National Framework Agreement for the Provision of Prescription Hub Services (Stoma and/or Catheter)

This framework is for the provision of a centralised advice and repeat prescription hub for patients with a stoma or long-term catheter, and a pre- and/or post-operative care support service to support stoma patients. The prescription hub will take responsibility for patients' on-going prescriptions and deal with any identified issues to prevent care escalation, removing responsibility from GPs behalf within participating ICSs.

This will be supported by specialist nurses who would be able to offer advice, repeat prescriptions and urgent response to support patients, as well as annual reviews. The pre- and/or post-operative care support would include care for stoma patients pre- and/or post-operation, as required by the Participating Authority.

Using specialist nurses as part of this prescription service gives easier access for patients to specialists who are best able to support with any problems and also with finding the best appliances/equipment for them to improve their quality of life. Centralising the system allows for prescription guidance to be applied consistently and ensure items issued are cost effective and the quantities supplied are in line with the patients' clinical needs.

It also frees up GP time and would be expected to reduce complications through more regular patient interactions, all of which should deliver both cost reductions and improvements for patients. In accordance with Regulation 17 of The Health Care Services (Provider Selection Regime) Regulations 2023 and Regulation 17 of The Health Services (Provider Selection Regime) (Wales) Regulations 2025, the Framework will re-open annually during the Term of the Framework to applications from new potential Providers.

Previously appointed Providers are NOT obliged to re-apply. This notice concerns the opening of the Framework opportunity for applications from new potential Providers.

Tenderers may Tender for one or more Lots of the Framework. The Framework has been established under The Health Care Services (Provider Selection Regime) Regulations 2023 and The Health Services (Provider Selection Regime) (Wales) Regulations 2025 (and as amended) (together the PSR) for use by all Relevant Authorities (and any future successors to these organisations).

"Relevant Authority" is defined in section 12ZB(7) of the National Health Service Act 2006 and in section 10A(9) of the National Health Service (Wales) Act 2006. It means a combined authority, an integrated care board, a local authority in England, NHS England, an NHS foundation trust or an NHS trust established under section 25 of the National Health Service Act 2006, a county council or county borough council in Wales, a local health board established under section 11 of the National Health Service (Wales) Act 2006, a National Health Service trust established under section 18 of the National Health Service (Wales) Act 2006, or a special health authority established under section 22 of the National Health Service (Wales) Act 2006.

For the avoidance of doubt, any successor bodies of any of the above entities shall be entitled to place Orders and shall be deemed Relevant Authorities for the purposes of this Framework. For reference, the tender notice advertising the original establishment of this Framework was 2025/S 000-017592 published 29 April 2025.

Services relating to stoma prescriptions Services relating to Catheter Prescriptions

Services relating to Stoma and Catheter Combined Prescriptions Services relating to Stoma Pre- and/or Post-Operative Care Support Services relating to Combined Stoma Prescription Service and Stoma Pre- and/or Post Operative Care Support