NHS Tier 2 Services (Intermediate Minor Oral Surgery) in Gloucestershire

Gloucestershire Integrated Care Boards (ICBs) / NHS England South West's (the Commissioner's) are seeking to commission providers who have the capability and capacity to deliver NHS Tier 2 Oral Surgery services in Gloucestershire, in line with the specified requirements.

The Commissioner will be awarding 3 contracts all within the Gloucestershire boundary.

Oral surgery deals with the diagnosis and management of pathology of the mouth and jaws that requires surgical intervention. It involves the treatment of NHS patients aged 16 and over, and the management of dentally anxious and medically complex patients. Further information on the services can be found in the Oral Surgery clinical standards and the service specification.

https://www.england.nhs.uk/long-read/oral-surgery-clinical-standard/

The services will provide Level 2 Oral Surgery for patients, either residing in or currently under the care of a General Dental Practitioner (GDP), in Gloucestershire.

All Mandatory Dental Services, including simple non-surgical extractions, are excluded from the scope but some services will include Sedation in accordance with the Guidance for Commissioning Sedation for Dental Services in Primary Care 2017.

The aims of the service (with and without Sedation) are to:

• ensure that equitable, accessible, cost effective, high quality Minor Oral Surgery (MOS) services are available to the public locally;

• increase the availability and accessibility of the primary care based MOS services to those patients who require sedation to support them to receive a minor oral surgical procedure locally;

• release pressures and waiting times for treatment at secondary care centres; and

• reduce the number of patients receiving minor oral surgical procedures under general anaesthesia.

Performers will need to be accredited to provide the services to a Level 2 standard. The accreditation will be through an accreditation panel led by the Managed Clinical Network for Oral Surgery, with the support of NHS England and the ICB. Further information on accreditation can be found in the commissioning guide:

https://www.england.nhs.uk/wp-content/uploads/2018/09/guidance-for-the-accreditation-of-performers-of-level-2-complexity-care-dec-2018.pdf

The contract term is planned to commence on 1st March 2025 and will end on 31st March 2026. Gloucestershire's longer term commissioning of additional NHS Tier 2 Oral Surgery services from 1st April 2026 will take place under a separate procurement process.

The maximum total contract value for all three contracts is £303,875.

TUPE will not apply.

This exercise is being carried out by NHS South, Central and West Commissioning Support Unit (SCW) on behalf of the Commissioner.