Company/CompanyInformation/Index/68205",
                            "classifications": [
                                {
                                    "scheme": "TED_CA_TYPE",
                                    "id": "BODY_PUBLIC",
                                    "description": "Body governed by public law"
                                },
                                {
                                    "scheme": "COFOG",
                                    "id": "07",
                                    "description": "Health"
                                }
                            ]
                        }
                    },
                    {
                        "id": "GB-FTS-18796",
                        "name": "Manchester University NHS Foundation Trust ",
                        "identifier": {
                            "legalName": "Manchester University NHS Foundation Trust "
                        },
                        "address": {
                            "locality": "Manchester",
                            "region": "UKD",
                            "countryName": "United Kingdom"
                        },
                        "roles": [
                            "supplier"
                        ],
                        "details": {
                            "scale": "large"
                        }
                    },
                    {
                        "id": "GB-FTS-1009",
                        "name": "Birmingham Women’s and Children’s NHS Foundation Trust ",
                        "identifier": {
                            "legalName": "Birmingham Women’s and Children’s NHS Foundation Trust "
                        },
                        "address": {
                            "locality": "Birmingham",
                            "region": "UKG",
                            "countryName": "United Kingdom"
                        },
                        "roles": [
                            "supplier"
                        ],
                        "details": {
                            "scale": "large"
                        }
                    },
                    {
                        "id": "GB-FTS-95413",
                        "name": "Great Ormond Street Hospital for Children NHS Foundation Trust ",
                        "identifier": {
                            "legalName": "Great Ormond Street Hospital for Children NHS Foundation Trust "
                        },
                        "address": {
                            "locality": "London",
                            "region": "UKI",
                            "countryName": "United Kingdom"
                        },
                        "roles": [
                            "supplier"
                        ],
                        "details": {
                            "scale": "large"
                        }
                    },
                    {
                        "id": "GB-FTS-6625",
                        "name": "Cambridge University Hospitals NHS Foundation Trust",
                        "identifier": {
                            "legalName": "Cambridge University Hospitals NHS Foundation Trust"
                        },
                        "address": {
                            "locality": "Cambridge",
                            "region": "UKH",
                            "countryName": "United Kingdom"
                        },
                        "roles": [
                            "supplier"
                        ],
                        "details": {
                            "scale": "large"
                        }
                    },
                    {
                        "id": "GB-FTS-21063",
                        "name": "Guy’s and St Thomas’ NHS Foundation Trust",
                        "identifier": {
                            "legalName": "Guy’s and St Thomas’ NHS Foundation Trust"
                        },
                        "address": {
                            "locality": "London",
                            "region": "UKI",
                            "countryName": "United Kingdom"
                        },
                        "roles": [
                            "supplier"
                        ],
                        "details": {
                            "scale": "large"
                        }
                    },
                    {
                        "id": "GB-FTS-122",
                        "name": "Oxford University Hospitals NHS Foundation Trust ",
                        "identifier": {
                            "legalName": "Oxford University Hospitals NHS Foundation Trust "
                        },
                        "address": {
                            "locality": "Oxford",
                            "region": "UKI",
                            "countryName": "United Kingdom"
                        },
                        "roles": [
                            "supplier"
                        ],
                        "details": {
                            "scale": "large"
                        }
                    },
                    {
                        "id": "GB-FTS-2639",
                        "name": "Arden & GEM Commissioning Support Unit",
                        "identifier": {
                            "legalName": "Arden & GEM Commissioning Support Unit"
                        },
                        "address": {
                            "locality": "Derby",
                            "countryName": "United Kingdom"
                        },
                        "roles": [
                            "reviewBody",
                            "mediationBody",
                            "reviewContactPoint"
                        ]
                    },
                    {
                        "id": "GB-FTS-130973",
                        "name": "NHS England",
                        "identifier": {
                            "legalName": "NHS England"
                        },
                        "address": {
                            "streetAddress": "Wellington House, 133-135 Waterloo Rd",
                            "locality": "London",
                            "region": "UKI",
                            "postalCode": "SE1 8UG",
                            "countryName": "United Kingdom"
                        },
                        "contactPoint": {
                            "name": "Anna Salt",
                            "email": "anna.salt@nhs.net"
                        },
                        "roles": [
                            "buyer"
                        ],
                        "details": {
                            "url": "https://www.england.nhs.uk/",
                            "buyerProfile": "https://www.england.nhs.uk/"
                        }
                    },
                    {
                        "id": "GB-FTS-148352",
                        "name": "CAMBRIDGE UNIVERSITY HOSPITALS NHS FOUNDATION TRUST",
                        "identifier": {
                            "legalName": "CAMBRIDGE UNIVERSITY HOSPITALS NHS FOUNDATION TRUST",
                            "id": "00000N/A"
                        },
                        "address": {
                            "streetAddress": "Hills Road",
                            "locality": "Cambridge",
                            "region": "UKH",
                            "postalCode": "CB2 0QQ",
                            "countryName": "United Kingdom"
                        },
                        "contactPoint": {
                            "email": "cuh.procurement@nhs.net"
                        },
                        "roles": [
                            "supplier"
                        ],
                        "details": {
                            "scale": "large"
                        }
                    },
                    {
                        "id": "GB-FTS-141301",
                        "name": "NHS Arden and Greater East Midlands Commissioning Support Unit",
                        "identifier": {
                            "legalName": "NHS Arden and Greater East Midlands Commissioning Support Unit"
                        },
                        "address": {
                            "streetAddress": "Cardinal Square, 10 Nottingham Road",
                            "locality": "Derby",
                            "postalCode": "DE1 3QT",
                            "countryName": "United Kingdom"
                        },
                        "roles": [
                            "reviewBody"
                        ],
                        "details": {
                            "url": "https://www.ardengemcsu.nhs.uk/"
                        }
                    },
                    {
                        "id": "GB-FTS-176429",
                        "name": "Birmingham Women's and Children's NHS Foundation Trust",
                        "identifier": {
                            "legalName": "Birmingham Women's and Children's NHS Foundation Trust",
                            "id": "10841099"
                        },
                        "address": {
                            "streetAddress": "C/O Birmingham Women's Hospital  Mindelsohn Way",
                            "locality": "Birmingham",
                            "region": "UKG",
                            "postalCode": "B15 2TG",
                            "countryName": "United Kingdom"
                        },
                        "contactPoint": {
                            "email": "martyngreen@snsg.co.uk"
                        },
                        "roles": [
                            "supplier"
                        ],
                        "details": {
                            "url": "http://www.bch.org.uk",
                            "scale": "large"
                        }
                    },
                    {
                        "id": "GB-FTS-140639",
                        "name": "Cambridge University Hospitals NHS Foundation Trust",
                        "identifier": {
                            "legalName": "Cambridge University Hospitals NHS Foundation Trust",
                            "id": "00000N/A"
                        },
                        "address": {
                            "streetAddress": "Hills Road,  Cambridge",
                            "locality": "Cambridge",
                            "region": "UKH",
                            "postalCode": "CB2 0QQ",
                            "countryName": "United Kingdom"
                        },
                        "roles": [
                            "supplier"
                        ],
                        "details": {
                            "url": "http://www.cuh.nhs.uk",
                            "scale": "large"
                        }
                    },
                    {
                        "id": "GB-FTS-142966",
                        "name": "GREAT ORMOND STREET HOSPITAL FOR CHILDREN NHS FOUNDATION TRUST",
                        "identifier": {
                            "legalName": "GREAT ORMOND STREET HOSPITAL FOR CHILDREN NHS FOUNDATION TRUST",
                            "id": "00000N/A"
                        },
                        "address": {
                            "streetAddress": "Great Ormond Street",
                            "locality": "London",
                            "region": "UKI",
                            "postalCode": "WC1N 3JH",
                            "countryName": "United Kingdom"
                        },
                        "contactPoint": {
                            "email": "info@gosh.nhs.uk"
                        },
                        "roles": [
                            "supplier"
                        ],
                        "details": {
                            "url": "http://www.gosh.nhs.uk",
                            "scale": "large"
                        }
                    },
                    {
                        "id": "GB-FTS-184383",
                        "name": "Guys and St Thomas' Hospital NHS Foundation Trust",
                        "identifier": {
                            "legalName": "Guys and St Thomas' Hospital NHS Foundation Trust",
                            "id": "00000N/A"
                        },
                        "address": {
                            "streetAddress": "Great Maze Pond, London,",
                            "locality": "London",
                            "region": "UKI",
                            "postalCode": "SE1 9RT",
                            "countryName": "United Kingdom"
                        },
                        "contactPoint": {
                            "email": "pals@gstt.nhs.uk"
                        },
                        "roles": [
                            "supplier"
                        ],
                        "details": {
                            "scale": "large"
                        }
                    },
                    {
                        "id": "GB-FTS-125859",
                        "name": "Manchester University NHS Foundation Trust",
                        "identifier": {
                            "legalName": "Manchester University NHS Foundation Trust",
                            "id": "OC388522"
                        },
                        "address": {
                            "streetAddress": "Finance & Procurement Business Unit  Trafford General Hospital,Moorside Road  M41 5SL",
                            "locality": "Manchester",
                            "region": "UKD",
                            "postalCode": "M41 5SL",
                            "countryName": "United Kingdom"
                        },
                        "contactPoint": {
                            "email": "purchasing@mft.nhs.uk"
                        },
                        "roles": [
                            "supplier"
                        ],
                        "details": {
                            "scale": "large"
                        }
                    },
                    {
                        "id": "GB-FTS-148555",
                        "name": "OXFORD UNIVERSITY HOSPITALS NHS FOUNDATION TRUST",
                        "identifier": {
                            "legalName": "OXFORD UNIVERSITY HOSPITALS NHS FOUNDATION TRUST",
                            "id": "00000N/A"
                        },
                        "address": {
                            "streetAddress": "John Radcliffe Hospital  Headley Way  Headington  Oxford",
                            "locality": "Oxford",
                            "region": "UKJ",
                            "postalCode": "OX3 9DU",
                            "countryName": "United Kingdom"
                        },
                        "contactPoint": {
                            "email": "procurementandsuppliesqueries@ouh.nhs.uk"
                        },
                        "roles": [
                            "supplier"
                        ],
                        "details": {
                            "scale": "large"
                        }
                    }
                ],
                "buyer": {
                    "id": "GB-FTS-130973",
                    "name": "NHS England"
                },
                "language": "en",
                "awards": [
                    {
                        "id": "030459-2023-1-1",
                        "relatedLots": [
                            "1"
                        ],
                        "title": "Lot 1 - North comprising the NHS England Regions: the North East and Yorkshire; the North West,",
                        "status": "active",
                        "suppliers": [
                            {
                                "id": "GB-FTS-18796",
                                "name": "Manchester University NHS Foundation Trust "
                            }
                        ]
                    },
                    {
                        "id": "030459-2023-2-2",
                        "relatedLots": [
                            "2"
                        ],
                        "title": "Lot 2 - the Midlands comprising the NHS England Regions: the Midlands; the East of England",
                        "status": "active",
                        "suppliers": [
                            {
                                "id": "GB-FTS-1009",
                                "name": "Birmingham Women’s and Children’s NHS Foundation Trust "
                            },
                            {
                                "id": "GB-FTS-6625",
                                "name": "Cambridge University Hospitals NHS Foundation Trust"
                            }
                        ]
                    },
                    {
                        "id": "030459-2023-3-3",
                        "relatedLots": [
                            "3"
                        ],
                        "title": "Lot 3 - London and the South: comprising the South East; the South West; London",
                        "status": "active",
                        "suppliers": [
                            {
                                "id": "GB-FTS-95413",
                                "name": "Great Ormond Street Hospital for Children NHS Foundation Trust "
                            },
                            {
                                "id": "GB-FTS-21063",
                                "name": "Guy’s and St Thomas’ NHS Foundation Trust"
                            },
                            {
                                "id": "GB-FTS-122",
                                "name": "Oxford University Hospitals NHS Foundation Trust "
                            }
                        ]
                    },
                    {
                        "id": "044469-2026-1-1",
                        "relatedLots": [
                            "1"
                        ],
                        "title": "Multiple Sclerosis Management Service for Children - Contract Modification",
                        "status": "active",
                        "suppliers": [
                            {
                                "id": "GB-FTS-148352",
                                "name": "CAMBRIDGE UNIVERSITY HOSPITALS NHS FOUNDATION TRUST"
                            }
                        ]
                    },
                    {
                        "id": "044470-2026-1-1",
                        "relatedLots": [
                            "1"
                        ],
                        "title": "Multiple Sclerosis Management Service for Children - Contract Modification",
                        "status": "active",
                        "suppliers": [
                            {
                                "id": "GB-FTS-148352",
                                "name": "CAMBRIDGE UNIVERSITY HOSPITALS NHS FOUNDATION TRUST"
                            }
                        ]
                    },
                    {
                        "id": "045612-2026-1-1",
                        "relatedLots": [
                            "1"
                        ],
                        "title": "Multiple Sclerosis Management Service for Children - Contract Modification",
                        "status": "active",
                        "suppliers": [
                            {
                                "id": "GB-FTS-148352",
                                "name": "CAMBRIDGE UNIVERSITY HOSPITALS NHS FOUNDATION TRUST"
                            }
                        ]
                    },
                    {
                        "id": "045613-2026-1-1",
                        "relatedLots": [
                            "1"
                        ],
                        "title": "Multiple Sclerosis Management Service for Children - Contract Modification",
                        "status": "active",
                        "suppliers": [
                            {
                                "id": "GB-FTS-148352",
                                "name": "CAMBRIDGE UNIVERSITY HOSPITALS NHS FOUNDATION TRUST"
                            }
                        ]
                    },
                    {
                        "id": "063829-2026-1-1",
                        "relatedLots": [
                            "1"
                        ],
                        "title": "Multiple Sclerosis Management Service for Children - Contract Modification",
                        "status": "active",
                        "suppliers": [
                            {
                                "id": "GB-FTS-176429",
                                "name": "Birmingham Women's and Children's NHS Foundation Trust"
                            }
                        ]
                    },
                    {
                        "id": "063839-2026-1-1",
                        "relatedLots": [
                            "1"
                        ],
                        "title": "Multiple Sclerosis Management Service for Children - Contract Modification",
                        "status": "active",
                        "suppliers": [
                            {
                                "id": "GB-FTS-140639",
                                "name": "Cambridge University Hospitals NHS Foundation Trust"
                            }
                        ]
                    },
                    {
                        "id": "063847-2026-1-1",
                        "relatedLots": [
                            "1"
                        ],
                        "title": "Multiple Sclerosis Management Service for Children - Contract Modification",
                        "status": "active",
                        "suppliers": [
                            {
                                "id": "GB-FTS-142966",
                                "name": "GREAT ORMOND STREET HOSPITAL FOR CHILDREN NHS FOUNDATION TRUST"
                            }
                        ]
                    },
                    {
                        "id": "063890-2026-1-1",
                        "relatedLots": [
                            "1"
                        ],
                        "title": "Multiple Sclerosis Management Service for Children - Contract Modification",
                        "status": "active",
                        "suppliers": [
                            {
                                "id": "GB-FTS-184383",
                                "name": "Guys and St Thomas' Hospital NHS Foundation Trust"
                            }
                        ]
                    },
                    {
                        "id": "063895-2026-1-1",
                        "relatedLots": [
                            "1"
                        ],
                        "status": "active",
                        "suppliers": [
                            {
                                "id": "GB-FTS-125859",
                                "name": "Manchester University NHS Foundation Trust"
                            }
                        ]
                    },
                    {
                        "id": "063897-2026-1-1",
                        "relatedLots": [
                            "1"
                        ],
                        "status": "active",
                        "suppliers": [
                            {
                                "id": "GB-FTS-148555",
                                "name": "OXFORD UNIVERSITY HOSPITALS NHS FOUNDATION TRUST"
                            }
                        ]
                    }
                ],
                "contracts": [
                    {
                        "id": "030459-2023-1-1",
                        "awardID": "030459-2023-1-1",
                        "title": "Lot 1 - North comprising the NHS England Regions: the North East and Yorkshire; the North West,",
                        "status": "active",
                        "value": {
                            "amount": 2797834,
                            "currency": "GBP"
                        },
                        "dateSigned": "2023-03-10T00:00:00Z"
                    },
                    {
                        "id": "030459-2023-2-2",
                        "awardID": "030459-2023-2-2",
                        "title": "Lot 2 - the Midlands comprising the NHS England Regions: the Midlands; the East of England",
                        "status": "active",
                        "value": {
                            "amount": 1480332,
                            "currency": "GBP"
                        },
                        "dateSigned": "2023-03-10T00:00:00Z"
                    },
                    {
                        "id": "030459-2023-3-3",
                        "awardID": "030459-2023-3-3",
                        "title": "Lot 3 - London and the South: comprising the South East; the South West; London",
                        "status": "active",
                        "value": {
                            "amount": 5574979,
                            "currency": "GBP"
                        },
                        "dateSigned": "2023-03-10T00:00:00Z"
                    },
                    {
                        "id": "044469-2026-1-1",
                        "awardID": "044469-2026-1-1",
                        "title": "Multiple Sclerosis Management Service for Children - Contract Modification",
                        "status": "active",
                        "value": {
                            "amount": 12139810,
                            "currency": "GBP"
                        },
                        "dateSigned": "2026-04-01T00:00:00+01:00",
                        "period": {
                            "startDate": "2026-04-01T00:00:00+01:00",
                            "endDate": "2026-11-30T23:59:59Z"
                        },
                        "items": [
                            {
                                "id": "1",
                                "classification": {
                                    "scheme": "CPV",
                                    "id": "85100000",
                                    "description": "Health services"
                                },
                                "deliveryAddresses": [
                                    {
                                        "region": "UK"
                                    }
                                ],
                                "relatedLot": "1"
                            }
                        ],
                        "amendments": [
                            {
                                "id": "1",
                                "description": "The contract modification is required to allow the service to continue while allowing sufficient time to identify and complete the most appropriate procurement route in accordance with The Healthcare Services (Provider Selection Regime) Regulations 2023(PSR).<br/>The modification will extend the existing contract for an additional 8 months and the value of the modification is £2,286,667. The initial contract award value was £9,853,146.<br/>The modification effective date is 1st April 2026.",
                                "rationale": "Need for additional works, services or supplies by the original contractor/concessionaire: The contract modification is required to allow the service to continue while allowing sufficient time to identify and complete the most appropriate procurement route in accordance with The Healthcare Services (Provider Selection Regime) Regulations 2023 (PSR)."
                            }
                        ]
                    },
                    {
                        "id": "044470-2026-1-1",
                        "awardID": "044470-2026-1-1",
                        "title": "Multiple Sclerosis Management Service for Children - Contract Modification",
                        "status": "active",
                        "value": {
                            "amount": 12139810,
                            "currency": "GBP"
                        },
                        "dateSigned": "2026-04-01T00:00:00+01:00",
                        "period": {
                            "startDate": "2026-04-01T00:00:00+01:00",
                            "endDate": "2026-11-30T23:59:59Z"
                        },
                        "items": [
                            {
                                "id": "1",
                                "classification": {
                                    "scheme": "CPV",
                                    "id": "85100000",
                                    "description": "Health services"
                                },
                                "deliveryAddresses": [
                                    {
                                        "region": "UK"
                                    }
                                ],
                                "relatedLot": "1"
                            }
                        ],
                        "amendments": [
                            {
                                "id": "2",
                                "description": "The contract modification is required to allow the service to continue while allowing sufficient time to identify and complete the most appropriate procurement route in accordance with The Healthcare Services (Provider Selection Regime) Regulations 2023(PSR).<br/>The modification will extend the existing contract for an additional 8 months and the value of the modification is £2,286,667. The initial contract award value was £9,853,146.<br/>The modification effective date is 1st April 2026.",
                                "rationale": "Need for additional works, services or supplies by the original contractor/concessionaire: The contract modification is required to allow the service to continue while allowing sufficient time to identify and complete the most appropriate procurement route in accordance with The Healthcare Services (Provider Selection Regime) Regulations 2023 (PSR)."
                            }
                        ]
                    },
                    {
                        "id": "045612-2026-1-1",
                        "awardID": "045612-2026-1-1",
                        "title": "Multiple Sclerosis Management Service for Children - Contract Modification",
                        "status": "active",
                        "value": {
                            "amount": 12139810,
                            "currency": "GBP"
                        },
                        "dateSigned": "2026-04-01T00:00:00+01:00",
                        "period": {
                            "startDate": "2026-04-01T00:00:00+01:00",
                            "endDate": "2026-11-30T23:59:59Z"
                        },
                        "items": [
                            {
                                "id": "1",
                                "classification": {
                                    "scheme": "CPV",
                                    "id": "85100000",
                                    "description": "Health services"
                                },
                                "deliveryAddresses": [
                                    {
                                        "region": "UK"
                                    }
                                ],
                                "relatedLot": "1"
                            }
                        ],
                        "amendments": [
                            {
                                "id": "3",
                                "description": "The contract modification is required to allow the service to continue while allowing sufficient time to identify and complete the most appropriate procurement route in accordance with The Healthcare Services (Provider Selection Regime) Regulations 2023(PSR).<br/>The modification will extend the existing contract for an additional 8 months and the value of the modification is £2,286,667. The initial contract award value was £9,853,146.<br/>The modification effective date is 1st April 2026.",
                                "rationale": "Need for additional works, services or supplies by the original contractor/concessionaire: The contract modification is required to allow the service to continue while allowing sufficient time to identify and complete the most appropriate procurement route in accordance with The Healthcare Services (Provider Selection Regime) Regulations 2023 (PSR)."
                            }
                        ]
                    },
                    {
                        "id": "045613-2026-1-1",
                        "awardID": "045613-2026-1-1",
                        "title": "Multiple Sclerosis Management Service for Children - Contract Modification",
                        "status": "active",
                        "value": {
                            "amount": 12139810,
                            "currency": "GBP"
                        },
                        "dateSigned": "2026-04-01T00:00:00+01:00",
                        "period": {
                            "startDate": "2026-04-01T00:00:00+01:00",
                            "endDate": "2026-11-30T23:59:59Z"
                        },
                        "items": [
                            {
                                "id": "1",
                                "classification": {
                                    "scheme": "CPV",
                                    "id": "85100000",
                                    "description": "Health services"
                                },
                                "deliveryAddresses": [
                                    {
                                        "region": "UK"
                                    }
                                ],
                                "relatedLot": "1"
                            }
                        ],
                        "amendments": [
                            {
                                "id": "4",
                                "description": "The contract modification is required to allow the service to continue while allowing sufficient time to identify and complete the most appropriate procurement route in accordance with The Healthcare Services (Provider Selection Regime) Regulations 2023(PSR).<br/>The modification will extend the existing contract for an additional 8 months and the value of the modification is £2,286,667. The initial contract award value was £9,853,146.<br/>The modification effective date is 1st April 2026.",
                                "rationale": "Need for additional works, services or supplies by the original contractor/concessionaire: The contract modification is required to allow the service to continue while allowing sufficient time to identify and complete the most appropriate procurement route in accordance with The Healthcare Services (Provider Selection Regime) Regulations 2023 (PSR)."
                            }
                        ]
                    },
                    {
                        "id": "063829-2026-1-1",
                        "awardID": "063829-2026-1-1",
                        "title": "Multiple Sclerosis Management Service for Children - Contract Modification",
                        "status": "active",
                        "value": {
                            "amount": 12042731,
                            "currency": "GBP"
                        },
                        "dateSigned": "2026-04-01T00:00:00+01:00",
                        "period": {
                            "startDate": "2026-04-01T00:00:00+01:00",
                            "endDate": "2026-11-30T23:59:59Z"
                        },
                        "items": [
                            {
                                "id": "1",
                                "classification": {
                                    "scheme": "CPV",
                                    "id": "85100000",
                                    "description": "Health services"
                                },
                                "deliveryAddresses": [
                                    {
                                        "region": "UK"
                                    }
                                ],
                                "relatedLot": "1"
                            }
                        ],
                        "amendments": [
                            {
                                "id": "5",
                                "description": "The contract modification is required to allow the service to continue while allowing sufficient time to identify and complete the most appropriate procurement route in accordance with The Healthcare Services (Provider Selection Regime) Regulations 2023(PSR).<br/>The modifications will extend the existing contract for an additional 8 months and the value of all modifications for all 6 providers across the 3 Lots is £2,189,588. The initial contract award value for all 6 providers across the 3 Lots was £9,853,146.<br/>The modification effective date is 1st April 2026.<br/>Please note that multiple contract modification notices are being published; one for each provider, due to system issues.",
                                "rationale": "Need for additional works, services or supplies by the original contractor/concessionaire: The contract modification is required to allow the service to continue while allowing sufficient time to identify and complete the most appropriate procurement route in accordance with The Healthcare Services (Provider Selection Regime) Regulations 2023(PSR)."
                            }
                        ]
                    },
                    {
                        "id": "063839-2026-1-1",
                        "awardID": "063839-2026-1-1",
                        "title": "Multiple Sclerosis Management Service for Children - Contract Modification",
                        "status": "active",
                        "value": {
                            "amount": 12042731,
                            "currency": "GBP"
                        },
                        "dateSigned": "2026-04-01T00:00:00+01:00",
                        "period": {
                            "startDate": "2026-04-01T00:00:00+01:00",
                            "endDate": "2026-11-30T23:59:59Z"
                        },
                        "items": [
                            {
                                "id": "1",
                                "classification": {
                                    "scheme": "CPV",
                                    "id": "85100000",
                                    "description": "Health services"
                                },
                                "deliveryAddresses": [
                                    {
                                        "region": "UK"
                                    }
                                ],
                                "relatedLot": "1"
                            }
                        ],
                        "amendments": [
                            {
                                "id": "6",
                                "description": "The contract modification is required to allow the service to continue while allowing sufficient time to identify and complete the most appropriate procurement route in accordance with The Healthcare Services (Provider Selection Regime) Regulations 2023(PSR).<br/>The modifications will extend the existing contract for an additional 8 months and the value of all modifications for all 6 providers across the 3 Lots is £2,189,588. The initial contract award value for all 6 providers across the 3 Lots was £9,853,146.<br/>The modification effective date is 1st April 2026.<br/>Please note that multiple contract modification notices are being published; one for each provider, due to system issues.",
                                "rationale": "Need for additional works, services or supplies by the original contractor/concessionaire: The contract modification is required to allow the service to continue while allowing sufficient time to identify and complete the most appropriate procurement route in accordance with The Healthcare Services (Provider Selection Regime) Regulations 2023(PSR)."
                            }
                        ]
                    },
                    {
                        "id": "063847-2026-1-1",
                        "awardID": "063847-2026-1-1",
                        "title": "Multiple Sclerosis Management Service for Children - Contract Modification",
                        "status": "active",
                        "value": {
                            "amount": 12042731,
                            "currency": "GBP"
                        },
                        "dateSigned": "2026-04-01T00:00:00+01:00",
                        "period": {
                            "startDate": "2026-04-01T00:00:00+01:00",
                            "endDate": "2026-11-30T23:59:59Z"
                        },
                        "items": [
                            {
                                "id": "1",
                                "classification": {
                                    "scheme": "CPV",
                                    "id": "85100000",
                                    "description": "Health services"
                                },
                                "deliveryAddresses": [
                                    {
                                        "region": "UK"
                                    }
                                ],
                                "relatedLot": "1"
                            }
                        ],
                        "amendments": [
                            {
                                "id": "7",
                                "description": "The contract modification is required to<br/>allow the service to continue while<br/>allowing sufficient time to identify and<br/>complete the most appropriate<br/>procurement route in accordance with<br/>The Healthcare Services (Provider<br/>Selection Regime) Regulations<br/>2023(PSR).<br/>The modifications will extend the<br/>existing contract for an additional 8<br/>months and the value of all<br/>modifications for all 6 providers across<br/>the 3 Lots is £2,189,588. The initial<br/>contract award value for all 6 providers<br/>across the 3 Lots was £9,853,146.<br/>The modification effective date is 1st<br/>April 2026.<br/>Please note that multiple contract<br/>modification notices are being<br/>published; one for each provider, due to<br/>system issues.",
                                "rationale": "Need for additional works, services or supplies by the original contractor/concessionaire: The contract modification is required to<br/>allow the service to continue while<br/>allowing sufficient time to identify and<br/>complete the most appropriate<br/>procurement route in accordance with<br/>The Healthcare Services (Provider<br/>Selection Regime) Regulations<br/>2023(PSR)."
                            }
                        ]
                    },
                    {
                        "id": "063890-2026-1-1",
                        "awardID": "063890-2026-1-1",
                        "title": "Multiple Sclerosis Management Service for Children - Contract Modification",
                        "status": "active",
                        "value": {
                            "amount": 12042731,
                            "currency": "GBP"
                        },
                        "dateSigned": "2026-04-01T00:00:00+01:00",
                        "period": {
                            "startDate": "2026-04-01T00:00:00+01:00",
                            "endDate": "2026-11-30T23:59:59Z"
                        },
                        "items": [
                            {
                                "id": "1",
                                "classification": {
                                    "scheme": "CPV",
                                    "id": "85100000",
                                    "description": "Health services"
                                },
                                "deliveryAddresses": [
                                    {
                                        "region": "UK"
                                    }
                                ],
                                "relatedLot": "1"
                            }
                        ],
                        "amendments": [
                            {
                                "id": "8",
                                "description": "The contract modification is required to<br/>allow the service to continue while<br/>allowing sufficient time to identify and<br/>complete the most appropriate<br/>procurement route in accordance with<br/>The Healthcare Services (Provider<br/>Selection Regime) Regulations<br/>2023(PSR).<br/>The modifications will extend the<br/>existing contract for an additional 8<br/>months and the value of all<br/>modifications for all 6 providers across<br/>the 3 Lots is £2,189,588. The initial<br/>contract award value for all 6 providers<br/>across the 3 Lots was £9,853,146.<br/>The modification effective date is 1st<br/>April 2026.<br/>Please note that multiple contract<br/>modification notices are being<br/>published; one for each provider, due to<br/>system issues.",
                                "rationale": "Need for additional works, services or supplies by the original contractor/concessionaire: The contract modification is required to<br/>allow the service to continue while<br/>allowing sufficient time to identify and<br/>complete the most appropriate<br/>procurement route in accordance with<br/>The Healthcare Services (Provider<br/>Selection Regime) Regulations<br/>2023(PSR)."
                            }
                        ]
                    },
                    {
                        "id": "063895-2026-1-1",
                        "awardID": "063895-2026-1-1",
                        "status": "active",
                        "value": {
                            "amount": 12042731,
                            "currency": "GBP"
                        },
                        "dateSigned": "2026-04-01T00:00:00+01:00",
                        "period": {
                            "startDate": "2026-04-01T00:00:00+01:00",
                            "endDate": "2026-11-30T23:59:59Z"
                        },
                        "items": [
                            {
                                "id": "1",
                                "classification": {
                                    "scheme": "CPV",
                                    "id": "85100000",
                                    "description": "Health services"
                                },
                                "deliveryAddresses": [
                                    {
                                        "region": "UK"
                                    }
                                ],
                                "relatedLot": "1"
                            }
                        ],
                        "amendments": [
                            {
                                "id": "9",
                                "description": "The contract modification is required to<br/>allow the service to continue while<br/>allowing sufficient time to identify and<br/>complete the most appropriate<br/>procurement route in accordance with<br/>The Healthcare Services (Provider<br/>Selection Regime) Regulations<br/>2023(PSR).<br/>The modifications will extend the<br/>existing contract for an additional 8<br/>months and the value of all<br/>modifications for all 6 providers across<br/>the 3 Lots is £2,189,588. The initial<br/>contract award value for all 6 providers<br/>across the 3 Lots was £9,853,146.<br/>The modification effective date is 1st<br/>April 2026.<br/>Please note that multiple contract<br/>modification notices are being<br/>published; one for each provider, due to<br/>system issues.",
                                "rationale": "Need for additional works, services or supplies by the original contractor/concessionaire: The contract modification is required to<br/>allow the service to continue while<br/>allowing sufficient time to identify and<br/>complete the most appropriate<br/>procurement route in accordance with<br/>The Healthcare Services (Provider<br/>Selection Regime) Regulations<br/>2023(PSR)."
                            }
                        ]
                    },
                    {
                        "id": "063897-2026-1-1",
                        "awardID": "063897-2026-1-1",
                        "status": "active",
                        "value": {
                            "amount": 12042731,
                            "currency": "GBP"
                        },
                        "dateSigned": "2026-04-01T00:00:00+01:00",
                        "period": {
                            "startDate": "2026-04-01T00:00:00+01:00",
                            "endDate": "2026-11-30T23:59:59Z"
                        },
                        "items": [
                            {
                                "id": "1",
                                "classification": {
                                    "scheme": "CPV",
                                    "id": "85100000",
                                    "description": "Health services"
                                },
                                "deliveryAddresses": [
                                    {
                                        "region": "UK"
                                    }
                                ],
                                "relatedLot": "1"
                            }
                        ],
                        "amendments": [
                            {
                                "id": "10",
                                "description": "The contract modification is required to<br/>allow the service to continue while<br/>allowing sufficient time to identify and<br/>complete the most appropriate<br/>procurement route in accordance with<br/>The Healthcare Services (Provider<br/>Selection Regime) Regulations<br/>2023(PSR).<br/>The modifications will extend the<br/>existing contract for an additional 8<br/>months and the value of all<br/>modifications for all 6 providers across<br/>the 3 Lots is £2,189,588. The initial<br/>contract award value for all 6 providers<br/>across the 3 Lots was £9,853,146.<br/>The modification effective date is 1st<br/>April 2026.<br/>Please note that multiple contract<br/>modification notices are being<br/>published; one for each provider, due to<br/>system issues.",
                                "rationale": "Need for additional works, services or supplies by the original contractor/concessionaire: The contract modification is required to<br/>allow the service to continue while<br/>allowing sufficient time to identify and<br/>complete the most appropriate<br/>procurement route in accordance with<br/>The Healthcare Services (Provider<br/>Selection Regime) Regulations<br/>2023(PSR)."
                            }
                        ]
                    }
                ],
                "bids": {
                    "statistics": [
                        {
                            "id": "1",
                            "measure": "bids",
                            "relatedLot": "1",
                            "value": 1
                        },
                        {
                            "id": "2",
                            "measure": "bids",
                            "relatedLot": "2",
                            "value": 2
                        },
                        {
                            "id": "3",
                            "measure": "bids",
                            "relatedLot": "3",
                            "value": 4
                        }
                    ]
                }
            },
            "versionedRelease": {
                "ocid": "ocds-h6vhtk-038737",
                "description": [
                    {
                        "releaseID": "033046-2022",
                        "releaseDate": "2022-11-22T10:52:13Z",
                        "releaseTag": [
                            "planning"
                        ],
                        "value": "Patients and their family/carers will have the option to choose which MS Hub Lead Centre they wish to be referred to in discussion with their referring clinician, although it is envisaged that patient flows will be mainly geographic, with patients attending the Hub Lead Centre for their Regional area.\nThe existing contracts are due to expire on 31st March 2023 and the Commissioner is running this market engagement exercise to ascertain whether there is competition in the market and to help inform future commissioning plans.\nEach year in UK, there are likely to be 78 new paediatric patients who need detailed assessment and treatment in the highly specialised service. These are individuals who present with recurrent demyelination and immediately fulfil the criteria for MS or who are at risk of being diagnosed with paediatric MS within the first 12 months after presentation or who have relapsing demyelination/other acquired demyelinating syndromes. The mean age of presentation is 12 years of age. There is understood to be a current caseload of some 230 paediatric patients in England who have been diagnosed with MS, or with an ‘MS-like’ recurrent acquired demyelinating condition that requires the same treatment.\nAs well as the caseload of more complex patients, at any point in time, there will be other patients being assessed, most of whom will not remain on the caseload once assessment has been completed and any care planning for local delivery has been completed. This is due to these individuals having a low level of care need or because MS or an ‘MS-like’ condition has been ruled out.\nIncumbent providers are required to respond to this market engagement exercise along with prospective providers.\nContract value and activity levels have been derived based on past experience. The estimated total value of the contracts for all three Lots is £2,550,000 and payment will be either the standard national tariffs or existing local tariffs as is currently the case. There is anticipated to be no net change in the number of patients accessing care in the NHS or the related cost.\nNHS England highly specialised commissioning is the contracting and commissioning authority for this service and wishes to commission centres across three Lots in England (North, Midlands and London and the South) to be delivered as part of a network arrangement as detailed in the questionnaire."
                    },
                    {
                        "releaseID": "044469-2026",
                        "releaseDate": "2026-05-14T15:23:02+01:00",
                        "releaseTag": [
                            "awardUpdate",
                            "contractUpdate"
                        ],
                        "value": "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 provision of the Public Contracts Regulations 2015 do not apply to this award. This contract has now been formally modified.<br/>This contract modification was approved by the National Commissioning Group on 20th January 2026."
                    },
                    {
                        "releaseID": "063829-2026",
                        "releaseDate": "2026-07-07T16:34:36+01:00",
                        "releaseTag": [
                            "awardUpdate",
                            "contractUpdate"
                        ],
                        "value": "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 provision of the Public Contracts Regulations 2015 do not apply to this award. This contract has now been formally modified.<br/>This contract modification was approved by the National Commissioning Group on 20th January 2026."
                    },
                    {
                        "releaseID": "063847-2026",
                        "releaseDate": "2026-07-07T16:57:47+01:00",
                        "releaseTag": [
                            "awardUpdate",
                            "contractUpdate"
                        ],
                        "value": "This is a Provider Selection Regime<br/>(PSR) contract modification notice,<br/>under the Health Care Services<br/>(Provider Selection Regime)<br/>Regulations 2023. For the avoidance of<br/>doubt, the provision of the Public<br/>Contracts Regulations 2015 do not<br/>apply to this award. This contract has<br/>now been formally modified.<br/>This contract modification was<br/>approved by the National<br/>Commissioning Group on 20th January<br/>2026."
                    }
                ],
                "initiationType": [
                    {
                        "releaseID": "033046-2022",
                        "releaseDate": "2022-11-22T10:52:13Z",
                        "releaseTag": [
                            "planning"
                        ],
                        "value": "tender"
                    }
                ],
                "tender": {
                    "id": [
                        {
                            "releaseID": "033046-2022",
                            "releaseDate": "2022-11-22T10:52:13Z",
                            "releaseTag": [
                                "planning"
                            ],
                            "value": "62208 - Multiple Sclerosis"
                        },
                        {
                            "releaseID": "044469-2026",
                            "releaseDate": "2026-05-14T15:23:02+01:00",
                            "releaseTag": [
                                "awardUpdate",
                                "contractUpdate"
                            ],
                            "value": "C442430"
                        }
                    ],
                    "legalBasis": {
                        "id": [
                            {
                                "releaseID": "033046-2022",
                                "releaseDate": "2022-11-22T10:52:13Z",
                                "releaseTag": [
                                    "planning"
                                ],
                                "value": "32014L0024"
                            }
                        ],
                        "scheme": [
                            {
                                "releaseID": "033046-2022",
                                "releaseDate": "2022-11-22T10:52:13Z",
                                "releaseTag": [
                                    "planning"
                                ],
                                "value": "CELEX"
                            }
                        ]
                    },
                    "title": [
                        {
                            "releaseID": "033046-2022",
                            "releaseDate": "2022-11-22T10:52:13Z",
                            "releaseTag": [
                                "planning"
                            ],
                            "value": "Provision of Multiple Sclerosis Management Service for Children"
                        },
                        {
                            "releaseID": "044469-2026",
                            "releaseDate": "2026-05-14T15:23:02+01:00",
                            "releaseTag": [
                                "awardUpdate",
                                "contractUpdate"
                            ],
                            "value": "Multiple Sclerosis Management Service for Children - Contract Modification"
                        },
                        {
                            "releaseID": "063829-2026",
                            "releaseDate": "2026-07-07T16:34:36+01:00",
                            "releaseTag": [
                                "awardUpdate",
                                "contractUpdate"
                            ],
                            "value": "Multiple Sclerosis Management Servicefor Children - Contract Modification"
                        },
                        {
                            "releaseID": "063847-2026",
                            "releaseDate": "2026-07-07T16:57:47+01:00",
                            "releaseTag": [
                                "awardUpdate",
                                "contractUpdate"
                            ],
                            "value": "Multiple Sclerosis Management Service for Children - Contract Modification"
                        }
                    ],
                    "status": [
                        {
                            "releaseID": "033046-2022",
                            "releaseDate": "2022-11-22T10:52:13Z",
                            "releaseTag": [
                                "planning"
                            ],
                            "value": "planned"
                        },
                        {
                            "releaseID": "030459-2023",
                            "releaseDate": "2023-10-16T14:06:30+01:00",
                            "releaseTag": [
                                "award",
                                "contract"
                            ],
                            "value": "complete"
                        }
                    ],
                    "classification": {
                        "scheme": [
                            {
                                "releaseID": "033046-2022",
                                "releaseDate": "2022-11-22T10:52:13Z",
                                "releaseTag": [
                                    "planning"
                                ],
                                "value": "CPV"
                            }
                        ],
                        "id": [
                            {
                                "releaseID": "033046-2022",
                                "releaseDate": "2022-11-22T10:52:13Z",
                                "releaseTag": [
                                    "planning"
                                ],
                                "value": "85000000"
                            },
                            {
                                "releaseID": "044469-2026",
                                "releaseDate": "2026-05-14T15:23:02+01:00",
                                "releaseTag": [
                                    "awardUpdate",
                                    "contractUpdate"
                                ],
                                "value": "85100000"
                            }
                        ],
                        "description": [
                            {
                                "releaseID": "033046-2022",
                                "releaseDate": "2022-11-22T10:52:13Z",
                                "releaseTag": [
                                    "planning"
                                ],
                                "value": "Health and social work services"
                            },
                            {
                                "releaseID": "044469-2026",
                                "releaseDate": "2026-05-14T15:23:02+01:00",
                                "releaseTag": [
                                    "awardUpdate",
                                    "contractUpdate"
                                ],
                                "value": "Health services"
                            }
                        ]
                    },
                    "mainProcurementCategory": [
                        {
                            "releaseID": "033046-2022",
                            "releaseDate": "2022-11-22T10:52:13Z",
                            "releaseTag": [
                                "planning"
                            ],
                            "value": "services"
                        }
                    ],
                    "description": [
                        {
                            "releaseID": "033046-2022",
                            "releaseDate": "2022-11-22T10:52:13Z",
                            "releaseTag": [
                                "planning"
                            ],
                            "value": "NHS Arden and Greater East Midlands Commissioning Support Unit (AGCSU), on behalf of NHS England Highly Specialised Services (referred to as the Commissioner), is undertaking a market engagement exercise to understand the current and future capacity and capability of providers and potential providers within this highly specialised area. All interested parties, including incumbent providers, are encouraged to register their interest and participate in the market engagement questionnaire which will provide feedback to commissioners. Please note that this is not a call for competition although the commissioner would encourage all potential providers to respond to this market engagement exercise. The outcome of this market engagement will help inform commissioners of the current and future capacity and capability of the market and will be considered to inform the commissioning approach."
                        }
                    ],
                    "lots": [
                        {
                            "id": "1",
                            "title": [
                                {
                                    "releaseID": "033046-2022",
                                    "releaseDate": "2022-11-22T10:52:13Z",
                                    "releaseTag": [
                                        "planning"
                                    ],
                                    "value": "Lot 1 - North comprising the NHS England Regions: the North East and Yorkshire; the North West,"
                                }
                            ],
                            "description": [
                                {
                                    "releaseID": "033046-2022",
                                    "releaseDate": "2022-11-22T10:52:13Z",
                                    "releaseTag": [
                                        "planning"
                                    ],
                                    "value": "This exercise is to commission a service that is able to expertly manage the provision of the Multiple Sclerosis Management Service for Children, including patients with suspected Multiple Sclerosis (MS) or equally rare ‘MS-like’, recurrent acquired demyelinating syndromes (ADS) or who have had a first demyelination episode and have a high risk of relapse which would require a similar treatment approach, including: Neuromyelitis Optica Spectrum Disorder (NMO, NMOSD) and other AQP4 antibody associated demyelination; Myelin Oligodendrocyte Glycoprotein (MOG) antibody associated relapsing demyelination and other forms of recurrent relapsing demyelination.\nThe MS Hub Lead Centres will be geographically spaced across the Regional areas of NHS England as follows:\ni) Lot 1 - North comprising the NHS England Regions: the North East and Yorkshire; the North West,\nii) Lot 2 - the Midlands comprising the NHS England Regions: the Midlands; the East of England\niii) Lot 3 - London and the South: comprising the South East; the South West; London\nWe would like to hear from incumbent and potential paediatric providers who can meet the following essential criteria:\nI. Have staff in place with paediatric neuroinflammatory expertise as listed in the service specification : (https://www.england.nhs.uk/wp-content/uploads/2017/08/multiple-sclerosis-mgt-for-children-sept-2017.pdf);\nII. Be currently actively managing, as an expert care provider and have seen face to face in the last year, a minimum of 20 children with paediatric Remitting Demyelinating Syndromes (RDS) (including first presentation or first event MS or high risk RDS);\nIII. Be actively prescribing innovative therapeutic pharmacological MS treatments for these children using the NHS England BluTeq online system;\nIV. Have received in a tertiary capacity for expert review, five to ten new paediatric referrals of acute multiple sclerosis/MS-like cases per year in each of the last three years (2018/19, 2019/20 and 2020/21. With the requests being for second opinions/advice on the treatment plan.\nV. Must be an existing provider of tertiary paediatric neurosciences.\nThe anticipated contract period is 3 years.\nThe Commissioner reserves the right to direct award where competition is absent.\nThis notice is to advise incumbent and prospective providers in the market of the commissioner’s intention to commission this service and to provide an opportunity to engage with and participate in a market engagement questionnaire. The outcome of this market engagement will help inform commissioners of the current and future capacity and capability of the market and will be considered with other evidence to inform the commissioning approach,\nApplications may be made jointly where partners can demonstrate appropriate expertise and meet the service criteria set out in the questionnaire and service specification: multiple-sclerosis-mgt-for-children-sept-2017.pdf (england.nhs.uk)..\nThe questionnaire is available through the EU Supply portal: https://uk.eu-supply.com/login.asp?B=agcsu\nThe reference is 62208 and the closing date for submission of the completed questionnaire will be: 12pm, midday on Tuesday 20th December 2022."
                                },
                                {
                                    "releaseID": "044469-2026",
                                    "releaseDate": "2026-05-14T15:23:02+01:00",
                                    "releaseTag": [
                                        "awardUpdate",
                                        "contractUpdate"
                                    ],
                                    "value": "The service is currently delivered by 6 providers across the 3 Lots. The service will continue for the duration of this modification."
                                },
                                {
                                    "releaseID": "063829-2026",
                                    "releaseDate": "2026-07-07T16:34:36+01:00",
                                    "releaseTag": [
                                        "awardUpdate",
                                        "contractUpdate"
                                    ],
                                    "value": "The service is currently delivered by 6 providers across the 3 Lots, as follows. The service will continue for the duration of this modification.<br/>i) Lot 1 - North comprising the NHS England Regions: the North East and Yorkshire; the North West<br/><br/>* Manchester University NHS Foundation Trust<br/><br/>ii) Lot 2 - the Midlands comprising the NHS England Regions: the Midlands; the East of England<br/><br/>* Birmingham Women's and Children's NHS Foundation Trust<br/>* Cambridge University Hospitals NHS Foundation Trust<br/><br/>iii) Lot 3 - London and the South: comprising the South East; the South West; London<br/><br/>* Great Ormond Street Hospital for Children NHS Foundation Trust<br/>* Guys & St Thomas' Hospital NHS Foundation Trust"
                                },
                                {
                                    "releaseID": "063847-2026",
                                    "releaseDate": "2026-07-07T16:57:47+01:00",
                                    "releaseTag": [
                                        "awardUpdate",
                                        "contractUpdate"
                                    ],
                                    "value": "The service is currently delivered by 6<br/>providers across the 3 Lots, as follows.<br/>The service will continue for the<br/>duration of this modification.<br/>i) Lot 1 - North comprising the NHS<br/>England Regions: the North East and<br/>Yorkshire; the North West<br/>* Manchester University NHS<br/>Foundation Trust<br/>ii) Lot 2 - the Midlands comprising the<br/>NHS England Regions: the Midlands;<br/>the East of England<br/>* Birmingham Women's and Children's<br/>NHS Foundation Trust<br/>* Cambridge University Hospitals NHS<br/>Foundation Trust<br/>iii) Lot 3 - London and the South:<br/>comprising the South East; the South<br/>West; London"
                                },
                                {
                                    "releaseID": "063890-2026",
                                    "releaseDate": "2026-07-08T08:15:42+01:00",
                                    "releaseTag": [
                                        "awardUpdate",
                                        "contractUpdate"
                                    ],
                                    "value": "The service is currently delivered by 6<br/>providers across the 3 Lots, as follows.<br/>The service will continue for the<br/>duration of this modification.<br/>i) Lot 1 - North comprising the NHS<br/>England Regions: the North East and<br/>Yorkshire; the North West<br/>* Manchester University NHS<br/>Foundation Trust<br/>ii) Lot 2 - the Midlands comprising the<br/>NHS England Regions: the Midlands;<br/>the East of England<br/>* Birmingham Women's and Children's<br/>NHS Foundation Trust<br/>* Cambridge University Hospitals NHS<br/>Foundation Trust<br/>iii) Lot 3 - London and the South:<br/>comprising the South East; the South<br/>West; London<br/>VI.4.2 Mediation<br/>address<br/>VI.4.3.1 Info on<br/>deadline for review<br/>VI.5.0.1 Date of<br/>dispatch<br/>VII.1.3.1 NUTS Code VII.1.3.2 Main Site<br/>VII.1.4.1 Description<br/>of procurement<br/>* Great Ormond Street Hospital for<br/>Children NHS Foundation Trust<br/>* Guys & St Thomas' Hospital NHS<br/>Foundation Trust"
                                },
                                {
                                    "releaseID": "063895-2026",
                                    "releaseDate": "2026-07-08T08:23:30+01:00",
                                    "releaseTag": [
                                        "awardUpdate",
                                        "contractUpdate"
                                    ],
                                    "value": "The service is currently delivered by 6<br/>providers across the 3 Lots, as follows.<br/>The service will continue for the<br/>duration of this modification.<br/>i) Lot 1 - North comprising the NHS<br/>England Regions: the North East and<br/>Yorkshire; the North West<br/>* Manchester University NHS<br/>Foundation Trust<br/>ii) Lot 2 - the Midlands comprising the<br/>NHS England Regions: the Midlands;<br/>the East of England<br/>* Birmingham Women's and Children's<br/>NHS Foundation Trust<br/>* Cambridge University Hospitals NHS<br/>Foundation Trust<br/>iii) Lot 3 - London and the South:<br/>comprising the South East; the South<br/>West; London<br/>* Great Ormond Street Hospital for<br/>Children NHS Foundation Trust<br/>* Guys & St Thomas' Hospital NHS<br/>Foundation Trust"
                                }
                            ],
                            "status": [
                                {
                                    "releaseID": "033046-2022",
                                    "releaseDate": "2022-11-22T10:52:13Z",
                                    "releaseTag": [
                                        "planning"
                                    ],
                                    "value": "planned"
                                },
                                {
                                    "releaseID": "030459-2023",
                                    "releaseDate": "2023-10-16T14:06:30+01:00",
                                    "releaseTag": [
                                        "award",
                                        "contract"
                                    ],
                                    "value": "cancelled"
                                }
                            ],
                            "awardCriteria": {
                                "criteria": [
                                    {
                                        "releaseID": "030459-2023",
                                        "releaseDate": "2023-10-16T14:06:30+01:00",
                                        "releaseTag": [
                                            "award",
                                            "contract"
                                        ],
                                        "value": [
                                            {
                                                "name": "Technical",
                                                "type": "cost",
                                                "description": "100"
                                            }
                                        ]
                                    }
                                ]
                            },
                            "hasOptions": [
                                {
                                    "releaseID": "030459-2023",
                                    "releaseDate": "2023-10-16T14:06:30+01:00",
                                    "releaseTag": [
                                        "award",
                                        "contract"
                                    ],
                                    "value": false
                                }
                            ],
                            "contractPeriod": {
                                "durationInDays": [
                                    {
                                        "releaseID": "044469-2026",
                                        "releaseDate": "2026-05-14T15:23:02+01:00",
                                        "releaseTag": [
                                            "awardUpdate",
                                            "contractUpdate"
                                        ],
                                        "value": 1080
                                    }
                                ]
                            }
                        },
                        {
                            "id": "2",
                            "title": [
                                {
                                    "releaseID": "033046-2022",
                                    "releaseDate": "2022-11-22T10:52:13Z",
                                    "releaseTag": [
                                        "planning"
                                    ],
                                    "value": "Lot 2 - the Midlands comprising the NHS England Regions: the Midlands; the East of England"
                                }
                            ],
                            "description": [
                                {
                                    "releaseID": "033046-2022",
                                    "releaseDate": "2022-11-22T10:52:13Z",
                                    "releaseTag": [
                                        "planning"
                                    ],
                                    "value": "This exercise is to commission a service that is able to expertly manage the provision of the Multiple Sclerosis Management Service for Children, including patients with suspected Multiple Sclerosis (MS) or equally rare ‘MS-like’, recurrent acquired demyelinating syndromes (ADS) or who have had a first demyelination episode and have a high risk of relapse which would require a similar treatment approach, including: Neuromyelitis Optica Spectrum Disorder (NMO, NMOSD) and other AQP4 antibody associated demyelination; Myelin Oligodendrocyte Glycoprotein (MOG) antibody associated relapsing demyelination and other forms of recurrent relapsing demyelination.\nThe MS Hub Lead Centres will be geographically spaced across the Regional areas of NHS England as follows:\ni) Lot 1 - North comprising the NHS England Regions: the North East and Yorkshire; the North West,\nii) Lot 2 - the Midlands comprising the NHS England Regions: the Midlands; the East of England\niii) Lot 3 - London and the South: comprising the South East; the South West; London\nWe would like to hear from incumbent and potential paediatric providers who can meet the following essential criteria:\nI. Have staff in place with paediatric neuroinflammatory expertise as listed in the service specification : (https://www.england.nhs.uk/wp-content/uploads/2017/08/multiple-sclerosis-mgt-for-children-sept-2017.pdf);\nII. Be currently actively managing, as an expert care provider and have seen face to face in the last year, a minimum of 20 children with paediatric Remitting Demyelinating Syndromes (RDS) (including first presentation or first event MS or high risk RDS);\nIII. Be actively prescribing innovative therapeutic pharmacological MS treatments for these children using the NHS England BluTeq online system;\nIV. Have received in a tertiary capacity for expert review, five to ten new paediatric referrals of acute multiple sclerosis/MS-like cases per year in each of the last three years (2018/19, 2019/20 and 2020/21. With the requests being for second opinions/advice on the treatment plan.\nV. Must be an existing provider of tertiary paediatric neurosciences.\nThe anticipated contract period is 3 years.\nThe Commissioner reserves the right to direct award where competition is absent.\nThis notice is to advise incumbent and prospective providers in the market of the commissioner’s intention to commission this service and to provide an opportunity to engage with and participate in a market engagement questionnaire. The outcome of this market engagement will help inform commissioners of the current and future capacity and capability of the market and will be considered with other evidence to inform the commissioning approach,\nApplications may be made jointly where partners can demonstrate appropriate expertise and meet the service criteria set out in the questionnaire and service specification: multiple-sclerosis-mgt-for-children-sept-2017.pdf (england.nhs.uk)..\nThe questionnaire is available through the EU Supply portal: https://uk.eu-supply.com/login.asp?B=agcsu\nThe reference is 62208 and the closing date for submission of the completed questionnaire will be: 12pm, midday on Tuesday 20th December 2022."
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                        {
                            "id": "3",
                            "title": [
                                {
                                    "releaseID": "033046-2022",
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                                    "releaseTag": [
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                                    "value": "Lot 3 - London and the South: comprising the South East; the South West; London"
                                }
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                                    "releaseDate": "2022-11-22T10:52:13Z",
                                    "releaseTag": [
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                                    "value": "This exercise is to commission a service that is able to expertly manage the provision of the Multiple Sclerosis Management Service for Children, including patients with suspected Multiple Sclerosis (MS) or equally rare ‘MS-like’, recurrent acquired demyelinating syndromes (ADS) or who have had a first demyelination episode and have a high risk of relapse which would require a similar treatment approach, including: Neuromyelitis Optica Spectrum Disorder (NMO, NMOSD) and other AQP4 antibody associated demyelination; Myelin Oligodendrocyte Glycoprotein (MOG) antibody associated relapsing demyelination and other forms of recurrent relapsing demyelination.\nThe MS Hub Lead Centres will be geographically spaced across the Regional areas of NHS England as follows:\ni) Lot 1 - North comprising the NHS England Regions: the North East and Yorkshire; the North West,\nii) Lot 2 - the Midlands comprising the NHS England Regions: the Midlands; the East of England\niii) Lot 3 - London and the South: comprising the South East; the South West; London\nWe would like to hear from incumbent and potential paediatric providers who can meet the following essential criteria:\nI. Have staff in place with paediatric neuroinflammatory expertise as listed in the service specification : (https://www.england.nhs.uk/wp-content/uploads/2017/08/multiple-sclerosis-mgt-for-children-sept-2017.pdf);\nII. Be currently actively managing, as an expert care provider and have seen face to face in the last year, a minimum of 20 children with paediatric Remitting Demyelinating Syndromes (RDS) (including first presentation or first event MS or high risk RDS);\nIII. Be actively prescribing innovative therapeutic pharmacological MS treatments for these children using the NHS England BluTeq online system;\nIV. Have received in a tertiary capacity for expert review, five to ten new paediatric referrals of acute multiple sclerosis/MS-like cases per year in each of the last three years (2018/19, 2019/20 and 2020/21. With the requests being for second opinions/advice on the treatment plan.\nV. Must be an existing provider of tertiary paediatric neurosciences.\nThe anticipated contract period is 3 years.\nThe Commissioner reserves the right to direct award where competition is absent.\nThis notice is to advise incumbent and prospective providers in the market of the commissioner’s intention to commission this service and to provide an opportunity to engage with and participate in a market engagement questionnaire. The outcome of this market engagement will help inform commissioners of the current and future capacity and capability of the market and will be considered with other evidence to inform the commissioning approach,\nApplications may be made jointly where partners can demonstrate appropriate expertise and meet the service criteria set out in the questionnaire and service specification: multiple-sclerosis-mgt-for-children-sept-2017.pdf (england.nhs.uk)..\nThe questionnaire is available through the EU Supply portal: https://uk.eu-supply.com/login.asp?B=agcsu\nThe reference is 62208 and the closing date for submission of the completed questionnaire will be: 12pm, midday on Tuesday 20th December 2022."
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