{ "uri": "https://www.find-tender.service.gov.uk/api/1.0/ocdsRecordPackages/ocds-h6vhtk-045827", "publisher": { "name": "Cabinet Office", "scheme": "GB-GOR", "uid": "D2", "uri": "https://www.gov.uk/government/organisations/cabinet-office" }, "publishedDate": "2026-04-01T15:50:49+01:00", "license": "http://www.nationalarchives.gov.uk/doc/open-government-licence/version/3/", "publicationPolicy": "https://www.gov.uk/government/publications/open-contracting", "version": "1.1", "extensions": [ "https://standard.open-contracting.org/profiles/eu/latest/en/extension.json", "https://raw.githubusercontent.com/open-contracting-extensions/ocds_amendment_rationale_classifications_extension/master/extension.json", "https://raw.githubusercontent.com/open-contracting-extensions/ocds_budget_breakdown_extension/master/extension.json", "https://raw.githubusercontent.com/open-contracting-extensions/ocds_contract_completion_extension/master/extension.json", "https://raw.githubusercontent.com/open-contracting-extensions/ocds_documentation_extension/master/extension.json", "https://raw.githubusercontent.com/open-contracting-extensions/ocds_pagination_extension/master/extension.json", "https://raw.githubusercontent.com/open-contracting-extensions/ocds_suitability_extension/master/extension.json", "https://raw.githubusercontent.com/portaledcahn/ocds_Links_extension/main/extension.json", "https://raw.githubusercontent.com/cabinetoffice/ocds_uk_extension/main/extension.json" ], "packages": [ "https://www.find-tender.service.gov.uk/api/1.0/ocdsRecordPackages/ocds-h6vhtk-045827" ], "records": [ { "ocid": "ocds-h6vhtk-045827", "releases": [ { "ocid": "ocds-h6vhtk-045827", "id": "014763-2024", "date": "2024-05-09T07:05:23+01:00", "tag": [ "award", "contract" ], "description": "For the purposes of this notice, a value must be inputted at Section V.2.2. however, this is superseded by the information stated in Section II.2.4.", "initiationType": "tender", "tender": { "id": "ocds-h6vhtk-045827", "legalBasis": { "id": "32014L0024", "scheme": "CELEX" }, "title": "Primary Care Local Enhanced Services for NHS Herefordshire and Worcestershire Integrated Care Board", "status": "complete", "classification": { "scheme": "CPV", "id": "85121000", "description": "Medical practice services" }, "mainProcurementCategory": "services", "description": "This Contract Award Notice is placed by Midlands and Lancashire Commissioning Support Unit on behalf of NHS Herefordshire and Worcestershire Integrated Care Board to confirm the direct award of contracts for Local Enhanced Services for 2024/45 pursuant to Regulation 8 (Direct Award Process B) of the NHS Provider Selection Regime (PSR) regulations. Local Enhanced Services are services outside of the national GP contract providing a wider range of primary medical services to meet local population needs and priorities. Local Enhanced Services are included as an appendix to each Practice's General Medical Service's (GMS) Contract. A description of each contract is provided in Section II.2.4 below.", "lots": [ { "id": "1", "description": "The purpose of this Contract Award Notice is to advise that NHS Herefordshire and Worcestershire Integrated Care Board has directly awarded contracts for Local Enhanced Services pursuant to Regulation 8 (Direct Award Process B) under the the NHS Provider Selection Regime for the period of 1st April 2024 to 31st March 2025 to 78 GP Practices across the Herefordshire and Worcestershire geographical area. \nThese are existing Local Enhanced Services provided by existing providers.\nBelow is a description of each Local Enhanced Service to be provided:\nSafe Prescribing: this service provides funding for practices within Worcestershire to manage systems for initiation, where clinically appropriate, and an ongoing enhanced level of monitoring of prescribed medicines.\nPhlebotomy: blood tests to monitor, diagnose and treat patients in primary care, reducing the number of patient visits to hospital proving convenient, local services to patients.\nTreatment Room: includes a wide variety of work such as phlebotomy, dressings, suture removal, ear syringing, wound care, 12 Lead Electrocardiograms (ECGs).\nDiabetes: management of patients with insulin, including insulin initiation for Type 2 diabetes, some with shared care, and Glucagon-like peptide-1 (GLP-1) Analogue treatment.\nLeg Ulcer: support for Leg Ulcer Healing beyond that defined in the General Medical Services (GMS) contract; the pathway includes assessment by an appropriately qualified Practice Nurse/District Nurse, treatment of Venous Leg ulcers for ambulant service users, and follow up provision of hosiery and advice, including repeat doppler testing to ensure ongoing stability of compression hosiery. District Nurses will treat housebound patients on their caseload, utilising Leg Club mode wherever possible.\nCompression Bandaging: service includes doppler assessment, application of compression bandaging and dressings in line with treatment plan.\nDeep Vein Thrombosis (DVT): exact service requirements differ across the geographical area, but all include the provision of a diagnostic service for patients with suspected DVT and initial anti-coagulation.\nSpirometry: diagnostic spirometry in primary care for early detection and diagnosis of respiratory conditions including Chronic Obstructive Pulmonary Disease (COPD) and/or Asthma. The service enables patients to be managed more appropriately and improves longer term outcomes.\nFractional Exhaled Nitric Oxide (FeNO) Testing: FeNO testing in primary care is used to help diagnose Asthma by identifying people, not currently on the Asthma register, who are likely to respond to treatment with inhald corticosteroids (ICS).\nProstate-Specific Antigen (PSA) - Stable Prostate Cancer: patients with prostate cancer or a raised PSA receive monitoring and management within primary care if clinically indicated. WF specification includes stable long term patients.\nRing Pessaries: Vaginal Ring Pessary treatment for utero-vaginal prolapse.\n12 Lead ECG: 12-Lead ECG is used as a diagnostic tool in the management of confirmed and suspected Cardiovascular Disease within primary care close to patients' homes, to include recoding and interpretation of routine ECGs.\nCardiology - 24 Hour ECG: facilitates diagnosis, management and treatment of arrhythmias within a primary care setting. The service includes: clinical evaluation of the patient, education of the patient on equipment safety, fitting and removal of ambulatory ECG testing equipment, production of a permanent record (electronic or paper based) record of the investigation results, and specialist referral if required.\nSafeguarding Multi Disciplinary Team (MDT) Meetings: to ensure that all relevant information is submitted by GPs in a timely fashion to child protection case conferences, including production of Parents Report, Child Safeguarding Summary and completion of an electronic audit.\nSafeguarding Network Model: New Safeguarding Network Operating Model to embed good practice and support safeguarding work linked to the safeguarding reporting enhanced service. Supports GP practices working as part of a network to achieve consistent, safe and effective approach to safeguarding.\nMicrosuction:\ta primary care based ear canal clearance service to patients aged 18 years and over, separate to ear syringing. Requires specialist equipment.\nManaging Menorrhagia: increases the availability of levonorgestrel-releasing intrauterine system (LNG-IUS) in the management of menorrhagia in primary care.\nDischarge to Assess (D2A)/Step-Up Step-Down Beds: the service requires a primary care clinician to attend the home to review the patient within 24 hours of admission, including a review of patients' ongoing medical and medication needs, and subsequent visits as required.\nComplex Care Homes: there are two homes (Pirton Grange Care Home and Inspire Care) within Worcestershire caring for complex neuro disability patients. The service requires a weekly GP session at the care homes and is based on an assessment of clinical complexity and time required.\nCare Home Flu Antiviral: GP practices to respond to a Public Health England alert of a localised community outbreak of influenza by ensuring appropriate clinical assessment and the prescribing of antivirals. \nBelow is the estimated annual budget value for 2024/25 for each Local Enhanced Service, broken down by county area:\nSafe Prescribing: Herefordshire £454,811 / Worcestershire £1,661,049 / Total\t£2,115,860\nPhlebotomy: Herefordshire £431,606 / Total\t£431,606\nTreatment Room: Worcestershire £1,059,160 / Total\t£1,059,160\nDiabetes: Herefordshire £366,657 / Worcestershire \t£1,092,585 / Total £1,459,242\nLeg Ulcers: Herefordshire £152,949 / Total £152,949\nCompression Bandaging: Worcestershire £171,023 / Total £171,023\nDVT: Herefordshire £50,285 / Worcestershire £90,071 / Total\t£140,356\nSpirometry: Herefordshire £79,615 / Worcestershire: £170,426\t/ Total £250,041\nFeNO: Worcestershire: £58,827 / Total £58,827\nPSA: Worcestershire £251,250 / Total £251,250\nRing Pessaries: Worcestershire £130,000 / Total £130,000\n12-Lead ECG: Herefordshire £108,948 / Total £108,948\nCardiology - 24 hr ECG: Worcestershire £90,421\t / Total £90,421\nSafeguarding MDT Meetings:\tHerefordshire £15,177\t / Worcestershire £51,503 / Total £66,680\nSafeguarding Network Model\t: Worcestershire: £183,000 / Total £183,000\nMicrosuction: Worcestershire: £127,034 / Total £127,034\nManaging Menorrhagia: Herefordshire £18,857 / Worcestershire £53,129 / Total £71,986\nD2A/Step Up Step Down:\tWorcestershire £33,000 / Total £33,000\nClinically Complex Care Homes: Worcestershire\t£20,000 / Total\t£20,000\nFlu Antivirals in Care Homes: Herefordshire £5,000 / Worcestershire £31,440 / Total £36,440\nLocal Enhanced Services Grand Total: Herefordshire £1,683,906 / Worcestershire £5,273,916 / Total £6,957,822\nBelow is the list of 78 GP Practices within Herefordshire and Worcestershire:\nAbbey Medical Practice\nAbbottswood Medical Centre\nAlbany House Surgery\nAlton Street Surgery\nAylmer Lodge Cookley Partnership\nBarbourne Health Centre\nBarnt Green Surgery\nBelmont Medical Centre\nBewdley Medical Centre \nBredon Hill Surgery\nCantilupe Surgery\nCatshill Surgery\nChaddesley Corbett Surgery\nChurch Street Surgery\nChurchfields Surgery\nColwall Surgery\nCorbett Medical Practice\nCornhill Surgery\nCrabbs Cross Medical Centre\nCrabbs Cross Surgery\nCradley Surgery\nDavenal House Surgery Partnership\nDeMontfort Medical Centre\nElbury Moor Medical Centre\nElgar House Surgery\nFownhope Medical Centre\nGlebelands Surgery\nGolden Valley Practice\nGreat Witley Surgery\nGrey Gable Surgery\nHagley Surgery\nHaresfield Surgery\nHereford Medical Group \nHillview Medical Centre\nHollyoaks Medical Centre\nHollywood Medical Practice\nKidderminster Medical Centre\nKington Medical Practice \nKnightwick Surgery\nLedbury Health Partnership \nMalvern Health Centre\nMerstow Green Medical Practice \nMortimer Medical Practice\nMuch Birch Surgery\nNew Barn Close Surgery\nNew Court Surgery \nNew Road Surgery, Bromsgrove\nNew Road Surgery, Rubery\nNorthumberland House Surgery\nNunwell Surgery\nOmbersley Medical Centre\nPendeen Surgery\nPershore Medical Practice\nRiverside Surgery\nRyeland Surgery\nSalters Medical Practice\nSevern Valley Medical Practice\nSpa Medical Practice\nSpring Gardens Medical Practice\nSt Johns House Medical Centre\nSt John's Surgery\nSt Martins Gate Surgery\nSt Saviours Surgery\nSt Stephen's Medical Partnership\nStanmore House Surgery\nStourport Medical Centre\nTenbury Surgery\nThe Bridge Surgery\nThe Dow Surgery\nThe Ridgeway Surgery\nThe Surgery Kingstone\nThorneloe Lodge Surgery\nUpton Surgery\nWargrave House\nWeobley & Staunton on Wye Surgeries \nWhiteacres Medical Centre\nWinyates Surgery\nWolverley Surgery Additional information: This is a Provider Selection Regime (PSR) confirmation of contract award notice. This contract has been awarded under the Health Care Services (Provider Selection Regime) Regulations 2023, Regulation 8. For the avoidance of doubt, the provisions of the Public Contracts Regulations 2015 do not apply to this award.\nThe Local Enhanced Service Contracts were approved at the meeting of the NHS Herefordshire and Worcestershire Integrated Care Board Strategic Commissioning Committee on 13th March 2024. \nA declaration of interest register was circulated to Strategic Commissioning Committee members, with no further declarations or conflicts raised during the meeting. The meeting was confirmed as quorate.", "awardCriteria": { "criteria": [ { "type": "price" } ] }, "hasOptions": false, "status": "cancelled" } ], "items": [ { "id": "1", "additionalClassifications": [ { "scheme": "CPV", "id": "85121100", "description": "General-practitioner services" } ], "deliveryAddresses": [ { "region": "UKG11" }, { "region": "UKG12" } ], "deliveryLocation": { "description": "The Counties of Herefordshire and Worcestershire. \nFor further details, please see Section II.2.4 below for the of list of GP Practices which are the main sites or places of performance." }, "relatedLot": "1" } ], "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": "This is a Provider Selection Regime (PSR) confirmation of contract award notice. This contract has been awarded under the Health Care Services (Provider Selection Regime) Regulations 2023 Direct Award Process B.\nFor the avoidance of doubt, the provisions of the Public Contracts Regulations 2015 do not apply to this award." }, "awards": [ { "id": "014763-2024-1", "relatedLots": [ "1" ], "status": "active", "suppliers": [ { "id": "GB-FTS-113264", "name": "Please see Section II.2.4" } ] } ], "parties": [ { "name": "NHS Herefordshire & Worcestershire Integrated Care Board", "id": "GB-FTS-113263", "identifier": { "legalName": "NHS Herefordshire & Worcestershire Integrated Care Board", "noIdentifierRationale": "notOnAnyRegister" }, "address": { "streetAddress": "Kirkham House, John Comyn Drive, Perdiswell", "locality": "Worcester", "region": "UKG1", "postalCode": "WR3 7NS", "countryName": "United Kingdom" }, "contactPoint": { "name": "Lyle Lloyd", "email": "lyle.lloyd@nhs.net" }, "roles": [ "buyer" ], "details": { "url": "https://herefordshireandworcestershire.icb.nhs.uk", "classifications": [ { "scheme": "TED_CA_TYPE", "id": "BODY_PUBLIC", "description": "Body governed by public law" }, { "scheme": "COFOG", "id": "07", "description": "Health" } ] } }, { "name": "Please see Section II.2.4", "id": "GB-FTS-113264", "identifier": { "legalName": "Please see Section II.2.4", "noIdentifierRationale": "notOnAnyRegister" }, "address": { "locality": "Herefordshire and Worcestershire", "region": "UKG1", "countryName": "United Kingdom" }, "contactPoint": { "email": "lyle.lloyd@nhs.net" }, "roles": [ "supplier" ], "details": { "scale": "large" } }, { "name": "NHS Herefordshire and Worcestershire Integrated Care Board", "id": "GB-FTS-78244", "identifier": { "legalName": "NHS Herefordshire and Worcestershire Integrated Care Board" }, "address": { "streetAddress": "Kirkham House, John Comyn Drive, Perdiswell", "locality": "Worcester", "postalCode": "WR3 7NS", "countryName": "United Kingdom" }, "roles": [ "reviewBody" ] } ], "buyer": { "id": "GB-FTS-113263", "name": "NHS Herefordshire & Worcestershire Integrated Care Board" }, "contracts": [ { "id": "014763-2024-1", "awardID": "014763-2024-1", "status": "active", "value": { "amount": 6957822, "currency": "GBP" }, "dateSigned": "2024-03-31T00:00:00Z" } ], "bids": { "statistics": [ { "id": "1", "measure": "bids", "relatedLot": "1", "value": 1 } ] }, "language": "en" }, { "ocid": "ocds-h6vhtk-045827", "id": "030507-2026", "date": "2026-04-01T15:50:47+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. \nFor the avoidance of doubt, the provisions of the Public Contracts Regulations 2015 and the replacement Procurement Act (PA2023) do not apply to this award.\nThis contract has now formally been modified.", "initiationType": "tender", "tender": { "id": "ocds-h6vhtk-045827", "legalBasis": { "id": "32014L0024", "scheme": "CELEX" }, "title": "Local Enhanced Services (Services specifically commissioned across Herefordshire & Worcestershire)", "classification": { "scheme": "CPV", "id": "85121000", "description": "Medical practice services" }, "mainProcurementCategory": "services", "lots": [ { "id": "1", "description": "Local Enhanced Services are services outside of the national GP contract providing a wider range of primary medical services to meet local population needs and priorities. Local Enhanced Services are included as an appendix to each Practice's GMS Contract.\nNHS Herefordshire and Worcestershire Integrated Care Board directly awarded contracts for Local Enhanced Services pursuant to Regulation 8 (Direct Award Process B) under the NHS Provider Selection Regime for the period of 1st April 2024 to 31st March 2025 to 78 GP Practices across the Herefordshire and Worcestershire geographical area at a total cost of £6,957,822. \nThese Local Enhanced Services (LES) are commissioned on a rolling basis and reviewed annually. PSR supplementary guidance for arranging primary care services confirms that \"where all GP practices provide a wider range of services or provide their core services at an enhanced level, these services may be carried out under a contract modification.\" The original contract award for these services was for a 12-month period from 1st April 2024 to 31st March 2025. During this period, the ICB commenced a comprehensive Clinical Review in December 2024, with the aim to complete this (and for the ICB to issue new contracts) for 1st April 2025. However, the time period required to undertake the comprehensive Clinical Review has been considerably longer than was originally estimated. Therefore, the contracts were extended (initially until June 2025, and then) for a further period until 31st March 2026 to enable the Clinical Review to take place. During this period, there has not been any material changes to the character of the existing contracts; the contract end date was extended to allow for the comprehensive Clinical Review. The contract extensions were formally approved in accordance with the ICB's formal corporate governance procedures at its Strategic Commissioning Committee (i.e., the extension for 1st April 2025 to 30th June 2025 was formally approved at the NHS Herefordshire and Worcestershire Strategic Commissioning Committee meeting on 15th January 2025; the further extension to 31st March 2026 was approved at the above committee on 4th June 2025). The total cost of the contracts including the extensions to allow for the Clinical Review was £13,915,644.\nThis modification is put in place to commence from 1st April 2026 at a value of £1,880,000. The test for considerable change has not been met as the modification does not materially alter the character of the contracts. \nThe comprehensive Clinical Review is continuing for these services for 2026/27. The high priority services have been reviewed and combined into a Universal Enhanced Service (UES) Specification which include the adoption of a full evaluation and costing model for each included service.\nThis will ensure a standardised, equitable and sustainable LES framework ensuring all patients have access to the same level of service regardless of location. The remaining services will be rolled forward into 2026/27 where the Clinical Review will continue to prioritise and evaluate each service.\n\nAt this meeting, the voting members:\n•\tApproved the commissioning of the Universal Enhanced Services Specification.\n•\tApproved the roll forward of the remaining Local Enhanced Services\n•\tNoted the planned review of the rolled forward Local Enhanced Services in 2026/27", "contractPeriod": { "durationInDays": 1080 } } ], "items": [ { "id": "1", "additionalClassifications": [ { "scheme": "CPV", "id": "85100000", "description": "Health services" } ], "deliveryAddresses": [ { "region": "UKG11" }, { "region": "UKG12" } ], "deliveryLocation": { "description": "The counties of Herefordshire and Worcestershire, United Kingdom." }, "relatedLot": "1" } ] }, "awards": [ { "id": "030507-2026-ocds-h6vhtk-045827-1", "relatedLots": [ "1" ], "status": "active", "suppliers": [ { "id": "GB-FTS-113264", "name": "Please see Section II.2.4" }, { "id": "GB-FTS-179315", "name": "Please see section II.24 of original notice" } ] } ], "parties": [ { "name": "NHS Herefordshire & Worcestershire Integrated Care Board", "id": "GB-FTS-179314", "identifier": { "legalName": "NHS Herefordshire & Worcestershire Integrated Care Board", "noIdentifierRationale": "notOnAnyRegister" }, "address": { "streetAddress": "Kirkham House, John Comyn Drive, Perdiswell", "locality": "Worcester", "region": "UKG23", "postalCode": "WR3 7NS", "countryName": "United Kingdom" }, "contactPoint": { "email": "hwicb.corpgov@nhs.net" }, "roles": [ "buyer" ], "details": { "url": "https://herefordshireandworcestershire.icb.nhs.uk/" } }, { "name": "Please see Section II.2.4", "id": "GB-FTS-113264", "identifier": { "legalName": "Please see Section II.2.4", "noIdentifierRationale": "notOnAnyRegister" }, "address": { "locality": "Herefordshire and Worcestershire", "region": "UKG12", "countryName": "United Kingdom" }, "roles": [ "supplier" ], "details": { "scale": "large" } }, { "name": "Please see section II.24 of original notice", "id": "GB-FTS-179315", "identifier": { "legalName": "Please see section II.24 of original notice", "noIdentifierRationale": "notOnAnyRegister" }, "address": { "streetAddress": "The Coach House, John Comyn Drive, Perdiswell,", "locality": "Worcester", "region": "UKG12", "postalCode": "WR3 7NS", "countryName": "United Kingdom" }, "contactPoint": { "email": "lyle.lloyd@nhs.net" }, "roles": [ "supplier" ], "details": { "scale": "large" } }, { "name": "NHS Herefordshire & Worcestershire Integrated Care Board", "id": "GB-FTS-113263", "identifier": { "legalName": "NHS Herefordshire & Worcestershire Integrated Care Board" }, "address": { "streetAddress": "Kirkham House, John Comyn Drive, Perdiswell", "locality": "Worcester", "postalCode": "WR3 7NS", "countryName": "United Kingdom" }, "contactPoint": { "email": "hwicb.corpgov@nhs.net" }, "roles": [ "reviewBody" ] } ], "buyer": { "id": "GB-FTS-179314", "name": "NHS Herefordshire & Worcestershire Integrated Care Board" }, "contracts": [ { "id": "030507-2026-ocds-h6vhtk-045827-1", "awardID": "030507-2026-ocds-h6vhtk-045827-1", "status": "active", "value": { "amount": 15795644, "currency": "GBP" }, "dateSigned": "2026-02-04T00:00:00Z", "period": { "durationInDays": 1080 }, "items": [ { "id": "1", "classification": { "scheme": "CPV", "id": "85121100", "description": "General-practitioner services" }, "deliveryAddresses": [ { "region": "UKG11" }, { "region": "UKG12" } ], "deliveryLocation": { "description": "The counties of Herefordshire and Worcestershire, United Kingdom." }, "relatedLot": "1" } ], "amendments": [ { "id": "1", "description": "The ICB's comprehensive Clinical Review, full evaluation, and costing model has identified a shortfall in funding to adequately resource the current Local Enhanced Service activity and to ensure standardisation and equalisation of service provision across Herefordshire and Worcestershire; therefore, an additional £1,880,000 modification has been made for the Universal Enhanced Service contracts for the continuation of the contract for a further 12 months.\nThe modification is permitted under PSR as it does not materially alter the character of the contracts awarded under PSR Process B. The modification will be effective as of 1st April 2026\nLocal Enhanced Services are reviewed annually and commissioned routinely on an annual basis, with the inclusion of a 3 month termination clause within the terms and conditions.\nBelow is a list of the Herefordshire and Worcestershire Universal Enhanced Services:\nEnhanced monitoring of Medicines and Administration of injectable medicines (Safe Prescribing)\nTreatment Room \nDeep Vein Thrombosis \nDiabetes Insulin & Glucagon-like peptide-1 initiation and ongoing management of patients requiring insulin\nSafeguarding\nMedicines Optimisation and Flu Antivirals in Care Home\nLeg Ulcer\nCompression Bandaging \nSpirometry \nFractional Exhaled Nitric Oxide (FeNO) Testing\nManaging Menorrhagia\nRing Pessaries\nCardiology - 24 Hour electrocardiogram\nMicro suction\nDischarge to Assess/Step-Up Step-Down Beds\nComplex care homes", "rationale": "Need for modification brought about by circumstances which a diligent contracting authority/entity could not foresee: Please See \"VII.2.1 Description of the modifications\" above." } ] } ], "language": "en" } ], "compiledRelease": { "tag": [ "compiled" ], "id": "ocds-h6vhtk-045827-2026-04-01T15:50:47+01:00", "date": "2026-04-01T15:50:47+01:00", "ocid": "ocds-h6vhtk-045827", "description": "This is a Provider Selection Regime (PSR) contract modification notice under the Health Care Services (Provider Selection Regime) Regulations 2023. \nFor the avoidance of doubt, the provisions of the Public Contracts Regulations 2015 and the replacement Procurement Act (PA2023) do not apply to this award.\nThis contract has now formally been modified.", "initiationType": "tender", "tender": { "id": "ocds-h6vhtk-045827", "legalBasis": { "id": "32014L0024", "scheme": "CELEX" }, "title": "Local Enhanced Services (Services specifically commissioned across Herefordshire & Worcestershire)", "status": "complete", "classification": { "scheme": "CPV", "id": "85121000", "description": "Medical practice services" }, "mainProcurementCategory": "services", "description": "This Contract Award Notice is placed by Midlands and Lancashire Commissioning Support Unit on behalf of NHS Herefordshire and Worcestershire Integrated Care Board to confirm the direct award of contracts for Local Enhanced Services for 2024/45 pursuant to Regulation 8 (Direct Award Process B) of the NHS Provider Selection Regime (PSR) regulations. Local Enhanced Services are services outside of the national GP contract providing a wider range of primary medical services to meet local population needs and priorities. Local Enhanced Services are included as an appendix to each Practice's General Medical Service's (GMS) Contract. A description of each contract is provided in Section II.2.4 below.", "lots": [ { "id": "1", "description": "Local Enhanced Services are services outside of the national GP contract providing a wider range of primary medical services to meet local population needs and priorities. Local Enhanced Services are included as an appendix to each Practice's GMS Contract.\nNHS Herefordshire and Worcestershire Integrated Care Board directly awarded contracts for Local Enhanced Services pursuant to Regulation 8 (Direct Award Process B) under the NHS Provider Selection Regime for the period of 1st April 2024 to 31st March 2025 to 78 GP Practices across the Herefordshire and Worcestershire geographical area at a total cost of £6,957,822. \nThese Local Enhanced Services (LES) are commissioned on a rolling basis and reviewed annually. PSR supplementary guidance for arranging primary care services confirms that \"where all GP practices provide a wider range of services or provide their core services at an enhanced level, these services may be carried out under a contract modification.\" The original contract award for these services was for a 12-month period from 1st April 2024 to 31st March 2025. During this period, the ICB commenced a comprehensive Clinical Review in December 2024, with the aim to complete this (and for the ICB to issue new contracts) for 1st April 2025. However, the time period required to undertake the comprehensive Clinical Review has been considerably longer than was originally estimated. Therefore, the contracts were extended (initially until June 2025, and then) for a further period until 31st March 2026 to enable the Clinical Review to take place. During this period, there has not been any material changes to the character of the existing contracts; the contract end date was extended to allow for the comprehensive Clinical Review. The contract extensions were formally approved in accordance with the ICB's formal corporate governance procedures at its Strategic Commissioning Committee (i.e., the extension for 1st April 2025 to 30th June 2025 was formally approved at the NHS Herefordshire and Worcestershire Strategic Commissioning Committee meeting on 15th January 2025; the further extension to 31st March 2026 was approved at the above committee on 4th June 2025). The total cost of the contracts including the extensions to allow for the Clinical Review was £13,915,644.\nThis modification is put in place to commence from 1st April 2026 at a value of £1,880,000. The test for considerable change has not been met as the modification does not materially alter the character of the contracts. \nThe comprehensive Clinical Review is continuing for these services for 2026/27. The high priority services have been reviewed and combined into a Universal Enhanced Service (UES) Specification which include the adoption of a full evaluation and costing model for each included service.\nThis will ensure a standardised, equitable and sustainable LES framework ensuring all patients have access to the same level of service regardless of location. The remaining services will be rolled forward into 2026/27 where the Clinical Review will continue to prioritise and evaluate each service.\n\nAt this meeting, the voting members:\n•\tApproved the commissioning of the Universal Enhanced Services Specification.\n•\tApproved the roll forward of the remaining Local Enhanced Services\n•\tNoted the planned review of the rolled forward Local Enhanced Services in 2026/27", "awardCriteria": { "criteria": [ { "type": "price" } ] }, "hasOptions": false, "status": "cancelled", "contractPeriod": { "durationInDays": 1080 } } ], "items": [ { "id": "1", "additionalClassifications": [ { "scheme": "CPV", "id": "85100000", "description": "Health services" } ], "deliveryAddresses": [ { "region": "UKG11" }, { "region": "UKG12" }, { "region": "UKG11" }, { "region": "UKG12" } ], "deliveryLocation": { "description": "The counties of Herefordshire and Worcestershire, United Kingdom." }, "relatedLot": "1" } ], "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": "This is a Provider Selection Regime (PSR) confirmation of contract award notice. This contract has been awarded under the Health Care Services (Provider Selection Regime) Regulations 2023 Direct Award Process B.\nFor the avoidance of doubt, the provisions of the Public Contracts Regulations 2015 do not apply to this award." }, "awards": [ { "id": "014763-2024-1", "relatedLots": [ "1" ], "status": "active", "suppliers": [ { "id": "GB-FTS-113264", "name": "Please see Section II.2.4" } ] }, { "id": "030507-2026-ocds-h6vhtk-045827-1", "relatedLots": [ "1" ], "status": "active", "suppliers": [ { "id": "GB-FTS-113264", "name": "Please see Section II.2.4" }, { "id": "GB-FTS-179315", "name": "Please see section II.24 of original notice" } ] } ], "parties": [ { "id": "GB-FTS-113263", "name": "NHS Herefordshire & Worcestershire Integrated Care Board", "identifier": { "legalName": "NHS Herefordshire & Worcestershire Integrated Care Board", "noIdentifierRationale": "notOnAnyRegister" }, "address": { "streetAddress": "Kirkham House, John Comyn Drive, Perdiswell", "locality": "Worcester", "region": "UKG1", "postalCode": "WR3 7NS", "countryName": "United Kingdom" }, "contactPoint": { "name": "Lyle Lloyd", "email": "hwicb.corpgov@nhs.net" }, "roles": [ "reviewBody" ], "details": { "url": "https://herefordshireandworcestershire.icb.nhs.uk", "classifications": [ { "scheme": "TED_CA_TYPE", "id": "BODY_PUBLIC", "description": "Body governed by public law" }, { "scheme": "COFOG", "id": "07", "description": "Health" } ] } }, { "id": "GB-FTS-113264", "name": "Please see Section II.2.4", "identifier": { "legalName": "Please see Section II.2.4", "noIdentifierRationale": "notOnAnyRegister" }, "address": { "locality": "Herefordshire and Worcestershire", "region": "UKG12", "countryName": "United Kingdom" }, "contactPoint": { "email": "lyle.lloyd@nhs.net" }, "roles": [ "supplier" ], "details": { "scale": "large" } }, { "id": "GB-FTS-78244", "name": "NHS Herefordshire and Worcestershire Integrated Care Board", "identifier": { "legalName": "NHS Herefordshire and Worcestershire Integrated Care Board" }, "address": { "streetAddress": "Kirkham House, John Comyn Drive, Perdiswell", "locality": "Worcester", "postalCode": "WR3 7NS", "countryName": "United Kingdom" }, "roles": [ "reviewBody" ] }, { "id": "GB-FTS-179314", "name": "NHS Herefordshire & Worcestershire Integrated Care Board", "identifier": { "legalName": "NHS Herefordshire & Worcestershire Integrated Care Board", "noIdentifierRationale": "notOnAnyRegister" }, "address": { "streetAddress": "Kirkham House, John Comyn Drive, Perdiswell", "locality": "Worcester", "region": "UKG23", "postalCode": "WR3 7NS", "countryName": "United Kingdom" }, "contactPoint": { "email": "hwicb.corpgov@nhs.net" }, "roles": [ "buyer" ], "details": { "url": "https://herefordshireandworcestershire.icb.nhs.uk/" } }, { "id": "GB-FTS-179315", "name": "Please see section II.24 of original notice", "identifier": { "legalName": "Please see section II.24 of original notice", "noIdentifierRationale": "notOnAnyRegister" }, "address": { "streetAddress": "The Coach House, John Comyn Drive, Perdiswell,", "locality": "Worcester", "region": "UKG12", "postalCode": "WR3 7NS", "countryName": "United Kingdom" }, "contactPoint": { "email": "lyle.lloyd@nhs.net" }, "roles": [ "supplier" ], "details": { "scale": "large" } } ], "buyer": { "id": "GB-FTS-179314", "name": "NHS Herefordshire & Worcestershire Integrated Care Board" }, "contracts": [ { "id": "014763-2024-1", "awardID": "014763-2024-1", "status": "active", "value": { "amount": 6957822, "currency": "GBP" }, "dateSigned": "2024-03-31T00:00:00Z" }, { "id": "030507-2026-ocds-h6vhtk-045827-1", "awardID": "030507-2026-ocds-h6vhtk-045827-1", "status": "active", "value": { "amount": 15795644, "currency": "GBP" }, "dateSigned": "2026-02-04T00:00:00Z", "period": { "durationInDays": 1080 }, "items": [ { "id": "1", "classification": { "scheme": "CPV", "id": "85121100", "description": "General-practitioner services" }, "deliveryAddresses": [ { "region": "UKG11" }, { "region": "UKG12" } ], "deliveryLocation": { "description": "The counties of Herefordshire and Worcestershire, United Kingdom." }, "relatedLot": "1" } ], "amendments": [ { "id": "1", "description": "The ICB's comprehensive Clinical Review, full evaluation, and costing model has identified a shortfall in funding to adequately resource the current Local Enhanced Service activity and to ensure standardisation and equalisation of service provision across Herefordshire and Worcestershire; therefore, an additional £1,880,000 modification has been made for the Universal Enhanced Service contracts for the continuation of the contract for a further 12 months.\nThe modification is permitted under PSR as it does not materially alter the character of the contracts awarded under PSR Process B. The modification will be effective as of 1st April 2026\nLocal Enhanced Services are reviewed annually and commissioned routinely on an annual basis, with the inclusion of a 3 month termination clause within the terms and conditions.\nBelow is a list of the Herefordshire and Worcestershire Universal Enhanced Services:\nEnhanced monitoring of Medicines and Administration of injectable medicines (Safe Prescribing)\nTreatment Room \nDeep Vein Thrombosis \nDiabetes Insulin & Glucagon-like peptide-1 initiation and ongoing management of patients requiring insulin\nSafeguarding\nMedicines Optimisation and Flu Antivirals in Care Home\nLeg Ulcer\nCompression Bandaging \nSpirometry \nFractional Exhaled Nitric Oxide (FeNO) Testing\nManaging Menorrhagia\nRing Pessaries\nCardiology - 24 Hour electrocardiogram\nMicro suction\nDischarge to Assess/Step-Up Step-Down Beds\nComplex care homes", "rationale": "Need for modification brought about by circumstances which a diligent contracting authority/entity could not foresee: Please See \"VII.2.1 Description of the modifications\" above." } ] } ], "bids": { "statistics": [ { "id": "1", "measure": "bids", "relatedLot": "1", "value": 1 } ] }, "language": "en" }, "versionedRelease": { "ocid": "ocds-h6vhtk-045827", "description": [ { "releaseID": "014763-2024", "releaseDate": "2024-05-09T07:05:23+01:00", "releaseTag": [ "award", "contract" ], "value": "For the purposes of this notice, a value must be inputted at Section V.2.2. however, this is superseded by the information stated in Section II.2.4." }, { "releaseID": "030507-2026", "releaseDate": "2026-04-01T15:50:47+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. \nFor the avoidance of doubt, the provisions of the Public Contracts Regulations 2015 and the replacement Procurement Act (PA2023) do not apply to this award.\nThis contract has now formally been modified." } ], "initiationType": [ { "releaseID": "014763-2024", "releaseDate": "2024-05-09T07:05:23+01:00", "releaseTag": [ "award", "contract" ], "value": "tender" } ], "tender": { "id": [ { "releaseID": "014763-2024", "releaseDate": "2024-05-09T07:05:23+01:00", "releaseTag": [ "award", "contract" ], "value": "ocds-h6vhtk-045827" } ], "legalBasis": { "id": [ { "releaseID": "014763-2024", "releaseDate": "2024-05-09T07:05:23+01:00", "releaseTag": [ "award", "contract" ], "value": "32014L0024" } ], "scheme": [ { "releaseID": "014763-2024", "releaseDate": "2024-05-09T07:05:23+01:00", "releaseTag": [ "award", "contract" ], "value": "CELEX" } ] }, "title": [ { "releaseID": "014763-2024", "releaseDate": "2024-05-09T07:05:23+01:00", "releaseTag": [ "award", "contract" ], "value": "Primary Care Local Enhanced Services for NHS Herefordshire and Worcestershire Integrated Care Board" }, { "releaseID": "030507-2026", "releaseDate": "2026-04-01T15:50:47+01:00", "releaseTag": [ "awardUpdate", "contractUpdate" ], "value": "Local Enhanced Services (Services specifically commissioned across Herefordshire & Worcestershire)" } ], "status": [ { "releaseID": "014763-2024", "releaseDate": "2024-05-09T07:05:23+01:00", "releaseTag": [ "award", "contract" ], "value": "complete" } ], "classification": { "scheme": [ { "releaseID": "014763-2024", "releaseDate": "2024-05-09T07:05:23+01:00", "releaseTag": [ "award", "contract" ], "value": "CPV" } ], "id": [ { "releaseID": "014763-2024", "releaseDate": "2024-05-09T07:05:23+01:00", "releaseTag": [ "award", "contract" ], "value": "85121000" } ], "description": [ { "releaseID": "014763-2024", "releaseDate": "2024-05-09T07:05:23+01:00", "releaseTag": [ "award", "contract" ], "value": "Medical practice services" } ] }, "mainProcurementCategory": [ { "releaseID": "014763-2024", "releaseDate": "2024-05-09T07:05:23+01:00", "releaseTag": [ "award", "contract" ], "value": "services" } ], "description": [ { "releaseID": "014763-2024", "releaseDate": "2024-05-09T07:05:23+01:00", "releaseTag": [ "award", "contract" ], "value": "This Contract Award Notice is placed by Midlands and Lancashire Commissioning Support Unit on behalf of NHS Herefordshire and Worcestershire Integrated Care Board to confirm the direct award of contracts for Local Enhanced Services for 2024/45 pursuant to Regulation 8 (Direct Award Process B) of the NHS Provider Selection Regime (PSR) regulations. Local Enhanced Services are services outside of the national GP contract providing a wider range of primary medical services to meet local population needs and priorities. Local Enhanced Services are included as an appendix to each Practice's General Medical Service's (GMS) Contract. A description of each contract is provided in Section II.2.4 below." } ], "lots": [ { "id": "1", "description": [ { "releaseID": "014763-2024", "releaseDate": "2024-05-09T07:05:23+01:00", "releaseTag": [ "award", "contract" ], "value": "The purpose of this Contract Award Notice is to advise that NHS Herefordshire and Worcestershire Integrated Care Board has directly awarded contracts for Local Enhanced Services pursuant to Regulation 8 (Direct Award Process B) under the the NHS Provider Selection Regime for the period of 1st April 2024 to 31st March 2025 to 78 GP Practices across the Herefordshire and Worcestershire geographical area. \nThese are existing Local Enhanced Services provided by existing providers.\nBelow is a description of each Local Enhanced Service to be provided:\nSafe Prescribing: this service provides funding for practices within Worcestershire to manage systems for initiation, where clinically appropriate, and an ongoing enhanced level of monitoring of prescribed medicines.\nPhlebotomy: blood tests to monitor, diagnose and treat patients in primary care, reducing the number of patient visits to hospital proving convenient, local services to patients.\nTreatment Room: includes a wide variety of work such as phlebotomy, dressings, suture removal, ear syringing, wound care, 12 Lead Electrocardiograms (ECGs).\nDiabetes: management of patients with insulin, including insulin initiation for Type 2 diabetes, some with shared care, and Glucagon-like peptide-1 (GLP-1) Analogue treatment.\nLeg Ulcer: support for Leg Ulcer Healing beyond that defined in the General Medical Services (GMS) contract; the pathway includes assessment by an appropriately qualified Practice Nurse/District Nurse, treatment of Venous Leg ulcers for ambulant service users, and follow up provision of hosiery and advice, including repeat doppler testing to ensure ongoing stability of compression hosiery. District Nurses will treat housebound patients on their caseload, utilising Leg Club mode wherever possible.\nCompression Bandaging: service includes doppler assessment, application of compression bandaging and dressings in line with treatment plan.\nDeep Vein Thrombosis (DVT): exact service requirements differ across the geographical area, but all include the provision of a diagnostic service for patients with suspected DVT and initial anti-coagulation.\nSpirometry: diagnostic spirometry in primary care for early detection and diagnosis of respiratory conditions including Chronic Obstructive Pulmonary Disease (COPD) and/or Asthma. The service enables patients to be managed more appropriately and improves longer term outcomes.\nFractional Exhaled Nitric Oxide (FeNO) Testing: FeNO testing in primary care is used to help diagnose Asthma by identifying people, not currently on the Asthma register, who are likely to respond to treatment with inhald corticosteroids (ICS).\nProstate-Specific Antigen (PSA) - Stable Prostate Cancer: patients with prostate cancer or a raised PSA receive monitoring and management within primary care if clinically indicated. WF specification includes stable long term patients.\nRing Pessaries: Vaginal Ring Pessary treatment for utero-vaginal prolapse.\n12 Lead ECG: 12-Lead ECG is used as a diagnostic tool in the management of confirmed and suspected Cardiovascular Disease within primary care close to patients' homes, to include recoding and interpretation of routine ECGs.\nCardiology - 24 Hour ECG: facilitates diagnosis, management and treatment of arrhythmias within a primary care setting. The service includes: clinical evaluation of the patient, education of the patient on equipment safety, fitting and removal of ambulatory ECG testing equipment, production of a permanent record (electronic or paper based) record of the investigation results, and specialist referral if required.\nSafeguarding Multi Disciplinary Team (MDT) Meetings: to ensure that all relevant information is submitted by GPs in a timely fashion to child protection case conferences, including production of Parents Report, Child Safeguarding Summary and completion of an electronic audit.\nSafeguarding Network Model: New Safeguarding Network Operating Model to embed good practice and support safeguarding work linked to the safeguarding reporting enhanced service. Supports GP practices working as part of a network to achieve consistent, safe and effective approach to safeguarding.\nMicrosuction:\ta primary care based ear canal clearance service to patients aged 18 years and over, separate to ear syringing. Requires specialist equipment.\nManaging Menorrhagia: increases the availability of levonorgestrel-releasing intrauterine system (LNG-IUS) in the management of menorrhagia in primary care.\nDischarge to Assess (D2A)/Step-Up Step-Down Beds: the service requires a primary care clinician to attend the home to review the patient within 24 hours of admission, including a review of patients' ongoing medical and medication needs, and subsequent visits as required.\nComplex Care Homes: there are two homes (Pirton Grange Care Home and Inspire Care) within Worcestershire caring for complex neuro disability patients. The service requires a weekly GP session at the care homes and is based on an assessment of clinical complexity and time required.\nCare Home Flu Antiviral: GP practices to respond to a Public Health England alert of a localised community outbreak of influenza by ensuring appropriate clinical assessment and the prescribing of antivirals. \nBelow is the estimated annual budget value for 2024/25 for each Local Enhanced Service, broken down by county area:\nSafe Prescribing: Herefordshire £454,811 / Worcestershire £1,661,049 / Total\t£2,115,860\nPhlebotomy: Herefordshire £431,606 / Total\t£431,606\nTreatment Room: Worcestershire £1,059,160 / Total\t£1,059,160\nDiabetes: Herefordshire £366,657 / Worcestershire \t£1,092,585 / Total £1,459,242\nLeg Ulcers: Herefordshire £152,949 / Total £152,949\nCompression Bandaging: Worcestershire £171,023 / Total £171,023\nDVT: Herefordshire £50,285 / Worcestershire £90,071 / Total\t£140,356\nSpirometry: Herefordshire £79,615 / Worcestershire: £170,426\t/ Total £250,041\nFeNO: Worcestershire: £58,827 / Total £58,827\nPSA: Worcestershire £251,250 / Total £251,250\nRing Pessaries: Worcestershire £130,000 / Total £130,000\n12-Lead ECG: Herefordshire £108,948 / Total £108,948\nCardiology - 24 hr ECG: Worcestershire £90,421\t / Total £90,421\nSafeguarding MDT Meetings:\tHerefordshire £15,177\t / Worcestershire £51,503 / Total £66,680\nSafeguarding Network Model\t: Worcestershire: £183,000 / Total £183,000\nMicrosuction: Worcestershire: £127,034 / Total £127,034\nManaging Menorrhagia: Herefordshire £18,857 / Worcestershire £53,129 / Total £71,986\nD2A/Step Up Step Down:\tWorcestershire £33,000 / Total £33,000\nClinically Complex Care Homes: Worcestershire\t£20,000 / Total\t£20,000\nFlu Antivirals in Care Homes: Herefordshire £5,000 / Worcestershire £31,440 / Total £36,440\nLocal Enhanced Services Grand Total: Herefordshire £1,683,906 / Worcestershire £5,273,916 / Total £6,957,822\nBelow is the list of 78 GP Practices within Herefordshire and Worcestershire:\nAbbey Medical Practice\nAbbottswood Medical Centre\nAlbany House Surgery\nAlton Street Surgery\nAylmer Lodge Cookley Partnership\nBarbourne Health Centre\nBarnt Green Surgery\nBelmont Medical Centre\nBewdley Medical Centre \nBredon Hill Surgery\nCantilupe Surgery\nCatshill Surgery\nChaddesley Corbett Surgery\nChurch Street Surgery\nChurchfields Surgery\nColwall Surgery\nCorbett Medical Practice\nCornhill Surgery\nCrabbs Cross Medical Centre\nCrabbs Cross Surgery\nCradley Surgery\nDavenal House Surgery Partnership\nDeMontfort Medical Centre\nElbury Moor Medical Centre\nElgar House Surgery\nFownhope Medical Centre\nGlebelands Surgery\nGolden Valley Practice\nGreat Witley Surgery\nGrey Gable Surgery\nHagley Surgery\nHaresfield Surgery\nHereford Medical Group \nHillview Medical Centre\nHollyoaks Medical Centre\nHollywood Medical Practice\nKidderminster Medical Centre\nKington Medical Practice \nKnightwick Surgery\nLedbury Health Partnership \nMalvern Health Centre\nMerstow Green Medical Practice \nMortimer Medical Practice\nMuch Birch Surgery\nNew Barn Close Surgery\nNew Court Surgery \nNew Road Surgery, Bromsgrove\nNew Road Surgery, Rubery\nNorthumberland House Surgery\nNunwell Surgery\nOmbersley Medical Centre\nPendeen Surgery\nPershore Medical Practice\nRiverside Surgery\nRyeland Surgery\nSalters Medical Practice\nSevern Valley Medical Practice\nSpa Medical Practice\nSpring Gardens Medical Practice\nSt Johns House Medical Centre\nSt John's Surgery\nSt Martins Gate Surgery\nSt Saviours Surgery\nSt Stephen's Medical Partnership\nStanmore House Surgery\nStourport Medical Centre\nTenbury Surgery\nThe Bridge Surgery\nThe Dow Surgery\nThe Ridgeway Surgery\nThe Surgery Kingstone\nThorneloe Lodge Surgery\nUpton Surgery\nWargrave House\nWeobley & Staunton on Wye Surgeries \nWhiteacres Medical Centre\nWinyates Surgery\nWolverley Surgery Additional information: This is a Provider Selection Regime (PSR) confirmation of contract award notice. This contract has been awarded under the Health Care Services (Provider Selection Regime) Regulations 2023, Regulation 8. For the avoidance of doubt, the provisions of the Public Contracts Regulations 2015 do not apply to this award.\nThe Local Enhanced Service Contracts were approved at the meeting of the NHS Herefordshire and Worcestershire Integrated Care Board Strategic Commissioning Committee on 13th March 2024. \nA declaration of interest register was circulated to Strategic Commissioning Committee members, with no further declarations or conflicts raised during the meeting. The meeting was confirmed as quorate." }, { "releaseID": "030507-2026", "releaseDate": "2026-04-01T15:50:47+01:00", "releaseTag": [ "awardUpdate", "contractUpdate" ], "value": "Local Enhanced Services are services outside of the national GP contract providing a wider range of primary medical services to meet local population needs and priorities. Local Enhanced Services are included as an appendix to each Practice's GMS Contract.\nNHS Herefordshire and Worcestershire Integrated Care Board directly awarded contracts for Local Enhanced Services pursuant to Regulation 8 (Direct Award Process B) under the NHS Provider Selection Regime for the period of 1st April 2024 to 31st March 2025 to 78 GP Practices across the Herefordshire and Worcestershire geographical area at a total cost of £6,957,822. \nThese Local Enhanced Services (LES) are commissioned on a rolling basis and reviewed annually. PSR supplementary guidance for arranging primary care services confirms that \"where all GP practices provide a wider range of services or provide their core services at an enhanced level, these services may be carried out under a contract modification.\" The original contract award for these services was for a 12-month period from 1st April 2024 to 31st March 2025. During this period, the ICB commenced a comprehensive Clinical Review in December 2024, with the aim to complete this (and for the ICB to issue new contracts) for 1st April 2025. However, the time period required to undertake the comprehensive Clinical Review has been considerably longer than was originally estimated. Therefore, the contracts were extended (initially until June 2025, and then) for a further period until 31st March 2026 to enable the Clinical Review to take place. During this period, there has not been any material changes to the character of the existing contracts; the contract end date was extended to allow for the comprehensive Clinical Review. The contract extensions were formally approved in accordance with the ICB's formal corporate governance procedures at its Strategic Commissioning Committee (i.e., the extension for 1st April 2025 to 30th June 2025 was formally approved at the NHS Herefordshire and Worcestershire Strategic Commissioning Committee meeting on 15th January 2025; the further extension to 31st March 2026 was approved at the above committee on 4th June 2025). The total cost of the contracts including the extensions to allow for the Clinical Review was £13,915,644.\nThis modification is put in place to commence from 1st April 2026 at a value of £1,880,000. The test for considerable change has not been met as the modification does not materially alter the character of the contracts. \nThe comprehensive Clinical Review is continuing for these services for 2026/27. The high priority services have been reviewed and combined into a Universal Enhanced Service (UES) Specification which include the adoption of a full evaluation and costing model for each included service.\nThis will ensure a standardised, equitable and sustainable LES framework ensuring all patients have access to the same level of service regardless of location. The remaining services will be rolled forward into 2026/27 where the Clinical Review will continue to prioritise and evaluate each service.\n\nAt this meeting, the voting members:\n•\tApproved the commissioning of the Universal Enhanced Services Specification.\n•\tApproved the roll forward of the remaining Local Enhanced Services\n•\tNoted the planned review of the rolled forward Local Enhanced Services in 2026/27" } ], "awardCriteria": { "criteria": [ { "releaseID": "014763-2024", "releaseDate": "2024-05-09T07:05:23+01:00", "releaseTag": [ "award", "contract" ], "value": [ { "type": "price" } ] } ] }, "hasOptions": [ { "releaseID": "014763-2024", "releaseDate": "2024-05-09T07:05:23+01:00", "releaseTag": [ "award", "contract" ], "value": false } ], "status": [ { "releaseID": "014763-2024", "releaseDate": "2024-05-09T07:05:23+01:00", "releaseTag": [ "award", "contract" ], "value": "cancelled" } ], "contractPeriod": { "durationInDays": [ { "releaseID": "030507-2026", "releaseDate": "2026-04-01T15:50:47+01:00", "releaseTag": [ "awardUpdate", "contractUpdate" ], "value": 1080 } ] } } ], "items": [ { "id": "1", "additionalClassifications": [ { "releaseID": "014763-2024", "releaseDate": "2024-05-09T07:05:23+01:00", "releaseTag": [ "award", "contract" ], "value": [ { "scheme": "CPV", "id": "85121100", "description": "General-practitioner services" } ] }, { "releaseID": "030507-2026", "releaseDate": "2026-04-01T15:50:47+01:00", "releaseTag": [ "awardUpdate", "contractUpdate" ], "value": [ { "scheme": "CPV", "id": "85100000", "description": "Health services" } ] } ], "deliveryAddresses": [ { "region": [ { "releaseID": "014763-2024", "releaseDate": "2024-05-09T07:05:23+01:00", "releaseTag": [ "award", "contract" ], "value": "UKG11" } ] }, { "region": [ { "releaseID": "014763-2024", "releaseDate": "2024-05-09T07:05:23+01:00", "releaseTag": [ "award", "contract" ], "value": "UKG12" } ] }, { "region": [ { "releaseID": "030507-2026", "releaseDate": "2026-04-01T15:50:47+01:00", "releaseTag": [ "awardUpdate", "contractUpdate" ], "value": "UKG11" } ] }, { "region": [ { "releaseID": "030507-2026", "releaseDate": "2026-04-01T15:50:47+01:00", "releaseTag": [ "awardUpdate", "contractUpdate" ], "value": "UKG12" } ] } ], "deliveryLocation": { "description": [ { "releaseID": "014763-2024", "releaseDate": "2024-05-09T07:05:23+01:00", "releaseTag": [ "award", "contract" ], "value": "The Counties of Herefordshire and Worcestershire. \nFor further details, please see Section II.2.4 below for the of list of GP Practices which are the main sites or places of performance." }, { "releaseID": "030507-2026", "releaseDate": "2026-04-01T15:50:47+01:00", "releaseTag": [ "awardUpdate", "contractUpdate" ], "value": "The counties of Herefordshire and Worcestershire, United Kingdom." } ] }, "relatedLot": [ { "releaseID": "014763-2024", "releaseDate": "2024-05-09T07:05:23+01:00", "releaseTag": [ "award", "contract" ], "value": "1" } ] } ], "procurementMethod": [ { "releaseID": "014763-2024", "releaseDate": "2024-05-09T07:05:23+01:00", "releaseTag": [ "award", "contract" ], "value": "limited" } ], "procurementMethodDetails": [ { "releaseID": "014763-2024", "releaseDate": "2024-05-09T07:05:23+01:00", "releaseTag": [ "award", "contract" ], "value": "Award procedure without prior publication of a call for competition" } ], "procurementMethodRationaleClassifications": [ { "releaseID": "014763-2024", "releaseDate": "2024-05-09T07:05:23+01:00", "releaseTag": [ "award", "contract" ], "value": [ { "scheme": "TED_PT_AWARD_CONTRACT_WITHOUT_CALL", "id": "D_OUTSIDE_SCOPE", "description": "The procurement falls outside the scope of application of the directive" } ] } ], "procurementMethodRationale": [ { "releaseID": "014763-2024", "releaseDate": "2024-05-09T07:05:23+01:00", "releaseTag": [ "award", "contract" ], "value": "This is a Provider Selection Regime (PSR) confirmation of contract award notice. This contract has been awarded under the Health Care Services (Provider Selection Regime) Regulations 2023 Direct Award Process B.\nFor the avoidance of doubt, the provisions of the Public Contracts Regulations 2015 do not apply to this award." } ] }, "awards": [ { "id": "014763-2024-1", "relatedLots": [ { "releaseID": "014763-2024", "releaseDate": "2024-05-09T07:05:23+01:00", "releaseTag": [ "award", "contract" ], "value": [ "1" ] } ], "status": [ { "releaseID": "014763-2024", "releaseDate": "2024-05-09T07:05:23+01:00", "releaseTag": [ "award", "contract" ], "value": "active" } ], "suppliers": [ { "id": "GB-FTS-113264", "name": [ { "releaseID": "014763-2024", "releaseDate": "2024-05-09T07:05:23+01:00", "releaseTag": [ "award", "contract" ], "value": "Please see Section II.2.4" } ] } ] }, { "id": "030507-2026-ocds-h6vhtk-045827-1", "relatedLots": [ { "releaseID": "030507-2026", "releaseDate": "2026-04-01T15:50:47+01:00", "releaseTag": [ "awardUpdate", "contractUpdate" ], "value": [ "1" 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"UKG12" } ] } ], "deliveryLocation": { "description": [ { "releaseID": "030507-2026", "releaseDate": "2026-04-01T15:50:47+01:00", "releaseTag": [ "awardUpdate", "contractUpdate" ], "value": "The counties of Herefordshire and Worcestershire, United Kingdom." } ] }, "relatedLot": [ { "releaseID": "030507-2026", "releaseDate": "2026-04-01T15:50:47+01:00", "releaseTag": [ "awardUpdate", "contractUpdate" ], "value": "1" } ] } ], "amendments": [ { "id": "1", "description": [ { "releaseID": "030507-2026", "releaseDate": "2026-04-01T15:50:47+01:00", "releaseTag": [ "awardUpdate", "contractUpdate" ], "value": "The ICB's comprehensive Clinical Review, full evaluation, and costing model has identified a shortfall in funding to adequately resource the current Local Enhanced Service activity and to ensure standardisation and equalisation of service provision across Herefordshire and Worcestershire; therefore, an additional £1,880,000 modification has been made for the Universal Enhanced Service contracts for the continuation of the contract for a further 12 months.\nThe modification is permitted under PSR as it does not materially alter the character of the contracts awarded under PSR Process B. The modification will be effective as of 1st April 2026\nLocal Enhanced Services are reviewed annually and commissioned routinely on an annual basis, with the inclusion of a 3 month termination clause within the terms and conditions.\nBelow is a list of the Herefordshire and Worcestershire Universal Enhanced Services:\nEnhanced monitoring of Medicines and Administration of injectable medicines (Safe Prescribing)\nTreatment Room \nDeep Vein Thrombosis \nDiabetes Insulin & Glucagon-like peptide-1 initiation and ongoing management of patients requiring insulin\nSafeguarding\nMedicines Optimisation and Flu Antivirals in Care Home\nLeg Ulcer\nCompression Bandaging \nSpirometry \nFractional Exhaled Nitric Oxide (FeNO) Testing\nManaging Menorrhagia\nRing Pessaries\nCardiology - 24 Hour electrocardiogram\nMicro suction\nDischarge to Assess/Step-Up Step-Down Beds\nComplex care homes" } ], "rationale": [ { "releaseID": "030507-2026", "releaseDate": "2026-04-01T15:50:47+01:00", "releaseTag": [ "awardUpdate", "contractUpdate" ], "value": "Need for modification brought about by circumstances which a diligent contracting authority/entity could not foresee: Please See \"VII.2.1 Description of the modifications\" above." } ] } ] } ], "bids": { "statistics": [ { "id": "1", "measure": [ { "releaseID": "014763-2024", "releaseDate": "2024-05-09T07:05:23+01:00", "releaseTag": [ "award", "contract" ], "value": "bids" } ], "relatedLot": [ { "releaseID": "014763-2024", "releaseDate": "2024-05-09T07:05:23+01:00", "releaseTag": [ "award", "contract" ], "value": "1" } ], "value": [ { "releaseID": "014763-2024", "releaseDate": "2024-05-09T07:05:23+01:00", "releaseTag": [ "award", "contract" ], "value": 1 } ] } ] }, "language": [ { "releaseID": "014763-2024", "releaseDate": "2024-05-09T07:05:23+01:00", "releaseTag": [ "award", "contract" ], "value": "en" } ] } } ] }