AWARD OUTCOME
What happened
NHS Bristol, North Somerset and South Gloucestershire Integrated Care Board awarded a one-year activity-based elective care contract to SPIRE HEALTHCARE LIMITED for orthopaedic and musculoskeletal services, with associated pathway activity. The published contract record states it was signed on 1 April 2026; no guaranteed contract value is stated.
Published outcomeOne active award and active contract record cover lot 1, awarded through Provider Selection Regime Direct Award Process B.
Market significanceThis is a direct-award NHS elective secondary-care arrangement supporting patient-choice pathways in the Bristol area. Financial scale cannot be assessed because the service is activity-based with no guaranteed value.
AWARDED SUPPLIERS AND LOTS
1 supplier record analysed
SPIRE HEALTHCARE LIMITED
99% confidenceAward 095521-2026-BNSSG_C424804_2026-2027_Spire Healthcare Ltd-1 · Lots 1 · No guaranteed value; activity-based contract GBP · Active award and contract record
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Verified company number 01522532 is linked to the award. Lot 1 states that the contract is activity-based with no guaranteed value.
LIFECYCLE
Award or contract stage
Published notice
99% confidenceAward and contract notice published 9 October 2026
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Release history records notice type 'award, contract' dated 2026-10-09T10:38:06+01:00.
Award status
98% confidenceActive award
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Award 095521-2026-BNSSG_C424804_2026-2027_Spire Healthcare Ltd-1 has status 'active'.
Contract status
98% confidenceActive contract; signed 1 April 2026
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Contract record has status 'active' and dateSigned 2026-04-01T00:00:00+01:00.
Lot record status
99% confidenceLot 1 is marked cancelled, despite the linked award and contract being active
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Tender lot 1 status is 'cancelled'; the active award and contract both reference lot 1.
VALUES
Published values explained
Published contract record value
99% confidence£0.01
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The contract JSON records value amount 0.01 GBP.
Commercial value basis
99% confidenceActivity-based with no guaranteed value
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Lot 1 description explicitly states: 'This is an activity-based contract with no guaranteed value.'
TIMELINE
Procurement timeline
Contract signing date
98% confidence1 April 2026
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Contract dateSigned is 2026-04-01.
Stated contract period
99% confidence1 April 2026 to 31 March 2027
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Lot 1 description states the award period is 01/04/2026 - 31/03/2027.
Notice publication date
99% confidence9 October 2026
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Release history records publication on 2026-10-09.
SCOPE
What was awarded
Service category
99% confidenceSurgical hospital services (CPV 85111100)
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Primary classification is CPV 85111100, Surgical hospital services.
Core clinical scope
99% confidenceRoutine elective secondary care focused on orthopaedics and musculoskeletal care, including joints and pain management
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Tender and lot descriptions specify orthopaedics/musculoskeletal services including joints and pain management.
Pathway scope
98% confidenceReferral management, triage, diagnostics, consultation, pre-treatment assessment, treatment, discharge and follow-up
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Published scope requires delivery of the full patient pathway where appropriate.
Delivery geography
98% confidenceUKK11; service stated to be delivered from Spire Bristol Hospital, Bristol
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Delivery address region is UKK11; tender description identifies Spire Bristol Hospital, Redland Hill, Durdham Down, Bristol.
PROCEDURE
Procedure and competition
Procedure
99% confidenceProvider Selection Regime Direct Award Process B
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Lot description states the award followed Direct Award Process B; rationale says it was formally awarded under the Health Care Services (Provider Selection Regime) Regulations 2023.
Call for competition
99% confidenceAward procedure without prior publication of a call for competition
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Procurement method details state this explicitly.
Award criteria
99% confidencePatient Choice: quality 100; price 0
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Lot 1 award criteria list Patient Choice as quality 100 and price 0.
Competition information
99% confidenceNumber of suppliers considered or bids received not supplied
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The published notice contains no bid or participant count.
CONTRACT TERMS
Published contract terms
Term
99% confidence1 year, from 1 April 2026 to 31 March 2027
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Lot 1 states the contract period as 01/04/2026 - 31/03/2027.
Extension options
99% confidenceNo extension provision
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Lot 1 states that no provision for extension is included.
Premises
97% confidenceSpire Bristol Hospital is an agreed additional premises; further premises require Commissioner approval
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Tender description sets out the stated premises arrangement.
COMMERCIAL VIEW
Commercial observations
Value interpretation
99% confidenceThe £0.01 contract record should not be interpreted as contract spend or a supplier-specific award value; the notice describes an activity-based arrangement with no guaranteed value.
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Contract JSON gives £0.01, while lot 1 explicitly says activity-based with no guaranteed value.
Demand model
98% confidencePayment exposure depends on activity rather than a guaranteed committed value.
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Lot 1 describes the contract as activity-based with no guaranteed value.
Quality emphasis
99% confidenceThe published criteria place all stated weighting on Patient Choice and none on price.
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Award criteria list Patient Choice quality 100 and price 0.
DATA QUALITY
Gaps and source limitations
Conflicting lifecycle data
99% confidenceThe lot is marked cancelled while its linked award and contract are both active; the notice does not explain this inconsistency.
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Lot 1 status is 'cancelled'; associated award and contract statuses are 'active'.
Value transparency
99% confidenceNo guaranteed contract value or pricing breakdown is published. The £0.01 contract record conflicts with the stated activity-based, no-guaranteed-value basis as a measure of commercial scale.
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Contract value is 0.01 GBP; lot description says activity-based with no guaranteed value.
Supplier identity
99% confidenceSupplier identity is verified against company number 01522532.
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Supplier verification status is verified using company-number matching.
Competition detail
99% confidenceInformation on bids, participants and detailed evaluation outcomes was not supplied in the published notice.
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No such fields are present in the supplied evidence.
SOURCE DATA LIMITATIONS
Information not supplied in the published notice
- The lot is marked cancelled although the related award and contract are marked active; the source does not resolve the discrepancy.
- No guaranteed value, expected expenditure, activity volumes, tariff or pricing breakdown is published.
- The £0.01 contract record is not a reliable indicator of contract scale given the stated activity-based, no-guaranteed-value model.
- Information on bids, participant numbers, detailed evaluation outcomes and award decision date was not supplied in the published notice.
MARKET THEMES
Relevant award themes
SPIRE HEALTHCARE LIMITEDBNSSG ICBSpire Bristol Hospitalelective care contractorthopaedic servicesmusculoskeletal servicesProvider Selection RegimeDirect Award Process B
COMMON QUESTIONS
About this award
Who received the award?
SPIRE HEALTHCARE LIMITED, verified under company number 01522532, received the active award linked to lot 1.
What services are covered?
The notice covers routine elective secondary care focused on orthopaedic and musculoskeletal services, alongside associated referral, diagnostic, treatment, discharge and follow-up activity.
What is the contract value?
No guaranteed value is published because the arrangement is activity-based. Although the contract record shows £0.01, this should not be treated as expected spend.
When does the stated term end?
The stated term ends on 31 March 2027, with no extension provision published.
ProcuraAxis award analysis supplements, but does not replace, the official award notice, contract data or procurement documents. “Awarded” does not by itself prove that a contract has been signed.