NHS Bristol, South Gloucestershire and North Somerset ICB are using this notice as an award notice. NHS Bristol, South Gloucestershire and North Somerset ICB intent to award this contract to an existing provider following Direct Award Process A. Acute Hospital Services including inpatient, surgical and Accident and Emergency The contract has been awarded for the period 01 April 2025 to 31 March 2027 with no provision for extension included. The lifetime value of the contract is estimated at £1,000,000,000 inc VAT (please note year two financial value is subject to negotiation and therefore only an estimate of the total can be given at this time) NHS South, Central and West Commissioning Support Unit (SCW) is publishing the notice on behalf of the Commissioners. 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.