Satellite Dialysis Services

Guy’s and St Thomas’ NHS Foundation Trust is re-procuring a Managed Service Agreement for satellite dialysis and home haemodialysis services, with an estimated contract value of almost £297.5 million excluding VAT.

The Trust is seeking an independent dialysis provider to deliver the services and work alongside Guy’s and St Thomas’ NHS Foundation Trust as a long-term strategic partner.

The procurement covers hospital dialysis services in London, with the proposed agreement offering a potential term of up to 15 years if the available extension is exercised.

Service Requirements

The procurement is focused on the provision of satellite dialysis and home haemodialysis services through a Managed Service Agreement.

Guy’s and St Thomas’ NHS Foundation Trust intends to establish a strategic partnership with a recognised dialysis specialist acting as the lead supplier.

The Trust has chosen not to divide the procurement into separate lots. It considers separating clinical and facilities management services could result in different suppliers being responsible for elements of the renal dialysis service.

According to the Trust, this could create contract management and supplier interface risks, alongside operational and clinical challenges associated with managing multiple relationships across different sites forming part of a single service.

The Trust has also undertaken market engagement to establish that the proposed approach is viable.

Contract Information

Buyer: Guy’s and St Thomas’ NHS Foundation Trust

Deadline: 28 September 2026 at 12:00pm

Contract Value: £297,492,879 excluding VAT

Delivery Length: 10 years, with one optional 5-year extension

Tender Link: Health Family eCommercial System

Reference: 6421-22

The estimated contract period runs from 1 October 2027 until 30 September 2037. One five-year extension may take the agreement through to 30 September 2042, creating a maximum potential delivery period of 15 years.

The estimated value is £297,492,879 excluding VAT and £356,991,455 including VAT.

Evaluation Criteria

Bids will be evaluated using the following weightings:

• Technical – 50%
• Price – 40%
• Social Value – 10%

Procurement Process

The Trust is using a competitive flexible procedure consisting of three stages:

1. PSQ/conditions of participation and Initial Tenders
2. Negotiation
3. Best and Final Offers

The estimated award decision date is 31 May 2027.

The Trust did not consider a preliminary market engagement notice necessary because of its existing knowledge of the market, informed by a previous Royal Free London NHS Foundation Trust procurement.

To support transparency and equal treatment, relevant information from the market engagement, including presentation slides, has been incorporated into the tender documentation for bidders.

Participation in the earlier engagement is not required to tender, and further clarifications will be shared through the procurement portal.

The procurement represents a substantial long-term opportunity for an independent dialysis specialist capable of delivering satellite dialysis and home haemodialysis services while developing a strategic partnership with Guy’s and St Thomas’ NHS Foundation Trust.

Never Miss a Care Sector Opportunity

From contract opportunities and framework launches to sector news and procurement updates, The Daily Round delivers daily insights designed for care providers, suppliers, and sector leaders.