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Complex Termination of Pregnancy (CTOP) Services across the South East

Buyer: NHS Thames Valley Integrated Care Board (ICB) →

Participate on atamis-1928.my.site.com ↗External submission platform

BuyerNHS Thames Valley Integrated Care Board (ICB)
StatusOpen
Deadline2 Oct 2026
Value£1,344,000
Published12 Aug 2026

What is being bought

NHS Thames Valley (TV) Integrated Care Board (ICB), (the Commissioner) is seeking suitable providers who have the capability and capacity to deliver Complex Termination of Pregnancy (CTOP) service, in line with the specified requirements, in the capacity of the Regional Network Lead Provider (Hub) responsible for the delivery, coordination and clinical governance of CTOP pathways across the South East region. For the remainder of this document this will be referred to as the: Complex Termination of Pregnancy (CTOP) service. The Hub will deliver specialist medical and surgical termination of pregnancy care up to 23 + 6 weeks' gestation. The Hub will also host the regional Single Point of Access (SPOA) and Multidisciplinary Team (MDT), lead on regional training and governance across providers. (NHS and Independent Sector Providers (ISP) where there are interdependencies/interfaces with NHS services). Alongside the coordination of the network of NHS providers across the South East to ensure equitable, safe, and high-quality CTOP care. The service specification can be found at https://www.england.nhs.uk/wp-content/uploads/2021/03/1834-Service-Specification-final.pdf Please also see the CTOP Service Model document hosted within the e-procurement system (Atamis) for a full description of the anticipated CTOP service across the South East. The contract will be for an initial duration of 5 years (60 months) with an optional extension of 2 years (2 x 12 months). Training Funding: £128,000 per year 5 year total: £640,000 7 year total (including the optional 2 year extension (5 years + 2 years)): £896,000 Network Funding: £64,000 per year 5 year total: £320,000 7 year total (including the optional 2 year extension (5 years + 2 years)): £448,000 Final Total: £192,000 per year 5 year total: £960,000 7 year total (including the optional 2 year extension (5 years + 2 years)): £1,344,000 Activity funding will be paid for retrospectively based on the data collected centrally by the SPOA. The Commissioner is of the view that the Transfer of Undertakings (Protection of Employment) (TUPE) Regulations 2006 do not apply. However, bidders must undertake their own independent assessment of TUPE applicability. All ITT responses must be returned by 12 noon on 2nd October 2026, at the latest. Interested providers will be able to view this notice via the 'Live Opportunities' list on the e-procurement system, Atamis, available on the following link: https://health-family.force.com/s/Welcome This exercise is being carried out by NHS South, Central and West Commissioning Support Unit (SCW) on behalf of the Commissioner. SCW is currently subject to restructuring, and the management of this exercise may therefore move to a successor at some point during the process. Participants will be informed of any such change, and any administrative changes because of it.

Delivery location

UKJ

Categories

Surgical hospital services 85111100Medical hospital services 85111200Gynaecological hospital services 85111300Gyneacologic or obstetric services 85121210Health services 85100000

Lot details

Lot 1

NHS Thames Valley (TV) Integrated Care Board (ICB), (the Commissioner) is seeking suitable providers who have the capability and capacity to deliver Complex Termination of Pregnancy (CTOP) service, in line with the specified requirements, in the capacity of the Regional Network Lead Provider (Hub) responsible for the delivery, coordination and clinical governance of CTOP pathways across the South East region. For the remainder of this document this will be referred to as the: Complex Termination of Pregnancy (CTOP) service. The Hub will deliver specialist medical and surgical termination of pregnancy care up to 23 + 6 weeks' gestation. The Hub will also host the regional Single Point of Access (SPOA) and Multidisciplinary Team (MDT), lead on regional training and governance across providers. (NHS and Independent Sector Providers (ISP) where there are interdependencies/interfaces with NHS services). Alongside the coordination of the network of NHS providers across the South East to ensure equitable, safe, and high-quality CTOP care. The service specification can be found at https://www.england.nhs.uk/wp-content/uploads/2021/03/1834-Service-Specification-final.pdf Please also see the CTOP Service Model document hosted within the e-procurement system (Atamis) for a full description of the anticipated CTOP service across the South East. The procurement will establish one Regional Lead Centre (Hub) responsible for: • Hosting the Single Point of Access (SPOA) for all CTOP referrals in the South East. • Leading the Regional Multidisciplinary Team (MDT) to review, triage, and allocate cases across the network. • Delivering direct clinical care for patients requiring both medical and surgical terminations up to 23 + 6 weeks' gestation. • Providing clinical governance and quality oversight for all Network Member Providers (Spokes). • Leading the training, upskilling, and maintenance-of-skills programme for the regional CTOP workforce, in line with the national CTOP service specification. • Coordinating regional data collection, audit, outcome reporting, and shared learning to ensure consistent standards of care across the South East. Background: The national Complex Termination of Pregnancy (CTOP) service was established following publication of the NHS England Service Specification (2021) to ensure that patients with significant co-morbidities or medical complications requiring termination of pregnancy receive care in appropriately equipped NHS hospitals with access to multidisciplinary teams, diagnostics, surgical facilities, critical care, and blood transfusion services. Currently, provision within the South East is variable. While several NHS Trusts provide elements of the service, there is no formally commissioned or coordinated regional network. The absence of a lead centre and a standardised referral pathway has resulted in patients travelling long distances to receive care in other regions, and in inconsistent access to clinical expertise, workforce resilience, and quality oversight. This procurement seeks to address those inequities by establishing a Regional CTOP Hub-and-Network model, ensuring that every patient in the South East region can access safe, timely, and locally coordinated care. Service Model Overview The Regional Lead Provider (Hub) will: • Operate as the central coordination point for all CTOP referrals via a Single Point of Access (SPOA). • Host the regional CTOP MDT, bringing together consultants in obstetrics, gynaecology, anaesthesia, fetal medicine, maternal medicine, nursing/midwifery, radiology, pathology, and bereavement support to agree appropriate care pathways for each case. • Deliver both medical and surgical CTOP procedures up to 23 + 6 weeks' gestation for eligible patients. • Support Network Member Providers in delivering CTOP services within lower gestational limits (e.g. up to 13 + 6 or 19 + 6 weeks), providing clinical advice, escalation pathways, and governance oversight. • Provide clinical and operational leadership for the South East CTOP Network, ensuring alignment with national standards and the NHS England CTOP specification. • Lead the regional training programme to build and sustain CTOP workforce capability across the network. • Undertake regional data collection, analysis, and submission to NHS England, including audit of outcomes, equity of access, and quality indicators. The network model will be designed to ensure consistent governance, integrated clinical pathways, and robust quality assurance. The Hub will be responsible for convening network meetings, facilitating shared learning, maintaining the risk register, and reporting performance and compliance to commissioners. Scope of Services: The procured service will include, but not be limited to: • Provision of specialist medical and surgical termination of pregnancy services up to 23 + 6 weeks. • Access to on-site or formalised arrangements for theatres, diagnostics, blood products, critical care, and other relevant specialities. • Delivery of pre-, peri-, and post-procedure care, including counselling, anaesthetic support, and bereavement care. • Implementation of robust clinical governance and audit processes across the network. • Participation in national reporting and assurance processes, including the Abortion Notification System and NHS Maternity Services Dataset. • Leadership of regional training and competency maintenance, in line with the national CTOP service specification. • Ensuring compliance with all relevant legislation, including the Abortion Act 1967, Health and Social Care Act 2008 (Regulated Activities) Regulations 2014, Equality Act 2010, and NHS England's Health Inequalities Improvement Framework. Expected Outcomes: The procurement will ensure: • Equitable access to complex termination services across all South East ICB areas. • Reduction in patient travel outside of region for late-gestation or complex procedures. • Consistent standards of clinical governance and safety across all providers. • Development of a sustainable regional workforce with maintained surgical and medical CTOP skills. • Improved quality, data visibility, and outcomes monitoring through a coordinated network model. Geographical Coverage: The procurement covers the South East Region, including the following NHS Integrated Care Board (ICB) areas: • Kent and Medway • Surrey and Sussex • Hampshire and Isle of Wight • Thames Valley The Hub will be expected to operate as a regional coordination centre, serving patients from across all four ICBs Contract and Procurement Details: The contract will be for an initial duration of 5 years (60 months) with an optional extension of 2 years (2 x 12 months). The Commissioner is of the view that the Transfer of Undertakings (Protection of Employment) (TUPE) Regulations 2006 do not apply. However, bidders must undertake their own independent assessment of TUPE applicability. This exercise is being carried out by NHS South, Central and West Commissioning Support Unit (SCW) on behalf of the Commissioner. SCW is currently subject to restructuring, and the management of this exercise may therefore move to a successor at some point during the process. Participants will be informed of any such change, and any administrative changes because of it. Additional information: Interested providers will be able to view this opportunity via the live opportunities list on the 'Health Family' e-procurement system, Atamis. Click on 'View our Live Opportunities' from the home page, available on the following link: https://health-family.force.com/s/Welcome. Once you have found the opportunity (via the search function, using the title or reference number), to gain full access to the bid documentation (including questionnaires), you will need to click on 'Register interest' - this will take you to the log-in page. If you are not already registered on the system, you will need to do so before gaining full access to the documentation and be able to submit a bid. This is a Provider Selection Regime (PSR) Contract 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 Public Contracts Regulations 2015 do not apply to this award.

Statusactive
Value£1,344,000

What is included

ItemCategoryQuantity
1Surgical hospital services, Medical hospital services, Gynaecological hospital services, Gyneacologic or obstetric servicesNot published

Comparable-procurement analytics

Benchmarked against retained Find a Tender procedures with CPV division 85. The category anchor is Surgical hospital services (85111100); this is a deliberately broad market comparator. The comparison is shown at several levels rather than pretending one company or region is always the best benchmark.

Comparison setProceduresReported bids per procedureNamed award suppliersPrice evidence
Market: CPV division 8511,8221 median · 41.8 average (5,004 of 11,822 with a bid count)2.2 average (5,706 of 11,822 with named award suppliers)10 comparable price pairs
Same buyer0Not publishedNot publishedNot published
Delivery region: UKJ2641 median · 6.2 average (90 of 264 with a bid count)1.6 average (95 of 264 with named award suppliers)Not published
Similar published value (0.5×–2×)5784 median · 4.8 average (30 of 578 with a bid count)1.2 average (31 of 578 with named award suppliers)3 comparable price pairs

“Reported bids” is an official aggregate, sometimes reported per lot; it is the closest available competition measure. “Named award suppliers” are winners, not all applicants.

Indicative price outcome

£874,406 is the median lowest-valid-bid benchmark for the broad CPV market sample, against this procedure’s published value of £1,344,000.

This is a historical comparator, not a bid-price forecast or a guaranteed saving. It excludes records where the published values cannot be sensibly compared and does not adjust for lot structure, quality weighting, framework terms or scope.

Procurement strategy & market signals

Framework agreementNot published
Dynamic purchasing systemNot published
Competitive procurementNot published
Recurring requirementYes
Procurement method rationaleNot published
Rationale classificationsNot published
Special regimeNot published
Covered byNot published
Submission policyNot published
Selection criteriasuitability
Risk detailsNot published

Planning & early market engagement

BudgetNot published
No-engagement rationaleNot published
Planning documents0
Planning milestones0

No planning milestones published.

Related procurements

No linked framework, prior procurement or reprocurement published.

Documents & submission route

  • economicSelectionCriteria
  • technicalSelectionCriteria

Source data inventory

Diagnostic view. “Not published” means this current release does not provide a value.

OCIDocds-h6vhtk-069cb1
Latest release ID076653-2026
Latest release timestampWed Aug 12 2026 10:41:48 GMT+0000 (Coordinated Universal Time)
Sourcefind-a-tender
Official notice URLNot published
Tender statusactive
Procurement methodopen
Procurement method detailsOpen procedure
Main procurement categoryservices
Above thresholdNot published
Legal basis32014L0024
Tender period: startNot published
Tender period: end2026-10-02T12:00:00+01:00
Expression of interest deadlineNot published
Enquiry deadlineNot published
Award period: start2026-10-02T12:01:00+01:00
Award period: endNot published
Submission method detailshttps://atamis-1928.my.site.com/s/Welcome
Submission languagesen
Electronic catalogue policyNot published
Total tender value£1,344,000
Tender lots in source1
Tender items in source1
Tender documents in source2
Awards in latest release0
Contracts in latest release0
Parties in latest release2

Notice history

DateEventReference
12 Aug 2026tender076653-2026
20 May 2026planning046104-2026

All source data

Unmodified official OCDS data retained by Tenderline for this procurement process.

Complete current OCDS release JSON
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        "hasOptions": true,
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        "description": "NHS Thames Valley (TV) Integrated Care Board (ICB), (the Commissioner) is seeking suitable providers who have the capability and capacity to deliver Complex Termination of Pregnancy (CTOP) service, in line with the specified requirements, in the capacity of the Regional Network Lead Provider (Hub) responsible for the delivery, coordination and clinical governance of CTOP pathways across the South East region. For the remainder of this document this will be referred to as the: Complex Termination of Pregnancy (CTOP) service.\nThe Hub will deliver specialist medical and surgical termination of pregnancy care up to 23 + 6 weeks' gestation. The Hub will also host the regional Single Point of Access (SPOA) and Multidisciplinary Team (MDT), lead on regional training and governance across providers. (NHS and Independent Sector Providers (ISP) where there are interdependencies/interfaces with NHS services). Alongside the coordination of the network of NHS providers across the South East to ensure equitable, safe, and high-quality CTOP care.\nThe service specification can be found at https://www.england.nhs.uk/wp-content/uploads/2021/03/1834-Service-Specification-final.pdf \nPlease also see the CTOP Service Model document hosted within the e-procurement system (Atamis) for a full description of the anticipated CTOP service across the South East.\nThe procurement will establish one Regional Lead Centre (Hub) responsible for:\n•\tHosting the Single Point of Access (SPOA) for all CTOP referrals in the South East.\n•\tLeading the Regional Multidisciplinary Team (MDT) to review, triage, and allocate cases across the network.\n•\tDelivering direct clinical care for patients requiring both medical and surgical terminations up to 23 + 6 weeks' gestation.\n•\tProviding clinical governance and quality oversight for all Network Member Providers (Spokes).\n•\tLeading the training, upskilling, and maintenance-of-skills programme for the regional CTOP workforce, in line with the national CTOP service specification.\n•\tCoordinating regional data collection, audit, outcome reporting, and shared learning to ensure consistent standards of care across the South East.\nBackground:\nThe national Complex Termination of Pregnancy (CTOP) service was established following publication of the NHS England Service Specification (2021) to ensure that patients with significant co-morbidities or medical complications requiring termination of pregnancy receive care in appropriately equipped NHS hospitals with access to multidisciplinary teams, diagnostics, surgical facilities, critical care, and blood transfusion services.\nCurrently, provision within the South East is variable. While several NHS Trusts provide elements of the service, there is no formally commissioned or coordinated regional network. The absence of a lead centre and a standardised referral pathway has resulted in patients travelling long distances to receive care in other regions, and in inconsistent access to clinical expertise, workforce resilience, and quality oversight.\nThis procurement seeks to address those inequities by establishing a Regional CTOP Hub-and-Network model, ensuring that every patient in the South East region can access safe, timely, and locally coordinated care.\nService Model Overview\nThe Regional Lead Provider (Hub) will:\n•\tOperate as the central coordination point for all CTOP referrals via a Single Point of Access (SPOA).\n•\tHost the regional CTOP MDT, bringing together consultants in obstetrics, gynaecology, anaesthesia, fetal medicine, maternal medicine, nursing/midwifery, radiology, pathology, and bereavement support to agree appropriate care pathways for each case.\n•\tDeliver both medical and surgical CTOP procedures up to 23 + 6 weeks' gestation for eligible patients.\n•\tSupport Network Member Providers in delivering CTOP services within lower gestational limits (e.g. up to 13 + 6 or 19 + 6 weeks), providing clinical advice, escalation pathways, and governance oversight.\n•\tProvide clinical and operational leadership for the South East CTOP Network, ensuring alignment with national standards and the NHS England CTOP specification.\n•\tLead the regional training programme to build and sustain CTOP workforce capability across the network.\n•\tUndertake regional data collection, analysis, and submission to NHS England, including audit of outcomes, equity of access, and quality indicators.\nThe network model will be designed to ensure consistent governance, integrated clinical pathways, and robust quality assurance. The Hub will be responsible for convening network meetings, facilitating shared learning, maintaining the risk register, and reporting performance and compliance to commissioners.\nScope of Services:\nThe procured service will include, but not be limited to:\n•\tProvision of specialist medical and surgical termination of pregnancy services up to 23 + 6 weeks.\n•\tAccess to on-site or formalised arrangements for theatres, diagnostics, blood products, critical care, and other relevant specialities.\n•\tDelivery of pre-, peri-, and post-procedure care, including counselling, anaesthetic support, and bereavement care.\n•\tImplementation of robust clinical governance and audit processes across the network.\n•\tParticipation in national reporting and assurance processes, including the Abortion Notification System and NHS Maternity Services Dataset.\n•\tLeadership of regional training and competency maintenance, in line with the national CTOP service specification.\n•\tEnsuring compliance with all relevant legislation, including the Abortion Act 1967, Health and Social Care Act 2008 (Regulated Activities) Regulations 2014, Equality Act 2010, and NHS England's Health Inequalities Improvement Framework.\nExpected Outcomes:\nThe procurement will ensure:\n•\tEquitable access to complex termination services across all South East ICB areas.\n•\tReduction in patient travel outside of region for late-gestation or complex procedures.\n•\tConsistent standards of clinical governance and safety across all providers.\n•\tDevelopment of a sustainable regional workforce with maintained surgical and medical CTOP skills.\n•\tImproved quality, data visibility, and outcomes monitoring through a coordinated network model.\nGeographical Coverage:\nThe procurement covers the South East Region, including the following NHS Integrated Care Board (ICB) areas:\n•\tKent and Medway\n•\tSurrey and Sussex\n•\tHampshire and Isle of Wight\n•\tThames Valley\nThe Hub will be expected to operate as a regional coordination centre, serving patients from across all four ICBs\nContract and Procurement Details:\nThe contract will be for an initial duration of 5 years (60 months) with an optional extension of 2 years (2 x 12 months).\nThe Commissioner is of the view that the Transfer of Undertakings (Protection of Employment) (TUPE) Regulations 2006 do not apply. However, bidders must undertake their own independent assessment of TUPE applicability.\nThis exercise is being carried out by NHS South, Central and West Commissioning Support Unit (SCW) on behalf of the Commissioner. SCW is currently subject to restructuring, and the management of this exercise may therefore move to a successor at some point during the process. Participants will be informed of any such change, and any administrative changes because of it. Additional information: Interested providers will be able to view this opportunity via the live opportunities list on the 'Health Family' e-procurement system, Atamis. Click on 'View our Live Opportunities' from the home page, available on the following link: https://health-family.force.com/s/Welcome. \nOnce you have found the opportunity (via the search function, using the title or reference number), to gain full access to the bid documentation (including questionnaires), you will need to click on 'Register interest' - this will take you to the log-in page. \nIf you are not already registered on the system, you will need to do so before gaining full access to the documentation and be able to submit a bid. \nThis is a Provider Selection Regime (PSR) Contract 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 Public Contracts Regulations 2015 do not apply to this award.",
        "contractPeriod": {
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    "items": [
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        "id": "1",
        "relatedLot": "1",
        "deliveryAddresses": [
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        "additionalClassifications": [
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    "title": "Complex Termination of Pregnancy (CTOP) Services across the South East",
    "value": {
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    "status": "active",
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      "startDate": "2026-10-02T12:01:00+01:00"
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    "description": "NHS Thames Valley (TV) Integrated Care Board (ICB), (the Commissioner) is seeking suitable providers who have the capability and capacity to deliver Complex Termination of Pregnancy (CTOP) service, in line with the specified requirements, in the capacity of the Regional Network Lead Provider (Hub) responsible for the delivery, coordination and clinical governance of CTOP pathways across the South East region. For the remainder of this document this will be referred to as the: Complex Termination of Pregnancy (CTOP) service.\nThe Hub will deliver specialist medical and surgical termination of pregnancy care up to 23 + 6 weeks' gestation. The Hub will also host the regional Single Point of Access (SPOA) and Multidisciplinary Team (MDT), lead on regional training and governance across providers. (NHS and Independent Sector Providers (ISP) where there are interdependencies/interfaces with NHS services). Alongside the coordination of the network of NHS providers across the South East to ensure equitable, safe, and high-quality CTOP care.\nThe service specification can be found at https://www.england.nhs.uk/wp-content/uploads/2021/03/1834-Service-Specification-final.pdf \nPlease also see the CTOP Service Model document hosted within the e-procurement system (Atamis) for a full description of the anticipated CTOP service across the South East.\nThe contract will be for an initial duration of 5 years (60 months) with an optional extension of 2 years (2 x 12 months).\nTraining Funding: £128,000 per year\n5 year total: £640,000\n7 year total (including the optional 2 year extension (5 years + 2 years)): £896,000\nNetwork Funding: £64,000 per year\n5 year total: £320,000\n7 year total (including the optional 2 year extension (5 years + 2 years)): £448,000\nFinal Total: £192,000 per year\n5 year total: £960,000\n7 year total (including the optional 2 year extension (5 years + 2 years)): £1,344,000\nActivity funding will be paid for retrospectively based on the data collected centrally by the SPOA.\nThe Commissioner is of the view that the Transfer of Undertakings (Protection of Employment) (TUPE) Regulations 2006 do not apply. However, bidders must undertake their own independent assessment of TUPE applicability.\nAll ITT responses must be returned by 12 noon on 2nd October 2026, at the latest.\nInterested providers will be able to view this notice via the 'Live Opportunities' list on the e-procurement system, Atamis, available on the following link: https://health-family.force.com/s/Welcome \nThis exercise is being carried out by NHS South, Central and West Commissioning Support Unit (SCW) on behalf of the Commissioner. SCW is currently subject to restructuring, and the management of this exercise may therefore move to a successor at some point during the process. Participants will be informed of any such change, and any administrative changes because of it.",
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          "description": "1.\tCare Quality Commission (CQC) Registration\nThe provider must be registered with the Care Quality Commission (CQC) to deliver Termination of Pregnancy (ToP) services under the regulated activity \"Termination of pregnancies,\" as set out in the Health and Social Care Act 2008 (Regulated Activities) Regulations 2014.\nProviders must demonstrate and maintain full compliance with CQC fundamental standards, including those relating to safety, effectiveness, leadership, and quality of care.\nEvidence of current CQC registration, scope of registration, and latest compliance status must be provided as part of the submission.\n2.\tProfessional Registration and Competence\nAll clinicians delivering the Complex Termination of Pregnancy (CTOP) service must hold appropriate registration with the relevant professional body, and must be in good standing with their regulator.\nThis includes, but is not limited to:\nMedical practitioners: registration with the General Medical Council (GMC) and possession of a valid licence to practise.\nNursing and midwifery staff: registration with the Nursing and Midwifery Council (NMC).\nAnaesthetists, radiologists, sonographers, and pathology specialists: registration with the relevant professional council (e.g. GMC, HCPC, or Royal College).\nAll clinical staff must work within their professional scope of practice, maintain continuing professional development (CPD) in accordance with their regulator's requirements, and engage in annual appraisal and revalidation.\nThe provider must ensure that competency frameworks, supervision, and peer review are embedded within governance structures.\n3.\tAbortion Act 1967 Compliance\nAll practitioners undertaking terminations must comply with the Abortion Act 1967 (as amended) and associated Department of Health and Social Care (DHSC) regulations.\nKey legal requirements include:\nCertification by two registered medical practitioners confirming that statutory grounds for termination are met.\nAccurate and timely notification of all procedures to the Chief Medical Officer (CMO) in accordance with DHSC reporting requirements.\nCompliance with national guidance on consent, safeguarding, confidentiality, and record keeping.\nThe provider must have robust governance arrangements in place to ensure all statutory obligations under the Abortion Act are fulfilled.\n4.\tGovernance and Clinical Leadership\nThe provider must designate a named Clinical Lead for the CTOP service who:\nIs a consultant-level clinician with demonstrable experience in complex pregnancy management.\nProvides clinical leadership and oversight of service quality, safety, and outcomes.\nChairs multidisciplinary team (MDT) discussions and morbidity and mortality (M&M) reviews.\nEnsures compliance with national service specifications, NICE guidance, and NHS England governance frameworks.\nThe provider's clinical governance structure must define clear lines of accountability to the Board and align with NHS England's quality and safety assurance requirements.\n5.\tMultidisciplinary Team (MDT) and Supporting Specialists\nThe provider must demonstrate access to a comprehensive MDT with relevant expertise to deliver holistic, safe, and compassionate care for women and birthing people requiring complex termination.\nThe MDT should include (but not be limited to):\nFetal Medicine\nObstetrics\nAnaesthetics\nNursing and Midwifery (including Specialist Bereavement Support)\nPsychology or Counselling\nPathology\nSafeguarding / Social Care Liaison\nAll MDT members must meet relevant professional registration and revalidation standards, and participate in regular audit, clinical review, and shared learning.\n6.\tCorporate and Trade Standing\nThe provider must be a legally constituted organisation authorised to deliver healthcare services within England and capable of entering into NHS contracts.\nRequirements include:\nRegistration as an NHS Trust, Foundation Trust, or other recognised healthcare provider entity.\nFinancial and organisational stability, with evidence of appropriate insurance and indemnity.\nCompliance with procurement and contracting frameworks, including enrolment on NHS Provider Frameworks, Contracts Finder, or Find a Tender platforms as applicable.\nAssurance that all directors and senior officers meet the \"fit and proper persons\" requirement under Regulation 5 of the Health and Social Care Act 2008 (Regulated Activities) Regulations 2014.\nThe provider must maintain effective governance, safeguarding, and information governance frameworks in line with NHS England and statutory requirements.\n7.\tOngoing Assurance and Monitoring\nThe provider must be able to demonstrate systems and processes that ensure continued compliance with:\nCQC registration conditions and notifications.\nProfessional revalidation and appraisal cycles.\nAbortion Act reporting obligations.\nAnnual audit and peer review outcomes.\nLearning and improvement mechanisms following incidents, patient feedback, or regulatory inspection.\nRegular monitoring of compliance will form part of the ongoing contract management and quality assurance processes between NHS England and the provider."
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      "name": "NHS Thames Valley Integrated Care Board (ICB)",
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        "region": "UKJ",
        "locality": "Cowley",
        "postalCode": "OX4 2PG",
        "countryName": "United Kingdom"
      },
      "details": {
        "url": "https://www.thamesvalley.icb.nhs.uk/",
        "classifications": [
          {
            "id": "BODY_PUBLIC",
            "scheme": "TED_CA_TYPE",
            "description": "Body governed by public law"
          },
          {
            "id": "07",
            "scheme": "COFOG",
            "description": "Health"
          }
        ]
      },
      "identifier": {
        "legalName": "NHS Thames Valley Integrated Care Board (ICB)",
        "noIdentifierRationale": "notOnAnyRegister"
      },
      "contactPoint": {
        "url": "https://atamis-1928.my.site.com/s/Welcome",
        "email": "scwcsu.procurement@nhs.net"
      }
    },
    {
      "id": "GB-FTS-185752",
      "name": "NHS Thames Valley (TV) Integrated Care Board (ICB)",
      "roles": [
        "reviewBody"
      ],
      "address": {
        "locality": "Cowley",
        "countryName": "United Kingdom"
      },
      "identifier": {
        "legalName": "NHS Thames Valley (TV) Integrated Care Board (ICB)"
      }
    }
  ],
  "language": "en",
  "description": "Interested providers will be able to view this opportunity via the live opportunities list on the 'Health Family' e-procurement system, Atamis. Click on 'View our Live Opportunities' from the home page, available on the following link: https://health-family.force.com/s/Welcome.\nOnce you have found the opportunity (via the search function, using the title or reference number), to gain full access to the bid documentation (including questionnaires), you will need to click on 'Register interest' - this will take you to the log-in page. \nIf you are not already registered on the system, you will need to do so before gaining full access to the documentation and be able to submit a bid. \nAn early engagement market notice was published in relation to this procurement in May 2026, in order to facilitate early engagement with potential providers. Although those who responded to that notice may be advised that this contract notice has been published, there will be no process exemptions or preferential treatment afforded to any parties who expressed an interest at that stage.\nThis is a Provider Selection Regime (PSR) Contract 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 Public Contracts Regulations 2015 and The Procurement Act 2023 do not apply to this award.",
  "initiationType": "tender"
}
Complete JSON history (2 releases)
12 Aug 2026 · 076653-2026 · tender
{
  "id": "076653-2026",
  "tag": [
    "tender"
  ],
  "date": "2026-08-12T11:41:48+01:00",
  "ocid": "ocds-h6vhtk-069cb1",
  "buyer": {
    "id": "GB-FTS-182024",
    "name": "NHS Thames Valley Integrated Care Board (ICB)"
  },
  "tender": {
    "id": "C463836",
    "lots": [
      {
        "id": "1",
        "value": {
          "amount": 1344000,
          "currency": "GBP"
        },
        "status": "active",
        "options": {
          "description": "The contract will be for an initial duration of 5 years (60 months) with an optional extension of 2 years (2 x 12 months)."
        },
        "renewal": {
          "description": "Subject to renewal at the end of the initial term/optional extension period."
        },
        "hasOptions": true,
        "hasRenewal": true,
        "description": "NHS Thames Valley (TV) Integrated Care Board (ICB), (the Commissioner) is seeking suitable providers who have the capability and capacity to deliver Complex Termination of Pregnancy (CTOP) service, in line with the specified requirements, in the capacity of the Regional Network Lead Provider (Hub) responsible for the delivery, coordination and clinical governance of CTOP pathways across the South East region. For the remainder of this document this will be referred to as the: Complex Termination of Pregnancy (CTOP) service.\nThe Hub will deliver specialist medical and surgical termination of pregnancy care up to 23 + 6 weeks' gestation. The Hub will also host the regional Single Point of Access (SPOA) and Multidisciplinary Team (MDT), lead on regional training and governance across providers. (NHS and Independent Sector Providers (ISP) where there are interdependencies/interfaces with NHS services). Alongside the coordination of the network of NHS providers across the South East to ensure equitable, safe, and high-quality CTOP care.\nThe service specification can be found at https://www.england.nhs.uk/wp-content/uploads/2021/03/1834-Service-Specification-final.pdf \nPlease also see the CTOP Service Model document hosted within the e-procurement system (Atamis) for a full description of the anticipated CTOP service across the South East.\nThe procurement will establish one Regional Lead Centre (Hub) responsible for:\n•\tHosting the Single Point of Access (SPOA) for all CTOP referrals in the South East.\n•\tLeading the Regional Multidisciplinary Team (MDT) to review, triage, and allocate cases across the network.\n•\tDelivering direct clinical care for patients requiring both medical and surgical terminations up to 23 + 6 weeks' gestation.\n•\tProviding clinical governance and quality oversight for all Network Member Providers (Spokes).\n•\tLeading the training, upskilling, and maintenance-of-skills programme for the regional CTOP workforce, in line with the national CTOP service specification.\n•\tCoordinating regional data collection, audit, outcome reporting, and shared learning to ensure consistent standards of care across the South East.\nBackground:\nThe national Complex Termination of Pregnancy (CTOP) service was established following publication of the NHS England Service Specification (2021) to ensure that patients with significant co-morbidities or medical complications requiring termination of pregnancy receive care in appropriately equipped NHS hospitals with access to multidisciplinary teams, diagnostics, surgical facilities, critical care, and blood transfusion services.\nCurrently, provision within the South East is variable. While several NHS Trusts provide elements of the service, there is no formally commissioned or coordinated regional network. The absence of a lead centre and a standardised referral pathway has resulted in patients travelling long distances to receive care in other regions, and in inconsistent access to clinical expertise, workforce resilience, and quality oversight.\nThis procurement seeks to address those inequities by establishing a Regional CTOP Hub-and-Network model, ensuring that every patient in the South East region can access safe, timely, and locally coordinated care.\nService Model Overview\nThe Regional Lead Provider (Hub) will:\n•\tOperate as the central coordination point for all CTOP referrals via a Single Point of Access (SPOA).\n•\tHost the regional CTOP MDT, bringing together consultants in obstetrics, gynaecology, anaesthesia, fetal medicine, maternal medicine, nursing/midwifery, radiology, pathology, and bereavement support to agree appropriate care pathways for each case.\n•\tDeliver both medical and surgical CTOP procedures up to 23 + 6 weeks' gestation for eligible patients.\n•\tSupport Network Member Providers in delivering CTOP services within lower gestational limits (e.g. up to 13 + 6 or 19 + 6 weeks), providing clinical advice, escalation pathways, and governance oversight.\n•\tProvide clinical and operational leadership for the South East CTOP Network, ensuring alignment with national standards and the NHS England CTOP specification.\n•\tLead the regional training programme to build and sustain CTOP workforce capability across the network.\n•\tUndertake regional data collection, analysis, and submission to NHS England, including audit of outcomes, equity of access, and quality indicators.\nThe network model will be designed to ensure consistent governance, integrated clinical pathways, and robust quality assurance. The Hub will be responsible for convening network meetings, facilitating shared learning, maintaining the risk register, and reporting performance and compliance to commissioners.\nScope of Services:\nThe procured service will include, but not be limited to:\n•\tProvision of specialist medical and surgical termination of pregnancy services up to 23 + 6 weeks.\n•\tAccess to on-site or formalised arrangements for theatres, diagnostics, blood products, critical care, and other relevant specialities.\n•\tDelivery of pre-, peri-, and post-procedure care, including counselling, anaesthetic support, and bereavement care.\n•\tImplementation of robust clinical governance and audit processes across the network.\n•\tParticipation in national reporting and assurance processes, including the Abortion Notification System and NHS Maternity Services Dataset.\n•\tLeadership of regional training and competency maintenance, in line with the national CTOP service specification.\n•\tEnsuring compliance with all relevant legislation, including the Abortion Act 1967, Health and Social Care Act 2008 (Regulated Activities) Regulations 2014, Equality Act 2010, and NHS England's Health Inequalities Improvement Framework.\nExpected Outcomes:\nThe procurement will ensure:\n•\tEquitable access to complex termination services across all South East ICB areas.\n•\tReduction in patient travel outside of region for late-gestation or complex procedures.\n•\tConsistent standards of clinical governance and safety across all providers.\n•\tDevelopment of a sustainable regional workforce with maintained surgical and medical CTOP skills.\n•\tImproved quality, data visibility, and outcomes monitoring through a coordinated network model.\nGeographical Coverage:\nThe procurement covers the South East Region, including the following NHS Integrated Care Board (ICB) areas:\n•\tKent and Medway\n•\tSurrey and Sussex\n•\tHampshire and Isle of Wight\n•\tThames Valley\nThe Hub will be expected to operate as a regional coordination centre, serving patients from across all four ICBs\nContract and Procurement Details:\nThe contract will be for an initial duration of 5 years (60 months) with an optional extension of 2 years (2 x 12 months).\nThe Commissioner is of the view that the Transfer of Undertakings (Protection of Employment) (TUPE) Regulations 2006 do not apply. However, bidders must undertake their own independent assessment of TUPE applicability.\nThis exercise is being carried out by NHS South, Central and West Commissioning Support Unit (SCW) on behalf of the Commissioner. SCW is currently subject to restructuring, and the management of this exercise may therefore move to a successor at some point during the process. Participants will be informed of any such change, and any administrative changes because of it. Additional information: Interested providers will be able to view this opportunity via the live opportunities list on the 'Health Family' e-procurement system, Atamis. Click on 'View our Live Opportunities' from the home page, available on the following link: https://health-family.force.com/s/Welcome. \nOnce you have found the opportunity (via the search function, using the title or reference number), to gain full access to the bid documentation (including questionnaires), you will need to click on 'Register interest' - this will take you to the log-in page. \nIf you are not already registered on the system, you will need to do so before gaining full access to the documentation and be able to submit a bid. \nThis is a Provider Selection Regime (PSR) Contract 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 Public Contracts Regulations 2015 do not apply to this award.",
        "contractPeriod": {
          "durationInDays": 1800
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        "submissionTerms": {
          "variantPolicy": "notAllowed"
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    ],
    "items": [
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        "relatedLot": "1",
        "deliveryAddresses": [
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            "region": "UKJ"
          }
        ],
        "additionalClassifications": [
          {
            "id": "85111100",
            "scheme": "CPV",
            "description": "Surgical hospital services"
          },
          {
            "id": "85111200",
            "scheme": "CPV",
            "description": "Medical hospital services"
          },
          {
            "id": "85111300",
            "scheme": "CPV",
            "description": "Gynaecological hospital services"
          },
          {
            "id": "85121210",
            "scheme": "CPV",
            "description": "Gyneacologic or obstetric services"
          }
        ]
      }
    ],
    "title": "Complex Termination of Pregnancy (CTOP) Services across the South East",
    "value": {
      "amount": 1344000,
      "currency": "GBP"
    },
    "status": "active",
    "documents": [
      {
        "id": "economic",
        "documentType": "economicSelectionCriteria"
      },
      {
        "id": "technical",
        "documentType": "technicalSelectionCriteria"
      }
    ],
    "bidOpening": {
      "date": "2026-10-02T12:01:00+01:00"
    },
    "legalBasis": {
      "id": "32014L0024",
      "scheme": "CELEX"
    },
    "recurrence": {
      "description": "Re-procurement process following initial term/optional extension period."
    },
    "awardPeriod": {
      "startDate": "2026-10-02T12:01:00+01:00"
    },
    "description": "NHS Thames Valley (TV) Integrated Care Board (ICB), (the Commissioner) is seeking suitable providers who have the capability and capacity to deliver Complex Termination of Pregnancy (CTOP) service, in line with the specified requirements, in the capacity of the Regional Network Lead Provider (Hub) responsible for the delivery, coordination and clinical governance of CTOP pathways across the South East region. For the remainder of this document this will be referred to as the: Complex Termination of Pregnancy (CTOP) service.\nThe Hub will deliver specialist medical and surgical termination of pregnancy care up to 23 + 6 weeks' gestation. The Hub will also host the regional Single Point of Access (SPOA) and Multidisciplinary Team (MDT), lead on regional training and governance across providers. (NHS and Independent Sector Providers (ISP) where there are interdependencies/interfaces with NHS services). Alongside the coordination of the network of NHS providers across the South East to ensure equitable, safe, and high-quality CTOP care.\nThe service specification can be found at https://www.england.nhs.uk/wp-content/uploads/2021/03/1834-Service-Specification-final.pdf \nPlease also see the CTOP Service Model document hosted within the e-procurement system (Atamis) for a full description of the anticipated CTOP service across the South East.\nThe contract will be for an initial duration of 5 years (60 months) with an optional extension of 2 years (2 x 12 months).\nTraining Funding: £128,000 per year\n5 year total: £640,000\n7 year total (including the optional 2 year extension (5 years + 2 years)): £896,000\nNetwork Funding: £64,000 per year\n5 year total: £320,000\n7 year total (including the optional 2 year extension (5 years + 2 years)): £448,000\nFinal Total: £192,000 per year\n5 year total: £960,000\n7 year total (including the optional 2 year extension (5 years + 2 years)): £1,344,000\nActivity funding will be paid for retrospectively based on the data collected centrally by the SPOA.\nThe Commissioner is of the view that the Transfer of Undertakings (Protection of Employment) (TUPE) Regulations 2006 do not apply. However, bidders must undertake their own independent assessment of TUPE applicability.\nAll ITT responses must be returned by 12 noon on 2nd October 2026, at the latest.\nInterested providers will be able to view this notice via the 'Live Opportunities' list on the e-procurement system, Atamis, available on the following link: https://health-family.force.com/s/Welcome \nThis exercise is being carried out by NHS South, Central and West Commissioning Support Unit (SCW) on behalf of the Commissioner. SCW is currently subject to restructuring, and the management of this exercise may therefore move to a successor at some point during the process. Participants will be informed of any such change, and any administrative changes because of it.",
    "tenderPeriod": {
      "endDate": "2026-10-02T12:00:00+01:00"
    },
    "hasRecurrence": true,
    "classification": {
      "id": "85100000",
      "scheme": "CPV",
      "description": "Health services"
    },
    "submissionTerms": {
      "languages": [
        "en"
      ]
    },
    "submissionMethod": [
      "electronicSubmission"
    ],
    "procurementMethod": "open",
    "selectionCriteria": {
      "criteria": [
        {
          "type": "suitability",
          "appliesTo": [
            "supplier"
          ],
          "description": "1.\tCare Quality Commission (CQC) Registration\nThe provider must be registered with the Care Quality Commission (CQC) to deliver Termination of Pregnancy (ToP) services under the regulated activity \"Termination of pregnancies,\" as set out in the Health and Social Care Act 2008 (Regulated Activities) Regulations 2014.\nProviders must demonstrate and maintain full compliance with CQC fundamental standards, including those relating to safety, effectiveness, leadership, and quality of care.\nEvidence of current CQC registration, scope of registration, and latest compliance status must be provided as part of the submission.\n2.\tProfessional Registration and Competence\nAll clinicians delivering the Complex Termination of Pregnancy (CTOP) service must hold appropriate registration with the relevant professional body, and must be in good standing with their regulator.\nThis includes, but is not limited to:\nMedical practitioners: registration with the General Medical Council (GMC) and possession of a valid licence to practise.\nNursing and midwifery staff: registration with the Nursing and Midwifery Council (NMC).\nAnaesthetists, radiologists, sonographers, and pathology specialists: registration with the relevant professional council (e.g. GMC, HCPC, or Royal College).\nAll clinical staff must work within their professional scope of practice, maintain continuing professional development (CPD) in accordance with their regulator's requirements, and engage in annual appraisal and revalidation.\nThe provider must ensure that competency frameworks, supervision, and peer review are embedded within governance structures.\n3.\tAbortion Act 1967 Compliance\nAll practitioners undertaking terminations must comply with the Abortion Act 1967 (as amended) and associated Department of Health and Social Care (DHSC) regulations.\nKey legal requirements include:\nCertification by two registered medical practitioners confirming that statutory grounds for termination are met.\nAccurate and timely notification of all procedures to the Chief Medical Officer (CMO) in accordance with DHSC reporting requirements.\nCompliance with national guidance on consent, safeguarding, confidentiality, and record keeping.\nThe provider must have robust governance arrangements in place to ensure all statutory obligations under the Abortion Act are fulfilled.\n4.\tGovernance and Clinical Leadership\nThe provider must designate a named Clinical Lead for the CTOP service who:\nIs a consultant-level clinician with demonstrable experience in complex pregnancy management.\nProvides clinical leadership and oversight of service quality, safety, and outcomes.\nChairs multidisciplinary team (MDT) discussions and morbidity and mortality (M&M) reviews.\nEnsures compliance with national service specifications, NICE guidance, and NHS England governance frameworks.\nThe provider's clinical governance structure must define clear lines of accountability to the Board and align with NHS England's quality and safety assurance requirements.\n5.\tMultidisciplinary Team (MDT) and Supporting Specialists\nThe provider must demonstrate access to a comprehensive MDT with relevant expertise to deliver holistic, safe, and compassionate care for women and birthing people requiring complex termination.\nThe MDT should include (but not be limited to):\nFetal Medicine\nObstetrics\nAnaesthetics\nNursing and Midwifery (including Specialist Bereavement Support)\nPsychology or Counselling\nPathology\nSafeguarding / Social Care Liaison\nAll MDT members must meet relevant professional registration and revalidation standards, and participate in regular audit, clinical review, and shared learning.\n6.\tCorporate and Trade Standing\nThe provider must be a legally constituted organisation authorised to deliver healthcare services within England and capable of entering into NHS contracts.\nRequirements include:\nRegistration as an NHS Trust, Foundation Trust, or other recognised healthcare provider entity.\nFinancial and organisational stability, with evidence of appropriate insurance and indemnity.\nCompliance with procurement and contracting frameworks, including enrolment on NHS Provider Frameworks, Contracts Finder, or Find a Tender platforms as applicable.\nAssurance that all directors and senior officers meet the \"fit and proper persons\" requirement under Regulation 5 of the Health and Social Care Act 2008 (Regulated Activities) Regulations 2014.\nThe provider must maintain effective governance, safeguarding, and information governance frameworks in line with NHS England and statutory requirements.\n7.\tOngoing Assurance and Monitoring\nThe provider must be able to demonstrate systems and processes that ensure continued compliance with:\nCQC registration conditions and notifications.\nProfessional revalidation and appraisal cycles.\nAbortion Act reporting obligations.\nAnnual audit and peer review outcomes.\nLearning and improvement mechanisms following incidents, patient feedback, or regulatory inspection.\nRegular monitoring of compliance will form part of the ongoing contract management and quality assurance processes between NHS England and the provider."
        }
      ]
    },
    "mainProcurementCategory": "services",
    "submissionMethodDetails": "https://atamis-1928.my.site.com/s/Welcome",
    "procurementMethodDetails": "Open procedure"
  },
  "parties": [
    {
      "id": "GB-FTS-182024",
      "name": "NHS Thames Valley Integrated Care Board (ICB)",
      "roles": [
        "buyer"
      ],
      "address": {
        "region": "UKJ",
        "locality": "Cowley",
        "postalCode": "OX4 2PG",
        "countryName": "United Kingdom"
      },
      "details": {
        "url": "https://www.thamesvalley.icb.nhs.uk/",
        "classifications": [
          {
            "id": "BODY_PUBLIC",
            "scheme": "TED_CA_TYPE",
            "description": "Body governed by public law"
          },
          {
            "id": "07",
            "scheme": "COFOG",
            "description": "Health"
          }
        ]
      },
      "identifier": {
        "legalName": "NHS Thames Valley Integrated Care Board (ICB)",
        "noIdentifierRationale": "notOnAnyRegister"
      },
      "contactPoint": {
        "url": "https://atamis-1928.my.site.com/s/Welcome",
        "email": "scwcsu.procurement@nhs.net"
      }
    },
    {
      "id": "GB-FTS-185752",
      "name": "NHS Thames Valley (TV) Integrated Care Board (ICB)",
      "roles": [
        "reviewBody"
      ],
      "address": {
        "locality": "Cowley",
        "countryName": "United Kingdom"
      },
      "identifier": {
        "legalName": "NHS Thames Valley (TV) Integrated Care Board (ICB)"
      }
    }
  ],
  "language": "en",
  "description": "Interested providers will be able to view this opportunity via the live opportunities list on the 'Health Family' e-procurement system, Atamis. Click on 'View our Live Opportunities' from the home page, available on the following link: https://health-family.force.com/s/Welcome.\nOnce you have found the opportunity (via the search function, using the title or reference number), to gain full access to the bid documentation (including questionnaires), you will need to click on 'Register interest' - this will take you to the log-in page. \nIf you are not already registered on the system, you will need to do so before gaining full access to the documentation and be able to submit a bid. \nAn early engagement market notice was published in relation to this procurement in May 2026, in order to facilitate early engagement with potential providers. Although those who responded to that notice may be advised that this contract notice has been published, there will be no process exemptions or preferential treatment afforded to any parties who expressed an interest at that stage.\nThis is a Provider Selection Regime (PSR) Contract 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 Public Contracts Regulations 2015 and The Procurement Act 2023 do not apply to this award.",
  "initiationType": "tender"
}
20 May 2026 · 046104-2026 · planning
{
  "id": "046104-2026",
  "tag": [
    "planning"
  ],
  "date": "2026-05-20T09:52:44+01:00",
  "ocid": "ocds-h6vhtk-069cb1",
  "buyer": {
    "id": "GB-FTS-182024",
    "name": "NHS Thames Valley Integrated Care Board (ICB)"
  },
  "tender": {
    "id": "C447378",
    "lots": [
      {
        "id": "1",
        "status": "planned",
        "description": "This notice is placed as a Prior Information Notice (PIN) to inform the market of NHS Thames Valley (TV) Integrated Care Board (ICB), (the Commissioner's), intention to commission the Complex Termination of Pregnancy (CTOP) service, in line with the specified requirements, in the capacity of the Regional Network Lead Provider (Hub) responsible for the delivery, coordination and clinical governance of CTOP pathways across the South East region. The Commissioner would like to understand the level of provider interest in delivering these services.\nThe service specification can be found at https://www.england.nhs.uk/wp-content/uploads/2021/03/1834-Service-Specification-final.pdf \nPlease also see the CTOP Service Model document hosted within Atamis for a full description of the anticipated CTOP service across the South East.  \nProviders who are interested in delivering these services are asked to express their interest and complete a market engagement questionnaire using the correspondence function within Atamis by no later than 17:00 on 26th June 2026.\nTo access the CTOP Service Model document and express an interest, providers should follow the link to Atamis, search for the opportunity by clicking on 'View our Live Opportunities' from the home page, then complete the 'CTOP Services Market Engagement Questionnaire' available within the system. \nPlease note that you will need to be registered on Atamis, and then select the option to 'register an interest' under the project titled 'Complex Termination of Pregnancy (CTOP) Services across the South East (Mkt Eng)', project reference C447378 to gain full access to the CTOP Service Model document and the CTOP Services Market Engagement Questionnaire.\nAtamis link: https://atamis-1928.my.site.com/s/Welcome\nProviders are reminded that the information documents provided in Atamis are indicative draft versions only and subject to change. Providers should not rely upon these documents when submitting any future bids, instead referring to the tender documentation released with the relevant tender opportunity.\nThe procurement will establish one Regional Lead Centre (Hub) responsible for:\n•\tHosting the Single Point of Access (SPOA) for all CTOP referrals in the South East.\n•\tLeading the Regional Multidisciplinary Team (MDT) to review, triage, and allocate cases across the network.\n•\tDelivering direct clinical care for patients requiring both medical and surgical terminations up to 23 + 6 weeks' gestation.\n•\tProviding clinical governance and quality oversight for all Network Member Providers (Spokes).\n•\tLeading the training, upskilling, and maintenance-of-skills programme for the regional CTOP workforce, in line with the national CTOP service specification.\n•\tCoordinating regional data collection, audit, outcome reporting, and shared learning to ensure consistent standards of care across the South East.\nBackground:\nThe national Complex Termination of Pregnancy (CTOP) service was established following publication of the NHS England Service Specification (2021) to ensure that patients with significant co-morbidities or medical complications requiring termination of pregnancy receive care in appropriately equipped NHS hospitals with access to multidisciplinary teams, diagnostics, surgical facilities, critical care, and blood transfusion services.\nCurrently, provision within the South East is variable. While several NHS Trusts provide elements of the service, there is no formally commissioned or coordinated regional network. The absence of a lead centre and a standardised referral pathway has resulted in patients travelling long distances to receive care in other regions, and in inconsistent access to clinical expertise, workforce resilience, and quality oversight.\nThis procurement seeks to address those inequities by establishing a Regional CTOP Hub-and-Network model, ensuring that every patient in the South East region can access safe, timely, and locally coordinated care.\nService Model Overview\nThe Regional Lead Provider (Hub) will:\n•\tOperate as the central coordination point for all CTOP referrals via a Single Point of Access (SPOA).\n•\tHost the regional CTOP MDT, bringing together consultants in obstetrics, gynaecology, anaesthesia, fetal medicine, maternal medicine, nursing/midwifery, radiology, pathology, and bereavement support to agree appropriate care pathways for each case.\n•\tDeliver both medical and surgical CTOP procedures up to 23 + 6 weeks' gestation for eligible patients.\n•\tSupport Network Member Providers in delivering CTOP services within lower gestational limits (e.g. up to 13 + 6 or 19 + 6 weeks), providing clinical advice, escalation pathways, and governance oversight.\n•\tProvide clinical and operational leadership for the South East CTOP Network, ensuring alignment with national standards and the NHS England CTOP specification.\n•\tLead the regional training programme to build and sustain CTOP workforce capability across the network.\n•\tUndertake regional data collection, analysis, and submission to NHS England, including audit of outcomes, equity of access, and quality indicators.\nThe network model will be designed to ensure consistent governance, integrated clinical pathways, and robust quality assurance. The Hub will be responsible for convening network meetings, facilitating shared learning, maintaining the risk register, and reporting performance and compliance to commissioners.\nScope of Services:\nThe procured service will include, but not be limited to:\n•\tProvision of specialist medical and surgical termination of pregnancy services up to 23 + 6 weeks.\n•\tAccess to on-site or formalised arrangements for theatres, diagnostics, blood products, critical care, and other relevant specialities.\n•\tDelivery of pre-, peri-, and post-procedure care, including counselling, anaesthetic support, and bereavement care.\n•\tImplementation of robust clinical governance and audit processes across the network.\n•\tParticipation in national reporting and assurance processes, including the Abortion Notification System and NHS Maternity Services Dataset.\n•\tLeadership of regional training and competency maintenance, in line with the national CTOP service specification.\n•\tEnsuring compliance with all relevant legislation, including the Abortion Act 1967, Health and Social Care Act 2008 (Regulated Activities) Regulations 2014, Equality Act 2010, and NHS England's Health Inequalities Improvement Framework.\nExpected Outcomes:\nThe procurement will ensure:\n•\tEquitable access to complex termination services across all South East ICB areas.\n•\tReduction in patient travel outside of region for late-gestation or complex procedures.\n•\tConsistent standards of clinical governance and safety across all providers.\n•\tDevelopment of a sustainable regional workforce with maintained surgical and medical CTOP skills.\n•\tImproved quality, data visibility, and outcomes monitoring through a coordinated network model.\nGeographical Coverage:\nThe procurement covers the South East Region, including the following NHS Integrated Care Board (ICB) areas:\n•\tKent and Medway\n•\tSurrey and Sussex\n•\tHampshire and Isle of Wight\n•\tThames Valley\nThe Hub will be expected to operate as a regional coordination centre, serving patients from across all four ICBs\nContract and Procurement Details:\nThe contracts will be for an initial duration of 5 years (60 months) with an optional extension of 2 years (2 x 12 months).\nThe Commissioner is of the view that the Transfer of Undertakings (Protection of Employment) (TUPE) Regulations 2006 do not apply. However, bidders must undertake their own independent assessment of TUPE applicability.\nThis exercise is being carried out by NHS South, Central and West Commissioning Support Unit (SCW) on behalf of the Commissioner. SCW is currently subject to restructuring, and the management of this exercise may therefore move to a successor at some point during the process. Participants will be informed of any such change, and any administrative changes because of it."
      }
    ],
    "items": [
      {
        "id": "1",
        "relatedLot": "1",
        "deliveryAddresses": [
          {
            "region": "UKJ"
          }
        ],
        "additionalClassifications": [
          {
            "id": "85111100",
            "scheme": "CPV",
            "description": "Surgical hospital services"
          },
          {
            "id": "85111200",
            "scheme": "CPV",
            "description": "Medical hospital services"
          },
          {
            "id": "85111300",
            "scheme": "CPV",
            "description": "Gynaecological hospital services"
          },
          {
            "id": "85121210",
            "scheme": "CPV",
            "description": "Gyneacologic or obstetric services"
          }
        ]
      }
    ],
    "title": "Complex Termination of Pregnancy (CTOP) Services across the South East",
    "value": {
      "amount": 960000,
      "currency": "GBP"
    },
    "status": "planned",
    "legalBasis": {
      "id": "32014L0024",
      "scheme": "CELEX"
    },
    "description": "This notice is placed as a Prior Information Notice (PIN) to inform the market of NHS Thames Valley (TV) Integrated Care Board (ICB), (the Commissioner's), intention to commission the provision of NHS Termination of Pregnancy centres for patients presenting with medical complexity and/or significant co-morbidities requiring NHS treatment, in line with the specified requirements, in the capacity of the Regional Network Lead Provider (Hub). For the remainder of this document this will be referred to as the: Complex Termination of Pregnancy (CTOP) service. The Commissioner would like to understand the level of provider interest in delivering these services.\nThe Hub will deliver specialist medical and surgical termination of pregnancy care up to 23 + 6 weeks' gestation. The Hub will also host the regional Single Point of Access (SPOA) and Multidisciplinary Team (MDT), lead on regional training and governance across providers. (NHS and Independent Sector Providers (ISP) where there are interdependencies/interfaces with NHS services). Alongside the coordination of the network of NHS providers across the South East to ensure equitable, safe, and high-quality CTOP care.\nThe service specification can be found at https://www.england.nhs.uk/wp-content/uploads/2021/03/1834-Service-Specification-final.pdf \nPlease also see the CTOP Service Model document hosted within the e-procurement system (Atamis) for a full description of the anticipated CTOP service across the South East.  \nProviders who are interested in delivering these services are asked to express their interest and complete a market engagement questionnaire using the correspondence function within Atamis by no later than 17:00 on 26th June 2026.\nTo access the CTOP Service Model document and express an interest, providers should follow the link to Atamis, search for the opportunity by clicking on 'View our Live Opportunities' from the home page, then complete the 'CTOP Services Market Engagement Questionnaire' available within the system. \nPlease note that you will need to be registered on Atamis, and then select the option to 'register an interest' under the project titled 'Complex Termination of Pregnancy (CTOP) Services across the South East (Mkt Eng)', project reference C447378 to gain full access to the CTOP Service Model document and the CTOP Services Market Engagement Questionnaire.\nAtamis link: https://atamis-1928.my.site.com/s/Welcome\nProviders are reminded that the information documents provided in Atamis are indicative draft versions only and subject to change. Providers should not rely upon these documents when submitting any future bids, instead referring to the tender documentation released with the relevant tender opportunity.\nThe contract will be for an initial duration of 5 years (60 months) with an optional extension of 2 years (2 x 12 months).\nTraining Funding: £128,000 per year\n5 year total: £640,000\nNetwork Funding: £64,000 per year\n5 year total: £320,000\nFinal Total: £192,000 per year\n5 year total: £960,000\nActivity funding will be paid for retrospectively based on the data collected centrally by the SPOA.\nThe Commissioner is of the view that the Transfer of Undertakings (Protection of Employment) (TUPE) Regulations 2006 do not apply. However, bidders must undertake their own independent assessment of TUPE applicability.\nThis exercise is being carried out by NHS South, Central and West Commissioning Support Unit (SCW) on behalf of the Commissioner. SCW is currently subject to restructuring, and the management of this exercise may therefore move to a successor at some point during the process. Participants will be informed of any such change, and any administrative changes because of it.",
    "communication": {
      "futureNoticeDate": "2026-07-06T00:00:00+01:00"
    },
    "classification": {
      "id": "85100000",
      "scheme": "CPV",
      "description": "Health services"
    },
    "mainProcurementCategory": "services"
  },
  "parties": [
    {
      "id": "GB-FTS-182024",
      "name": "NHS Thames Valley Integrated Care Board (ICB)",
      "roles": [
        "buyer"
      ],
      "address": {
        "region": "UKJ",
        "locality": "Cowley",
        "postalCode": "OX4 2PG",
        "countryName": "United Kingdom"
      },
      "details": {
        "url": "https://www.thamesvalley.icb.nhs.uk/",
        "buyerProfile": "https://atamis-1928.my.site.com/s/Welcome",
        "classifications": [
          {
            "id": "BODY_PUBLIC",
            "scheme": "TED_CA_TYPE",
            "description": "Body governed by public law"
          },
          {
            "id": "07",
            "scheme": "COFOG",
            "description": "Health"
          }
        ]
      },
      "identifier": {
        "legalName": "NHS Thames Valley Integrated Care Board (ICB)",
        "noIdentifierRationale": "notOnAnyRegister"
      },
      "contactPoint": {
        "url": "https://atamis-1928.my.site.com/s/Welcome",
        "email": "scwcsu.procurement@nhs.net"
      }
    }
  ],
  "language": "en",
  "description": "This notice is an information gathering exercise rather than a call for competition in its own right, and therefore publication or response does not commit the Authority or respondents to a future procurement, nor provide any process exemptions or preferential treatment to any parties expressing an interest. The Authority will not be liable for costs incurred by any interested party in participating in this exercise.\nInterested parties should note that a response to this notice does not guarantee an automatic invitation to any subsequent formal procurement, which the Commissioner will consider in due course.\nThe intention is to award a contract using the competitive process.\nThis is a Provider Selection Regime (PSR) prior information notice. The contract is subject to the Health Care Services (Provider Selection Regime) Regulations 2023. For the avoidance of doubt, the provisions of the Public Contracts Regulations 2015 and The Procurement Act 2023 do not apply",
  "initiationType": "tender"
}