Quick answer: An NHS procurement framework is an agreement, tendered once, that lets NHS trusts and other approved buyers award contracts to the suppliers appointed to it without running a full tender each time. The main framework owners are NHS Supply Chain for products, NHS Shared Business Services (NHS SBS), regional NHS hubs such as NOE CPC, HealthTrust Europe and Crown Commercial Service. You get on by bidding when a framework is tendered or re-tendered; health care services in England are arranged under separate rules, the Provider Selection Regime.
What is an NHS procurement framework?
A framework agreement sets the terms for a group of suppliers chosen through one competition: what they supply, how they price it and how individual contracts will be awarded. The organisation that runs the competition is the framework owner. The organisations allowed to buy through the framework are identified in its notice and documents, and they award contracts under it, known as call-offs, to the appointed suppliers. Our guide to public sector frameworks covers the general model; this one is about the NHS.
A call-off is made in one of two ways: a direct award, where the framework's own terms let the buyer choose a supplier without further competition, or a further competition (often called a mini-competition) between the suppliers on the relevant lot. Under the Procurement Act 2023, in force since 24 February 2025, a framework can normally run for up to four years; our Procurement Act 2023 guide for suppliers covers the wider changes. Frameworks awarded under the old rules, the Public Contracts Regulations 2015, carry on under those rules until they end.
Three things follow for a supplier. A framework place is a right to compete for work, not a contract for any: a framework usually carries no commitment to buy. Most frameworks are closed, so if you miss the tender window you wait for the re-tender. And frameworks are divided into lots by product, service or region, so you bid lot by lot; our guide to framework lots explains how to choose them. For the wider picture on selling to the NHS, read the companion guide, How to Win NHS Contracts.
The main NHS framework owners at a glance
NHS buyers draw on several framework owners. These are the ones most suppliers meet first:
| Framework owner | What it is | Typical route for |
|---|---|---|
| NHS Supply Chain | Sources and supplies products for NHS trusts and other healthcare organisations | Medical consumables, devices, capital equipment and other products |
| NHS Shared Business Services (NHS SBS) | Provides finance, procurement and other business services to NHS organisations, and runs national framework agreements | Services and solutions across clinical and non-clinical categories |
| NHS North of England Commercial Procurement Collaborative (NOE CPC) | An NHS-owned collaborative procurement organisation whose members are mostly NHS trusts in the north of England and the Midlands | Products and services its member trusts buy together |
| HealthTrust Europe | A commercial procurement organisation, not part of the NHS, whose frameworks NHS trusts use | Products, equipment and services |
| Crown Commercial Service (CCS) | The government's central purchasing body, with frameworks open to the public sector, NHS bodies included | Common goods and services such as technology, facilities management and professional services |
Health care services in England are the exception: they are arranged under the Provider Selection Regime, covered below.
NHS Supply Chain: the route for products
NHS Supply Chain sources and supplies products for NHS trusts and other healthcare organisations, from medical consumables and devices to capital equipment. It runs framework agreements category by category, and the products it awards onto them are offered to trusts through its catalogue, so a trust can order from NHS Supply Chain instead of contracting with each supplier.
For a product supplier, the framework tender for your category is the door. Find out when it is next tendered, read the lots and the product specifications closely, and expect to evidence regulatory compliance and product quality. A listing makes your product available to order; it does not make trusts switch to it. Clinical and procurement staff in each trust still choose between listed products, so your work with trusts continues after the award.
NHS Supply Chain is first and foremost a route for products. If you sell services, the organisations below are usually more relevant.
NHS Shared Business Services (NHS SBS)
NHS Shared Business Services provides finance, procurement and other business services to NHS organisations, and runs a portfolio of national framework agreements that NHS bodies can use. Its frameworks are grouped into business services, construction and estates, digital and IT, and health.
NHS SBS frameworks follow the usual cycle: a tender window, lots, a fixed term, then a re-tender. Before you bid, check two things in the documents. First, who can use the framework: the access list decides which buyers you can sell to through it. Second, what it costs you: many framework owners fund themselves through a charge on suppliers' call-off sales, often called a levy, management charge or rebate. If there is one, price it in from the start.
NOE CPC and the regional NHS hubs
NHS North of England Commercial Procurement Collaborative (NOE CPC) is an NHS-owned collaborative procurement organisation whose members are mostly NHS trusts in the north of England and the Midlands. Its member trusts pool their buying through it, and it runs framework agreements and collaborative tenders for them.
NOE CPC is one of several regional NHS procurement hubs; NHS London Procurement Partnership is another. A hub's frameworks are not necessarily limited to its members: each framework's documents say which organisations can use it, so check them before assuming a northern hub only sells to the north.
For a supplier targeting trusts in one region, the hub those trusts belong to is worth knowing well. Its frameworks are routes your target buyers can use, and its re-tender dates are planning dates for you.
HealthTrust Europe
HealthTrust Europe runs framework agreements that NHS trusts and other public sector bodies use, across products, equipment and services. Unlike the organisations above, it is not part of the NHS: it is a commercial procurement organisation.
For a supplier, that changes less than you might think. The questions are the same as for any framework: which lots fit, who can buy through the framework, what it charges suppliers, and when it is next tendered.
Crown Commercial Service and other routes NHS buyers use
NHS bodies are not limited to NHS frameworks. Crown Commercial Service, the government's central purchasing body, runs frameworks that public sector buyers, NHS organisations included, use for common goods and services; our guide to CCS frameworks explains how they work. NHS buyers also use frameworks from public sector buying organisations such as ESPO and YPO, and trusts run their own tenders too.
The practical point: when you research an NHS buyer, find out which routes it uses for your category. A trust that buys your service through a CCS framework will not find you on an NHS SBS one, however strong your bid was.
The Provider Selection Regime: health care services work differently
Since 1 January 2024, health care services in England have been arranged under the Provider Selection Regime (PSR), set out in the Health Care Services (Provider Selection Regime) Regulations 2023 and introduced under the Health and Care Act 2022. It applies when NHS bodies, such as integrated care boards and NHS trusts, and local authorities arrange health care services, including public health services. It does not cover goods, or services that are not health care services, such as facilities management or IT: those fall under the Procurement Act 2023, unless they are bought with health care services in a contract that is mainly for health care and could not reasonably be split.
The PSR gives the authority five ways to award a contract:
Direct award process A
The existing provider is the only one able to provide the service, so the contract is awarded to it.
Direct award process B
Patients choose their provider, and every provider that meets the authority's requirements can be awarded a contract.
Direct award process C
The existing provider is performing well and the service is not changing considerably, so the authority can award it a new contract without a competition.
Most suitable provider process
The authority identifies the most suitable provider without running a competition.
Competitive process
The authority runs a competition between providers.
Decisions are made against five key criteria: quality and innovation; value; integration, collaboration and service sustainability; improving access, reducing health inequalities and facilitating choice; and social value.
Transparency comes through notices published on Find a Tender. For direct award process C, the most suitable provider process and the competitive process, the authority publishes its intention to award before the contract is finalised, and a standstill period follows in which providers can make representations. The regime also has its own provisions for framework agreements.
What the PSR means for health care providers
- A competition may never be advertised: under direct award process C, the incumbent can be awarded a new contract without one
- Your influence comes before the decision, so know your commissioners and make your capability known early
- Watch Find a Tender for intention notices in your service area: the standstill period is when representations can be made
- The PSR applies in England only; the other nations arrange health care services under their own rules
How to get listed on an NHS framework
The process is the same whichever owner runs the framework. Our NHS tenders hub covers the main NHS buyers and where they publish; from there, in order:
Find the frameworks your buyers use
Ask the procurement teams at your target trusts which frameworks they use for your category, and look at how similar contracts were awarded. A framework your buyers never use is a cost, not a route.
Work out when each one is re-tendered
A framework's notices give its term, normally up to four years, and the replacement is usually tendered before the old one ends. Buyers often engage the market first, so look for preliminary market engagement notices and planned procurement notices, and for the pipeline notices that buyers expecting to spend over £100 million in a financial year must publish (Northern Ireland's devolved bodies are exempt), listing the contracts over £2 million they plan to tender in the 18 months from the start of that year.
Set alerts for the tender notice
Above the threshold, framework tenders are advertised on Find a Tender, or on Public Contracts Scotland in Scotland. Set alerts on your category's keywords and CPV codes, and on the framework's name.
Register and read everything
The notice says where the tender documents are, usually the owner's e-tendering portal. Register early, then read the lots, the conditions of participation, the award criteria, how call-offs will be made, who can use the framework and any charge on suppliers. For a procurement under the Procurement Act 2023, also register on the central digital platform and keep your core supplier information up to date.
Choose your lots
Bid where you can evidence the requirement, not everywhere. Some frameworks limit how many lots one supplier can win, and a weak bid on a lot you cannot deliver costs time you need for the lots you can.
Write to the scoring
Answer exactly what each question asks, against the weightings in the documents, and use NHS or healthcare examples where you have them.
Win the call-offs
Appointment is the start, not the finish. Tell the buyers who can use the framework that you are on it, keep your prices and any catalogue entries current, and meet the reporting requirements in the framework terms.
Missed the window? What happens between re-tenders
Most frameworks are closed: once a framework is awarded, nobody joins it until it is tendered again, and contracts called off near its end can run beyond it. Waiting is not your only option.
While a framework is closed, you can...
- Subcontract to an appointed supplier that needs your capability
- Bid for NHS contracts tendered outside frameworks, which English trusts now advertise on Find a Tender
- Use other frameworks your target buyers can access, such as CCS frameworks or another hub's
- Join a dynamic market or dynamic purchasing system, where a buyer runs one in your category
- Check whether the framework is an open framework, which reopens to new suppliers during its term
- Prepare for the re-tender: accreditations, policies and case studies can take longer to put in place than a tender window allows
Dynamic markets: the route you can join at any time
Under the Public Contracts Regulations 2015, a buyer could set up a dynamic purchasing system (DPS): a list of qualified suppliers that stays open to new applicants throughout its life, with contracts competed among its members. The Procurement Act 2023 replaced the DPS with the dynamic market. A procurement started on or after 24 February 2025 cannot set up a new DPS, while those already running carry on under the old rules until they end, and no later than 23 February 2029.
A dynamic market works in a similar way. Suppliers can apply to join at any time while it is open, the buyer must admit suppliers that meet its conditions for membership and are neither excluded nor excludable (it may still admit an excludable one), and contracts are then competed among the members, or among the members of the relevant part of the market. Where an NHS buyer runs one in your category, you do not have to wait for a re-tender to get in.
| Feature | Closed framework | Open framework | Dynamic market |
|---|---|---|---|
| New suppliers join | Only at the re-tender | When it reopens, at set points in its term | At any time while it is open |
| Contracts awarded by | Direct award or further competition | Direct award or further competition | Competition among members |
| Available under | The Procurement Act 2023 and the old rules | The Procurement Act 2023 | The Procurement Act 2023 (the DPS was the old equivalent) |
NHS Scotland, Wales and Northern Ireland
Health is devolved, and each nation organises its health service buying in its own way:
England
find-tender.service.gov.uk · contractsfinder.service.gov.uk
NHS bodies use the frameworks above, and arrange health care services under the Provider Selection Regime.
NHS Scotland
publiccontractsscotland.gov.uk
Health boards generally buy under Scotland's own rules (the Procurement Reform (Scotland) Act 2014, the Procurement (Scotland) Regulations 2016 and, above the UK-wide thresholds, the Public Contracts (Scotland) Regulations 2015), not the Procurement Act 2023. NHS National Services Scotland runs national procurement for NHS Scotland.
NHS Wales
sell2wales.gov.wales
The Procurement Act 2023 applies in Wales. NHS Wales Shared Services Partnership provides procurement services to NHS Wales organisations.
Northern Ireland
etendersni.gov.uk
Health and social care bodies are supported by the Business Services Organisation's Procurement and Logistics Service. The Procurement Act 2023 applies in Northern Ireland.
For Scotland in detail, read our guide to Public Contracts Scotland.
Tracking NHS framework tenders
Framework tenders, re-tenders and the award notices that follow are published on the official portals, and which portal carries a notice depends on the buyer's nation and, in England, on whether the procurement started under the old rules. PSIP aggregates the five official UK portals (Find a Tender, Contracts Finder, Public Contracts Scotland, Sell2Wales and eTendersNI) into one search. It reads Find a Tender and Contracts Finder hourly through the working day and the other three daily, and its tender alerts run daily, 4-hourly or hourly, by plan, on your keywords and CPV codes. AI scoring is available on request.
PSIP does not read the framework owners' own e-tendering portals, where tender documents are downloaded and bids submitted, so register with those directly.
All five official portals in PSIP — one search
Frequently asked questions
What is an NHS procurement framework?
An NHS procurement framework is an agreement, tendered once by a framework owner such as NHS Supply Chain, NHS Shared Business Services, a regional NHS hub or HealthTrust Europe, that sets the terms for a group of appointed suppliers. NHS trusts and other approved buyers then award contracts to those suppliers, by direct award or by further competition, without running a full tender each time.
How do I get on an NHS framework?
Bid when the framework is tendered or re-tendered. Above the procurement threshold the tender notice is published on Find a Tender, or on Public Contracts Scotland in Scotland. Register on the e-tendering portal the notice names, choose the lots you can evidence, meet the conditions of participation and submit your bid before the deadline. It is then evaluated against the award criteria in the tender documents.
Can I join an NHS framework after it has been awarded?
Not usually. Most frameworks are closed once awarded, so new suppliers wait for the re-tender. The exceptions are open frameworks under the Procurement Act 2023, which reopen to new suppliers at set points, and dynamic markets or older dynamic purchasing systems, which suppliers can apply to join while they run. Meanwhile you can subcontract to an appointed supplier or bid for NHS work tendered outside frameworks.
What is the difference between a framework and a dynamic market?
A closed framework appoints its suppliers through one competition, and nobody else joins until it is re-tendered. A dynamic market, which the Procurement Act 2023 introduced in place of the dynamic purchasing system, stays open: suppliers can apply to join while it runs, and contracts are competed among its members.
What is the Provider Selection Regime?
The Provider Selection Regime (PSR) is the set of rules, in force since 1 January 2024, for how NHS bodies such as integrated care boards and NHS trusts, and local authorities, arrange health care services in England. It offers three direct award processes, a most suitable provider process and a competitive process, and decisions are made against five key criteria. Goods, and services that are not health care services, fall under the Procurement Act 2023 instead, unless they are bought with health care services in a contract that is mainly for health care and could not reasonably be split.
Does the Procurement Act 2023 apply to NHS procurement?
For goods, and for services that are not health care services, yes, unless they are bought with health care services in a contract that is mainly for health care and could not reasonably be split: NHS bodies in England, Wales and Northern Ireland have run new procurements under the Procurement Act 2023 since 24 February 2025, while procurements and frameworks started under the old rules carry on under them. Health care services in England are arranged under the Provider Selection Regime, and NHS Scotland buys under the Scottish procurement rules.
Is HealthTrust Europe part of the NHS?
No. HealthTrust Europe is a commercial procurement organisation whose framework agreements NHS trusts use. For a supplier its frameworks work like other framework agreements: a tender window, lots, a fixed term and a re-tender.
How long do NHS frameworks last?
Under the Procurement Act 2023 a framework can normally run for up to four years, and frameworks awarded under the Public Contracts Regulations 2015 were normally limited to four years too. The framework notice gives its term. Contracts called off under a framework can run beyond the framework itself.
Does being on a framework guarantee work?
No. A framework place lets you compete for, or be directly awarded, call-off contracts, and a framework usually carries no commitment to buy. Appointed suppliers still have to market themselves to the buyers who can use the framework.
Selling to the NHS? Our companion guide, How to Win NHS Contracts, covers where NHS tenders are published, NHS selection criteria and preparing for re-tenders.
Find NHS framework tenders across the five portals
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