Expert Guide

How to Bid for NHS Contracts in the UK

By James Lopez, Bid Strategy Lead, Glaxtons Consulting

The NHS is the UK's single largest buyer of goods and services, spending over £30 billion annually with private suppliers. From clinical services and digital systems to estates, FM and consultancy, opportunities exist for almost every type of supplier. But NHS procurement is structurally different from central or local government, and most first-time bidders trip on the same handful of issues.

This guide explains what is different about NHS bidding under the new Provider Selection Regime, where to find live opportunities, and the strategies our team uses to maintain a 93% win rate across NHS work.

1. The NHS Provider Selection Regime (PSR)

For healthcare services, the NHS now uses the Provider Selection Regime, which replaced the old PCR 2015 regime in January 2024. The PSR introduces three procurement routes: direct award, most suitable provider, and competitive process. Non-clinical NHS spend (estates, IT, professional services) still follows Procurement Act 2023 rules.

In practice this means clinical providers must monitor both the Find a Tender Service and individual ICB websites, while non-clinical suppliers can rely on the standard public sector portals.

2. The major NHS frameworks

  • NHS Shared Business Services (NHS SBS) - frameworks across consultancy, IT, FM and clinical
  • NOECPC and other Health Trust collaborative procurement consortia
  • Health Trust Europe (HTE) - capital, FM and clinical equipment
  • Crown Commercial Service (CCS) - many NHS bodies buy via CCS frameworks too
  • NHS Workforce Alliance - temporary staffing
  • CWAS3 (RM6320) - construction and consultancy for NHS estates

3. What an NHS ITT actually evaluates

A typical NHS ITT scores three areas: quality (50–70%), price (20–40%) and social value (10–20%). Quality questions go deep on patient safety, clinical governance, information governance (including DSPT compliance), workforce, and integration with existing NHS pathways.

NHS evaluators are time-poor clinicians and procurement leads. The best responses lead with the answer in the first paragraph, then evidence it.

4. Mandatory accreditations and policies

  • Cyber Essentials Plus - required for any system handling NHS data
  • Data Security and Protection Toolkit (DSPT) - mandatory for clinical and data-handling work
  • ISO 27001 - heavily preferred for digital and IT bids
  • ISO 9001, 14001, 45001 - expected for capital and FM bids
  • CQC registration - for any regulated clinical activity
  • Modern slavery statement, equality and inclusion policies

5. Social value in NHS bids: the NHS-specific TOMs

NHS England published its Net Zero Supplier Roadmap, which now requires suppliers above certain thresholds to publish a Carbon Reduction Plan. Beyond carbon, NHS social value commonly evaluates health inequality reduction, local employment, apprenticeships, and community wellbeing using the National TOMs NHS plug-in.

6. Why first-time NHS bids fail

  • Treating NHS bids like commercial pitches instead of evidence-led responses
  • Missing DSPT or Cyber Essentials Plus accreditations
  • Generic clinical governance answers without trust-specific detail
  • Underestimating the mobilisation requirements (TUPE, integration, training)
  • Weak Carbon Reduction Plan and net zero commitments

Bidding for an NHS contract this quarter?

Glaxtons has dedicated NHS bid writing specialists who know the PSR, DSPT and TOMs frameworks inside out. Get a free consultation, or take the Bid Health Check for a personalised diagnostic.

Frequently Asked Questions

Can a private supplier really win NHS contracts?

Yes. The NHS spends over £30bn a year with private suppliers across clinical, digital, FM, estates and professional services. The bar is high but the opportunity is huge.

Do I need NHS experience to bid?

Helpful but not always essential. For non-clinical work, comparable public sector or large commercial experience is usually accepted. For clinical services you generally need NHS or equivalent UK regulated healthcare experience.

How long does NHS procurement take?

Standard ITT cycles run 3 to 6 months. Framework call-offs can be faster (4 to 8 weeks). Direct awards under PSR can be weeks rather than months.

What is the typical contract value?

Anything from £20k pilot studies to £100m+ multi-year clinical service contracts. Most SME-friendly opportunities sit between £100k and £5m.

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