Buyer Name: NHS England
Buyer Address: 7&8 Wellington Place, Leeds, UKE, LS1 4AP, United Kingdom
Contact Name: Jessica Gaucher-Thompson
Contact Email: jessica.gaucher-thompson@nhs.net
Buyer Name: NHS England
Buyer Address: 7&8 Wellington Place, Leeds, UKE, LS1 4AP, United Kingdom
Contact Name: Jessica Gaucher-Thompson
Contact Email: jessica.gaucher-thompson@nhs.net
The contracts being awarded under this notice are for the retained Specialised Mental Health, Learning Disability, and Autism (MHLDA) services:<br/><br/>Lot 1: Child and Adolescent Mental Health Services Tier 4:General Adolescent Services including specialist eating disorder services (Under 13s)<br/><br/>Lot 2: Tier 4 Personality Disorder (Adult) <br/><br/>Lot 3: Children's and Young person Mental Health Medium Secure Inpatient service (MSUs) -(Gardner) <br/><br/>Lot 4: Specialised Mental Health Services for Deaf People (Adults) - (John Denmark Unit)<br/><br/>Lot 5: High Secure Mental Health Services (Adult)<br/><br/>Lot 6: Child and Adolescent Mental Health Services Tier 4: General Adolescent Services including specialist eating disorder services (Under 13s) -(Galaxy House)<br/><br/>Lot 7: Secure (adult) (medium and low) - Acquired Brain Injury
No linked documents found for this notice.
Lot Title: Lot 1: CAMHS Tier 4:General Adolescent Services including specialist eating diso
Lot Description: The contract is to deliver Child and Adolescent Mental Health Services Tier 4:General Adolescent Services including specialist eating disorder services (Under 13s).<br/><br/>Child and Adolescent Mental Health(CAMH) Tier 4 Children’s Services deliver specialist in-patient and day-patient care to children who are suffering from severe and/or complex mental health conditions that cannot be adequately treated by community CAMH services.<br/><br/>The contract started 1st April 2025 and will run for an initial period of 5 years, with the Commissioner having the option to extend the Contract for up to a further 2 years. The approximate total lifetime value of the initial contract period is estimated to be £15,945,000 (Annual value of £3,189,000).<br/><br/>This contract has been awarded following a Direct Award Process A under The Health Care Services (Provider Selection Regime) Regulations 2023. Under these regulations, where there is an existing provider of the service, and the service can only be delivered by that provider, no other process can be used.
Lot 1 Status: cancelled
Lot 1 Has Options: Yes
Lot 1 Options: Following the initial 5 year contract period, there is an option to extend for up to an additional 2 years
Lot 1 Award Criterion (cost): No realistic alternative provider
Lot Title: Lot 2: Tier 4 Personality Disorder (Adult)
Lot Description: The contract is to deliver Tier 4 Personality Disorder (Adult) services.<br/><br/>Secure services provide treatment for adults aged 18 years and over with mental disorders, these include mental illness (MI), personality disorder (PD) and neurodevelopmental disorders (NDD) including learning disabilities (LD) and autism (ASD). <br/><br/>The contract started 1st April 2025 and will run for an initial period of 5 years, with the Commissioner having the option to extend the Contract for up to a further 2 years. The approximate total lifetime value of the initial contract period is estimated to be £63,000,000 (Annual value of £12,600,000).<br/><br/>This contract has been awarded following a Direct Award Process A under The Health Care Services (Provider Selection Regime) Regulations 2023. Under these regulations, where there is an existing provider of the service, and the service can only be delivered by that provider, no other process can be used.
Lot 2 Status: cancelled
Lot 2 Has Options: Yes
Lot 2 Options: Following the initial 5 year contract period, there is an option to extend for up to an additional 2 years
Lot 2 Award Criterion (cost): No realistic alternative provider
Lot Title: Lot 3: Children's and Young person Mental Health Medium Secure Inpatient service
Lot Description: The contract is to deliver Children's and Young person Mental Health Medium Secure (MSU)- Inpatient services.<br/><br/>MSUs provide care and treatment within a highly prescribed set of physical, relational, and procedural security measures, to a variety of young people. The secure system for young people in England is complex and there is no 'high secure' environment for children and young people. This means the most complex and vulnerable children and young people will be supported within MSUs. The predominant need for care and treatment will relate to the young person’s assessed risk of harm to self and/or others because of their mental health need. <br/><br/>The contract started 1st April 2025 and will run for an initial period of 5 years, with the Commissioner having the option to extend the Contract for up to a further 2 years. The approximate total lifetime value of the initial contract period is estimated to be £21,105,000 (Annual Value £4,221,000).<br/><br/>This contract has been awarded following a Direct Award Process A under The Health Care Services (Provider Selection Regime) Regulations 2023. Under these regulations, where there is an existing provider of the service, and the service can only be delivered by that provider, no other process can be used.
Lot 3 Status: cancelled
Lot 3 Has Options: Yes
Lot 3 Options: Following the initial 5 year contract period, there is an option to extend for up to an additional 2 years
Lot 3 Award Criterion (cost): No realistic alternative provider
Lot Title: Lot 4: Specialised Mental Health Services for Deaf People (Adults)
Lot Description: The contract is to deliver Specialised Mental Health Services for Deaf People (Adults)<br/><br/>The specialised service is provided to deaf service users who have significant mental health difficulties and have been unable to access culturally appropriate assessment and treatment services, or have not responded to treatments or require inpatient admission for assessment. The service will offer advice and support to care co-ordinators from the service users’ home area and may provide consultation and advice via teleconferencing facilities.<br/><br/>The services provide expertise in the assessment, treatment and recovery of people who are deaf, likely to use British Sign language and have a serious mental health problem. Services may also specialise in the support of those people who are deaf and offend (Secure Services). The service can provide assessment, treatment, and<br/>care including long-term rehabilitation and short-term treatment.<br/><br/>The contract started 1st April 2025 and will run for an initial period of 5 years, with the Commissioner having the option to extend the Contract for up to a further 2 years. The approximate total lifetime value of the initial contract period is estimated to be to be £11,695,000 (Annual Value £2,339,000).<br/><br/>This contract has been awarded following a Direct Award Process A under The Health Care Services (Provider Selection Regime) Regulations 2023. Under these regulations, where there is an existing provider of the service, and the service can only be delivered by that provider, no other process can be used.
Lot 4 Status: cancelled
Lot 4 Has Options: Yes
Lot 4 Options: Following the initial 5 year contract period, there is an option to extend for up to an additional 2 years
Lot 4 Award Criterion (cost): No realistic alternative provider
Lot Title: Lot 5: High Secure Mental Health Services (Adult)
Lot Description: The contract is to deliver High Secure Mental Health Services (Adult).<br/><br/>A specialist psychiatric hospital providing assessment, treatment, and care in conditions of high security for men aged 18 and above and its catchment area covers the Midlands, North Wales and the North West. Ashworth is one of only three high secure psychiatric hospitals in England and Wales, providing assessment and treatment for men with a serious mental illness or personality disorder who are detained under the Mental Health Act and are assessed as presenting a grave risk to others. <br/><br/>The contract started 1st April 2025 and will run for an initial period of 5 years, with the Commissioner having the option to extend the Contract for up to a further 2 years. The approximate total lifetime value of the initial contract period is estimated to be £377,665,000 (Annual value of £75,533,000). <br/><br/>This contract has been awarded following a Direct Award Process A under The Health Care Services (Provider Selection Regime) Regulations 2023. Under these regulations, where there is an existing provider of the service, and the service can only be delivered by that provider, no other process can be used.
Lot 5 Status: cancelled
Lot 5 Has Options: Yes
Lot 5 Options: Following the initial 5 year contract period, there is an option to extend for up to an additional 2 years
Lot 5 Award Criterion (cost): No realistic alternative provider
Lot Title: Lot 6: Child and Adolescent Mental Health Services Tier 4: General Adolescent Se
Lot Description: The contract is to deliver Child and Adolescent Mental Health Services Tier 4: General Adolescent Services including specialist eating disorder services (Under 13s).<br/><br/>Child and Adolescent Mental Health (CAMH) Tier 4 Children’s Services deliver specialist in-patient and day-patient care to children who are suffering from severe and/or complex mental health conditions that cannot be adequately treated by community CAMH services.<br/><br/>The contract started 1st April 2025 and will run for an initial period of 5 years, with the Commissioner having the option to extend the Contract for up to a further 2 years. The approximate total lifetime value of the initial contract period is estimated to be The approximate total lifetime value of the initial contract period is estimated to be £6,860,000 (Annual value of £1,372,000). <br/><br/>This contract has been awarded following a Direct Award Process A under The Health Care Services (Provider Selection Regime) Regulations 2023. Under these regulations, where there is an existing provider of the service, and the service can only be delivered by that provider, no other process can be used.
Lot 6 Status: cancelled
Lot 6 Has Options: Yes
Lot 6 Options: Following the initial 5 year contract period, there is an option to extend for up to an additional 2 years
Lot 6 Award Criterion (cost): No realistic alternative provider
Lot Title: Lot 7: Secure (adult) (medium and low) - Acquired Brain Injury
Lot Description: The contract is to deliver Child and Adolescent Mental Health Services Tier 4: General Adolescent Services including specialist eating disorder services (Under 13s).<br/><br/>The Forensic Brain Injury service at Guild Lodge has inpatient beds that are secure/forensic environments. The Forensic Brain Injury service supports referrals from the whole of England and offers integrated care for individuals who have identified secure care needs associated with a brain injury. This allows better matching of care with individual patient need in a specialist area where secure forensic brain injury provision is otherwise very limited. <br/><br/>The contract started 1st April 2025 and will run for an initial period of 5 years, with the Commissioner having the option to extend the Contract for up to a further 2 years. The approximate total lifetime value of the initial contract period is estimated to be The approximate total lifetime value of the initial contract period is estimated to be £45,085,000 (Annual value of £9,017,000). <br/><br/>This contract has been awarded following a Direct Award Process A under The Health Care Services (Provider Selection Regime) Regulations 2023. Under these regulations, where there is an existing provider of the service, and the service can only be delivered by that provider, no other process can be used.
Lot 7 Status: cancelled
Lot 7 Has Options: Yes
Lot 7 Options: Following the initial 5 year contract period, there is an option to extend for up to an additional 2 years
Lot 7 Award Criterion (cost): No realistic alternative provider
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"date": "2025-04-30T12:13:11+01:00",
"description": "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 Public Contracts Regulations 2015 do not apply to this award.\u003cbr/\u003e\u003cbr/\u003eThe decision makers for this process were the NHS England\u2019s National Commissioning Group.\u003cbr/\u003e\u003cbr/\u003eThere were no conflicts of interests declared in reaching the decision to award.",
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"name": "Jessica Gaucher-Thompson"
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"name": "Alder Hey Children\u0027s NHS Foundation Trust",
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"description": "The contracts being awarded under this notice are for the retained Specialised Mental Health, Learning Disability, and Autism (MHLDA) services:\u003cbr/\u003e\u003cbr/\u003eLot 1: Child and Adolescent Mental Health Services Tier 4:General Adolescent Services including specialist eating disorder services (Under 13s)\u003cbr/\u003e\u003cbr/\u003eLot 2: Tier 4 Personality Disorder (Adult) \u003cbr/\u003e\u003cbr/\u003eLot 3: Children\u0027s and Young person Mental Health Medium Secure Inpatient service (MSUs) -(Gardner) \u003cbr/\u003e\u003cbr/\u003eLot 4: Specialised Mental Health Services for Deaf People (Adults) - (John Denmark Unit)\u003cbr/\u003e\u003cbr/\u003eLot 5: High Secure Mental Health Services (Adult)\u003cbr/\u003e\u003cbr/\u003eLot 6: Child and Adolescent Mental Health Services Tier 4: General Adolescent Services including specialist eating disorder services (Under 13s) -(Galaxy House)\u003cbr/\u003e\u003cbr/\u003eLot 7: Secure (adult) (medium and low) - Acquired Brain Injury",
"id": "ocds-h6vhtk-050a12",
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{
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{
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],
"id": "3",
"relatedLot": "3"
},
{
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"id": "85100000",
"scheme": "CPV"
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],
"deliveryAddresses": [
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],
"id": "4",
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},
{
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"id": "85100000",
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],
"deliveryAddresses": [
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],
"id": "5",
"relatedLot": "5"
},
{
"additionalClassifications": [
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"id": "85100000",
"scheme": "CPV"
}
],
"deliveryAddresses": [
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}
],
"id": "6",
"relatedLot": "6"
},
{
"additionalClassifications": [
{
"description": "Health services",
"id": "85100000",
"scheme": "CPV"
}
],
"deliveryAddresses": [
{
"region": "UKD4"
}
],
"id": "7",
"relatedLot": "7"
}
],
"legalBasis": {
"id": "32014L0024",
"scheme": "CELEX"
},
"lots": [
{
"awardCriteria": {
"criteria": [
{
"description": "100",
"name": "No realistic alternative provider",
"type": "cost"
}
]
},
"description": "The contract is to deliver Child and Adolescent Mental Health Services Tier 4:General Adolescent Services including specialist eating disorder services (Under 13s).\u003cbr/\u003e\u003cbr/\u003eChild and Adolescent Mental Health(CAMH) Tier 4 Children\u2019s Services deliver specialist in-patient and day-patient care to children who are suffering from severe and/or complex mental health conditions that cannot be adequately treated by community CAMH services.\u003cbr/\u003e\u003cbr/\u003eThe contract started 1st April 2025 and will run for an initial period of 5 years, with the Commissioner having the option to extend the Contract for up to a further 2 years. The approximate total lifetime value of the initial contract period is estimated to be \u00a315,945,000 (Annual value of \u00a33,189,000).\u003cbr/\u003e\u003cbr/\u003eThis contract has been awarded following a Direct Award Process A under The Health Care Services (Provider Selection Regime) Regulations 2023. Under these regulations, where there is an existing provider of the service, and the service can only be delivered by that provider, no other process can be used.",
"hasOptions": true,
"id": "1",
"options": {
"description": "Following the initial 5 year contract period, there is an option to extend for up to an additional 2 years"
},
"status": "cancelled",
"title": "Lot 1: CAMHS Tier 4:General Adolescent Services including specialist eating diso"
},
{
"awardCriteria": {
"criteria": [
{
"description": "100",
"name": "No realistic alternative provider",
"type": "cost"
}
]
},
"description": "The contract is to deliver Tier 4 Personality Disorder (Adult) services.\u003cbr/\u003e\u003cbr/\u003eSecure services provide treatment for adults aged 18 years and over with mental disorders, these include mental illness (MI), personality disorder (PD) and neurodevelopmental disorders (NDD) including learning disabilities (LD) and autism (ASD). \u003cbr/\u003e\u003cbr/\u003eThe contract started 1st April 2025 and will run for an initial period of 5 years, with the Commissioner having the option to extend the Contract for up to a further 2 years. The approximate total lifetime value of the initial contract period is estimated to be \u00a363,000,000 (Annual value of \u00a312,600,000).\u003cbr/\u003e\u003cbr/\u003eThis contract has been awarded following a Direct Award Process A under The Health Care Services (Provider Selection Regime) Regulations 2023. Under these regulations, where there is an existing provider of the service, and the service can only be delivered by that provider, no other process can be used.",
"hasOptions": true,
"id": "2",
"options": {
"description": "Following the initial 5 year contract period, there is an option to extend for up to an additional 2 years"
},
"status": "cancelled",
"title": "Lot 2: Tier 4 Personality Disorder (Adult)"
},
{
"awardCriteria": {
"criteria": [
{
"description": "100",
"name": "No realistic alternative provider",
"type": "cost"
}
]
},
"description": "The contract is to deliver Children\u0027s and Young person Mental Health Medium Secure (MSU)- Inpatient services.\u003cbr/\u003e\u003cbr/\u003eMSUs provide care and treatment within a highly prescribed set of physical, relational, and procedural security measures, to a variety of young people. The secure system for young people in England is complex and there is no \u0027high secure\u0027 environment for children and young people. This means the most complex and vulnerable children and young people will be supported within MSUs. The predominant need for care and treatment will relate to the young person\u2019s assessed risk of harm to self and/or others because of their mental health need. \u003cbr/\u003e\u003cbr/\u003eThe contract started 1st April 2025 and will run for an initial period of 5 years, with the Commissioner having the option to extend the Contract for up to a further 2 years. The approximate total lifetime value of the initial contract period is estimated to be \u00a321,105,000 (Annual Value \u00a34,221,000).\u003cbr/\u003e\u003cbr/\u003eThis contract has been awarded following a Direct Award Process A under The Health Care Services (Provider Selection Regime) Regulations 2023. Under these regulations, where there is an existing provider of the service, and the service can only be delivered by that provider, no other process can be used.",
"hasOptions": true,
"id": "3",
"options": {
"description": "Following the initial 5 year contract period, there is an option to extend for up to an additional 2 years"
},
"status": "cancelled",
"title": "Lot 3: Children\u0027s and Young person Mental Health Medium Secure Inpatient service"
},
{
"awardCriteria": {
"criteria": [
{
"description": "100",
"name": "No realistic alternative provider",
"type": "cost"
}
]
},
"description": "The contract is to deliver Specialised Mental Health Services for Deaf People (Adults)\u003cbr/\u003e\u003cbr/\u003eThe specialised service is provided to deaf service users who have significant mental health difficulties and have been unable to access culturally appropriate assessment and treatment services, or have not responded to treatments or require inpatient admission for assessment. The service will offer advice and support to care co-ordinators from the service users\u2019 home area and may provide consultation and advice via teleconferencing facilities.\u003cbr/\u003e\u003cbr/\u003eThe services provide expertise in the assessment, treatment and recovery of people who are deaf, likely to use British Sign language and have a serious mental health problem. Services may also specialise in the support of those people who are deaf and offend (Secure Services). The service can provide assessment, treatment, and\u003cbr/\u003ecare including long-term rehabilitation and short-term treatment.\u003cbr/\u003e\u003cbr/\u003eThe contract started 1st April 2025 and will run for an initial period of 5 years, with the Commissioner having the option to extend the Contract for up to a further 2 years. The approximate total lifetime value of the initial contract period is estimated to be to be \u00a311,695,000 (Annual Value \u00a32,339,000).\u003cbr/\u003e\u003cbr/\u003eThis contract has been awarded following a Direct Award Process A under The Health Care Services (Provider Selection Regime) Regulations 2023. Under these regulations, where there is an existing provider of the service, and the service can only be delivered by that provider, no other process can be used.",
"hasOptions": true,
"id": "4",
"options": {
"description": "Following the initial 5 year contract period, there is an option to extend for up to an additional 2 years"
},
"status": "cancelled",
"title": "Lot 4: Specialised Mental Health Services for Deaf People (Adults)"
},
{
"awardCriteria": {
"criteria": [
{
"description": "100",
"name": "No realistic alternative provider",
"type": "cost"
}
]
},
"description": "The contract is to deliver High Secure Mental Health Services (Adult).\u003cbr/\u003e\u003cbr/\u003eA specialist psychiatric hospital providing assessment, treatment, and care in conditions of high security for men aged 18 and above and its catchment area covers the Midlands, North Wales and the North West. Ashworth is one of only three high secure psychiatric hospitals in England and Wales, providing assessment and treatment for men with a serious mental illness or personality disorder who are detained under the Mental Health Act and are assessed as presenting a grave risk to others. \u003cbr/\u003e\u003cbr/\u003eThe contract started 1st April 2025 and will run for an initial period of 5 years, with the Commissioner having the option to extend the Contract for up to a further 2 years. The approximate total lifetime value of the initial contract period is estimated to be \u00a3377,665,000 (Annual value of \u00a375,533,000). \u003cbr/\u003e\u003cbr/\u003eThis contract has been awarded following a Direct Award Process A under The Health Care Services (Provider Selection Regime) Regulations 2023. Under these regulations, where there is an existing provider of the service, and the service can only be delivered by that provider, no other process can be used.",
"hasOptions": true,
"id": "5",
"options": {
"description": "Following the initial 5 year contract period, there is an option to extend for up to an additional 2 years"
},
"status": "cancelled",
"title": "Lot 5: High Secure Mental Health Services (Adult)"
},
{
"awardCriteria": {
"criteria": [
{
"description": "100",
"name": "No realistic alternative provider",
"type": "cost"
}
]
},
"description": "The contract is to deliver Child and Adolescent Mental Health Services Tier 4: General Adolescent Services including specialist eating disorder services (Under 13s).\u003cbr/\u003e\u003cbr/\u003eChild and Adolescent Mental Health (CAMH) Tier 4 Children\u2019s Services deliver specialist in-patient and day-patient care to children who are suffering from severe and/or complex mental health conditions that cannot be adequately treated by community CAMH services.\u003cbr/\u003e\u003cbr/\u003eThe contract started 1st April 2025 and will run for an initial period of 5 years, with the Commissioner having the option to extend the Contract for up to a further 2 years. The approximate total lifetime value of the initial contract period is estimated to be The approximate total lifetime value of the initial contract period is estimated to be \u00a36,860,000 (Annual value of \u00a31,372,000). \u003cbr/\u003e\u003cbr/\u003eThis contract has been awarded following a Direct Award Process A under The Health Care Services (Provider Selection Regime) Regulations 2023. Under these regulations, where there is an existing provider of the service, and the service can only be delivered by that provider, no other process can be used.",
"hasOptions": true,
"id": "6",
"options": {
"description": "Following the initial 5 year contract period, there is an option to extend for up to an additional 2 years"
},
"status": "cancelled",
"title": "Lot 6: Child and Adolescent Mental Health Services Tier 4: General Adolescent Se"
},
{
"awardCriteria": {
"criteria": [
{
"description": "100",
"name": "No realistic alternative provider",
"type": "cost"
}
]
},
"description": "The contract is to deliver Child and Adolescent Mental Health Services Tier 4: General Adolescent Services including specialist eating disorder services (Under 13s).\u003cbr/\u003e\u003cbr/\u003eThe Forensic Brain Injury service at Guild Lodge has inpatient beds that are secure/forensic environments. The Forensic Brain Injury service supports referrals from the whole of England and offers integrated care for individuals who have identified secure care needs associated with a brain injury. This allows better matching of care with individual patient need in a specialist area where secure forensic brain injury provision is otherwise very limited. \u003cbr/\u003e\u003cbr/\u003eThe contract started 1st April 2025 and will run for an initial period of 5 years, with the Commissioner having the option to extend the Contract for up to a further 2 years. The approximate total lifetime value of the initial contract period is estimated to be The approximate total lifetime value of the initial contract period is estimated to be \u00a345,085,000 (Annual value of \u00a39,017,000). \u003cbr/\u003e\u003cbr/\u003eThis contract has been awarded following a Direct Award Process A under The Health Care Services (Provider Selection Regime) Regulations 2023. Under these regulations, where there is an existing provider of the service, and the service can only be delivered by that provider, no other process can be used.",
"hasOptions": true,
"id": "7",
"options": {
"description": "Following the initial 5 year contract period, there is an option to extend for up to an additional 2 years"
},
"status": "cancelled",
"title": "Lot 7: Secure (adult) (medium and low) - Acquired Brain Injury"
}
],
"mainProcurementCategory": "services",
"procurementMethod": "limited",
"procurementMethodDetails": "Award procedure without prior publication of a call for competition",
"procurementMethodRationale": "Award of a contract without prior publication of a call for competition in the cases listed below\u003cbr/\u003e\u2022 The services can be provided only by a particular economic operator for the following reason:\u003cbr/\u003e\u2022 absence of competition for technical reasons\u003cbr/\u003e\u003cbr/\u003eExplanation:\u003cbr/\u003eThe contracts being awarded under this notice are for the retained Specialised Mental Health, Learning Disability, and Autism (MHLDA) services, which are provided on a multi-regional footprint and form an essential part of the wider MHLDA care pathway. These contracts have been held by NHS England during 2024/25 and will be awarded on the same basis.\u003cbr/\u003eThese contracts include multiple interdependent services, reflecting the nature of specialised care. It is therefore understood that there is no alternative provision for these contracts due to the specialised nature of the services and the essential role they play within the wider MHLDA care system.\u003cbr/\u003e\u003cbr/\u003eThis 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, using Direct Award Process A. Under these regulations, where there is an existing provider of the service, and the service can only be delivered by that provider, no other process can be used.",
"procurementMethodRationaleClassifications": [
{
"description": "The procurement falls outside the scope of application of the directive",
"id": "D_OUTSIDE_SCOPE",
"scheme": "TED_PT_AWARD_CONTRACT_WITHOUT_CALL"
}
],
"status": "complete",
"title": "Specialised Commissioning Retained Mental Health, Learning Disability and Autism Services (MHLDA)- The North West"
}
}