This service provides routine elective secondary care, outpatient, diagnostic and treatment services for eligible patients under patient choice arrangements. The service supports access to commissioned specialties including • General Surgery including endoscopy and upper GI procedures • Orthopaedics/Musculoskeletal including joints and pain management (in line with local pathways relating to the management of these conditions). Small volumes of overlapping Spinal treatment are also included where ICB is commissioner. • Ophthalmology • Oral surgery and Maxillofacial • Plastics (dermatology) • Urology The Provider may provide the following services through the contract duration without the requirement of a contract variation: • Ear, Nose and Throat • Gynaecology . The provider is required to deliver the full patient pathway where appropriate, including referral management, triage, diagnostics, consultation, pre-treatment assessment, treatment, discharge and follow-up within the commissioned scope. The service is delivered by Somerset Surgical Services Ltd from Weston General Hospital, Grange Road, Uphill, Weston-Super-Mare, Somerset, BS23 4TQ, which is included as an agreed additional premises for the purposes of this Contract. Any delivery of the service from further or alternative premises will require the prior written approval of the Commissioner.

This service provides routine elective secondary care, outpatient, diagnostic and treatment services for eligible patients under patient choice arrangements. The service supports access to commissioned specialties including • General Surgery including endoscopy and upper GI procedures • Orthopaedics/Musculoskeletal including joints and pain management (in line with local pathways relating to the management of these conditions). Small volumes of overlapping Spinal treatment are also included where ICB is commissioner. • Ophthalmology • Oral surgery and Maxillofacial • Plastics (dermatology) • Urology The Provider may provide the following services through the contract duration without the requirement of a contract variation: • Ear, Nose and Throat • Gynaecology The award has been made following Direct Award Process B. The procurement has been conducted in line with Right To Choose requirements. This is an activity-based contract with no guaranteed value. The contract has been awarded for the period 01/04/2026 - 31/03/2027 with no provision for extension included NHS Bristol, North Somerset and South Gloucestershire Integrated Care Board (ICB) and Gloucestershire ICB are currently working together in a formal "clustering" arrangement to prepare for their merger into a single, new organisation (name to be confirmed), effective from 1st April 2027. This procurement notice has been issued out by NHS South, Central and West Commissioning Support Unit (SCW) on behalf of the Commissioners.