Orthopaedic Insourcing Service · UK public procurement notice

CPV: Hospital services · Medical specialist services · Orthopaedic services

Procedure method

Award procedure without prior publication of a call for competition

Legal basis

CELEX · 32014L0024 Public Contracts Regulations 2015 (Directive 2014/24/EU)

Procurement category

Services

Notice status

Awarded without competition

Procurement threshold

Unspecified in notice

Regulatory regime

Standard

Commercial structure

Stand-alone contract (no framework)

Competition type

Direct award (no call for competition)

GPA / WTO covered

Unspecified in notice

Recurring procurement

Unspecified in notice

First published

8 Sept 2025, 10:45 BST

Last source update

8 Sept 2025, 10:45 BST

Authority reference

WHISP-404

FTS notice number

2025/S 000-054548

Classification (CPV)

Hospital servicesMedical specialist servicesOrthopaedic services

Delivery area

West Midlands (UKG22)

Official registry OCID

ocds-h6vhtk-059592 Find a Tender

Why no open competition

The procurement falls outside the scope of application of the directive

Published justification

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 (PSR) Regulations 2023. For the avoidance of doubt, the provisions of the Public Contract Regulations 2015 or it's replacement the Procurement Regulations 2024 do not apply to this award.

Regulation 14, Urgent Awards applies to this Contract Award:

Criteria 1: The Award or modification must be made urgently:

The Trust is currently experiencing significant challenges in the delivery of adequate service provision to meet ongoing growth in demand whilst meeting the NHSE National Standards for waiting times. Relative to others, the Trust's performance is within the bottom 10 providers nationally for all three elective referral to treatment (RTT) measures. The timescales associated with delivery of activity within the next 3 months does hinder the time to enable a full procurement process. The Trust will be conducting a full procurement process during the subsequent 3 month period for a medium-term service provision.

Criteria 2: The reasons for urgency was not foreseeable by and is not attributable to the authority:

The Trust has faced particular challenges in the delivery of elective orthopaedics services over the last year, with a 20% reduction in capacity available. The Trust had to put in place significant mitigations during 2024/25 and has made significant progress with this but remains out of balance in terms of capacity being in place to meet demand.

The Trust has been unable to secure sufficient alternative capacity to meet the timescales required to deliver expected standards of service delivery.

The Trust has exhausted all options available in terms of recovering activity in the short term, with the quantifiable mitigations leading to the Trust continuing to fall short of capacity requirements.

Criteria 3: Delaying the award of the contract to conduct a full application of the regime would likely pose a risk to patient or public safety:

The Trust believes that it cannot safely manage the volume of choice referrals it is receiving due to the growing imbalance in terms of capacity available at the Trust.

Criteria 4: Relevant authorities must not use the urgent award or contract modification provisions in this regime if the urgency is attributable to the relevant authority not leaving sufficient time to make procurement decisions and run a provider selection process:

The Trust is able to demonstrate that appropriate procurement approaches have been undertaken in the last couple of years with appropriate planning, but to date the Trust has not been in a position to award.

• The Trust has already undertaken 2 full procurement exercises in the last 6 months which have not led to award in November 2024 and March 2025.

Publisher note: 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 (PSR) Regulations 2023. For the avoidance of doubt, the provisions of the Public Contract Regulations 2015 or it's replacement the Procurement Regulations 2024 do not apply to this award. Regulation 14, Urgent Awards applies to this Contract Award: Criteria 1: The Award or modification must be made urgently: The Trust is currently experiencing significant challenges in the delivery of adequate service provision to meet ongoing growth in demand whilst meeting the NHSE National Standards for waiting times. Relative to others, the Trust's performance is within the bottom 10 providers nationally for all three elective referral to treatment (RTT) measures. The timescales associated with delivery of activity within the next 3 months does hinder the time to enable a full procurement process. The Trust will be conducting a full procurement process during the subsequent 3 month period for a medium-term service provision. Criteria 2: The reasons for urgency was not foreseeable by and is not attributable to the authority: The Trust has faced particular challenges in the delivery of elective orthopaedics services over the last year, with a 20% reduction in capacity available. The Trust had to put in place significant mitigations during 2024/25 and has made significant progress with this but remains out of balance in terms of capacity being in place to meet demand. The Trust has been unable to secure sufficient alternative capacity to meet the timescales required to deliver expected standards of service delivery. The Trust has exhausted all options available in terms of recovering activity in the short term, with the quantifiable mitigations leading to the Trust continuing to fall short of capacity requirements. Criteria 3: Delaying the award of the contract to conduct a full application of the regime would likely pose a risk to patient or public safety: The Trust believes that it cannot safely manage the volume of choice referrals it is receiving due to the growing imbalance in terms of capacity available at the Trust. Criteria 4: Relevant authorities must not use the urgent award or contract modification provisions in this regime if the urgency is attributable to the relevant authority not leaving sufficient time to make procurement decisions and run a provider selection process: The Trust is able to demonstrate that appropriate procurement approaches have been undertaken in the last couple of years with appropriate planning, but to date the Trust has not been in a position to award. - The Trust has already undertaken 2 full procurement exercises in the last 6 months which have not led to award in November 2024 and March 2025. The decision makers was the Finance & Performance Committee and the decision was made on 11th July 2025. No Conflicts of interest were identified.

• Portland Clinical LimitedAwarded supplierGB-COH: 09324612 28 Bailey Street, Sheffield, Yorkshire & Humber, S1 4EH

No document links were published on the notice.