BidSkim
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Service market

Elective surgery outsourcing contracts

UK public sector · 128 contracts awarded in the 12 months to 6 October 2026

Covering 600+ buyer portals · 5 years of records · Updated 6 October 2026 · How we count

Contracts awarded
128
Last 12 months
Median contract
£581k
Recorded value
Recorded value
£499m
87 of 111 main-service contracts have a published value
Buyers
53
Suppliers
70

BidSkim assigns contracts to services from the notice text. How services are assigned

What stands out

  • The five suppliers that won the most elective surgery outsourcing contracts took 38% of them (48 of 128).
  • The median contract, £581k, is 5.5 times the median across healthcare contracts (£106k).
  • North West had the most contracts: 30, or 23% of the total.

Who buys elective surgery outsourcing

By contracts awarded, the 12 months to 6 October 2026.

  1. 1Countess of Chester Hospital NHS Foundation Trust13 contracts
  2. 2NHS Hertfordshire and West Essex Integrated Care Board7 contracts
  3. 3Maidstone and Tunbridge Wells NHS Trust7 contracts
  4. 4Norfolk and Norwich University Hospitals NHS Foundation Trust7 contracts
  5. 5NHS Surrey and Sussex Integrated Care Board6 contracts
  6. 6NHS Cheshire and Merseyside ICB6 contracts
  7. 7Barking, Havering and Redbridge University Hospitals NHS Trust5 contracts
  8. 8West Hertfordshire Teaching Hospitals NHS Trust4 contracts
  9. 9University Hospitals Coventry and Warwickshire NHS Trust4 contracts
  10. 10Bedfordshire Hospitals NHS Foundation Trust4 contracts

Top elective surgery outsourcing contractors by contracts won

The 12 months to 6 October 2026.

  1. 1Spire Healthcare17 contracts
  2. 2Nuffield Health15 contracts
  3. 3Circle Health Group10 contracts
  4. 4Ramsay Health Care UK5 contracts
  5. 5Community Health and Eyecare (CHEC)4 contracts
  6. 6Epsomedical Limited3 contracts
  7. 7Mayflower Healthcare Alliance3 contracts
  8. 8The London Independent Hospital2 contracts
  9. 9Dorking Healthcare2 contracts
  10. 10Cora Health2 contracts

Latest and largest awards

Each links to the official notice.

Latest

Largest

Contracts awarded by quarter

35Q4 2025*34Q1 202614Q2 202643Q3 20262Q4 2026*
* part quarter

Where the contracts were awarded

England 119 · Scotland 5 · Wales 4

North West30East of England27South East19London14South West7Yorkshire and The Humber6East Midlands6West Midlands5Wales4North East3Scotland3UK-wide or not stated4

What is included

Another provider treats waiting-list patients in its own hospital, treatment centre or theatres, bought as activity, block contracts or theatre and bed capacity across orthopaedics, general surgery, ENT, gynaecology, cancer and other specialties, or partners with a trust to run its private patient unit.

  • Independent sector elective activity under patient choice or block contracts
  • Outsourced surgery to clear inpatient waiting lists
  • Dedicated theatre and bed capacity
  • Outsourcing lots of NHS clinical services frameworks
  • General anaesthetic theatre sessions bought from a hospital
  • Managed NHS private patient units
  • Radiotherapy and other cancer treatment capacity from independent providers

What is not included

  • Clinical teams brought into the buyer's own facilities (hlt.acute.insourced-clinical-teams)
  • Cataract and hospital eye services (hlt.acute.cataract-ophthalmology)
  • Endoscopy capacity (hlt.acute.outsourced-mobile-endoscopy)
  • Community tier 2 clinics, carpal tunnel, minor surgery and vasectomy (hlt.comm.community-specialist-clinics)
  • Equipped facilities hired without a clinical service (hlt.acute.mobile-modular-clinical-units)
  • Whole-hospital and specialised NHS contracts (hlt.acute.general-acute-hospital-services)

Often bought by the same buyers