Find a TenderAwarded without competitionTransparency notice
Published 5 May 2026, 10:50 BST

Official UK procurement notice

Anti Coagulation System · UK public procurement notice

Official notice

Authority: Great Western Hospitals NHS Foundation Trust (Central government)

Direct award
Sectors: Health & Social Care (85) Delivery: Delivery location not published
Awarded value£121,000published award · exc. VAT
Award in standstill Not publishedno call for competition
Award (standstill) to 4S Information Systems Limited

What is being bought

Published requirement description

The Trust intends to make a direct award to DAWN Health for the provision of an anticoagulation clinical information system following the planned withdrawal of the incumbent RAID system, which will no longer be supported after 30 November 2026. A review of the available UK market identified that DAWN AC is the only solution capable of meeting the Trust’s essential clinical, operational, and technical requirements for an acute NHS anticoagulation service, including the safe management of both warfarin and direct oral anticoagulant (DOAC) patients at scale and integration with existing Trust systems. Alternative systems were assessed and confirmed as unsuitable due to limitations in functionality and interoperability. The proposed award will ensure continuity of a critical, high‑risk clinical service supporting approximately 7,000 patients and avoid disruption to patient care. On this basis, and as no reasonable alternative or substitute exists within the required timeframe, the Trust has concluded that a direct award to DAWN Health is appropriate.

The lotProcurement structure

single lot · no lot value published

Procedure terms & legal framework

From the official record
Procedure method
Direct award
Legal basis
UKPGA · 2023/54 Procurement Act 2023
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
5 May 2026, 10:50 BST
Last source update
5 May 2026, 10:50 BST
Authority reference
C444337
FTS notice number
2026/S 000-040889
Latest notice
Transparency notice (UK5)
Delivery area
Not published
Official registry OCID
ocds-h6vhtk-069106 Find a Tender
Why no open competition
Single Suppliers Technical Reasons
Published justification

-Following an assessment of the UK market, DAWN AC has been identified as the only supplier able to meet the Trust’s mandatory technical, clinical, and interoperability requirements for an acute NHS anticoagulation service. Other systems assessed do not provide the necessary functionality to safely manage both warfarin and direct oral anticoagulant (DOAC) patients at scale, nor do they support required integrations with existing Trust electronic patient record and laboratory systems. This constitutes an absence of genuine competition for technical reasons.

-Alternative systems were reviewed and determined not to be reasonable substitutes, as they are primarily designed for primary care or low‑volume use and lack essential features required in an acute hospital setting, including comprehensive DOAC management, automated dosing support, patient communication functionality, and full system interoperability. As such, no alternative solution can meet the Trust’s minimum requirements without unacceptable clinical, operational, and patient safety risk.

  • The incumbent RAID system is being withdrawn and will no longer be supported after 30 November 2026. The Trust must implement a replacement system within a defined timeframe to ensure continuity of a critical, high‑risk clinical service supporting approximately 7,000 patients. A competitive procurement would not deliver a viable alternative solution and would not change the outcome, as only one supplier is capable of meeting the Trust’s requirements. The direct award is therefore proportionate and necessary.
Review and risk notes
Risks

If the system is not replaced, the Trust will be unable to safely operate the anticoagulation service once the RAID system is withdrawn and support ends, as there would be no viable mechanism to manage dosing, monitoring, reviews, or patient records for a high‑risk medication pathway. This would likely result in suspension or closure of the service, creating significant patient safety risks, loss of continuity of care for approximately 7,000 patients, and potential clinical harm. In addition, the Trust would face a loss of associated income, workforce disruption, and reputational and regulatory risk arising from the inability to meet its clinical and statutory obligations.

Notice history

2 events · 1 release on Find a Tender · since 5 May 2026
  1. Transparency notice published
    5 May 2026, 10:50 BST
    UK5
  2. Contract signature expected
    27 May 2026, 23:59 BST
    scheduled

Commercial outcome & contract awards

Published awards, contracts and bid statistics, not a forecast
Awards 1some still in standstill
Awarded value £121,0001 award exc. VAT
Awarded toValueDateStatus
4S Information Systems Limited29 May 2026 – 28 May 2027£121,000—Standstill

Contracting authority & participating public bodies

Great Western Hospitals NHS Foundation Trust

Contracting authorityPublic authority - central government GB-PPON: PRZJ-5573-LWLP Marlborough Road, Swindon, South West, SN3 6BBContact name, email

Bidders & participating suppliers

1 commercial party on the notice
  • 4S DAWN CLINICAL SOFTWAREAwarded supplierGB-COH: 03165486 4S Information Systems Ltd • Westmorland House • Elmsfield Park, Nr Carnforth, Cumbria, North West, LA6 1RJContact email

Official documents & specifications (1)

Official links; attachments are not copied

Notices published for this procedure

  • Transparency notice awardTransparency noticeUK5Transparency notice on Find a Tender