National Digital Type 2 Diabetes Remission Programme

The Common Services Agency (more commonly known as National Services Scotland) (‘NSS’) acting through its division National Procurement, is undertaking this procurement of the supply and delivery of the provision of a National Digital Type 2 Diabetes Remission Programme. The programme will support eligible individuals with type 2 diabetes in achieving remission through a structured, digitally delivered intervention. It will be delivered in three phases:

Total Diet Replacement (TDR): 12–20 weeks

Food Reintroduction: 6–12 weeks

Weight Loss Maintenance: Up to 12 months

The Framework Agreement will be for a 4 year period.

The Service aims to deliver a National Digital Type 2 Diabetes Remission Programme. Total Diet Replacement (TDR) is expected to be with shakes and soups (delivered directly to a Service Users home). A range of digital services (app-based / online delivery models) are expected to support the Food Re-introduction and Weight Loss Maintenance phases with flexibility to allow service users to repeat stages of the intervention as determined by Healthcare professionals.

The proposed framework will aim to support adults living with Type 2 Diabetes who meet clinically appropriate eligibility criteria, through digitally delivered weight management and lifestyle behaviour change interventions that support remission of Type 2 Diabetes and improve metabolic health.

Scope of Services to include:

-A fully digital application offering personalised behavioural support, weight management, nutritional education, and physical activity guidance.

-Real-time support sessions from Health Coach (digitally).

-Tracking of food and drink intake, weight, blood pressure, blood glucose, exercise.

-Clinical oversight and data integration capabilities (where appropriate) with NHS Scotland systems.

-Culturally appropriate and inclusive service design to meet the needs of Scotland’s diverse population.

-Demonstrable outcomes in line with Scottish clinical standards e.g., SIGN 172 guidelines.

-Evidence of scalability, user engagement, data privacy compliance, and robust outcome tracking.

The successful Framework Provider will be expected to use and/or integrate with NHS Scotland systems in provision of its services and its direct relationship with Primary Care and the National Diabetes Remission Team (NDRT).

Such systems include, for example, a referral management system (SCI Gateway), and middleware platforms (National Digital Platform/National Integration Platform) to facilitate GP and Health Board interactions, and for provision of data reporting.

Phase 1: Digital Solution requires implementation to be complete for January 2026: As per Appendix 1 (Statement of Requirements) of the Invitation To Tender (ITT) and in particular Solution Architecture referenced at Annex 9. This first phase of the programme requires Framework Participants to obtain direct access to NHS Scotland’s Referral System. It is expected that Primary Care Clinicians will refer eligible Service Users to the Framework Participant via a SCI Gateway referral using a pre-designed referral protocol. This will require the Framework Participant to have a SWAN connection to allow the Framework Participant to sign in to SCI Gateway which is only available on SWAN.

Phase 2: Post January 2026 and subject to programme success and securing business as usual (BAU) funding, NHS Scotland may look to develop tighter technical integrations with the Framework Participant to automate more of the end-to-end process. Additional information: During the term of the Framework Agreement, NHS Scotland reserves the right, should funding become available, to increase the volume of service users. For example, additional purchases may be made which exceed the level of funding currently secured based on project success which supports wider use.