This notice relates to the intention to award a contract for the commissioning of Othopeadic procedures by Cardiff University Health Board (CAVUHB), Cwm Taf Morgannwg University Health Board (CTMUHB) and Swansea Bay University Health Board )SBUHB) following a mini-competition under the Outsourcing of Clinical, Surgical & Diagnostics Services Framework Agreement (PRO-OJEULT-50776). The Health Services (Provider Selection Regime) (Wales) Regulation 2025 competitive process was followed to call off services under the framework agreement as per the below lotting structure: Lot 1: CAVUHB & CTMUHB: Orthopaedic treatment packages for predominantly Hip and Knee Primary Arthroplasty, Spines and Soft Tissue Operations. May include some Hand, Shoulder, Foot and Ankle surgery. Lot 2: SBUHB: Orthopaedic treatment packages for predominantly Shoulder surgery, however, may include some Hip and Knee Primary Arthroplasty, Spines, Soft Tissue Operations, Hand, Foot and Ankle surgery. NWSSP Procurement Services, on behalf of the above listed Health Boards, undertook the procurement process. The proposed outsourcing volume is circa 1317 cases. Please note that this is an indicative volume based on current and historical trends and is not guaranteed. Publication of this Intention to Award Notice commences the standstill period in accordance with the applicable regulations. No contract will be entered into before the end of the standstill period.

This is a Provider Selection Regime Wales (PSR Wales) framework agreement modification notice, under the Health Services (Provider Selection Regime) (Wales) Regulations 2025. For the avoidance of doubt, the provisions of the Public Contracts Regulations 2015/Procurement Act 2023 do not apply to this award. The publication of this notice marks the start of the standstill period. Representations by providers must be made to decision makers by midnight on Friday 30th October 2026. This contract has not yet formally been awarded; this notice serves as an intention to award under the PSR Wales The award decision was made by the evaluation panel comprising of Head of Commissioning, SBUHB Service Manager, CTMUHB General Manager, General Surgery, CAVUHB The Evaluation methodology required Bidders to meet the Output Based Specification & an assessment of the sustainability and overall VFM from the submitted tariffs was: Technical - 60% Commercial 25% Social Value - 15% The evaluation concluded that both Bidders met the Key Criteria requirements to ensure successful delivery: 1. Quality – high-quality services that meet the required standards and deliver positive outcomes for service users. 2. Value – good value for money through an appropriate balance of cost. 3. Collaboration and service sustainability – services delivered with partners to ensure individuals are directed to the most appropriate treatment pathway and receive sustainable service provision. 4. Improving access and reducing health inequalities – services that are accessible, inclusive and responsive to patients. 5. Social responsibility – a commitment to promoting safer communities, improving social and economic wellbeing, and supporting environmental sustainability in line with the wider public sector objectives. No providers were excluded from the procurement process. No actual, potential, or perceived conflicts of interest were declared by any individual involved in the decision-making process. Written representations during the standstill period should be submitted to: [email protected]/[email protected] Please note that it is the intention to award a contract to Nuffield Health for Lot 1 and Lot 2. (WA Ref:171836)

This notice constitutes an Intention to Award Notice and confirms the commissioner’s intention to award a contract following the application of a mini-competition under the Outsourcing of Clinical, Surgical & Diagnostics Services Framework Agreement under the Health Services (Provider Selection Regime) (Wales) Regulations for Lot 2: Swansea Bay University Health Board: Orthopaedic treatment packages for predominantly Shoulder surgery, however, may include some Hip and Knee Primary Arthroplasty , Spines, Soft Tissue Operations, Hand, Foot and Ankle surgery. The framework provides a compliant route for Health Boards to procure additional clinical capacity to support planned care recovery and reduce waiting times. SBUHB have developed an outsourcing plan to eliminate waits over 104 weeks for orthopaedic surgery procedures such as, Hip and Knee Primary Arthroplasty, Spines and Soft Tissue Operations. May include some Hand, Shoulder, Foot and Ankle surgery. The contracts entered will cover the full range of services including pre-operative assessments, diagnostics and tests (where required), surgical procedures and follow up care. Publication of this Intention to Award Notice commences the standstill period in accordance with the applicable regulations. No contract will be entered into before the end of the standstill period. The services are intended to be provided from 1st November 2026 to 31st March 2027. Additional information: The contract structure is one that will allow SBUHB to send eligible patients to the providers subject to sufficient capacity and/or expertise to deliver the outsourcing programme by 31 March 2027. The intention is to award the contract to Nuffield Health, Circle Health Group Limited and Sancta Maria Hospital.

This notice constitutes an Intention to Award Notice and confirms the commissioner’s intention to award a contract following the application of a mini-competition under the Outsourcing of Clinical, Surgical & Diagnostics Services Framework Agreement under the Health Services (Provider Selection Regime) (Wales) Regulations for Lot 1: Southeast Health Boards (CAVUHB & CTMUHB): Orthopaedic treatment packages for predominantly Hip and Knee Primary Arthroplasty, Spines and Soft Tissue Operations. May include some Hand, Shoulder, Foot and Ankle surgery. The framework provides a compliant route for Health Boards to procure additional clinical capacity to support planned care recovery and reduce waiting times. CAVUHB and CTMUHB have developed an outsourcing plan to eliminate waits over 104 weeks for orthopaedic surgery procedures such as, Hip and Knee Primary Arthroplasty, Spines and Soft Tissue Operations. May include some Hand, Shoulder, Foot and Ankle surgery. The contracts entered will cover the full range of services including pre-operative assessments, diagnostics and tests (where required), surgical procedures and follow up care. Publication of this Intention to Award Notice commences the standstill period in accordance with the applicable regulations. No contract will be entered into before the end of the standstill period. The services are intended to be provided from 1st November 2026 to 31st March 2027. Additional information: The contract structure is one that will allow CAVUHB and CTMUHB to send eligible patients to the providers subject to sufficient capacity and/or expertise to deliver the outsourcing programme by 31 March 2027. Intention to award contract to Nuffield Health, St Joseph Hospital Ltd and Practice Plus Group Hospitals.

Public Contracts Regulations 2015 (Directive 2014/24/EU)

Open procedure

Lot 1: Bids: 4 Lot 2: Bids: 4 Lot 1: Sme bids: 1 Lot 2: Sme bids: 1 Lot 1: Foreign bids from eu: 0 Lot 2: Foreign bids from eu: 0 Lot 1: Foreign bids from non eu: 0 Lot 2: Foreign bids from non eu: 0 Lot 1: Electronic bids: 4 Lot 2: Electronic bids: 4