Orthopaedic Insourcing Service

Concepts

• orthopaedic services
• oswestry
• hospital services
• surgical orthopaedic services
• orthopaedic insourcing service
• orthopaedics
• insourcing
• orthopaedic
• medical specialist
• urgent awards

Location

Oswestry - The Robert Jones and Agnes Hunt NHS Foundation Trust Hospital Site

Description

This Contract Award notice is placed under the Healthcare Services Provider Selection Regime (PSR) Regulations 2023 Regulation 14 for Urgent Awards. This award is to address the Trust's urgent surgical capacity shortfall in the immediate short-term for Orthopaedic Services. The Award has been made to prevent any future harm to patients by minimising waiting times. The service provider shall supply a full insourcing services covering 200 procedures from the longest waiting cohort and 500 outpatient assessments. Ongoing work with regards to market engagement and a new procurement process shall be progressed and completed over the coming months once the capacity shortfall has been stabilised.

Total Quantity or Scope

This Contract Award notice is placed under the Healthcare Services Provider Selection Regime (PSR) Regulations 2023 Regulation 14 for Urgent Awards. This confirmation of award is to address the Trust's urgent surgical capacity shortfall in the immediate short-term for Surgical Orthopaedic Services. The Award has been made to prevent any future harm to patients due to the significant backlog/waiting list. The service provider shall supply a full insourcing service covering 200 procedures from the longest waiting cohort and 500 new outpatient assessments. Subspecialties include: 1) Arthroplasty 2) Foot and Ankle 3) Lower Limb (Knee and Sport Injury) 4) Pediatric Orthopaedics 5) Spinal Disorders 6) Upper Limb The urgent award remains within the 36-40% of the tariff price range for elective and 70% for outpatients as per the Trusts budget setting requirements. This is a short-term award anticipated to initially last 3 months for the cohort of patients identified, starting on 1st August 2025 ending on 31st October 2025. It is envisaged that ongoing work with regards to market engagement and a new procurement process shall be progressed and completed over the coming months for a medium-term service provision. The value over the 3-month period is anticipated to be £520,000.00.

Award Detail

Award Criteria

CPV Codes

• 85121283 - Orthopaedic services
• 85111000 - Hospital services
• 85121200 - Medical specialist services

Indicators

• Award on basis of price and quality.

Legal 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.

Other 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 (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.