Service market

Secondary care services contracts

UK public sector · 84 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
84
Last 12 months
Median contract
£45.9m
Recorded value
Recorded value
£43bn
71 of 84 main-service contracts have a published value
Buyers
38
Suppliers
99

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

What stands out

  • The five suppliers that won the most secondary care services contracts took 10% of them (8 of 84).
  • The median contract, £45.9m, is 434.7 times the median across healthcare contracts (£106k).
  • North West had the most contracts: 19, or 23% of the total.

Who buys secondary care services

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

  1. 1NHS Cheshire and Merseyside ICB14 contracts
  2. 2NHS England9 contracts
  3. 3NHS North West London ICB7 contracts
  4. 4NHS Kent and Medway Integrated Care Board5 contracts
  5. 5NHS North East London Integrated Care Board3 contracts
  6. 6NHS Devon Integrated Care Board3 contracts
  7. 7The Royal Orthopaedic Hospital NHS Foundation Trust3 contracts
  8. 8East Sussex Healthcare NHS Trust3 contracts
  9. 9NHS Dorset Integrated Care Board2 contracts
  10. 10NHS Surrey and Sussex Integrated Care Board2 contracts

Top secondary care services contractors by contracts won

The 12 months to 6 October 2026.

  1. 1Newcastle upon Tyne Hospitals NHS Foundation Trust5 contracts
  2. 2Oxford University Hospitals NHS Foundation Trust4 contracts
  3. 3University Hospitals Bristol and Weston NHS Foundation Trust4 contracts
  4. 4Great Ormond Street Hospital for Children NHS Foundation Trust3 contracts
  5. 5Guy's and St Thomas' NHS Foundation Trust3 contracts
  6. 6Cambridge University Hospitals NHS Foundation Trust3 contracts
  7. 7University College London Hospitals NHS Foundation Trust3 contracts
  8. 8University Hospitals of Leicester NHS Trust3 contracts
  9. 9Barts Health NHS Trust2 contracts
  10. 10University Hospitals of Liverpool Group2 contracts

Latest and largest awards

Each links to the official notice.

Latest

Largest

Contracts awarded by quarter

31Q4 2025*17Q1 202627Q2 20269Q3 20260Q4 2026*
* part quarter

Where the contracts were awarded

England 83 · Scotland 1

North West19South East15London14South West10West Midlands6East of England6North East4Yorkshire and The Humber3East Midlands3Scotland1UK-wide or not stated3

What is included

Commissioner contracts with NHS trusts or specialist centres for acute hospital care or single specialised services (neurosurgery, neurology, cardiac, rare disease and other tertiary care), including specialist opinion given remotely such as telestroke and teledermatology triage, and sub-contracts that pass such activity between providers.

  • ICB contracts for whole acute trust services
  • Acute activity sub-contracts between trusts
  • A&E and acute services lots in ICB provider selection
  • Cancer, radiotherapy and systemic anti-cancer treatment services from another trust
  • Neurosurgery, neurology, spinal and pain services
  • Heart valve referrals to a specialist centre
  • Rare disease diagnosis and management services
  • Extracorporeal photopheresis
  • Ex-vivo lung perfusion for transplant
  • Telestroke thrombolysis support
  • Medical photography for teledermatology triage

What is not included

  • Waiting-list elective activity from independent providers (hlt.acute.independent-sector-elective-activity)
  • Insourced teams in the buyer's own hospital (hlt.acute.insourced-clinical-teams)
  • Remote imaging reporting (hlt.diag.teleradiology-reporting)
  • Community health services contracts (hlt.comm.integrated-community-health-services)
  • Whole-system mental health contracts (hlt.mh.integrated-mental-health-services)
  • National clinical audits and registries (it.lob.clinical-registry-and-audit)
  • Telemedicine and video consultation platforms (it.lob.video-consultation)

Often bought by the same buyers