Care and management of adult patients with Gender Dysphoria / Gender Incongruence in Primary Care

{
  "id": "036039-2026",
  "tag": [
    "tenderUpdate"
  ],
  "date": "2026-04-21T12:20:49+01:00",
  "ocid": "ocds-h6vhtk-058ad1",
  "buyer": {
    "id": "GB-FTS-119759",
    "name": "NHS Derby & Derbyshire Integrated Care Board"
  },
  "tender": {
    "id": "DDICB/PC/PSR/002-0725",
    "title": "Care and management of adult patients with Gender Dysphoria / Gender Incongruence in Primary Care",
    "amendments": [
      {
        "id": "1",
        "unstructuredChanges": [
          {
            "where": {
              "section": "V1.3"
            },
            "newValue": {
              "text": "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) Regulations 2023. For the avoidance of doubt, the provisions of the Procurement Act 2023 do not apply to this award. This contract has now been formally awarded using the most suitable provider process.The contract was signed 01 October 2025.The contract will commence on 01 October 2025 and end 30 September 2030The value of the contract is £46,439.84 per annum and has a total lifetime value of £232,199.20.No representations were received.There were no conflicts of interest."
            },
            "oldValue": {
              "text": "This is a Provider Selection Regime (PSR) intention to award notice. The awarding of this contract is subject to the Health Care Services (Provider Selection Regime) Regulations 2023. For the avoidance of doubt, the provisions of the Procurement Act 2023 do not apply to this award. The standstill period begins on the day after the publication of this notice. Representations by providers must be made to the relevant authority by 24 September 2025. This contract has not yet formally been awarded; this notice serves as an intention to award under the PSRWritten representations need to be sent to ddicb.lcsf@nhs.netThe decision makers for this process were the NHS Derby and Derbyshire ICB Primary Care Subgroup.The provider met all requirements of the Basic Selection Criteria. The 5 Key Criteria were deemed as equal importance in this MSP process. The provider was deemed the most capable following consideration against the specified key criteria. Overall, taking all criteria into account the selected provider was deemed the Most Suitable Provider.No conflicts of interest were identified as part of the process."
            }
          }
        ]
      }
    ],
    "legalBasis": {
      "id": "32014L0024",
      "scheme": "CELEX"
    },
    "description": "NHS Derby & Derbyshire Integrated Care Board referred to as the Commissioner) awarded a contract to Newhall Surgery for the provision of Care and management of adult patients with Gender Dysphoria / Gender Incongruence in Primary Care within Derby & Derbyshire from 01st October 2025.",
    "classification": {
      "id": "85100000",
      "scheme": "CPV",
      "description": "Health services"
    },
    "mainProcurementCategory": "services"
  },
  "parties": [
    {
      "id": "GB-FTS-119759",
      "name": "NHS Derby & Derbyshire Integrated Care Board",
      "roles": [
        "buyer"
      ],
      "address": {
        "region": "UKF1",
        "locality": "Derby",
        "postalCode": "DE1 2FS",
        "countryName": "United Kingdom",
        "streetAddress": "The Council House, First Floor, Corporation Street"
      },
      "details": {
        "url": "https://www.joinedupcarederbyshire.co.uk/derbyshire-integrated-care-board/",
        "buyerProfile": "https://www.joinedupcarederbyshire.co.uk/derbyshire-integrated-care-board/"
      },
      "identifier": {
        "legalName": "NHS Derby & Derbyshire Integrated Care Board"
      },
      "contactPoint": {
        "name": "Hannah Belcher",
        "email": "ddicb.lcsf@nhs.net"
      }
    }
  ],
  "language": "en",
  "initiationType": "tender"
}

{
  "id": "055881-2025",
  "tag": [
    "award",
    "contract"
  ],
  "bids": {
    "statistics": [
      {
        "id": "1",
        "value": 1,
        "measure": "bids",
        "relatedLot": "1"
      },
      {
        "id": "2",
        "value": 1,
        "measure": "smeBids",
        "relatedLot": "1"
      }
    ]
  },
  "date": "2025-09-11T15:16:49+01:00",
  "ocid": "ocds-h6vhtk-058ad1",
  "buyer": {
    "id": "GB-FTS-119759",
    "name": "NHS Derby & Derbyshire Integrated Care Board"
  },
  "awards": [
    {
      "id": "055881-2025-1",
      "status": "active",
      "suppliers": [
        {
          "id": "GB-FTS-160638",
          "name": "NEWHALL SURGERY"
        }
      ],
      "relatedLots": [
        "1"
      ]
    }
  ],
  "tender": {
    "id": "DDICB/PC/PSR/002-0725",
    "lots": [
      {
        "id": "1",
        "status": "cancelled",
        "hasOptions": false,
        "description": "This is an Intention to Award Notice to award using the Most Suitable Provider Process to Newhall Surgery for the Care and management of adult patients with Gender Dysphoria / Gender Incongruence in Primary Care within Derby & Derbyshire from 01st October 2025.<br/><br/>The service is a pilot, and the initial contract is for 5 years with a 6 month notice period included with effect from 01st October 2025.  Annual contract value is £46,795.64.  Total contract value over 5 years £233,975.00.<br/><br/>This is a new service and Newhall Surgery are a new provider for the Care and management of adult patients with Gender Dysphoria / Gender Incongruence in Primary Care.",
        "awardCriteria": {
          "criteria": [
            {
              "name": "most suitable provider process with regard to the key criteria",
              "type": "quality",
              "description": "100"
            },
            {
              "name": "cost",
              "type": "cost",
              "description": "0"
            }
          ]
        }
      }
    ],
    "items": [
      {
        "id": "1",
        "relatedLot": "1",
        "deliveryLocation": {
          "description": "Newhall Surgery, 46-48 High Street, Newhall, Swadlincote, Derbyshire DE11 0HU"
        },
        "deliveryAddresses": [
          {
            "region": "UKF11"
          }
        ]
      }
    ],
    "title": "Care and management of adult patients with Gender Dysphoria / Gender Incongruence in Primary Care",
    "status": "complete",
    "legalBasis": {
      "id": "32014L0024",
      "scheme": "CELEX"
    },
    "description": "This is an Intention to Award Notice to award using the Most Suitable Provider Process to Newhall Surgery for the provision of Care and management of adult patients with Gender Dysphoria / Gender Incongruence in Primary Care within Derby & Derbyshire from 01st October 2025.<br/><br/>The service is a pilot, and the initial contract is for 5 years with a 6 month notice period included with effect from 01st October 2025.  Annual contract value is £46,795.64.  Total contract value over 5 years £233,975.00.<br/><br/>This is a new service and Newhall Surgery are a new provider for the Care and management of adult patients with Gender Dysphoria / Gender Incongruence in Primary Care.",
    "classification": {
      "id": "85100000",
      "scheme": "CPV",
      "description": "Health services"
    },
    "procurementMethod": "limited",
    "mainProcurementCategory": "services",
    "procurementMethodDetails": "Award procedure without prior publication of a call for competition",
    "procurementMethodRationale": "This is a Provider Selection Regime (PSR) intention to award notice. The awarding of this contract is subject to the Health Care Services (Provider Selection Regime) Regulations 2023. For the avoidance of doubt, the provisions of the Procurement Act 2023 do not apply to this award. The standstill period begins on the day after the publication of this notice. Representations by providers must be made to decision makers by 24 September 2025. This contract has not yet formally been awarded; this notice serves as an intention to award under the PSR",
    "procurementMethodRationaleClassifications": [
      {
        "id": "D_OUTSIDE_SCOPE",
        "scheme": "TED_PT_AWARD_CONTRACT_WITHOUT_CALL",
        "description": "The procurement falls outside the scope of application of the directive"
      }
    ]
  },
  "parties": [
    {
      "id": "GB-FTS-119759",
      "name": "NHS Derby & Derbyshire Integrated Care Board",
      "roles": [
        "buyer"
      ],
      "address": {
        "region": "UKF1",
        "locality": "Derby",
        "postalCode": "DE1 2FS",
        "countryName": "United Kingdom",
        "streetAddress": "The Council House, First Floor, Corporation Street"
      },
      "details": {
        "url": "https://www.joinedupcarederbyshire.co.uk/derbyshire-integrated-care-board/",
        "buyerProfile": "https://www.joinedupcarederbyshire.co.uk/derbyshire-integrated-care-board/",
        "classifications": [
          {
            "id": "BODY_PUBLIC",
            "scheme": "TED_CA_TYPE",
            "description": "Body governed by public law"
          },
          {
            "id": "07",
            "scheme": "COFOG",
            "description": "Health"
          }
        ]
      },
      "identifier": {
        "legalName": "NHS Derby & Derbyshire Integrated Care Board"
      },
      "contactPoint": {
        "name": "Hannah Belcher",
        "email": "ddicb.lcsf@nhs.net"
      }
    },
    {
      "id": "GB-FTS-160638",
      "name": "NEWHALL SURGERY",
      "roles": [
        "supplier"
      ],
      "address": {
        "region": "UKF11",
        "locality": "Derbyshire",
        "postalCode": "DE11 0HU",
        "countryName": "United Kingdom",
        "streetAddress": "Newhall Surgery  46-48 High Street  Newhall  Swadlincote"
      },
      "details": {
        "scale": "sme"
      },
      "identifier": {
        "legalName": "NEWHALL SURGERY"
      }
    },
    {
      "id": "GB-FTS-123151",
      "name": "NHS England Independent Patient Choice and Procurement Panel",
      "roles": [
        "reviewBody"
      ],
      "address": {
        "locality": "London",
        "postalCode": "SE1 8UG",
        "countryName": "United Kingdom",
        "streetAddress": "London"
      },
      "details": {
        "url": "https://www.england.nhs.uk/commissioning/how-commissioning-is-changing/nhs-provider-selection-regime/independent-patient-choice-and-procurement-panel/"
      },
      "identifier": {
        "legalName": "NHS England Independent Patient Choice and Procurement Panel"
      }
    }
  ],
  "language": "en",
  "contracts": [
    {
      "id": "055881-2025-1",
      "value": {
        "amount": 233975,
        "currency": "GBP"
      },
      "status": "active",
      "awardID": "055881-2025-1",
      "dateSigned": "2025-09-09T00:00:00+01:00"
    }
  ],
  "description": "This is a Provider Selection Regime (PSR) intention to award notice. The awarding of this contract is subject to the Health Care Services (Provider Selection Regime) Regulations 2023. For the avoidance of doubt, the provisions of the Procurement Act 2023 do not apply to this award. The standstill period begins on the day after the publication of this notice. Representations by providers must be made to the relevant authority by 24 September 2025. This contract has not yet formally been awarded; this notice serves as an intention to award under the PSR<br/><br/>Written representations need to be sent to ddicb.lcsf@nhs.net<br/>The decision makers for this process were the NHS Derby and Derbyshire ICB Primary Care Subgroup.<br/><br/>The provider met all requirements of the Basic Selection Criteria. The 5 Key Criteria were deemed as equal importance in this MSP process. The provider was deemed the most capable following consideration against the specified key criteria. Overall, taking all criteria into account the selected provider was deemed the Most Suitable Provider.<br/><br/>No conflicts of interest were identified as part of the process.",
  "initiationType": "tender"
}

{
  "id": "049960-2025",
  "tag": [
    "planning"
  ],
  "date": "2025-08-19T17:04:10+01:00",
  "ocid": "ocds-h6vhtk-058ad1",
  "buyer": {
    "id": "GB-FTS-119759",
    "name": "NHS Derby & Derbyshire Integrated Care Board"
  },
  "tender": {
    "id": "DDICB/PC/PSR/002-0725",
    "lots": [
      {
        "id": "1",
        "status": "planned",
        "description": "NHS Derby & Derbyshire Integrated Care Board (ICB), hereafter the Relevant Authority, is seeking to procure Care and management of adult patients with Gender Dysphoria / Gender Incongruence in Primary Care through a Most Suitable Provider Process under The Health Care Services (Provider Selection Regime) Regulations 2023. <br/><br/>*Aims and objectives of the service*<br/><br/>The aim of this service is to ensure safe and appropriate care and management of adult patients (aged 18 years and over) with gender dysphoria / gender incongruence who are registered with a Derby and Derbyshire General Practice.  <br/><br/>The service also aims to:<br/>•\tEnhance the knowledge / experience of general practices supporting patients with gender dysphoria / gender incongruence care within the Derby and Derbyshire. <br/>•\tEnhance the care and management of patients with gender dysphoria / gender incongruence in partnership with the patients' own GP and GIC.<br/>•\tDeliver a service closer to home which is convenient and meets the needs of patients.<br/>•\tImprove the use of shared clinical records between primary care, GIC, Adult & Social Care, Mental Health etc to promote a collaborative and joined up care approach and overall providing holistic patient care.<br/>•\tEnable general practice patients to have access to a GPwER service to seek advice, guidance and support regarding the care and management of patients with gender dysphoria / gender incongruence.<br/><br/>*Service description / care pathway*<br/><br/>The service will involve the commissioning of General Practitioner(s) with Extended Role (GPwER) model across Derby and Derbyshire which general practice can refer into to support the care and management of adult patients with gender dysphoria / gender incongruence in primary care. <br/><br/>This service will provide a support service within the community to general practice where a GP and/or other healthcare professionals with additional interest / education and specialism in gender dysphoria / gender incongruence will be able to support decision making. In so this supports equality of access to care and management for patients within this cohort whilst enabling further understanding of the need for this service across Joined Up Care Derbyshire. <br/><br/>This service would also offer, where deemed clinically necessary and at the discretion of the service, patients to receive face to face and telephone / online consultations to support them with gender dysphoria / gender incongruence.<br/><br/>This service could also address the care and management of those patients discharged from the GIC and stable to provide long term support for patients (as such could be known as a 'step down' approach in managing their care within the community) and could provide advice, guidance and support to practices that are managing these patients. <br/><br/>The service will also be able to support with the prescribing and monitoring, with support from Nottinghamshire Gender Identity Clinic (GIC) of:<br/><br/>For Transmen:<br/>•\tTestosterone (IM or transdermal)<br/>•\tGnRH analogues (Leuprorelin or triptorelin sub cut)<br/><br/>For Transwomen:<br/>•\tEstradiol (oral or transdermal)<br/>•\tGnRH analogues (Leuprorelin sub cut)<br/>•\tAnti-androgen treatments (oral – Finasteride, Cyproterone and Spironolactone)<br/>This would be supported by training and regular supervision i.e. multi-disciplinary team meetings provided by Nottinghamshire Gender Identity Clinic (GIC).<br/><br/>*Local defined outcomes*<br/><br/>•\tPatient receiving advice, guidance and support closer to home.<br/>•\tEnhance the knowledge / experience of gender dysphoria / gender incongruence care in primary care within the Derby and Derbyshire. <br/>•\tReduction in travel to specialist clinic supports greener and sustainable NHS.<br/>•\tEfficient use of National Health Service resources; and<br/>•\tPatients being jointly managed by secondary and primary care, so they can be treated in the community with the support from the specialist as required.<br/><br/>Please see Additional Information section below for key requirements. Additional information: By expressing an interest providers are confirming:<br/>•\tthat you can meet all of the requirements of the service specification.<br/>•\tthat you can provide the service to all of the registered patients in Derby and Derbyshire ICB.<br/>•\tthat you will provide prescribing and monitoring (as required) for all patients referred from a Derby and Derbyshire GP Practice<br/>•\tthat the lead practice/provider is CQC registered and has a minimum of Good overall rating.<br/>•\tthe provider will be able to set up and offer the service by the 1st October 2025 at the latest.<br/>•\tthe GPwER has a track record and experience in working with Gender Identity Clinics<br/>•\tthe GPwER has attended an education and training session hosted by an approved GIC and can provide evidence to ensure ongoing training and education is provided by Nottinghamshire Gender Identity Clinic.<br/><br/>Details of award decision makers:<br/>The decision will be made by NHS Derby and Derbyshire ICB Primary Care Sub Group"
      }
    ],
    "items": [
      {
        "id": "1",
        "relatedLot": "1",
        "deliveryLocation": {
          "description": "Derby & Derbyshire"
        },
        "deliveryAddresses": [
          {
            "region": "UKF11"
          }
        ],
        "additionalClassifications": [
          {
            "id": "85121100",
            "scheme": "CPV",
            "description": "General-practitioner services"
          }
        ]
      }
    ],
    "title": "Care and management of adult patients with Gender Dysphoria / Gender Incongruence in Primary Care",
    "value": {
      "amount": 233975,
      "currency": "GBP"
    },
    "status": "planned",
    "legalBasis": {
      "id": "32014L0024",
      "scheme": "CELEX"
    },
    "description": "The Relevant Authority intends to award a single contract to the most suitable provider. This notice will be published for at least 14 days in line with best practice under the Provider Selection Regime 2023, allowing time for any enquiries to be considered.<br/>Service Overview<br/><br/>This service is initially a pilot with plans to then further develop and expand this service. <br/><br/>For the pilot, then expressions of interest are requested from existing primary and/or community care providers in Derby and Derbyshire ICB.<br/><br/>During the initial pilot phase, the successful provider will enable a new model of care through a GP(s) with Extended Role (GPwER) to be commissioned.  This will allow general practices in NHS Derby and Derbyshire ICB to refer patients into this service to support and care and management of adult patients with gender dysphoria / gender incongruence in primary care.  This supports equality of access to care and management for patients within this cohort whilst enabling further understanding of the need for this service across Joined Up Care Derbyshire.<br/><br/>This service will provide a specialist support service within the community to general practice where a GP and/or other healthcare professionals with additional interest / education and specialism in gender dysphoria / gender incongruence will be able to support decision making.<br/><br/>This service would also offer, where deemed clinically necessary and at the discretion of the service, patients to receive face to face and telephone / online consultations to support them with gender dysphoria / gender incongruence. This service will (if required) also address the care and management of those patients discharged from the Gender Identity Clinic and stable to provide long term support for patients (as such could be known as a 'step down' approach in managing their care within the community) and could provide advice, guidance and support to practices that are managing these patients. <br/><br/>The service will also be able to support with the prescribing and monitoring, with support from Nottinghamshire Gender Identity Clinic (GIC) of:<br/><br/>For Transmen:<br/>•\tTestosterone (IM or transdermal)<br/>•\tGnRH analogues (Leuprorelin or triptorelin sub cut)<br/><br/>For Transwomen:<br/>•\tEstradiol (oral or transdermal)<br/>•\tGnRH analogues (Leuprorelin sub cut)<br/>•\tAnti-androgen treatments (oral – Finasteride, Cyproterone and Spironolactone)<br/><br/>The service provider will need:<br/>•\tExpertise and experience in GD<br/>•\tStrong links with a GIC <br/>•\tTrack record of delivery / engagement <br/><br/>For copies of the draft service specification please contact the Commissioner using the email address provided and a copy of the specification will be issued to you.<br/><br/>The service is a pilot, and the initial contract is for 5 years with a 6 month notice period included with effect from 01st October 2025.  Annual contract value is £46,795.64.  Total contract value over 5 years £233,975.00.<br/><br/>Interested providers should formally register their interest by emailing the ICB Primary Care team on the following email - ddicb.lcsf@nhs.net, no later than midnight on 02 September 2025.",
    "communication": {
      "atypicalToolUrl": "https://health-family.force.com/s/Welcome",
      "futureNoticeDate": "2025-09-09T00:00:00+01:00"
    },
    "classification": {
      "id": "85100000",
      "scheme": "CPV",
      "description": "Health services"
    },
    "mainProcurementCategory": "services"
  },
  "parties": [
    {
      "id": "GB-FTS-119759",
      "name": "NHS Derby & Derbyshire Integrated Care Board",
      "roles": [
        "buyer"
      ],
      "address": {
        "region": "UKF1",
        "locality": "Derby",
        "postalCode": "DE1 2FS",
        "countryName": "United Kingdom",
        "streetAddress": "The Council House, First Floor, Corporation Street"
      },
      "details": {
        "url": "https://www.joinedupcarederbyshire.co.uk/derbyshire-integrated-care-board/",
        "buyerProfile": "https://www.joinedupcarederbyshire.co.uk/derbyshire-integrated-care-board/",
        "classifications": [
          {
            "id": "BODY_PUBLIC",
            "scheme": "TED_CA_TYPE",
            "description": "Body governed by public law"
          },
          {
            "id": "07",
            "scheme": "COFOG",
            "description": "Health"
          }
        ]
      },
      "identifier": {
        "legalName": "NHS Derby & Derbyshire Integrated Care Board"
      },
      "contactPoint": {
        "name": "Hannah Belcher",
        "email": "ddicb.lcsf@nhs.net"
      }
    }
  ],
  "language": "en",
  "description": "This is a Provider Selection Regime (PSR) intended approach notice. The awarding of this contract is subject to the Health Care Services (Provider Selection Regime) Regulations 2023. For the avoidance of doubt, the provisions of the Procurement Act 2023 do not apply to this award.<br/><br/>In accordance with Regulation 10 of The Health Care Services (Provider Selection Regime) Regulations 2023, NHS Derby & Derbyshire Integrated Care Board (known hereafter as the Relevant Authority) is looking to award a contract under the Most Suitable Provider process as the Relevant Authority is able to identify the most suitable provider without running a competitive exercise, for the provision of Care and management of adult patients with Gender Dysphoria / Gender Incongruence in Primary Care.<br/><br/>The successful MSP will have to satisfy the Basic Selection Criteria and demonstrate how they meet the Key Criteria as listed within this notice.<br/><br/>The Relevant Authority will select the MSP based on the following stages:<br/>1) The Provider will have to satisfy the Basic Selection Criteria in accordance with regulation 19 of the PSR<br/>2) The Relevant Authority will then assess providers who satisfy the Basic Selection Criteria against the Key Criteria as set out below to determine the MSP.<br/>The criteria are all ranked equally.<br/>a) Quality and Innovation<br/>b) Integration, collaboration, and service sustainability<br/>b) Improving access, reducing health inequalities and facilitating choice value<br/>c) Value<br/>d) Social Value<br/><br/>Details of award decision makers:<br/>The decision will be made by NHS Derby and Derbyshire ICB Primary Care Sub Group",
  "initiationType": "tender"
}