Provision of Stereotactic Radiosurgery / Radiotherapy (SRS /SRT) Services – (Intracranial) All Ages, All Indications including Paediatric Neuro-Oncology SRS/SRT Services

Descriptions

NHS Arden and Greater East Midlands Commissioning Support unit on behalf of NHS
England wish to procure under Lots four All Tiers Stereotactic Radiosurgery / Radiotherapy
(SRS /SRT) Services – (Intracranial) all ages, including paediatric oncology services covering
England.
SRS/SRT are methods of delivering doses of precisely targeted intracranial radiotherapy
treatment and used for a wide range of malignant and benign intracranial conditions, as setout
within NHS England clinical commissioning policy. This comprises Tier 1-2 indications of
cerebral metastases, non-skull base meningiomas, skull base tumours including Vestibular
Schwannoma and meningioma, pituitary adenoma, and the Tier 3-4 indications including
arteriovenous malformations, trigeminal neuralgia and paediatric CNS tumours. The
prevalence of these conditions varies from less than one per 100,000 population to up to 30
per 100,000.
The two Service Specification include a tiered service model, based on clinical indication
prevalence and complexity and groups together more common, less complex conditions
(called Tier 1&2) and less common and more complex conditions (called Tier 3&4).
The two service specification, cover:
(i) Tier 1 & 2 indications for adults; and
(ii) All tiers, all ages and all conditions as this better reflects service provision and pathways.
This procurement is focused on the ALL Tiers, all ages Service Specification ONLY.
The Lots will cover the whole of England based on the following Geographies:
1. Lot 1: North England and North West England
2. Lot 2: South Yorkshire and Midlands
3. Lot 3: Greater London, East of England and South England
4. Lot 4: South West of England