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Bids exceeding this limit will be rejected. Due to the unknowns in advance of holding the premarket engagement session, it is currently expected that the extension value will be a 2-year pro rata of the core 3-year funding, estimated at £634,112.00 excluding VAT. \nThere is potential to include other Devolved Nations and/or Crown Dependencies, and aspirational measures (which will be defined in the service specification).\nThe role of a national clinical audit is to stimulate healthcare improvement through the provision of timely and high-quality information on the organisation, delivery and outcomes of healthcare, together with tools and support to enable healthcare providers and other audiences to make best use of this information. Outcomes are benchmarked against national guidance and standards e.g. quality standards from the National Institute for Health and Care Excellence (NICE), and those from other established professional and patient sources. Successful national audits are those where the individuals providing the data can also improve the system, and there is a shared understanding of what good care looks like. \nThe National Emergency Laparotomy Audit (NELA) was established in 2011 and has been delivered by the Royal College of Anaesthetists (RCoA) - https://www.nela.org.uk/ \n The overarching aim of this audit is to stimulate improvements in care for patients undergoing and not undergoing emergency laparotomy through the provision of high-quality comparative data from all providers of emergency laparotomy by measuring and reporting variations in quality of care and patient outcomes. During this contract period, the successful tenderer will need to build on the achievements of the audit to date and enhance the ability for the audit to be used for healthcare improvement by engaging with clinicians, patients and commissioners (both local and national) and regional networks. \nSuccessful national audits are those where the individuals providing the data are also in a position to improve the system, and where there is a shared understanding of what good care looks like. Data is most useful locally for healthcare improvement when its provision to clinical teams is timely, the data is refreshed regularly, and appropriate tools, support and guidance accompany the data outputs. 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"description": [ { "releaseID": "086262-2026", "releaseDate": "2026-09-11T10:34:18+01:00", "releaseTag": [ "planning" ], "value": "Healthcare Quality Improvement Partnership (HQIP) is seeking to engage with the market on the commissioning of the National Emergency Laparotomy Audit. \nHQIP will be looking to hold a pre-market engagement session with potential suppliers on Friday 9th October from 10.30am - 12.25pm \nAlso in attendance will be system partners and service specialists including charities, professional bodies and other relevant stakeholders. \nThe aim of the premarket engagement session is for interested parties to hear and contribute to discussions with system experts and patient groups that will feed into HQIP’s final decisions on the scope of the project over the 3-5 years of the programme. \nAt this point, the Authority is planning to run this procurement under an open tender process. \nThe proposed dates (subject to change solely at the Authorities discretion) are as 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"releaseTag": [ "planningUpdate" ], "value": "Healthcare Quality Improvement Partnership (HQIP) is seeking to engage with the market on the commissioning of the National Emergency Laparotomy Audit. \nHQIP will be looking to hold a pre-market engagement session with potential suppliers on Friday 9th October from 10.30am - 12.25pm \nAlso in attendance will be system partners and service specialists including charities, professional bodies and other relevant stakeholders. \nThe aim of the premarket engagement session is for interested parties to hear and contribute to discussions with system experts and patient groups that will feed into HQIP’s final decisions on the scope of the project over the 3-5 years of the programme. \nAt this point, the Authority is planning to run this procurement under an open tender process. \nThe proposed dates (subject to change solely at the Authorities discretion) are as follows: \n9th October 2026 - Pre Market Engagement Session \nPublication of tender opportunity – January 2027 \nEvaluation of submitted bids –February / March 2027 \nAward – May 2027 \nContract start - 1st December 2027 \n If you would like to join this premarket engagement event, please complete the following Microsoft form by close of business Friday 2nd October 2026. \n14/09/26 - AMENDMENT TO REGISTRATION LINK\nhttps://gbr01.safelinks.protection.outlook.com/?url=https%3A%2F%2Fforms.cloud.microsoft%2Fe%2FzNr5wNXf0L&data=05%7C02%7Cjudith.hughes%40hqip.org.uk%7C7d5cdb0fe62b4b0497c108df123cbca5%7C1b106716e5cc4a968d077a0ab38f6eab%7C0%7C0%7C639249724220875991%7CUnknown%7CTWFpbGZsb3d8eyJFbXB0eU1hcGkiOnRydWUsIlYiOiIwLjAuMDAwMCIsIlAiOiJXaW4zMiIsIkFOIjoiTWFpbCIsIldUIjoyfQ%3D%3D%7C0%7C%7C%7C&sdata=sje2QmOvLhe%2Bhs3yt8%2BeuogS%2B2N1l21pT7VLvgL%2BPUQ%3D&reserved=0" } ], "dueDate": [ { "releaseID": "086262-2026", "releaseDate": "2026-09-11T10:34:18+01:00", "releaseTag": [ "planning" ], "value": "2026-10-07T23:59:59+01:00" } ], "status": [ { "releaseID": "086262-2026", 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"description": [ { "releaseID": "086262-2026", "releaseDate": "2026-09-11T10:34:18+01:00", "releaseTag": [ "planning" ], "value": "The National Emergency Laparotomy Audit (NELA) will be for NHS-funded care in England, Wales, Northern Ireland and Jersey (inclusion of other devolved nations/Crown dependencies is yet to be determined and will be detailed within the tender documentation). \nThe initial contract is anticipated to be for a period of 3 years, at a maximum total budget of up to £ 951,168.00 excl VAT and £1,141,401.00 with VAT. Bids exceeding this limit will be rejected. Due to the unknowns in advance of holding the premarket engagement session, it is currently expected that the extension value will be a 2-year pro rata of the core 3-year funding, estimated at £634,112.00 excluding VAT. \nThere is potential to include other Devolved Nations and/or Crown Dependencies, and aspirational measures (which will be defined in the service specification).\nThe role of a national clinical audit is to stimulate healthcare improvement through the provision of timely and high-quality information on the organisation, delivery and outcomes of healthcare, together with tools and support to enable healthcare providers and other audiences to make best use of this information. Outcomes are benchmarked against national guidance and standards e.g. quality standards from the National Institute for Health and Care Excellence (NICE), and those from other established professional and patient sources. Successful national audits are those where the individuals providing the data can also improve the system, and there is a shared understanding of what good care looks like. \nThe National Emergency Laparotomy Audit (NELA) was established in 2011 and has been delivered by the Royal College of Anaesthetists (RCoA) - https://www.nela.org.uk/ \n The overarching aim of this audit is to stimulate improvements in care for patients undergoing and not undergoing emergency laparotomy through the provision of high-quality comparative data from all providers of emergency laparotomy by measuring and reporting variations in quality of care and patient outcomes. During this contract period, the successful tenderer will need to build on the achievements of the audit to date and enhance the ability for the audit to be used for healthcare improvement by engaging with clinicians, patients and commissioners (both local and national) and regional networks. \nSuccessful national audits are those where the individuals providing the data are also in a position to improve the system, and where there is a shared understanding of what good care looks like. Data is most useful locally for healthcare improvement when its provision to clinical teams is timely, the data is refreshed regularly, and appropriate tools, support and guidance accompany the data outputs. The intent is for all of these features to be implemented and improved during the period of this future contract.\nDevelop a robust, high-quality audit designed around key quality metrics likely to best support local and national quality improvement \nDetect, describe and help reduce unwarranted clinical variation by systematically benchmarking performance, identifying outliers, and supporting services to understand variation in outcomes, processes and experience \nAchieve, articulate and maintain close alignment with relevant NICE national guidance and quality standards throughout the audit, as appropriate \nEnable healthcare quality improvements through the provision of timely, high-quality data that compares providers of healthcare, and comprises an integrated mixture of named Trust or Health Board, Integrated Care System (ICS), multi-disciplinary team, possibly consultant or clinical team level and other levels of reporting \nEngage patients, carers and the public in a meaningful way, achieving a strong patient voice which informs and contributes to the design, functioning, outputs and direction of the audit \nConsider the value and feasibility of linking data at an individual patient level to other relevant national datasets either from the outset or in the future, and plan for these linkages from the inception of the contract \nEnsure robust methodological and statistical input at all stages of the audit \nIdentify from the outset the full range of audiences for the reports and other audit outputs, and plan and tailor them accordingly.\nBy way of example, the current contract specification includes the following anticipated benefits of the National Emergency Laparotomy Audit: \nNational benchmarking to highlight unwarranted variation between providers \nSustained reduction in 30-day mortality and postoperative complications through systematic performance monitoring against national standards \nReduced length of hospital stay, supporting faster recovery and improved patient flow \nIncreased delivery of time-critical interventions (e.g. antibiotics for sepsis, timely access to theatre), improving survival and outcomes \nEnhanced care for high-risk and frail patients, including improved peri-operative specialist input \nShift from retrospective reporting to near real-time data and interactive dashboards \nImproved insight for regulators, commissioners and systems (ICSs) through consistent performance data \nSystematic identification and management of outliers and ‘cause for concern’, enabling early intervention \nStandardised performance metrics aligned with NICE and other national guidance \nProvide audit results in a timely, accessible and meaningful manner to support healthcare quality improvement, minimising the reporting delay and providing continual access to each unit for their own data \nUtilise strong and effective project and programme management to deliver audit outputs on time and within budget \nDevelop and maintain strong engagement with local clinicians, networks, commissioners, patients and their families and carers and charity and community support groups to drive improvements in services \nEmbedded healthcare improvement plans with measurable objectives and ongoing impact evaluation \nSupport for coordinated improvement across the entire emergency laparotomy pathway \nIncreased use of routine data and data linkage to reduce manual data collection burden \nImproved data completeness, quality and efficiency, supporting robust analysis and decision-making \nSystematic assessment of inequalities in access, care and outcomes \nSupport for national and local priorities to reduce inequalities and promote parity of care \nActive involvement of patients, carers and the public in audit design, outputs and improvement priorities \nFlexibility to expand scope (e.g. non-operative pathways, wider geographies including devolved nations and Crown Dependencies) \nDesigned to evolve with emerging evidence and service models \n Further details of the existing audit can be found at: https://www.nela.org.uk/\nFor more information about this opportunity, please visit the eSourcing portal at: \nhttps://www.delta-esourcing.com/tenders/UK-UK-London:-Health-services./C3R5JP672N\nTo respond to this opportunity, please click here: \nhttps://www.delta-esourcing.com/respond/C3R5JP672N" }, { "releaseID": "086916-2026", "releaseDate": "2026-09-14T14:25:53+01:00", "releaseTag": [ "planningUpdate" ], "value": "The National Emergency Laparotomy Audit (NELA) will be for NHS-funded care in England, Wales, Northern Ireland and Jersey (inclusion of other devolved nations/Crown dependencies is yet to be determined and will be detailed within the tender documentation). \nThe initial contract is anticipated to be for a period of 3 years, at a maximum total budget of up to £ 951,168.00 excl VAT and £1,141,401.00 with VAT. Bids exceeding this limit will be rejected. Due to the unknowns in advance of holding the premarket engagement session, it is currently expected that the extension value will be a 2-year pro rata of the core 3-year funding, estimated at £634,112.00 excluding VAT. \nThere is potential to include other Devolved Nations and/or Crown Dependencies, and aspirational measures (which will be defined in the service specification).\nThe role of a national clinical audit is to stimulate healthcare improvement through the provision of timely and high-quality information on the organisation, delivery and outcomes of healthcare, together with tools and support to enable healthcare providers and other audiences to make best use of this information. Outcomes are benchmarked against national guidance and standards e.g. quality standards from the National Institute for Health and Care Excellence (NICE), and those from other established professional and patient sources. Successful national audits are those where the individuals providing the data can also improve the system, and there is a shared understanding of what good care looks like. \nThe National Emergency Laparotomy Audit (NELA) was established in 2011 and has been delivered by the Royal College of Anaesthetists (RCoA) - https://www.nela.org.uk/ \n The overarching aim of this audit is to stimulate improvements in care for patients undergoing and not undergoing emergency laparotomy through the provision of high-quality comparative data from all providers of emergency laparotomy by measuring and reporting variations in quality of care and patient outcomes. During this contract period, the successful tenderer will need to build on the achievements of the audit to date and enhance the ability for the audit to be used for healthcare improvement by engaging with clinicians, patients and commissioners (both local and national) and regional networks. \nSuccessful national audits are those where the individuals providing the data are also in a position to improve the system, and where there is a shared understanding of what good care looks like. Data is most useful locally for healthcare improvement when its provision to clinical teams is timely, the data is refreshed regularly, and appropriate tools, support and guidance accompany the data outputs. The intent is for all of these features to be implemented and improved during the period of this future contract.\nDevelop a robust, high-quality audit designed around key quality metrics likely to best support local and national quality improvement \nDetect, describe and help reduce unwarranted clinical variation by systematically benchmarking performance, identifying outliers, and supporting services to understand variation in outcomes, processes and experience \nAchieve, articulate and maintain close alignment with relevant NICE national guidance and quality standards throughout the audit, as appropriate \nEnable healthcare quality improvements through the provision of timely, high-quality data that compares providers of healthcare, and comprises an integrated mixture of named Trust or Health Board, Integrated Care System (ICS), multi-disciplinary team, possibly consultant or clinical team level and other levels of reporting \nEngage patients, carers and the public in a meaningful way, achieving a strong patient voice which informs and contributes to the design, functioning, outputs and direction of the audit \nConsider the value and feasibility of linking data at an individual patient level to other relevant national datasets either from the outset or in the future, and plan for these linkages from the inception of the contract \nEnsure robust methodological and statistical input at all stages of the audit \nIdentify from the outset the full range of audiences for the reports and other audit outputs, and plan and tailor them accordingly.\nBy way of example, the current contract specification includes the following anticipated benefits of the National Emergency Laparotomy Audit: \nNational benchmarking to highlight unwarranted variation between providers \nSustained reduction in 30-day mortality and postoperative complications through systematic performance monitoring against national standards \nReduced length of hospital stay, supporting faster recovery and improved patient flow \nIncreased delivery of time-critical interventions (e.g. antibiotics for sepsis, timely access to theatre), improving survival and outcomes \nEnhanced care for high-risk and frail patients, including improved peri-operative specialist input \nShift from retrospective reporting to near real-time data and interactive dashboards \nImproved insight for regulators, commissioners and systems (ICSs) through consistent performance data \nSystematic identification and management of outliers and ‘cause for concern’, enabling early intervention \nStandardised performance metrics aligned with NICE and other national guidance \nProvide audit results in a timely, accessible and meaningful manner to support healthcare quality improvement, minimising the reporting delay and providing continual access to each unit for their own data \nUtilise strong and effective project and programme management to deliver audit outputs on time and within budget \nDevelop and maintain strong engagement with local clinicians, networks, commissioners, patients and their families and carers and charity and community support groups to drive improvements in services \nEmbedded healthcare improvement plans with measurable objectives and ongoing impact evaluation \nSupport for coordinated improvement across the entire emergency laparotomy pathway \nIncreased use of routine data and data linkage to reduce manual data collection burden \nImproved data completeness, quality and efficiency, supporting robust analysis and decision-making \nSystematic assessment of inequalities in access, care and outcomes \nSupport for national and local priorities to reduce inequalities and promote parity of care \nActive involvement of patients, carers and the public in audit design, outputs and improvement priorities \nFlexibility to expand scope (e.g. non-operative pathways, wider geographies including devolved nations and Crown Dependencies) \nDesigned to evolve with emerging evidence and service 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