Adult Palliative Care Contract Modification Notice
Summary
The NHS Norfolk and Waveney Integrated Care Board has published a modification notice for the Adult Community and Specialist Palliative Care contract. This notice pertains to a contract originally awarded in 2019 and extended to 2024, with a potential two-year extension.
What changed
This notice from the NHS Norfolk and Waveney Integrated Care Board announces a modification to the existing Adult Community and Specialist Palliative Care contract, originally established in 2019 and set to expire in 2024 with a possible two-year extension. The modification notice, identified by reference number 2526-173 and procurement identifier ocds-h6vhtk-067442, indicates changes to the terms or scope of the contract for services including proactive and reactive community care, as well as bed-based services.
While this is a modification notice and not a new procurement, entities involved in providing community and specialist palliative care services under this contract should review the specific changes detailed in the full notice. The notice does not specify new compliance deadlines or penalties, as it relates to an existing contractual arrangement. Compliance officers should ensure internal records and service delivery align with the updated contract terms.
What to do next
- Review the specific modifications to the Adult Community and Specialist Palliative Care contract.
- Ensure internal service delivery and records align with the updated contract terms.
Source document (simplified)
Contract
Adult Community and Specialist Palliative Care 2019 - 2024 (+ 2) NHS GYW CCG / ECCH C.I.C (2526-173)
- NHS NORFOLK AND WAVENEY INTEGRATED CARE BOARD F20: Modification notice
Notice identifier: 2026/S 000-027536
Procurement identifier (OCID): ocds-h6vhtk-067442
Published 25 March 2026, 4:48pm
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NHS NORFOLK AND WAVENEY INTEGRATED CARE BOARD
8th Floor, County Hall, Martineau Lane
Norwich
NR12DH
nwicb.contractsandprocurement@nhs.net
Country
United Kingdom
Region code
UKH15 - Norwich and East Norfolk
NHS Organisation Data Service
26a
Internet address(es)
Main address
https://improvinglivesnw.org.uk
Adult Community and Specialist Palliative Care 2019 - 2024 (+ 2) NHS GYW CCG / ECCH C.I.C (2526-173)
Reference number
2526-173
Community health services
Services
NUTS codes
- UKH15 - Norwich and East Norfolk
The in scope services included are:
proactive services providing routine services with planned appointments and interventions within community settings, including GP surgeries, community facilities and patients own homes. Proactive services will support the delivery of educational and public awareness programmes and will link into public health initiatives such as smoking cessation and alternatives to A and E,
reactive services will provide unplanned urgent or crisis care for people whose health or care needs have deteriorated placing them at risk of serious decline in their condition and/or being admitted as an emergency to hospital. These services will also support discharge from hospital e.g. the provision of a community IV therapy service. Reactive services should provide 7 day response and a consistent, appropriate and prompt response to need. Urgent care should be accessed through a single point, clinically triaged with urgent care needs being met in the most appropriate location i.e. patients own home, bed with care, etc.,
bed based services will be available to cover a range of varying needs, including admission avoidance, facilitated discharge, intermediate care and palliative care. Services will provide time limited clinical based bed provision, with robust clinical accountability in place,
support and enabling services include but are not limited to, community pharmacy support, home oxygen and wheelchair services and the management of community equipment. These services are integral to the delivery of health and care provision within the community, and must be responsive, adaptable and supportive,
condition specific services working closely with the acute trust and primary care to ensure consistency of care for patients and access to the right resource at the right time. These services will provide initiation of the specialist management of patients, specialist resource support and expert advice, highly complex case management and training for the local health and care community. An example of this would be services to patients with diabetes. The CCG area has 4 distinct localities; Lowestoft, South Waveney, Gorleston and Great Yarmouth and Northern Villages. Wherever possible and where service need lends itself, these services will be configured around these communities across the acute trusts, community teams, GP practices and with close links to adult social care reablement services and the voluntary sector. Staffing will be organised to meet the demands of the population and will be flexible to allow staff to work across organisational boundaries and at all locations. Utilising an MDT approach teams will ensure appropriate case management and risk stratification.
In addition:
- specialist palliative care services will be a community based, consultant led specialist palliative care service which complies with NICE and other guidelines. Essential components will include 7/7 working, specialist palliative care beds outside of an acute setting, acute hospital in reach, domiciliary care, outpatient care and day therapies. The service will also provide 24/7 support to patients, their families and carers and clinicians. The SPC service will be expected to work seamlessly across health and care services. Building and maintain good relationships with non-statutory, voluntary sector and patient involvement groups will be essential. The CCG was seeking to offer one contract for the provision of all the services. Bidders were able to bid as whatever model is legally allowable. Bidders were encouraged to offer the most effective model, which will demonstrate the best use of capacity and capability in the system, in line with the tender requirements and evaluation criteria. The preferred bidder will also be an integral member of leading and mobilising the intended integrated care system and organisation.
Duration in months
96
Notice number: 2099/S 001-999999
Contract No
2099 /S 001-999999
1 April 2019
The contract/concession has been awarded to a group of economic operators: No
East Coast Community Healthcare Community Interest Company
Lowestoft
Country
United Kingdom
NUTS code
- UKH14 - Suffolk
NHS Organisation Data Service
NAX
The contractor/concessionaire is an SME
No
Total value of the procurement: £203,305,106
This is a Provider Selection Regime (PSR) contract modification notice, under the Health Care Services (Provider Selection Regime) Regulations 2023. For the avoidance of doubt, the provisions of the Procurement Act Regulations 2024 do not apply to this award. This contract has been formally modified.
Conflicts of Interest - No conflict of interests were declared prior, or during the preparation and award of the contracts.
Modification approved by Interim Executive Director of Finance, Norfolk & Waveney ICB.
NHS Norfolk and Waveney Integrated Care Board (ICB)
Norwich
Country
United Kingdom
Community health services
NUTS code
- UKH15 - Norwich and East Norfolk
- UKH16 - North and West Norfolk
This modification provides additional capacity to support Urgent Care Response capacity within ECCH. Funding is non-recurrent and applies from 1 December 2025 to 31 March 2026.
Total modification value - 25/26 - £204,978
There is no change in contract dates or term which remains 01/04/2019 to 31/03/2027.
The modification is made at the discretion of the relevant authority and the modification does not render the contract or framework agreement materially different in character and the cumulative change in the lifetime value of the contract or framework agreement, compared to its value when it was entered into, is under into, is under 25%.
Duration in months
4
Total value of the contract/lot/concession:
£203,305,106
East Coast Community Healthcare Community Interest Company
Lowestoft
Country
United Kingdom
NUTS code
- UKH14 - Suffolk
NHS Organisation Data Service
NAX
The contractor/concessionaire is an SME
No
Nature and extent of the modifications (with indication of possible earlier changes to the contract):
This modification provides additional capacity to support Urgent Care Response capacity within ECCH. Funding is non-recurrent and applies from 1 December 2025 to 31 March 2026.
Total modification value - 25/26 - £204,978
There is no change in contract dates or term which remains 01/04/2019 to 31/03/2027.
The modification is made at the discretion of the relevant authority and the modification does not render the contract or framework agreement materially different in character and the cumulative change in the lifetime value of the contract or framework agreement, compared to its value when it was entered into, is under into, is under 25%.
Need for additional works, services or supplies by the original contractor/concessionaire.
Description of the economic or technical reasons and the inconvenience or duplication of cost preventing a change of contractor:
This modification is permissible in line with Section 13 - 2A and 2B (ii) of The Health Care Services (Provider Selection Regime) Regulations 2023.
Updated total contract value before the modifications (taking into account possible earlier contract modifications, price adaptions and average inflation)
Value excluding VAT: £255,114,527
Total contract value after the modifications
Value excluding VAT: £255,319,505
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