Pathology services contracts

• The five suppliers that won the most pathology services contracts took 21% of them (39 of 188).
• The median contract, £158k, is 50% above the median across healthcare contracts (£106k).
• Yorkshire and The Humber had the most contracts: 52, or 28% of the total.

1. 1Integrated Laboratory Solutions LLP38 contracts£40k
2. 2Gateshead Health NHS Foundation Trust12 contracts£1.9m
3. 3NHS England11 contracts£5.3bn
4. 4Somerset NHS Foundation Trust8 contracts£1.8m
5. 5County Durham and Darlington NHS Foundation Trust6 contracts£9.5m
6. 6Gloucestershire Hospitals NHS Foundation Trust6 contracts£1.6m
7. 7Northampton General Hospital NHS Trust6 contracts£664k
8. 8Kettering General Hospital NHS Foundation Trust6 contracts£454k
9. 9Newcastle upon Tyne Hospitals NHS Foundation Trust6 contracts£274k
10. 10Sheffield Teaching Hospitals NHS Foundation Trust5 contracts£170k

1. 1Newcastle upon Tyne Hospitals NHS Foundation Trust9 contracts£10.1m
2. 2Synnovis9 contracts£332k
3. 3Great Ormond Street Hospital for Children NHS Foundation Trust8 contracts£242k
4. 4Sheffield Teaching Hospitals NHS Foundation Trust7 contracts£3.2m
5. 5Exact Sciences7 contracts£1.3m
6. 6UK Health Security Agency7 contracts£363k
7. 7Manchester University NHS Foundation Trust5 contracts£30.1m
8. 8FORENSIC ACCESS LIMITED5 contracts£334k
9. 9University Hospitals Birmingham NHS Foundation Trust5 contracts£329k
10. 10Micropathology Ltd5 contracts£288k

Latest

• BCU-FCONC-64309 - Histopathology - Outsourcing (official notice, opens in a new tab)

  £380k

  Betsi Cadwaladr University Health Board to Diagnexia UK Ltd · Awarded 2 October 2026

• Metagenomic Profiling of Gut Microbiome IID3: New Perspectives Infectious Intestinal Disease (official notice, opens in a new tab)

  £600k

  Food Standards Agency to University of Liverpool · Awarded 1 October 2026

• OUTSOURCING OF HISTOLOGY SAMPLES FOR PROCESSING AND OR REPORTING (official notice, opens in a new tab)

  £700k

  Swansea Bay University Health Board to Cyted UK Ltd · Awarded 30 September 2026

• T-Spot Testing Provided by Oxfordshire Diagnostic Laboratories (official notice, opens in a new tab)

  £84k

  Gloucestershire Hospitals NHS Foundation Trust to Oxford Diagnostic Laboratories · Awarded 29 September 2026

• Microbiology Referrals - GOSH (official notice, opens in a new tab)

  £8k

  Gateshead Health NHS Foundation Trust to Great Ormond Street Hospital for Children NHS Foundation Trust · Awarded 16 September 2026

• Toxicology Services (official notice, opens in a new tab)

  £300k

  Bournemouth, Christchurch and Poole Council to University Hospital Southampton NHS Foundation Trust and University Hospitals Sussex NHS Foundation Trust · Awarded 16 September 2026

• Pathology services (official notice, opens in a new tab)

  £27k

  Kent County Council to Dr M Koslowski · Awarded 14 September 2026

• Histology Services (official notice, opens in a new tab)

  £44k

  Police and Crime Commissioner for Sussex to FORENSIC ACCESS LIMITED · Awarded 11 September 2026

• Histology Services (official notice, opens in a new tab)

  £52k

  Police and Crime Commissioner for Surrey to FORENSIC ACCESS LIMITED · Awarded 11 September 2026

• Provision of the Oncotype DX Breast Recurrence Score Test for use within Cancer Services (official notice, opens in a new tab)

  Value not published

  NHS Wales Shared Services Partnership to Exact Sciences · Awarded 7 September 2026

Largest

• NHS Genomic Medicine Service - Most Suitable Provider Process (official notice, opens in a new tab)

  £5.2bn

  NHS England to Birmingham Women's and Children's NHS Foundation Trust, Cambridge University Hospitals NHS Foundation Trust, Great Ormond Street Hospital for Children NHS Foundation Trust, Guy's and St Thomas' NHS Foundation Trust and Manchester University NHS Foundation Trust · Awarded 21 October 2025

• Surge Laboratory Capacity in the event of a Health Emergency (official notice, opens in a new tab)

  £331m

  UK Health Security Agency to RANDOX CLINICAL LABORATORY SERVICES LTD · Awarded 12 June 2026

• HPV Primary Cervical Screening Laboratory Service in the South East (official notice, opens in a new tab)

  £30.5m

  NHS England to Berkshire and Surrey Pathology Services · Awarded 16 June 2026

• HPV Primary Cervical Screening Laboratory Service - North West (official notice, opens in a new tab)

  £30.0m

  NHS England to Manchester University NHS Foundation Trust · Awarded 9 February 2026

• Provision of Laboratory Services to Support the Delivery of the HPV Primary Screening Pathway within the NHS Cervical Screening Programme - North East and Yorkshire (official notice, opens in a new tab)

  £28.0m

  NHS England to Gateshead Health NHS Foundation Trust · Awarded 22 December 2025

An external accredited laboratory tests and reports clinical samples for the buyer: routine and referral blood sciences, microbiology and toxicology, histology and cytology reporting, genetic, genomic and molecular tests, and post-mortem toxicology for coroners.

• Referral and reference testing in biochemistry, toxicology and immunology
• Outsourced diagnostic microbiology with clinical advice
• Faecal immunochemical testing (FIT) analysis
• Blood sample kit fulfilment, analysis and biomarker reporting for health studies
• Cellular pathology referral tests
• Outsourced histopathology reporting to clear backlogs
• Perinatal, paediatric and coronial histopathology
• Oncotype DX and other tumour recurrence-score tests
• Circulating tumour DNA (liquid biopsy) testing
• HLA typing for transplant matching
• Coronial toxicology testing contracts
• Drug and alcohol analysis of post-mortem samples

• Blood taking clinics (hlt.diag.community-phlebotomy)
• Drug and alcohol testing of living people (hlt.diag.drug-alcohol-testing-individuals)
• Post-mortem examinations and body storage (hlt.acute.mortuary-post-mortem)
• Analysers, reagents and managed systems for the buyer's own lab (hlt.lab.blood-sciences-analysers, hlt.lab.cellular-pathology-equipment, hlt.lab.pcr-molecular-platforms, hlt.lab.genomic-sequencing)
• Donor nucleic acid testing systems (hlt.lab.blood-transfusion-laboratory)
• Digital pathology platforms (it.lob.digital-pathology)
• Specimen courier (trn.post.pathology-and-specimen-courier)
• Forensic toxicology for prosecutions (outside the 16 industries)
• Environmental and food testing (not healthcare)

• Genome sequencing
• Haematology analysers