All Wales Orthopaedic, Trauma and Joint Replacement Framework

NHS Wales Shared Services Partnership intends to extend the current agreement until 31st January 2027.

Knee Implants (Primary and Revision)

Primary and Revision Knee Replacement: Joint replacement including partial knees, bespoke and custom-made implants and related consumables.

Outcome/Value Based Solutions

Please also refer to Section 2.7 of the ITT document for further information Additional information: Items included in this Lot of the Framework Agreement include the following:

— Bicondylar femoral,

— Unicondylar femoral,

— Hinged/linked femoral,

— Patello/femoral,

— Pre-assembled tibial component, bicondylar, hinged/linked, unicondylar,

— Tibial tray, bicondylar, unicondylar, hinged/linked,

— Meniscal, bicondylar, unicondylar,

— Patella,

— Knee accessories.

Supply of Extremities Arthroplasty Implants.

Shoulder, elbow, ankle, small joint reconstruction and fracture management through prosthetic arthroplasty including bespoke and custom-made implants and related consumables.

Outcome/Value Based Solutions.

Please also refer to Section 2.7 of the ITT document for further information Additional information: Items included in this Lot of the Framework Agreement include the following:

— Shoulder, humeral,

— Shoulder, glenoid,

— Shoulder accessories,

— Elbow, humeral,

— Elbow, ulnar,

— Elbow, radial,

— Elbow, pre-assembled,

— Elbow accessories,

— Finger,

— Ankle, talar,

— Ankle, tibial tray,

— Ankle, pre-assembled tibial,

— Ankle, meniscal,

— Ankle accessories,

— Toe.

Supply of Trauma Internal and External Fixation and Consumables.

All trauma specific and implants by way of emergency trauma and non-reconstructive and congenital correction implants, external fixation devices and consumables. Elective subspecialty plating and patient care in hand and wrist, foot and ankle, cranio maxillofacial and related consumables.

Outcome/Value Based Solutions

Please also refer to Section 2.7 of the ITT document for further information Additional information: Items in in this Lot include the following:

— Large fragment,

— Small fragment,

— Hip screws,

— Hip plates,

— Hand and wrist products,

— Foot and ankle,

— Medullary nailing,

— Periarticular plating,

— Standard uniplanar fixator,

— Ring fixator,

— Hybrid fixator,

— Pinless fixator,

— Drill bits,

— Kirschner wires,

— Neuro,

— Midface,

— Mandible,

— Maxilla.

Supply of Spinal Implants

Orthopaedic spinal implants and consumables including spine specific cements & substitutes and related consumables. Outcome/Value Based Solutions.

Please refer to Section 2.7 of Invitation to Tender document. Additional information: Items in this Lot include the following:

— Cervical — anterior,

— Cervical — posterior,

— Thoracic,

— Lumbar,

— Reconstruction,

— Fusion systems,

— Spine-specific biologic products.

Supply of Arthroscopy and Sports Medicine Products

All capital and consumable items required for arthroscopic surgery including all stack systems, hardware and consumables for resection and ablation. All specialist instrumentation, disposables and implants for soft tissue repair and mobilisation and other related consumables. Outcome/Value Based Solutions.

Please also refer to Section 2.7 of the ITT document for further information Additional information: Items in this Lot include the following:

— ACL,

— Arthroscopy pump systems,

— Shaver systems and accessories,

— Bone anchors,

— Meniscal and cartilage repairs,

— Rotator cuff,

— Small joints,

— Radio frequency consumables,

— Arthroscopic camera stacks and accessories.

Supply of Bone Preparation Products.

Bone cement, mixing systems, pulse lavage, bone substitutes, cement pressurisers, cement removal and associated products.

Please also refer to Section 2.7 of the ITT document for further information Additional information: Items in this Lot include the following:

— Simple bone cement,

— Antibiotic bone cement (e.g. Tobramycin and Gentamycin),

— Bone cement mixing systems,

— Pulse lavage,

— Cement Plugs,

— Cement Moulds.

Supply of Orthopaedic Power Tools and Consumables.

Large bone, trauma, high speed and specialist power tools including all loan agreements, purchase options, maintenance and all associated consumables.

Please also refer to Section 2.7 of the ITT document for further information. Additional information: Items in this Lot include the following:

— Drills,

— Saws,

— Ultrasound bone growth systems,

— General orthopaedic implant instrumentation.

Supply of Biologics

All biologic and synthetic bone and soft tissue substitutes and additional products such as platelet separation systems.

Please also refer to Section 2.7 of the ITT document for further information. Additional information: Items in this Lot include the following:

— Allografts,

— Xenografts,

— Demineralised bone matrix,

— Cancellous bone chips,

— Bone substitutes.

In order to understand what solutions may be available in the current market Bidders can submit plans to determine how partnerships/services/solutions can be developed with participating Organisations including what products and/or services are available to facilitate Value Based Healthcare Outcomes, what support will be given and under what circumstances. Crucially what benefits and efficiencies can be expected from them. This includes but is not limited to:

• Patient planning
• Overall cost of care reduction
• Storage solutions for consigned stock
• Addressing the issues of unbalanced or overstocked product
• Equipment and technological platforms
• Patient pathway optimisation including affecting the patient end to end journey and patient experience. For example, but not limited to:
• Patient pathway / recovery optimisation
• Theatre and operational efficiency and project managed solutions
• Length of stay reduction
• Waiting list / throughput solutions
• Coding review and assistance
• Managed services
• Equipment and innovation solutions which optimise patient preoperative, intraoperative and postoperative care and / or rehabilitation, including but not limited to:
• Imaging and Navigation solutions
• Bespoke implants / instrumentation
• Patient specific jigs
• Patient education
• Patient intel
• Robotics
• Artificial Intelligence and software

Partnership offers with participating Organisation(s) which look to improve the service provision and share risk and reward.

Please also refer to Section 2.7 and Section of the ITT document for further information Additional information: As part of NHS Wales' drive to improve efficiency across the service, NWSSP is seeking value-based opportunities (such as Supply Chain efficiency opportunities, Theatre/Inventory Stock Management Systems, linking discounts for expenditure across multiple Lots, Innovations to reduce length of patient stay and any value based solutions)