Special Care and Paediatric Dental Services

{
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      "suppliers": [
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          "id": "GB-NHS-NDA",
          "name": "HCRG Care Services Limited"
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  "buyer": {
    "id": "GB-NHS-QXU",
    "name": "NHS SURREY HEARTLANDS INTEGRATED CARE BOARD"
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  "contracts": [
    {
      "awardID": "018813-2026-1",
      "dateSigned": "2026-02-04T00:00:00Z",
      "id": "018813-2026-1",
      "status": "active",
      "value": {
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        "currency": "GBP"
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  "date": "2026-03-03T10:46:11Z",
  "description": "Award decision-makers:\nAmy Galea, Chief Commissioning Officer, Neighbourhood Health and Partnerships, NHS Surrey Heartlands ICB\nConflicts of Interest have been considered in forums associated with the commissioning of this service; none have arisen and required mitigation. \nKey Criteria are considered of equal value regards this service and the incumbent provider demonstrates fulfilling provision to the standard required and is anticipated to continue doing so.   \nQuality and Innovation\n\u2022 Consistent delivery of high-quality care aligned with national clinical standards.\n\u2022 Patient outcomes and experience measures demonstrate effective, safe, and person-centred care.\n\u2022 Successful management of complex cases and effective transitions from paediatric to adult services.\n\u2022 Innovation is embedded in clinical practice, enhancing both quality and efficiency. Innovative Sedation Techniques include introduction of nasal spray sedation enabling complex procedures in community settings, avoiding hospital admissions.\n\u2022 Use of diagnostic imaging tools for early detection and complex case planning.\n\u2022 Utilisation of child-friendly solutions and approaches.\n\u2022 Use of teledentistry for pre-assessment and follow-up, improving access and reducing unnecessary travel.\n\u2022 Use of enhanced and combined sedation techniques for complex cases.\n\u2022 Robust clinical governance demonstrated\n\u2022 Clinical Excellence: Over 8,300 patients treated in 2024-25 with a case mix ratio of 83%, indicating high complexity care.\n\u2022 Friends and Family Test scores consistently exceeded 98%, peaking at 99.4%.\n\u2022 Investment in digital records and scheduling systems for improved efficiency and patient experience.\n\u2022 Staff nominated for awards, reflecting peer recognition of quality.\n\u2022 No SIs during 24/25 and year to date.\t\nValue\nValue to Patients\n\u2022 Reduced waiting times through effective triage and prioritisation.\n\u2022 Improved experience via trauma-informed care, behavioural support, and accessible environments.\n\u2022 Continuity of care for vulnerable patients, including transitions from paediatric to adult services.\nValue to Providers\n\u2022 Efficient use of clinical time through digital triage, virtual consultations, and streamlined referral pathways.\n\u2022 Workforce development through training in sedation, safeguarding, and special care techniques.\n\u2022 Participation in local pilots (e.g. DPASS).\n\u2022 Efficient use of Resources evidenced e.g.clinic utilisation consistently around 80%.\nValue to the System\n\u2022 Unnecessary referrals to secondary care and reduced hospital admissions minimised.\n\u2022 Sedation pathways to reduce reliance on GA freeing up hospital capacity.\n\u2022 Data-driven service planning using activity reports, patient feedback, and predictive analytics.\n\u2022 Service aligns with ICS priorities on reducing health inequalities and improving access.\n\u2022 Contribution to population health through early intervention and prevention.\n\u2022 Evidenced support for integrated care models and shared outcomes.\n\u2022 Competitive tariff and financial resilience e.g. despite inflation and rising costs, the service maintained financial stability through resource management.\n\u2022 Any surplus reinvested into service improvements e.g. equipment upgrades, staff training.\n\u2022 Clear ROI metrics to track impact of investments, including reduced cancellations and improved throughput.\nIntegration, collaboration and service sustainability\n\u2022The provider operates in alignment with ICS priorities and local oral health strategies, is embedded within local care pathways in partnership and working closely with health, education and social services e.g. community services, safeguarding teams, and hospital trusts for MDT care planning - Integrated Community Framework and embedded in Surrey\u0027s health system since 2012.  Engagement with safeguarding boards, community dental networks, and ICB-led working groups.\n\u2022 Shared protocols with Surrey Heartlands ICB acute trusts for hospital-based procedures and transitions of care.\nProvision of various staff networks:\n\u2022\tEMBRACE: For colleagues from ethnically diverse backgrounds, advocating for racial equity and celebrating cultural diversity\n\u2022\tDisability and Wellbeing Network: Supports staff with disabilities and neurodiversity, focusing on accessibility and reasonable adjustments\n\u2022\tArmed Forces Network: Builds community among staff with military connections\n\u2022\tLGBTQ+ and Religion \u0026 Belief Networks: Foster safe spaces and promote understanding across identities\n\u2022 Participation in local transformation programmes and pilots to improve access and reduce inequalities.\nService Sustainability via demonstrated workforce planning and strategies to ensure retention of specialist staff and ongoing training.\n\u2022 Use of shared care records and interoperable systems to support continuity of care.\n\u2022 Contribution to population health goals through prevention, early intervention, and outreach.\n\u2022 Multi-site coverage: Seven clinic locations across Surrey, plus domiciliary and out-of-hours services.\n\u2022 Resilience Planning evidenced in response to operational challenges ensuring continuity of care.\nImproving access, reducing health inequalities and facilitating choice\nImproving Access\n\u2022 Multiple clinic locations across the ICB footprint, including outreach and domiciliary services.\n\u2022 Flexible appointments, including extended hours and virtual consultations.\n\u2022 Urgent care slots maintained for patients with acute needs or safeguarding concerns.\n\u2022 Digital tools to support triage and reduce travel barriers \n\u2022 Reduced Waiting Times: Majority of patients assessed within 12 weeks; nearly all treated within 18 weeks.\nReducing Health Inequalities\nTargeted care for underserved populations provided, including:\n\u2022\tChildren with special educational needs.\n\u2022\tAdults with learning disabilities or mental health conditions.\n\u2022\tPatients from socioeconomically disadvantaged backgrounds.\n\u2022 Partnership working with public health teams, community organisations, and social care.\n\u2022 Collection and use of demographic and outcomes data to monitor equity and inform improvement.\nFacilitating Choice\n\u2022 Clear information about service locations, referral pathways, and treatment options \n\u2022 Support provided for informed consent and shared decision-making, especially for those with communication needs.\n\u2022 Flexible appointments provided to accommodate family needs and reduce barriers.\n\u2022 Choice and Control evidenced by involving patients in treatment decisions, with tailored communication and consent processes.\t\nSocial Value\nEconomic and Community Value\n\u2022 Service employs local staff and supports skills development through apprenticeships, training, and CPD.\n\u2022 Service engages with local schools, charities, and community groups to promote oral health education.\n\u2022 Participation in flexible commissioning initiatives to address gaps in access and provision.\n\u2022 Inclusive Employment evidenced through strong focus on EDI\u0026E, including neurodiversity toolkit.\n\u2022 Evidenced spending on oral health campaigns and education materials to reduce long-term treatment needs.\nSocial Impact\nSocially excluded groups are targeted to improve dental wellbeing and quality of life, including:\n\u2022\tChildren with special educational needs.\n\u2022\tAdults with learning disabilities or mental health conditions.\n\u2022\tFamilies in deprived areas or from minority ethnic backgrounds\n\u2022 Trust established through culturally competent care and consistent outreach.\n\u2022 Patients and carers involved in service design and feedback loops.\n\u2022 Case studies demonstrate life-changing outcomes for patients and families, including reduced anxiety and increased independence.\nEnvironmental Sustainability\n\u2022 Use of digital records and virtual consultations reduce paper and travel.\n\u2022 Green policies implemented in clinical settings (e.g. waste reduction, energy-efficient equipment).\n\u2022 Participation in ICS-wide sustainability programmes.\n\u2022 Investment in energy-efficient lighting and water-saving sterilisation systems.\nThis is a Provider Selection Regime (PSR) intention to award notice. The awarding of this contract is subject to the Health Care Services (Provider Selection Regime) Regulations 2023. For the avoidance of doubt, the provisions of the Public Contracts Regulations 2015 and the Procurement Act 2023 do not apply to this award. The publication of this notice marks the start of the standstill period. Representations by providers must be made to decision makers by midnight on 14/03/2026. This contract has not yet formally been awarded; this notice serves as an intention to award under the PSR.\nAny written representations should be sent to robert.kitt1@nhs.net",
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        "locality": "Woking",
        "postalCode": "GU215BH",
        "region": "UKJ25",
        "streetAddress": "Dukes Court, Duke Street"
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      "contactPoint": {
        "email": "maggie.czapiewska1@nhs.net",
        "name": "Maggie Czapiewska"
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        "locality": "Runcorn",
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        "region": "UKD6",
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      "id": "GB-FTS-157943",
      "identifier": {
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      "name": "NHS Surrey Heartlands ICB",
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        "locality": "London",
        "postalCode": "SE1 6LH",
        "streetAddress": "Skipton House, 80 London Road"
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  "tender": {
    "classification": {
      "description": "Dental practice and related services",
      "id": "85130000",
      "scheme": "CPV"
    },
    "description": "Special Care and Paediatric Dental Services provide essential dental care for patients who cannot be treated in general dental practice due to complexity. Special Care Dentistry focuses on individuals with additional needs, such as physical or learning disabilities, complex medical conditions, severe mental health issues, sensory impairments, or extreme dental anxiety. These patients often require tailored treatment plans, longer appointments, and specialist facilities, including sedation or general anaesthetic (GA) options. Care is delivered in community clinics, hospitals, and sometimes domiciliary settings for housebound patients, ensuring equitable access for vulnerable groups.\nPaediatric Dentistry provides specialist care for children with advanced or complex dental needs, including extensive tooth decay, developmental anomalies, dental trauma, and cases requiring sedation or GA. These services are delivered by specialist paediatric dentists in hospital or community settings and emphasise early intervention, prevention, and family education. Both services are critical in reducing health inequalities and supporting integration with wider health and social care pathways.\nThe contract to be awarded to the HCRG Group includes provision of Emergency and Domiciliary services within this provision.",
    "id": "ocds-h6vhtk-066096",
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              "name": "The existing provider is satisfying the original contract and will likely satisfy the proposed contract to a sufficient standard",
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        "description": "Special Care and Paediatric Dental Services provide essential dental care for patients who cannot be treated in general dental practice due to complexity. Special Care Dentistry focuses on individuals with additional needs, such as physical or learning disabilities, complex medical conditions, severe mental health issues, sensory impairments, or extreme dental anxiety. These patients often require tailored treatment plans, longer appointments, and specialist facilities, including sedation or general anaesthetic (GA) options. Care is delivered in community clinics, hospitals, and sometimes domiciliary settings for housebound patients, ensuring equitable access for vulnerable groups.\nPaediatric Dentistry provides specialist care for children with advanced or complex dental needs, including extensive tooth decay, developmental anomalies, dental trauma, and cases requiring sedation or GA. These services are delivered by specialist paediatric dentists in hospital or community settings and emphasise early intervention, prevention, and family education. Both services are critical in reducing health inequalities and supporting integration with wider health and social care pathways.\nThese services are commissioned together because they share similar characteristics and infrastructure requirements. Both require dentists with advanced training and overlapping clinical skills, such as managing complex medical conditions and delivering treatment under sedation or GA. They are typically delivered in the same clinical environments, which avoids duplication of facilities and resources. Combining the services under one contract supports efficiency, integration, and streamlined referral pathways, while simplifying commissioning and monitoring processes. This approach ensures consistent standards and equitable access across Surrey Heartlands.\nNotably the HCRG Group contract also includes provision of Emergency and Domiciliary services.\nIt is intended to award a contract to an existing provider following direct award process C from 01/04/2026 - 31/03/2028.  The lifetime value of the contract is \u00a35,496,058.88.\nThis procurement has been carried out by NHS South, Central and West Commissioning Support Unit (SCW) on behalf of the Commissioners.",
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    "mainProcurementCategory": "services",
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    "procurementMethodDetails": "Award procedure without prior publication of a call for competition",
    "procurementMethodRationale": "This is a Provider Selection Regime (PSR) intention to award notice. The awarding of this contract is subject to the Health Care Services (Provider Selection Regime) Regulations 2023. For the avoidance of doubt, the provisions of the Public Contracts Regulations 2015 and the Procurement Act 2023 do not apply to this award. The publication of this notice marks the start of the standstill period. Representations by providers must be made to the relevant authority by midnight on 14/03/2026. This contract has not yet formally been awarded; this notice serves as an intention to award under the PSR.\nAny written representations should be sent to robert.kitt1@nhs.net",
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    "status": "complete",
    "title": "Special Care and Paediatric Dental Services"
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